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Developing and Evaluating Clinical Written Assignment in Clinical Teaching for the Senior B.S. Nursing Students: An action research
Leila Valizadeh,Vahid Zamanzadeh,Faza Virani
Research and Development in Medical Education , 2012, DOI: 10.5681/rdme.2012.012
Abstract: Introduction: In a four-year undergraduate level , the nursing students have to get prepared in the patients education, designing care plans, applying nursing processes and exercise the clinical decisions, in addition to learning practical skills. Therefore, multiple clinical teaching strategies in nursing must be applied. In this study the sheets for the mentioned fields were designed and used. Methods: In this action research in Tabriz University of Medical Sciences, 64 nursing senior students and related instructors participated. Clinical written assignment included the patient’s health condition sheet, tables showing the used medicines and the precautions, the clinical and paraclinical tests and the results, identifying the patient problems, designing and implementing care plan and writing nursing reports with SOAPIE method. The instructors’ viewpoints were achieved through the group discussions and their notes taken. The perceived competency of the students was obtained through a questionnaire. The qualitative data was analyzed by the content analysis and quantitative using SPSS. Results: Both the students and the instructors agreed with the clinical written assignment. The desired care competency of the students before and after assignment was statistically significant (p<0.05). According to the instructors, intervention was useful for the senior students who have passed the courses needed for completing and using the different parts of these forms. Conclusion: Since a need is always felt in the trends of the nursing clinical teaching, the researchers recommend the clinical written assignment and their application along with other strategies for senior nursing students in clinical teaching.
The data collection tools in nursing researches in Turkey  [cached]
Ayla ünsal,Nilüfer Ergül
International Journal of Human Sciences , 2010,
Abstract: Aim: The aim of this study was to determine data collection tools in nursing researches in Turkey.Methods: This study included nine literatures. This literature were that had ten national/international nursing congress and symposium books realized in Turkey and five in peer reviewed nursing journals in Turkey. Consequently, the sample of these study 1328 researches that wasn't had article and that literatures was during the period 1991-2008 years. Methods of researches in sample was overviewed, used data collection tools was determined.Results: The evaluation of research reports indicates that 91.2% of the papers were used questionnaire forms developed by researchers. A questionnaire form word was equal pool, identifier form, personal presentation form, interview form, demographic form, data collection form words in studies. Thirty-six percent of research reports used scales by developed or adapted our country. State-Trait Anxiety Inventory (8.1%), Healthy Lifestyle Behaviours Scale (5.2%), Beck Depression Index (4.5%), Self-Care Agency Scale (4.5%), Quality of Life Scale (3.8%), Visual Analogue Pain Scale (2.9%), Beck Hopelessness Scale (2.7%), Coopersmith Self-Esteem Inventory (2.7%) and The Ways of Coping Questionnaire (2.2%) were mostly obtained in nursing researches in Turkey. However, although scales using had faint in literature in 1990 years, scales using was rise as the years went by.Conclusions: Questionnaire form used more by data collection tools in nursing researches in Turkey. These forms were made validity and reliability and scales using increase as the years went by. Several studies in bigger sample groups can do that inclusive graduate and doctorate theses.
Facilitating nurses’ knowledge of the utilisation of reflexology in adults with chronic diseases to enable informed health education during comprehensive nursing care
E Steenkamp, B Scrooby, C van der Walt
Health SA Gesondheid , 2012,
Abstract: An integrative literature review of identified scientific evidence, published from January 2000 to December 2008, of the utilisation of reflexology as complementary and alternative medicine (CAM) modalities to promote well-being and quality of life in adults with chronic diseases was done to facilitate nurses to give informed health education during comprehensive nursing care to patients with chronic diseases. Selected accessible databases were searched purposefully for research articles (N = 1171). Pre-set inclusion criteria were applied during the study selection process. The methodological study quality was reviewed and appraised with appropriate tools from the Critical Appraisal Skills Programme (CASP) and the American Dietetic Association’s (ADA) Evidence analysis manual (n = 21). Evidence extraction, analysis and synthesis of studies (n = 18) were done through the evidence class rating and level of strength as prescribed in the manuals of ADA and CASP. Findings indicate statistically significant reduction in the frequency of seizures in patients with intractable epilepsy, an improvement of sensory and urinary symptoms associated with multiple sclerosis and clinically significant reduction of anxiety and pain in patients with cancer and fibromyalgia syndrome. These findings can be utilised by nurses to inform patients with these chronic diseases about alternative ways of treatment.
