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Objective
The purpose of this study was to explore the family roles and psychological well-being of grandparents who are caregivers of grandchildren with autism spectrum disorders.Method
The study used quantitative methods with a correlational design. A self-administered questionnaire was used as an instrument to measure the variables of psychological wellbeing and the grandparenting role. This research involved 108 grandparents from Semarang, Jepara and Kendal, obtained through a quota-purposive sampling technique. Quantitative data analysis was based on simple regression analysis.Results
The study results showed rxy= 0.397; P = .000 (P < .05), which indicates a positive and significant correlation between the role played by grandparents and their psychological well-being.Conclusions
The test results indicate a significant correlation between the roles of grandparents and their psychological well-being. The greater the role played by grandparents, the higher psychological well-being they experienced, and vice versa. Grandparents play an important role in families where there is a child with autism; they take care of the child when the parents are not at home, help with the cost of therapy, and take care of them when sick. 相似文献4.
Objective
The research identified the influence of assertiveness training against teenage depression in high scholars in Kepahiang Regency, Bengkulu, Indonesia.Method
This study used a quasi-experiment approach with pre-test and post-test design and a control group. Eighty students were engaged through simple random sampling.Results
The study found the frequency of depression in teenagers and considered the effect of assertiveness training. 14.10 teens were counted as depressed before assertiveness training provision, while the post-training average was 7.98 (p = .000). Assertiveness training had a significant effect on the prevalence of depression in the intervention group.Conclusions
The study recommends schools to cooperate with health services to increase mental health programs such as building peer groups, delivering assertiveness training, and teaching stress management to prevent depression in teenagers. 相似文献5.
Objective
Family satisfaction has become an integral part of quality of care in hospitals. Thus, it is crucial to develop instruments that measure family satisfaction. The purpose of this study was to examine the validity and reliability of a family satisfaction questionnaire. Method: This study used a survey questionnaire consisting of 26 items that identified nurses' constructs of behaviors and communication. The population surveyed were families whose children were hospitalized due to pneumonia.Results
The results revealed that only 16 items of the instrument demonstrated evidence of acceptable constructs of reliability and validity. The study recommends further studies that add other potential constructs related to family satisfaction. 相似文献6.
Objective
There are many adolescent health problems in Indonesia, particularly problems related to reproductive health. If adolescent reproductive health is not given adequate attention, this can lead to other adolescent health problems. Aside from parents, school staff also plays an important role in overcoming this health concern because educational staff is closer to adolescents than their parents. Teachers and friends can act as a resource for adolescents, providing them with reproductive health information. Therefore, the knowledge level of those at school, such as teachers and peer, about adolescent reproductive health is important. This research aims to determine the effects of adolescent reproductive health training on teacher and peer knowledge.Method
This research used an experimental design. A purposive sampling technique was used to recruit 26 students and 24 teachers, and a pretest and posttest were administered to one group without control group and then analyzed by Wilcoxon test.Results
The results showed that health training had a significant effect on teacher and peer knowledge with P < α (0.05).Conclusions
It can be concluded that training on adolescent reproductive health for teachers and peers can be implemented at every school to increase their knowledge and skills and to prevent unsafety adolescent sexual behavior. 相似文献7.
Bing Xiang Yang Teresa E. Stone Marcia A. Petrini Diana L. Morris 《Archives of Psychiatric Nursing》2018,32(1):31-38
OBJECTIVE
Workplace violence and its impact on mental health nurses have yet to be thoroughly explored in China. This study aims to investigate the incidence, type, related factors, and effects of workplace violence on mental health nurses as well as identifying coping strategies.METHODS
A researcher - designed workplace violence questionnaire and the Maslach Burnout Inventory-General Survey were distributed to nurses at a mental health hospital in Wuhan, China.RESULTS
Most nurses reported a high incidence of workplace violence (94.6%) in the past year ranging from verbal aggression, sexual harassment, to physical attack. The forms of violence significantly correlated with each other (r > 0.5, p = 0.000). Working on the psychiatric intensive care unit for adult males and being a male nurse placed nurses at significantly higher risk for workplace violence. Providing routine treatment, caring for male patients, and working the night shift increased the risk of sexual harassment. Nurses who believed that workplace violence was preventable experienced a significantly lower incidence of violence. Burnout levels of the mental health nurses were relatively mild, but increased with age, professional title, years of employment and frequency of workplace violence.CONCLUSION
The incidence of workplace violence among mental health nurses is common, and its frequency is correlated with nurses' level of burnout. Management and clinical nurses should work together on an organization-wide strategy targeting the major identified risk areas to reduce the incidence of workplace violence and minimize its impact on nurses. 相似文献8.
