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1.
Rosanna F. DeMarco Jacqueline Fawcett Julianne Mazzawi 《Journal of Professional Nursing》2018,34(4):253-258
Purpose
The purpose of this paper is to present a Neuman Systems Model-guided discussion of current knowledge associated with covert incivility in the nursing academic workplace.Organizing structure
The Neuman Systems Model provides a multiple discipline, systems perspective of the stressor covert incivility and levels of prevention interventions to counter it.Findings
Covert incivility is defined as a stressor that affects individual, group, community, and social systems' intrapersonal, interpersonal, and extrapersonal levels of function. Two prominent examples of expressing covert incivility in academic settings are identified—pluralistic ignorance and passive aggression.Conclusions
The Neuman Systems Model can guide development and testing of primary, secondary, and tertiary prevention interventions targeted to covert incivility in the nursing academic workplace, as well as outcomes of the interventions.Clinical relevance
The Neuman Systems Model is a useful multiple discipline conceptual model for identification and testing of the effects of covert incivility in the nursing academic workplace. 相似文献2.
Patricia Voelpel Lori Escallier Judith Fullerton Ismael Rodriguez 《Journal of Professional Nursing》2018,34(4):273-279
Background
A commitment to increase the enrollment, retention and educational success of United States veterans admitted to a baccalaureate degree nursing program was established through the support of a grant received from HRSA in collaboration with the US Departments of Defense and Veteran Affairs.Method
Challenges encountered by the student veterans were identified and programs of mentorship, tutoring, equine therapy and interface with services offered by the University Office of Veteran Affairs were developed.Results
Thirty-two student veterans provided positive feedback about their perceptions of academic and personal support provided during their program. Sixteen faculty and staff also described positive experiences about working with the student veteran population.Conclusion
The continuous assessment of all program elements indicates that the program is meeting its intended outcomes and serves the purpose of providing the opportunity for returning veterans to choose nursing as a professional healthcare career. 相似文献3.
Jui-Fen Cheng Xuan-Yi Huang Mei-Chu Lin Ya-Hui Wang Tzu-Pei Yeh 《Archives of Psychiatric Nursing》2018,32(4):610-616
Aims
To investigate a partnership intervention of the community-based and hospital-based home visit to improve patients' satisfaction.Methods
A time series quasi-experimental quantitative design was used. The experimental group had “partnership intervention”, while the control group maintained routine home visits. Patient satisfaction was measured pre-intervention, six months and 12?months after the partnership intervention.Results
Six and 12?months after partnership intervention, in the experimental group, items related to stabilizing disease conditions, improving daily living abilities, enhancing communication ability and providing relevant resources were significantly higher than pre-intervention. However, 12?months after the intervention, the influence of the intervention became weaken.Conclusions
The partnership intervention can significantly improve patients' satisfaction with home visit service. 相似文献4.
Associations Between Korean Adolescents' Energy Drink Consumption and Suicidal Ideation and Attempts
Purpose
This study examined associations between caffeinated energy drink consumption patterns and (1) participant characteristics and health-risk behaviors and (2) suicidal ideation and attempts in Korean adolescents.Methods
Participants included 8961 adolescents who consumed the drinks more than once weekly. Data were analyzed via logistic regression.Results
Rates of suicidal ideation and attempts in participants who consumed the drinks more than once daily were higher relative to those for participants who consumed the drinks 3–6 and 1–2 times weekly.Conclusions
Further research is required to establish causality in these relationships. 相似文献5.
6.
Corrie E. Chumpitazi Elizabeth A. Camp Divya R. Bhamidipati Almea M. Montillo A. Chantal Caviness Lesby Mayorquin Faria A. Pereira 《The American journal of emergency medicine》2018,36(9):1577-1580
Background
There is no evidence of an association between fasting time and the incidence of adverse events during procedural sedation and analgesia. Pediatric and adult emergency medicine guidelines support avoiding delaying procedures based on fasting time. General pediatric guidelines outside emergent care settings continue to be vague and do not support a set fasting period for urgent and emergent procedures.Objective
To describe shortened preprocedural fasting and vomiting event rates during the implementation of a shortened fasting protocol.Methods
This was a prospective study of patients undergoing procedural sedation and analgesia (PSA) in an urban, tertiary care children's hospital emergency center from March 2010–February 2012. All consecutive patients had documentation of preprocedural fasting time and adverse events recorded on a standardized data collection form.Results
PSA occurred in 2426 patients with fasting data available for 2188 (90.2%); 1472 were fasted ≥6?h for solids and 716 patients were in the shortened fasting group (<6?h). There is no evidence of an association between emesis at any time and shortened fasting time unadjusted (OR?=?1.18 (95% CI 0.75–1.84) or adjusted for known risk factors including age >12?years, initial ketamine dose >2.5?mg/kg or total dose >5.0?mg/kg (OR?=?1.14 (95% CI 0.74–1.75).Conclusion
Analysis of a large prospective cohort study failed to find evidence of an association between emesis and shortened fasting time upon implementation of a shortened fasting protocol for procedural sedation and analgesia. 相似文献7.
