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Assertiveness and Anxiety in Midwifery & Nursing Students
* T (Ph.D) Taghavi Larijani,** ND (MSc.) Sharifi Neiestanak,*** M (MSc.) Aghajani,**** A (MSc.). Mehran
Hayat Journal of Faculty of Nursing & Midwifery , 2009,
Abstract: Background & Objective: High levels of assertiveness and low levels of anxiety are important factors that result in suitable communication. They also increase intellectual abilities, abstract thought, power & autonomy, and personal well-being among nursing and midwifery students. The aim of this study was to determine the relationship between assertiveness and anxiety among midwifery and nursing students. Methods & Materials: In this correlational, cross-sectional study, 173 nursing students (68 males & 105 females) were recruited using census and rational methods. Seventy seven midwifery students were also recruited using census method. Data were collected using a self-report tool including "personal information form", "Trait Spilberger Anxiety", and "Assertion Inventory" (AI) of Gambrill & Richey. Data were analyzed using descriptive and inferential statistical methods. Results: Results showed that more than half of the nursing and midwifery students (59.5% and 59.7%, respectively) had moderate assertiveness. Also, 43.3% and 36.4% of them had moderate and high levels of anxiety. Pearson correlation test revealed that assertiveness and anxiety had negative correlations in nursing (r=-0.51, P<0.001) and midwifery (r=-0.449, P<0.001) students. Some demographic variables had significant correlations with assertiveness and anxiety among the students. Conclusion: Regarding the relationship between assertiveness and anxiety and their effect on mental health, as well as educational and occupational functions of the students, more attention is needed to pay to theses issues. Also, it seems that appropriate interventions should be planned to increase assertiveness and to decrease anxiety among the students. Key words: assertiveness, anxiety, nursing students
Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy  [PDF]
Sudha Salhan,Vrijesh Tripathi,Rajvir Singh,Harsha S. Gaikwad
Anemia , 2012, DOI: 10.1155/2012/608658
Abstract: Objectives. Anemia is a major public health problem throughout the world which assumes prominence in pregnant mothers. Patients with severe anemia continue to present themselves at term or in labor. This study was conducted to compare the improvements in hematological parameters of patients receiving partial exchange blood transfusion and transfusion of packed cells without exchange. Methods. One hundred and twenty-five severely anemic antenatal mothers were admitted from outpatient service. Partial exchange transfusion was given to sixty-six patients while fifty-nine received transfusion of packed cells with frusemide cover. Results. The two groups were comparable in terms of age, height, weight, religion, diet, education, occupation of self and husband, and income. Hemoglobin level in Group 1 was comparatively less than Group 2 at prelevel (5.2±1.5 versus 6.6±2.3, =0.001) and postlevel (7.2±1.5 versus 8.6±1.8, =0.001), respectively, but there was no significant difference between the two modes of transfusion (2.09±1.6 versus 2.01±1.5, =0.78). Conclusion. The study produced an equally significant improvement in hematological parameters in partial exchange and packed cell transfusion. Platelet counts were significantly less in partial exchange as compared with packed cell transfusion.
Nursing professionals' anxiety and feelings in terminal situations in oncology
Faria, Daniella Antunes Pousa;Maia, Eulália Maria Chaves;
Revista Latino-Americana de Enfermagem , 2007, DOI: 10.1590/S0104-11692007000600012
Abstract: this study aimed to investigate, through a cross-sectional study, factors that influence anxiety levels and feelings of a nursing team who care for terminal patients with cancer. the sample consisted of 50 nursing assistants and technicians from the hospital reference on cancer care in rio grande do norte, brazil. data were collected through the state-trait anxiety inventory. results showed that 69.8% of the professionals have medium anxiety levels and 30.2% have high levels of anxiety. the number of patients attended and "working in another institution" interfered in the anxiety levels. the most remarkable professionals' feelings were suffering and sadness, and child was the most difficult age group to care for. studies which develop support strategies to those health professionals are necessary to reduce and/or to prevent high anxiety and stress levels.
Anxiety and depression in Nursing students during Oncology internship
Juliana Cardozo Fernandes Bastos,Andréa Gomes da Costa Mohallem,Olga Guilhermina Dias Farah
Einstein (S?o Paulo) , 2008,
Abstract: Objective: To identify the degree of depression and anxiety inNursing students during their Oncology internship. Methods: Thirtyeight Nursing students (third year) participated in the survey. Data were obtained by sociodemographic information and past medical history; anxiety and depression scale; and difficulties faced during the internship. Results: The Hospital Anxiety and Depression Scale showed that 57.89% (22) corresponded to non-cases and 42.10% (16) to possible or probable cases of anxiety; of these, 75%(12) had or had had cases of cancer in the family. The scale further showed that 65.78% (25) corresponded to non-cases and 34.21%(13) to possible or probably cases of depression; and of these, eight(61.53%) had or had had cases of cancer in the family. Conclusions:The anxiety rate was significantly higher in the group with familycases of cancer. As to depression, no difference was found betweenthe groups.