Objective
The study to assess the effectiveness of psychological adaptation model of mental health nursing for nurse survivors experiencing post-earthquake post-traumatic stress syndrome (PTSS).Method
This study used a quasi-experimental pre- post-test without control group method. Respondents amounted to 42 people who have been screened for PTSS. Research took place in a district in West Java. Research instrument consisted of: 1) questionnaire for respondent's characteristics and the skills of nurses, and 2) psychological adaptation model of mental health nursing intervention in the form of modules. Data collected was analyzed using bivariate analysis namely the t test dependent.Results
Nurse survivors experienced increased ability in areas including analysis of self-awareness, communication or interaction, coping mechanisms, and intrinsic motivation after undertaking the PTSS intervention. Women were more likely to experience PTSS than men.Conclusions
The model can be used for nursing theory development, and as disaster management algorithms. The model is useful for training programs, in the form of certification of nurse expertise, and improve the ability of nurses to help themselves and others. 相似文献9.
Objective
To compare closed and open endotracheal suction system in relation to ventilator-associated pneumonia in adult intensive care unit patientsMethod
Systematic review.Results
Of the 18 eligible studies identified through the search strategy, only 5 studies were included in the review. The two endotracheal suction systems show no differences in the incidence of ventilator-associated pneumonia (5 trials: odds ratio [OR], 0.92; Mantel-Haenszel [M-H], fixed; 95% confidence interval [95%CI], 0.72-1.18) or mortality rates (3 trials: OR, 0.89; M-H, fixed; 95%CI, 0.62-1.28).Conclusions
Results from 5 studies showed that suctioning with either closed or open endotra-cheal suction did not have an effect on the incidence of ventilator-associated-pneumonia or mortality rates. Therefore, more rigorous and large-scale research is needed for further evaluation. 相似文献10.
Background
Requiring parental consent in studies with sexual minority youth (SMY) can sometimes be problematic as participants may have yet to disclose their sexual orientation, may not feel comfortable asking parents' permission, and may promote a self-selection bias.Purpose
We discuss rationale for waiving parental consent, strategies to secure waivers from review boards, and present participants' feedback on research without parents' permission.Methods
We share our institutional review board proposal in which we made a case that excluding SMY from research violates ethical research principles, does not recognize their autonomy, and limits collection of sexuality data.Discussion
Standard consent policies may inadvertently exclude youth who are at high risk for negative health outcomes or may potentially put them at risk because of forced disclosure of sexual orientation. Securing a waiver addresses these concerns and allows for rich data, which is critical for providers to have a deeper understanding of their unique sexual health needs.Conclusion
To properly safeguard and encourage research informed by SMY, parental consent waivers may be necessary. 相似文献11.
Objective
The aim of this study was to investigate the perceptions of patients with chronic heart failure regarding palliative care needs.Method
The study used a qualitative design. Five patients with chronic heart failure (New York Heart Association functional classes III or IV) were interviewed in inpatient unit at the main referral government hospital in Indonesia. Data was analyzed using content analysis.Results
Patients reported dyspnea and fatigue as the most common signs and symptoms of chronic heart failure. Psychologically, patients experience fear and believe that the disease is the most serious illness. Declining body functions and quality of life are the reasons chronic heart failure patients need palliative care. Professional treatment, end-of-life care, information, support, and motivation are identified as the needs of patients in palliative care.Conclusions
The findings provide valuable information for health care professionals about the needs of patients with chronic heart failure in relation to palliative care. 相似文献12.
Melissa Alves Cirelli Marianna Sobral Lacerda Camila Takao Lopes Juliana de Lima Lopes Alba Lucia Bottura Leite de Barros 《Archives of Psychiatric Nursing》2018,32(2):235-241
AimTo describe and investigate correlations among anxiety, stress and depression and identify their relationship with sociodemographic and clinical characteristics of patients with heart failure.
Methods
This is an analytical cross-sectional study. Sociodemographic and clinical characteristics were collected, along with levels of anxiety, stress and depression from 309 outpatients.Results
The mean levels of stress, anxiety and depression were correlated but low. Time since diagnosis, the disease's functional class, family income, and smoking influenced stress. Functional class and Chagas disease influenced anxiety and depression. Being unemployed and smoking influenced anxiety, while being a homeowner influenced depression.Conclusion
These findings should be considered when planning nursing interventions. 相似文献13.
Objective
Patients with violent behavior can harm themselves, others and environment. It can be an indicator for mental health hospital admission. Violent behaviors can be characterized by verbal and physical attacks demonstrated by the individuals intensively. Management of violent behaviors in hospital often uses restraint, but it has physical and psychological effects. This study aimed to explore experience of restraint use among patients with violent behaviors in mental health hospital.Method
To gain deep understanding related to the patients' experiences, this study used a qualitative design with a phenomenological approach. Purposive sampling was employed to find patients who were restrained during their hospitalization. The number of participants in this study was 8 participants. The data were analyzed with Colaizzi's method.Results
Patients with violent behavior, specifically with physical restraint during their hospital-ization had negative impacts on patients. The results of this study were described in three themes: 1) aggressive behavior as one of the main reason of restraint; 2) professional healthcare supports during the restraint use, and 3) physical and psychosocial impact of the restraint use.Conclusions
The impact of restraint is related to human right violations and ethical dilemma. The process of decision-making for employing restraint, especially in relation to violent behavior management, requires a consideration of the rights of the patient. Every individual has the right of self-determination, liberty, security and physical integrity. 相似文献14.