Lorna Jane Moxham Ritin Fernandez Bora Kim Samuel Lapkin Wilma ten Ham-Baloyi Abbas Al Mutair 《Journal of Professional Nursing》2018,34(6):502-506
Background
Caring for self by maintaining emotional well-being is important for pre-registration nursing students if they are to graduate as confident and competent health professionals.Purpose
The purpose of this cross-sectional study was to identify the predictors of emotional well-being of pre-registration nursing students by measuring their levels of anxiety, depression, behavioural control, positive affect and general distress.Method
A cross-sectional study designed facilitated an examination of the level of emotional well-being of pre-registration nursing students (enrolled in their first, second and third year) in an Australian university across five campuses using the Mental Health Index (MHI). Purposive, all-inclusive sampling was used to recruit 920 nursing students. Data was collecting during a two month period (August to October 2016). Regression analyses were used to identify predictors of emotional well-being.Results
Results indicate that employment status was one of the major predictors of students' emotional well-being.Conclusion
Given this finding, and the importance that paid employment appears to have as a protective factor nurse education programs need to support these students to effectively balance their academic performance and employment. Innovative ways to structure course curriculum and modes of delivery to support work and study demands should be a focus of future research. 相似文献8.
Hong Jun Zeng Gui Ying Zhou Hui Hong Yan Xiu Hong Yang Hui Min Jin 《Archives of Psychiatric Nursing》2018,32(6):896-900
Objective
This study summarized the cases of Chinese nurses' suicide during 2007–2016.Methods
We reviewed public reports on local media, and medical websites.Result
A total of 46 cases of nurse suicide reported or published from 2007 to 2016. In these 46 cases, the proportion of female suicide is 98%. Most cases of suicide occurred in nurses aged 18–50?years. The most common way of suicide was jump from building. Nurse suicide occurred more often in full-service tertiary hospitals.Conclusion
The Chinese Government and medical organization should be aware of severity of suicide, and take action to be avoided of more suicide in Chinese nurses. 相似文献9.
Mariane Altomare Andréa Monte-Alto-Costa 《Journal of manipulative and physiological therapeutics》2018,41(5):359-362
Objective
The aim of this study was to induce the remodeling of subcutaneous fibrosis in mice by the manual mobilization of skin and subcutaneous tissue.Methods
Seven days after the induction of subcutaneous fibrosis, mice were divided into 3 groups: control, stretch, and manual mobilization. Stretch was achieved by elongating the trunk, and manual mobilization was achieved by using the indicator fingertip of both hands, side by side, touching the back and performing a brief stretch. Stretch or manual mobilization was performed once a day for 7 days.Results
Fibrosis was present in the subcutaneous tissue of control animals, whereas brief stretch and manual mobilization were found to reduce fibrosis.Conclusions
Mechanical stimulation through manual mobilization, or brief stretching, reduced subcutaneous fibrosis after tissue injury. 相似文献10.
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11.
Background
As facing the rapid growth of the elderly population, the demands for geriatric and long-term care are drastically increasing. Since one of the important strategies in preparation for long-term care system is to focus on the engagement of health care professionals, this paper applies a systematic approach to review the current geriatric and long term care courses in Bachelor of Science in Nursing (BSN) programs. This review assessed the impact of Geriatric Nursing (GN) and/or Long Term Care (LTC) courses on nursing students' knowledge, care intention and competence of Geriatric Long Term Care (GLTC) care to enable their nursing competence before graduation.Method
Data related to the purpose of the study, research design, sample, curriculum content, teaching strategies, evaluation measurements and results were extracted. The methodological quality of all publications was included in the review.Results
Eighteen articles were eligible for analysis, including 16 quantitative and 2 qualitative studies. The review revealed that including geriatric and long term care content in undergraduate nursing curriculum could effectively enhance students' nursing competence.Conclusion
GN and LTC curriculum development should offer established content on geriatric and long term care as a foundation to implement early learning experiences in the curriculum. Both theory and clinical practice of GLTC course can be developed to increase the nursing students' knowing on the elders and the disabled through the clinical placement. 相似文献12.
María Elena Pileño Javier Morillo Andrea Morillo Marta Losa-Iglesias 《Archives of Psychiatric Nursing》2018,32(2):206-214
Background
Health care institutions include workers who must operate in accordance with the requirements of the position, even though there are psychosocial influences that can affect the stability of the worker.Aims
To analyze the organizational culture of the team of professionals who work in the mental health network.Method
A qualitative methodology was used to assess a sample of 55 mental health professionals who have been practicing for at least 5 years.Results
“Team” was the overall topic. The subtopics within “Team” were: getting along in the unit, getting along with the patient, personal resources for dealing with patients, adaptive resources of team members and, resources that the team uses in their group activities.Conclusion
It was observed that the team does not work with a common objective and needs an accepted leader to manage the group. The definition and acceptance of roles can result in conflict. By increasing the skill level of each worker, the multidisciplinary team would be more collaborative. 相似文献13.