Where do the elderly die? The impact of nursing home utilisation on the place of death. Observations from a mortality cohort study in Flanders
Gilberte Van Rensbergen, Tim S Nawrot, Ettiene Van Hecke, Benoit Nemery
BMC Public Health , 2006, DOI: 10.1186/1471-2458-6-178
Abstract: We conducted a survey of deaths, between January 1999 and December 2000 in a small densely populated area in Belgium, with a high availability of nursing homes (within 5 to 10 km of the place of residence of every elderly). We determined the incidence of total mortality (of subjects >60 years) from local official death registers that we consulted via the priest or the mortician of the local parish, to ask where the decedent had died and whether the deceased had lived in a nursing home. We compared the distribution of the places of death between parishes with a nursing home and with parishes without nursing home.240 women and 217 men died during the two years study period. Only 22% died at home, while the majority (78%) died in an institutional setting, either a hospital (50%) or a nursing home (28%). Place of death was influenced by individual factors (age and gender) and the availability of a nursing home in the 'own' parish. The chance of in-hospital death was 65% higher for men (95% Confidence Interval [CI]: 14 to 138%; p = 0.008) and decreased by 4% (CI: -5.1% to -2.5%; p < 0.0001) for each year increase in age. Independent of gender and age, the chance of in-hospital death was 41% (CI: -60% to -13%; p = 0.008) lower in locations with a nursing home.Demographic, but especially social-contextual factors determine where elderly will end their life. The majority of elderly in Flanders die in an institution. Age, gender and living situation are predictors of the place of death but the embedment of a nursing home in the local community seems to be a key predictor.We investigated if geographical variations in nursing home utilisation are due to differences in local nursing home availability and what the influence of this is on the place of death. Optimal quality of life is influenced by various factors, such as physical, psychological, and social well being [1]. Quality of life is also relevant to for the place where elderly spend the last period of their lives.Nursin
Facilitating nurses’ knowledge of the utilisation of reflexology in adults with chronic diseases to enable informed health education during comprehensive nursing care
Elna Steenkamp,Belinda Scrooby,Christa van der Walt
Health SA Gesondheid , 2012, DOI: 10.4102/hsag.v17i1.567
Abstract: An integrative literature review of identified scientific evidence, published from January 2000 to December 2008, of the utilisation of reflexology as complementary and alternative medicine (CAM) modalities to promote well-being and quality of life in adults with chronic diseases was done to facilitate nurses to give informed health education during comprehensive nursing care to patients with chronic diseases. Selected accessible databases were searched purposefully for research articles (N = 1171). Pre-set inclusion criteria were applied during the study selection process. The methodological study quality was reviewed and appraised with appropriate tools from the Critical Appraisal Skills Programme (CASP) and the American Dietetic Association’s (ADA) Evidence analysis manual (n = 21). Evidence extraction, analysis and synthesis of studies (n = 18) were done through the evidence class rating and level of strength as prescribed in the manuals of ADA and CASP. Findings indicate statistically significant reduction in the frequency of seizures in patients with intractable epilepsy, an improvement of sensory and urinary symptoms associated with multiple sclerosis and clinically significant reduction of anxiety and pain in patients with cancer and fibromyalgia syndrome. These findings can be utilised by nurses to inform patients with these chronic diseases about alternative ways of treatment. Opsomming ‘n Ge ntegreerde literatuur oorsig van ge-identifiseerde wetenskaplike bewyse, gepubliseer vanaf Januarie 2000 tot Desember 2008, was gedoen oor die gebruik van refleksologie as aanvullende en alternatiewe behandelingsmodalitieit om welsyn en lewenskwaliteit te bevorder by volwassenes met kroniese siekte om verpleegkundiges te fasiliteer om ingeligte gesondheidsvoorligting te gee gedurende omvattende verpleegsorg aan pasiente met kroniese siektes. Geselekteerde toeganklike databasisse was doelbewustelik deursoek vir navorsingsartikels (N = 1171). Vooraf bepaalde insluitingskriteria was toegepas tydens die selekteringsproses. Die studie gehalte is nagegaan en beoordeel met toepaslike instrumente van die Critical Appraisal Skills Programme (CASP) en die American Dietetic Association (ADA) se Evidence analysis manual (n = 21). Bewys uitreksel, analisering en sintese van studies (n = 18) was gedoen deur die bewysklas gradering en vlak van bewysterkte soos beskryf in die handleidings van ADA en CASP. Bevindings dui op ‘n statisitese beduidenisvolle verlaging in die frekwensie van konvulsies by pasi nte met epilepsie, ‘n verbetering van sensoriese en urinêre simptome