Nursing students’ stressors and anxiety in their first clinical practice
Ana Isabel Cobo Cuenca,Raquel Carbonell Gómez de Zamora,Concepción Rodríguez Aguilera,Inmaculada Vivo Ortega
NURE Investigación , 2010,
Abstract: Nursery practices are crucial for the subsequent professional development of the nurse, but because of her contact with suffering, death and in general the human aspects of health care, mean a stressful moment for nursing students.Objectives: know the levels of anxiety and condition, as well to determine the stressors that have influence in such anxiety in the students of Nursing Schools of the University of Castilla la ManchaMethodology: A observational, longitudinal and prospective study. The Stai-R and Stai-E questionnaires will be used to know the anxiety trait and state and the Kezkak questionnaire, validated by Zupiria, will be used to know the most frequent stressors that appear in the population subject of this survey.The population is limited to the students registered for the Introductory Practicum subject, that mean the first practices and therefore the student’s first contact with the reality of the nursery care.The analysis of information will be realized by statistical package SPSS V15.0.
Correlations between stress and anxiety levels in nursing students  [cached]
Leonice Fumiko Sato Kurebayashi,Juliana Miyuki do Prado,Maria Julia Paes da Silva
Journal of Nursing Education and Practice , 2012, DOI: 10.5430/jnep.v2n3p128
Abstract: Objective: Transversal, descriptive, and correlational study with 71 professionalizing Nursing students, with the purpose of describing social-demographic data, to verify and to correlate stress and anxiety levels. Methods: Data collection was performed on January 2011, from Vasconcelo’s List of Stress Symptoms and Spielberger’s Inventory of Trait and State Anxiety. Results: There were 90.44% female students with an average 28.87 years of age; 32.39% obtained average stress score and 64.79% high score; 43.66% for high score in Trait and State Anxiety; 43.66% and 36.62% for moderate score respectively for Trait and State Anxiety. At Pearson correlation the following coefficients were obtained: LSS/Trait-Anxiety (r=0.656/p=0.000); LSS/State-Anxiety (r=0.512/p=0.000). Conclusion: Students presented high levels of stress and anxiety and correlations between these variables were positive. Future studies are necessary with higher samples.
Evaluation of Hematological Parameters in Partial Exchange and Packed Cell Transfusion in Treatment of Severe Anemia in Pregnancy  [PDF]
Sudha Salhan,Vrijesh Tripathi,Rajvir Singh,Harsha S. Gaikwad
Anemia , 2012, DOI: 10.1155/2012/608658
Abstract: Objectives. Anemia is a major public health problem throughout the world which assumes prominence in pregnant mothers. Patients with severe anemia continue to present themselves at term or in labor. This study was conducted to compare the improvements in hematological parameters of patients receiving partial exchange blood transfusion and transfusion of packed cells without exchange. Methods. One hundred and twenty-five severely anemic antenatal mothers were admitted from outpatient service. Partial exchange transfusion was given to sixty-six patients while fifty-nine received transfusion of packed cells with frusemide cover. Results. The two groups were comparable in terms of age, height, weight, religion, diet, education, occupation of self and husband, and income. Hemoglobin level in Group 1 was comparatively less than Group 2 at prelevel ( versus , ) and postlevel ( versus , ), respectively, but there was no significant difference between the two modes of transfusion ( versus , ). Conclusion. The study produced an equally significant improvement in hematological parameters in partial exchange and packed cell transfusion. Platelet counts were significantly less in partial exchange as compared with packed cell transfusion. 1. Introduction Anemia has an estimated global prevalence of 42% among pregnant women. It is estimated that anemia causes more than 115000 maternal and 591000 perinatal deaths globally per year [1]. The baseline measure of hemoglobin concentration that categorizes anemia is less than 7.0?g/dL for severe anemia, 7.0–9.9?g/dL for moderate anemia, and 10.0–11.9?g/dL for mild anemia [2]. The estimated prevalence of anemia among pregnant women in India is higher than the global prevalence at 49.7% [3]. According to survey data, 84.9% of pregnant women are anemic with 60.1% having moderate anemia and 13.1% having severe anemia [4]. A study recorded that the prevalence of anemia in pregnant women and children among slum dwellers in Delhi was as high as 80.6% and 93.3%, respectively [5]. Anemia has been identified as a public health problem yet the problem is accentuated when pregnant women present themselves with severe anemia late in labor. Various studies have assessed the association between severe anemia and maternal mortality. Brabin et al. in a review used cross-sectional, longitudinal, and case-control studies and found a strong association between severe anemia and maternal mortality. However, the association was not as strong for mild or moderate anemia [6]. Harrison found that both maternal and fetal mortality rise sharply in
The Status of Packed Red Blood Cell Transfusion in Besat Hospital of Hamadan in 2009-2010
RafieemehrH
