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1.

Objective

To identify a correlation between family support and maternal self-efficacy of adolescent mothers.

Method

This cross-sectional study applied a consecutive sampling technique. The sample was 100 primiparous adolescent mothers. Instruments utilized were structured questionnaires, including a demographic questionnaire, Maternal Efficacy Questionnaire (MEQ), Postpartum Support System, Edinburgh Postnatal Depression Scale (EPDS), and Infant Characteristics Questionnaire (ICQ). The correlation of family support and maternal self-efficacy was analyzed using chi-square and logistic regression.

Results

The results showed a significant correlation between family support and maternal self-efficacy of adolescent mothers. The family support that most influenced maternal self-efficacy of adolescent mothers was family instrument support, with Wald value of 34.720.

Conclusions

Instrument support most affects maternal self-efficacy of adolescent mothers and encourages adolescents performing nurturing and mothering roles.  相似文献   

2.

Background

: Many people integrate complementary and alternative medicine (CAM) into their health care. Nurses potentially play a significant role in communicating with patients about their CAM utilisation.

Aim

: The study aimed to explore whether, how and why nurses working in Australia communicate about patients’ CAM use.

Methods

: This paper reports on phase one of a mixed methods study. Qualitative data was obtained, via interviews, with nineteen registered nurses who work in a wide variety of clinical environments across all states of Australia.

Findings

: Four themes related to nurses’ communication with patients about CAM, were developed from the qualitative data; engaging with patients about CAM, communication with doctors about patients’ use of CAM, connecting with CAM practitioners and barriers to CAM communication.

Discussion

: Despite their positive attitudes, nurses are often not comfortable discussing or documenting patients’ CAM use. Furthermore, nurses perceive that patients may be apprehensive about disclosing their use. CAM communication with colleagues is moderated by the workplace culture and the perceived attitude of co-workers. There is very little evidence of nurses referring or collaborating with CAM practitioners. Professional expectation, time restraints and the nurses’ lack of relevant CAM knowledge all have a powerful effect on limiting CAM communication.

Conclusion

: Communication about patients’ use of CAM is imperative to support safe therapeutic decisions. Currently, this is limited in the Australian healthcare workplace. The nursing professional needs to consider introducing basic CAM education and flexible guidelines to enable nurses’ to respond appropriately to the patient driven demand for CAM.  相似文献   

3.

Objective

Children with pneumonia need a correct position to increase their oxygen saturation and comfort level. Postural changes affect the function of the human body and disease conditions. This study aimed to identify the effect of prone and semirecumbent positions on the oxygen saturation and comfort level of children under five with pneumonia.

Method

The study design was a quasi-experimental with a pre-posttest control group design. Thirty-six children with pneumonia aged 0-59 months were selected using consecutive sampling and divided into three groups: prone (n = 12), semirecumbent (n = 12), and control (n = 12). Statistical analysis was conducted using the Wilcoxon test, paired t test, and Kruskal-Wallis test.

Results

A significant difference in the oxygen saturation level was found among the three groups, particularly in the semirecumbent group. No significant difference was observed on the comfort level in all groups.

Conclusions

The semirecumbent position can be applied to improve the oxygenation status of children under five with pneumonia. Therefore, nurses should teach the family how to position the children with pneumonia during their hospitalization.  相似文献   

4.

Background

Caring for older people can be a burden for the family that led to mistreatment.

Objective

To determine the relationship between the levels of family burden in caring for older people with the occurrence of mistreatment incidence. Design and participants: A cross sectional study design was conducted with 135 older people who live with their family as respondents.

Setting

135 families with older people at Kelurahan/Village of Harjamukti area, Kecamatan/ District of Cimanggis, Depok city.

Method

This study applied probability sampling technique with multistage cluster sampling.

Results

Family characteristics show that almost half of older people were caring by family members (caregivers) who were aged 20-39 years, nearly all caregivers were women, family income mostly less than UMK, families mostly monosyllabic nation Betawi and caregivers mostly were their own child. Most of the families stated that no expense in caring for the older people (89.6%), but there are still families who feel the burden of caring. The highest type of mistreatmet of the older people is psychological mistreatments.

Conclusions

From the statistical test obtained by p value equals to 0.553, it was concluded there was no correlation between the incidences of any family burden with mistreatment.  相似文献   

5.

Background

Nurse managers enact changes to practice based on information collected from the local ward environment with the aid of electronic risk management and incident reporting systems. Despite being key users of electronic risk management and incident reporting systems, little knowledge exists on nurse managers’ use and communication of information derived from these systems.

Aim

This qualitative study aimed to explore nurse manager information requirements, risk management practices, and influences on decision-making when interacting with an electronic risk management and incident reporting system.