Equal Power Distribution and Dynamic Subcarrier Assignment in OFDM Using Minimum Channel Gain Flow with Robust Optimization Uncertain Demand  [PDF]
F. A. Hla Myo Tun,S. B. Aye Thandar Phyo,T. C. Zaw Min Naing
Computer Science , 2010,
Abstract: In this paper, the minimum channel gain flow with uncertainty in the demand vector is examined. The approach is based on a transformation of uncertainty in the demand vector to uncertainty in the gain vector. OFDM systems are known to overcome the impairment of the wireless channel by splitting the given system bandwidth into parallel sub-carriers, on which data-symbols can be transmitted simultaneously. This enables the possibility of enhancing the system's performance by deploying adaptive mechanisms, namely power distribution and dynamic sub-carrier assignments. The performances of maximizing the minimum throughput have been analyzed by MATLAB codes.
BeST - Belgian screening tools: making available decision-making tools in nursing
Gobert M,Piron C,Filion N,Bulteel L
Pratiques et Organisation des Soins , 2010,
Abstract: Aim: Some nurses have no idea about the validity and the reliability of scales used in practice. These tools are not easily available. The aim of the Belgian Screening Tools – BeST – project was to develop a database with validated tools with an overview of psychometric criteria for the scales that can be use in nursing practice.Methods: A literature review was performed to identify the validated and reliable scales. Therefore, a search filter was used in several databases (Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Cinahl, Invert). The following inclusion criteria were used: articles published in English, French, Dutch and German between 1993 and 2009. The selected themes were: disorientation, pressure ulcer risk, oral health, nausea and vomiting, coma, pain, fatigue, sedation,cognitive function, functional and psychological state, nutrition, continence, wound care, self care, quality of life and catheter care.Results: On 141 selected scales, 20 can specifically be applied to child, 24 to adult, 48 to elderly and 49 were not specific to a target group; 42 scales can be used by nurses, 21 by doctors, 39 by all caregiver and 20 by patients themselves. All validated tools were included in the “Belgian Screening Tools” (BeST)-database which is regularly up-dated. For every theme and scale there is a description, the target group is pointed out, and evidence table has been made and the references were specified.Conclusion: These validated scales can be freely accessible and downloaded on the website – www.best.ugent. be. They can easily be selected and used in practice. Prat Organ Soins 2010;41(1):167-179
The nursing professional in an Intensive Therapy Unit
Salomé, Geraldo Magela;Espósito, Vitória Helena Cunha;Silva, Gilberto Tadeu Reis da;
Acta Paulista de Enfermagem , 2008, DOI: 10.1590/S0103-21002008000200010
Abstract: objective: the aim of this study is to gain insight into the meaning of being a nursing professional working in a public intensive therapy unit (itu). this study addresses aspects related to their way of being and feeling from the perspective of itu patients care and treatment. methods: a qualitative research was applied based on a phenomenological background. the guiding question of the study was "what does it mean to you being an itu nursing professional?" results: the results show that the lack of human and material resources in the itu contributes to a feeling of low self-esteem. it pointed out a stressfull work which can lead to problems in the health assistance quality. conclusion: the stress at work affects psychologically the itu nursing professionals and it can have negative outcomes in the patients treatment, caused by the isolation and aleniation phenomena.