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Marilyn H. Oermann Leslie H. Nicoll Peggy L. Chinn Kathleen S. Ashton Jamie L. Conklin Alison H. Edie Sathya Amarasekara Brittany L. Williams 《Nursing outlook》2018,66(1):4-10
Background
Predatory journals exist in nursing and lack the safeguards of traditional publishing practices.Purpose
To examine the quality of articles published in predatory nursing journals.Method
Randomly selected articles (n = 358) were reviewed for structural content and eight quality indicators.Findings
Two-thirds (67.4%) of the articles were published between 2014 and 2016, demonstrating the acceleration of publications in predatory nursing journals. The majority (75.9%) of the articles were research reports. Most followed the IMRAD presentation of a research report but contained errors, or the study was not pertinent to the nursing discipline.Conclusions
Nursing research published in predatory journals may appear legitimate by conforming to an expected structure. However, a lack of quality is apparent, representing inadequate peer review and editorial processes. Poor quality research erodes the scholarly nursing literature. 相似文献16.
Ana Carolina G. Zanetti Tais Milena Pantaleão de Souza Larissa de Souza Tressoldi João Mazzoncini de Azevedo-Marques Gabriel Elias Corrêa-Oliveira Amanda Heloisa Santana da Silva Isabela dos Santos Martin Kelly Graziani Giacchero Vedana Lucilene Cardoso Sueli Aparecida Frari Galera Edilaine Cristina da Silva Gherardi-Donato 《Archives of Psychiatric Nursing》2018,32(3):390-395
BACKGROUND
Evidence suggests that expressed emotion (EE) and family burden (FB) are phenomena that interact, but there is a lack of studies that analyze this association in patients in first-episode psychosis.AIM
This study evaluated the relationship between EE and FB in relatives of patients in first-episode psychosis.METHOD
A convenience sample of 71 family members of patients being assisted in an outpatient care unit participated in the study. We used a form with sociodemographic and clinical variables of family members and patients, the Family Questionnaire-Brazilian Portuguese Version and the Brazilian version of the Burden Interview. The data were obtained via semi-structured interviews. Statistical analyses included Fisher's exact tests, Mann Whitney tests, Spearman correlations, and Student's t-tests.RESULTS
Our results showed high levels of EE and its component emotional over-involvement (EOI) among relatives, and a strong correlation between critical comments (CC) and EOI and FB measurements. In addition, family members with elevated EE levels showed higher means for FB and this difference was significant.CONCLUSIONS
Mental health nurses are expected to consider these concepts for proposing nursing interventions to first-episode psychosis patients and their relatives. 相似文献17.
Yasuhiko Kaita Takehiko Tarui Takahiro Shoji Hiroshi Miyauchi Yoshihiro Yamaguchi 《The American journal of emergency medicine》2018,36(5):851-853
Background
Carbon monoxide and cyanide poisoning are important causes of death due to fire. Carbon monoxide is more regularly assessed than cyanide at the site of burn or smoke inhalation treatment due to its ease in assessment and simplicity to treat. Although several forensic studies have demonstrated the significance of cyanide poisoning in fire victims using blood cyanide levels, the association between the cause of cardiac arrest and the concentration of cyanide among fire victims has not been sufficiently investigated. This study aimed to investigate the frequency of cyanide-induced cardiac arrest in fire victims and to assess the necessity of early empiric treatment for cyanide poisoning.Methods
This study was a retrospective analysis of fire victims with cardiac arrest at the scene who were transported to a trauma and critical care center, Kyorin University Hospital, from January 2014 to June 2017. Patients whose concentration of cyanide was measured were included.Results
Five patients were included in the study; all died despite cardiopulmonary resuscitation. Three of these victims were later found to have lethal cyanide levels (>3?μg/ml). Two of the patients had non-lethal carboxyhemoglobin levels under 50% and might have been saved if hydroxocobalamin had been administered during resuscitation.Conclusion
According to our results, cyanide-induced cardiac arrest may be more frequently present among fire victims than previously believed, and early empiric treatment with hydroxocobalamin may improve outcomes for these victims in cases where cardiac arrest is of short duration. 相似文献18.
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Donna Felber Neff Sul Hee Yoon Ruth L. Steiner Ilir Bejleri Michael D. Bumbach Damian Everhart Jeffrey S. Harman 《Nursing outlook》2018,66(4):379-385