Methods

Focus groups with eight nurse managers were conducted at a teaching hospital in Melbourne, Australia.

Findings

Decision-making and information management approaches varied depending on whether the nurse manager investigated a single incident report or viewed summarised incident reports. Thematic and content analysis produced three themes: navigating the system, relying on data, and communication and feedback.

Discussion

Nurse managers faced individual and organisational barriers preventing them from using the risk management and incident reporting system to its full potential.

Conclusion

The findings from this study will assist nursing and health care administrators in identifying ineffective practice and meeting nurse manager information requirements.  相似文献   

6.
7.

Background

Clinical experience exposes nursing students to the realities of professional practice and opportunities to integrate theory with practice. Increasing multiculturalism in Australia means that approximately 27% of students studying in Australian universities originate from overseas. Yet there is a paucity of literature examining the experiences of Registered Nurses charged with their clinical supervision.

Aim

To examine the experiences of Registered Nurses who supervise undergraduate international nursing students in the clinical setting.

Design and methods

A qualitative holistic case study approach was employed to achieve the study aims. Semi-structured, in-depth interviews were undertaken with six Registered Nurses.

Findings

Thematic analysis elicited four main themes representative of Registered Nurses’ experiences supervising international students: (1) communication, (2) the role of supervision of international nursing students, (3) language and culture, and (4) supervisors’ perceptions of responsibility.

Conclusions

Participants provided valuable insight into the role of supervision of international students in the clinical environment. Suggestions for improved communication between healthcare and educational organisations and increased support for supervising Registered Nurses were made. Specifically, training regarding different linguistic and cultural issues was suggested.  相似文献   

8.

Objective

The purpose of this study was to determine the effects of acceptance and commitment therapy on anxiety in patients with stroke, especially during the first stage of recovery.

Method

This quantitative study featured a quasi-experimental design without a control group and was conducted in the stroke ward of a public hospital. The 33 respondents were selected via consecutive sampling. The data analysis was completed using the paired t-test.

Results

The use of acceptance and commitment therapy significantly the signs and symptoms of anxiety in patients with stroke (p-value = < 0.005). Specifically, acceptance and commitment therapy effectively decreases anxiety levels from a moderate level to a mild level in clients who are recovering from stroke.

Conclusions

Acceptance and commitment therapy is a recommended treatment for reducing anxiety in stroke patients. The design of this study can be further developed to include a control group.  相似文献   

9.

Objective

Lack of knowledge and powerlessness make family restrains, chains or confines (pasung) the family member with mental illness. This study aimed to explore the experience of adolescents having mentally ill parents with pasung.

Method

To achieve detailed and accurate understandings of adolescents’ experiences, this study used a qualitative research design with a phenomenological approach. Purposive sampling was employed to find teenagers aged 12-19 years old who had mentally ill parents with pasung. The data were analyzed with Colaizzi's method.

Results

Parents with mental illness, specifically with physical restrain and confinement (pasung) had psychosocial impact on adolescents. Role changes often occur in the family where teenagers should be a breadwinner and caregiver for their parents. The results of this study were described in three themes: 1) changes of life due to have mentally ill parents with pasung; 2) reciprocity as the reason for taking care of the parents; 3) positive meaning of living with mentally ill parents with pasung.

Conclusions

This study concludes that psychosocial treatment for adolescents living with parents with pasung should consider the psychological and social impact as a result of taking care of their parents with pasung.  相似文献   

10.
11.

Background

Care planning is an essential part of nursing practice. Formulating nursing care plans within the framework of standardised nursing language warrants further examination.

Aim

The aim of this systematic review was examine the available literature related to nursing documentation and care plans, in relation to the impacts of using standardised nursing language.

Methods

The electronic databases of Medline and Cumulative Index to Nursing and Allied Health Literature were searched using predetermined search strategy. A narrative synthesis was undertaken.

Findings

Of the 198 articles identified 21 articles were included in the review.

Discussion

The examination of the available evidence suggests that a global and Australian difference in use of standardised nursing language in nursing care planning and documentation, including research related to nursing documentation exists.

Conclusion

There are major benefits for systematically integrating nursing classification systems and standardised nursing language. Standardised nursing language is essential for the successful integration of nursing documentation into contemporary healthcare where electronic health care records will be the norm.  相似文献   

12.

Objective

To identify the correlation between nurse's perception of the continuing professional development (CPD) and the satisfaction of nursing career ladder system (NCLS) implementation.

Method

A non-experimental survey design was used for this study. The respondents were selected using proportional random sampling technique with the total sample size of 149 nurses. Data were measured using proportion, central tendency and Pearson product-moment correlation.