Educational Experiences of Undergraduate Male Nursing Students: A Focus Group Study  [PDF]
Alia Mahadeen, Lubna Abushaikha, Samira Habashneh
Open Journal of Nursing (OJN) , 2017, DOI: 10.4236/ojn.2017.71005
Abstract: Background: The educational experiences of undergraduate male nursing students in developing countries such as Jordan have yet to be fully investigated in the literature. Purpose: The purpose of this study was to explore the educational experiences of Jordanian undergraduate male nursing students. Methods: A qualitative research design using inductive content analysis approach was used to explore educational experiences of undergraduate male nursing students at a prominent public university. Focus group interviews were used to obtain information of an interactive, conversational nature from male nursing students and to gain in-depth insight regarding their educational experiences. Twenty undergraduate male nursing participants representing the four academic levels of a nursing program were recruited. Four focus groups ranging between 4 - 6 students were used to gather data. Inductive content analysis was used. Results: Three themes emerged from this study: “nursing: a deliberate choice”, “nursing is wonderful yet challenging”, and “nursing is not for men”. Students articulated that they deliberately chose to study nursing and to enter this academic field. Participants indicated that studying nursing was a wonderful experience that was intertwined with several challenges. Students from different levels explicitly emphasized that they were challenged and bombarded with enduring negative stereotypes and negative societal views regarding males in nursing. Conclusions and Implications: Findings illustrated that educational experiences of undergraduate male nursing students varied between wonderful experiences upon deliberate entry into nursing programs to enduring negative stereotypes and views regarding male nurses. Nursing educators are expected to comprehend the educational experiences of their students, particularly male students, and provide counseling, role-modeling and support as needed. Additionally, nurse educators should encourage all students to manage gender related problems by emphasizing a nurse’s role identity without gender segregation or discrimination.
Utilisation d’outils sélectifs pour l’analyse de traces dans des échantillons complexes Selective tools for trace analysis in complex samples  [cached]
Chapuis-Hugon Florence,Pichon Valérie
Annales de Toxicologie Analytique , 2010, DOI: 10.1051/ata/2010016
Abstract: Les faibles teneurs recherchées pour des composés appartenant à des classes très diversifiées reste un réel challenge analytique quel que soit le domaine d’application (clinique, agroalimentaire, environnemental,…). L’évolution de l’instrumentation en termes de séparation et de détection a permis d’améliorer la sensibilité des méthodes et de réduire le temps d’analyse. Cependant, les faibles niveaux de concentration et la complexité des matrices requièrent encore l’incorporation d’étapes de purification et de préconcentration avant l’analyse chromatographique. Parmi les approches possibles, des supports d’extraction mettant en jeu un mécanisme de reconnaissance moléculaire peuvent être développés. L’objectif est alors d’extraire sélectivement une molécule ou une famille structurale de molécules en l’isolant des autres constituants de l’échantillon de manière à rendre leur analyse quantitative plus fiable et plus sensible. Ainsi, il est possible d’utiliser des supports d’immunoaffinité (immunoadsorbants) fondés sur l’utilisation d’anticorps spécifiques des molécules d’intérêt. La grande sélectivité et la grande affinité de l’interaction antigène-anticorps permet alors l’obtention d’un extrait propre et de facteurs d’enrichissement élevés. Ce même mécanisme de rétention peut également être exploité par l’utilisation de polymères à empreintes moléculaires dont la voie de synthèse permet l’obtention de cavités mimant un site de reconnaissance antigène-anticorps. Enfin, des supports greffés par des aptamères ont très récemment montré leur grand potentiel pour de l’extraction sélective. Par comparaison de ces différentes approches, les principes, les avantages et les limites de ces outils d’extraction sélective seront exposés. The determination of compounds at a very low level of concentration is still a real analytical challenge in the various application fields. The evolution of the instrumentation in terms of separation and detection has allowed a real improvement in the sensitivity and the analysis time. However, the very low level of concentration and the high degree of complexity of the real matrices still required a step of purification and preconcentration before the chromatographic analysis. Therefore, extraction sorbents based on a molecular recognition mechanism were developed. The use of these supports is dedicated to the selective extraction of a target molecule and its structural analogs to render the quantitative analysis more reliable and sensitive. A possible approach is the use of immunoaffinity supports (immunosorbent) based on the use of s
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