Medical Laboratory Journal , 2011, DOI: http://www.goums.ac.ir/mljgoums/index.php?slc_lang=en&sid=1
Abstract: Bakground and objectives: Higher than the needed blood orders not onlyadversely affect blood quality but also impose extra expenses on therapeuticcenter and patients. We aimed at determining the frequency of packed redblood cell transfusion in Besat hospital of Hamadan in 2009-2010.Material and Methods: This descriptive study was carried out on 926 bloodorder forms in Besat hospital. The data were collected, using blood orderforms, in Hamedan teaching hospital (Besat) from March 2009 to march 2010.We assessed the amount of blood order, blood consumption,crossmatch/transfusion ratio(C/T) and transfusion index (TI) in different wardsof hospital.Results: Out of 926 patients aged averagely 28, 37% were females and 63%are males. The overall ratio of C/T and TI is 2.44 and 0/63, respectively. Theyare considered to be optimal, in comparison with the standard figures ofC/T<2.5 and TI≥0.5.The results show that the highest C/T is in surgery wardand the lowest in burn ward. But the highest TI is related to Hematology wardand the lowest to urology ward.Conclusion: Packed cell consumption, C/T Ratio and TI in Besat hospitals arenormal but not ideal.It seems that absence of hospital blood transfusioncommittees and lack of active contribution of physicians, are the majorobstacles in reforming blood utilization.Key words: Packed cell, crossmatch,transfusion index, transfusion
Conducts of the nursing professional in an intensive care unit during the transfusion process
Maisa Arantes da Silva,Gilson de Vasconcelos Torres,Isabelle Katherinne Fernandes Costa,Manuela Pinto Tiburcio
Revista de Enfermagem UFPE On Line , 2010,
Abstract: Objective: to characterize the nursing team that performs the procedures transfusion in the ICU of a university hospital. Methods: this is about a descriptive study, from prospective data and quantitative approach, performed in the ICU at University Hospital in Natal city/RN. Population was composed by the nursing staff. Data collection was performed at two months after this study has been approved by the Committee of Ethics in Research of Federal University of Rio Grande do Norte (protocol number 175/08). Data were organized in Excel and analyzed in SPSS 15.0. Results: of the 27 surveyed, 59.3% and 40.7% were Fellows officials. Predominated: age between 21 and 32 years (63.0%), female (85.2%) and average full (74.1%). Average observed in the ducts in the transfusion process were inadequate, showing significant difference (ρ = 0.010). In step pre-transfusion, there was inadequacy in the sample (91.7%), prescription (84.0%), form (66.7%) and SSVV (62.0%). In step transfusion was related to inadequate medication (46.0%), observation (30.0%) and equipment (8.0%). In step post-transfusion, there was inadequacy in the nursing notes (88.0%), label (74.0%) and SSVV (62.0%). Conclusion: we found that this is a young team, a majority of stock, without proper training and a fragmented transmission process and without systematization.
Selection of Blood (Packed RBCs) for Transfusion in Newborn Baby up to the Age of 4 Months  [cached]
Ghulam Mostafa Khan
Journal of Enam Medical College , 2011, DOI: http://dx.doi.org/10.3329/jemc.v1i1.11138
Abstract: Proper selection of donor’s blood group is essential to prevent transfusion hazards. It is known that ABO antigen is fully developed at birth but the newborn baby does not produce ABO antibodies until 3 to 6 months of age. The ABO antibodies present in the serum of newborn babies are derived from mother’s blood due to placental transfer. So the blood group of the newborn baby is done by ABO antigen grouping (forward grouping) only, antibody grouping (reverse grouping) is not required. In case of transfusion of blood in newborn under 4 months of age, cross-matching of donor’s blood is done with the mother’s blood if it is available. We know, recipient’s same group of blood is always preferable in case of transfusion in adults or older children. But selection of blood for transfusion in the infants under 4 months of age depends on the mother’s blood group as well. If the mother’s blood group differs from the infant’s blood group, the infant’s same group of blood may not be selected for transfusion. For example, if the mother’s blood group is “O” and the newborn blood group is “A” or “B”, infant’s same group “A” or “B” group blood could not be transfused, because the anti-A & anti-B antibodies can be derived in the infant’s serum from mother’s blood which may react with the “A” or “B” antigen of the donor’s blood. In this case “O” group packed RBCs should be selected for transfusion. “O” group whole blood may contain IgG anti-A and anti-B antibodies in the plasma which can react with the “A” or “B” antigen of the infant’s blood. So to avoid anti-A & anti-B antibodies in “O” group, plasma should be discarded and the packed RBCs should be transfused.In case of Rh-negative mother with Rh positive baby, Rh antibody may develop in mother’s blood and Rh antibody may enter into baby’s circulation, in this case the infant should be transfused with Rh-negative blood to avoid Rh antigen & antibody reaction. So for the selection of blood for transfusion in newborn baby up to the age of 4 months mother’s blood group is important to select the appropriate blood.
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