Results

There was a moderate, positive correlation between the CPD and the NCLS satisfaction (R: 0.42, p= 0.0001).

Conclusions

The results of this research should be used as recommendation for improving CPD at the hospitals in Indonesia.  相似文献   

13.

Objective

This quasi-experimental study compared the effectiveness of chewing gum and gargling with a saline solution as two types of intervention to reduce oral mucositis scores.

Method

The sample consisted of 44 children who were divided into two groups, one of which chewed gum, and the other gargled with a saline solution. The Mann-Whitney U test was used to analyze the data.

Results

There was a significant difference (p = 0.001) in post-intervention oral-mucositis scores. The significant mean difference between the groups indicated that the decreased oral mucositis scores for the chewing gum group was more substantial than for the group gargling with a saline solution (p = 0.001).

Conclusions

The data showed that chewing gum is more effective than gargling with a saline solution, and it can be incorporated into the nursing protocol for treating pediatric cancer patients.  相似文献   

14.

Objective

Advances in childhood cancer treatment have contributed to an increased survival rate among childhood cancer patients. The increasing number of survivors means that more help is needed to support them in dealing with the physical and psychosocial problems following their cancer therapy. This study explored the needs of adolescent cancer survivors in terms of health care and psychosocial services.

Method

This qualitative research used a phenomenological approach. Eight adolescent cancer survivors were interviewed using a semi-structured format. The data were analyzed using a thematic analysis.

Results

Seven themes emerged from the study results: (i) follow-up care; (ii) education for patients and their families; (iii) compassionate health care services; (iv) psychological counseling; (v) support from families and friends; (vi) support from school; and (vii) support from social community activities.

Conclusions

These findings showed that adolescent cancer survivors in Indonesia need long term follow-up care for their physical and psychosocial needs. Nurses should play an active role in addressing the needs of adolescent cancer survivors as described in this study.  相似文献   

15.

Objective

To investigate factors affecting the development of nursing competency based on a review of the literature.

Method

A systematic review was utilized. The articles were taken from the databases of Pro-Quest, ScienceDirect, SpringerLink, and Scopus. They were retrieved using the following keywords: nursing competence, nurse competencies and clinical competence. Twenty-one papers were selected.

Results

Competence development is a continuous process of improving knowledge, attitudes and skills, and is influenced by a myriad of factors. Six factors were identified that affected the development of nursing competence in our systematic review: (1) work experience, (2) type of nursing environment, (3) educational level achieved, (4) adherence to professionalism, (5) critical thinking, and (6) personal factors. Work experience and education were shown to significantly influence the development of competency of nurses.

Conclusions

Nurse managers need to support staffing competence through ongoing education, mentoring-preceptorship training, and case-reflection-discussion teaching programs.  相似文献   

16.
17.
18.

Objective

Previous studies have indicated the parent-adolescent relationship has a correlation to adolescents’ premarital sex behavior risk. Therefore, the aim of this study was to discover the influence of parent-adolescent communication on adolescents’ risk of sexual issues.

Method

This was a quantitative study with a cross-sectional design. The population of this study consisted of students from a high school in Jakarta. A purposive sampling technique was used, which resulted in the selection of 253 students as samples. A PACS (Parent-Adolescent Communication Scale) questionnaire was applied.

Results

The results showed that 59.3% of the adolescents studied were at risk for engaging in premarital sex, while the risk for adolescents with positive communication with their parents was 56.5%. Bivariate analysis also showed a significant correlation between gender and parent-adolescent communication and the risk of adolescent premarital sex behavior (α < 0.05). This study’s result was expected, and nurses can follow up by providing health education on how to maintain good communication between parents and adolescents.

Conclusions

Communication must align with adolescents’ developmental tasks. Nurses can also create a promotion program on the topic of communication for parents and adolescents.  相似文献   

19.
20.

Objective

The most prominent problem resulting from decreased body function in older adults is declining quality of life. Walking and talking among older adults in peer group may become a nursing therapy to improve their quality of life. The objective of this study was to identify the impact of walking and talking intervention of quality of life among community dwelling older adults in Depok, Indonesia.

Method

This study applied quasi-experimental design with 43 and 40 older adults in the intervention and control group, respectively. The participants were selected using multistage random sampling method.

Results

Based on t test, the average quality of life score of older adults improved more significantly in the intervention group than that in the control group, with p value of 0.003, its mean p value < α, respectively. An ANCOVA analysis was used to detect confounding factors. The result showed that all characteristics have a p value of > 0.05, which means there were no confounding factors warranting further investigation.

Conclusions

It was concluded that walking and talking therapy in peer group significantly increase the quality of life of older adults.  相似文献   

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