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14.
Yoonje Lee Tae Ho Lim Hyunggoo Kang Jaehoon Oh Byuk Sung Ko 《The American journal of emergency medicine》2018,36(9):1717.e3-1717.e7
Objective
Carbon monoxide (CO) poisoning is known to increase thrombotic tendency, and the risk of deep vein thrombosis in individuals who have experienced CO poisoning is higher than in the general population. However, there are a few reports describing cases of pulmonary thromboembolisms (PTE) secondary to CO poisoning.Data sources
Retrospective data analysis.Study selection
Seven hundred fifty bed tertiary university affiliated hospital.Data extraction and synthesis
Five patients with PTE after CO poisoning were observed. Two patients experienced cardiac arrest; they were treated successfully with tissue plasminogen activators and targeted temperature management. Their cerebral performance scores at discharge were both 1. Three patients had PTE and were treated with anticoagulation.Conclusions
To date, the causal relationship between PTE and CO poisoning is unclear. However, PTE should be considered in patients with CO poisoning as a differential diagnosis when unexplained hypoxemia or shock are observed. Further studies on the association between CO poisoning and PTE are warranted. 相似文献15.
Bahadır Caglar Suha Serin Serhat Akay Gokhan Yilmaz Alper Torun Zehra Hilal Adıbelli Ismet Parlak 《The American journal of emergency medicine》2017,35(11):1653-1656
A comparison of the sensitivity and specificity of bedside ultrasonography with conventional radiography for the evaluation of nasal fractures.
Introduction - purpose
There is increasing use of ultrasonography in the Emergency Dept (ED) and other areas. The purpose of the present study was to evaluate the sensitivity and specificity of bedside ultrasonography with conventional radiographs in the evaluation of nasal fractures in the ED.Method
Patients admitted to ED with maxillofacial trauma were evaluated in this prospective study. Ultrasonography scans of the patients were taken by the emergency physician at the bedside. The images were obtained from both laterals and parallel to the nasal dorsum. The nasal radiography scans were evaluated by an experienced radiologist blinded to the study. The ultrasonography and radiography results were compared statistically.Results
The study included 103 patients. In showing the presence of nasal fracture, the sensitivity of ultrasonography was determined to be 84.8% (95% CI 71.13%–93.66%), specificity was 93.0% (95% CI 83.00%–98.05%), positive predictive value (PPV) was 90.7% (95% CI 77.86%–97.41%), negative predictive value (NPV) was 88.3% (95% CI 77.43%–95.18%).Conclusion
Ultrasonography can be used in ED as an alternative method to conventional radiography with high rates of sensitivity and specificity in the evaluation of nasal fractures. 相似文献16.
Background
Final scholarly projects are the culmination of the DNP educational process and as such reflect the achievement of doctoral level scholarship that prepares graduates to be leaders in providing high quality, accessible health care and creating health care systems that are effective and responsive to the needs of a diverse population.Purpose
The purpose of this study was to determine the rigor and value of final scholarly projects being produced by DNP graduates in the United States.Methods
Using the DNP Project Critical Appraisal Tool (DNP-PCAT) we appraised 65 DNP practice projects consecutively selected from online repositories and the ProQuest dissertation/theses database.Findings
The mean total score for all projects was 78.27 out of a possible 141. Substantive problems were identified in all 16 components of the DNP-PCAT. Particularly concerning was a lack of critical evaluation of implementation and outcomes in many projects, including invalid data analysis.Conclusions
The mean total score of 78.28, which is only 56% of the possible maximum score, and substantive problems identified, indicates that continued work is needed to ensure that DNP programs are universally graduating students prepared for rigorous practice-scholarship. 相似文献17.
Jasper H. van Lieshout Iris Bruland Igor Fischer Jan F. Cornelius Marcel A. Kamp Bernd Turowski Angelo Tortora Hans-Jakob Steiger Athanasios K. Petridis 《The American journal of emergency medicine》2017,35(1):45-50
Background
Time has shown to be a relevant factor in the prognosis for a multitude of clinical conditions. The current analysis aimed to establish whether delayed admission to specialized care is a risk factor for increased mortality in case of high-grade aneurysmal subarachnoid hemorrhage.Material and methods
Consecutive patients with aneurysmal subarachnoid hemorrhage were enrolled retrospectively if they had a World Federation of Neurological Surgeons Grading System grade of 5. Predictor variables for in-hospital mortality reflecting demographic, spatial, temporal treatment, and neurological factors were recorded from hospital medical records and emergency physicians' reports. We performed statistical analysis on the influence between the predictor variables and in-hospital mortality.Results
The study included 61 patients with an average age of 58 years. The overall in-hospital mortality rate was 28% (17/61 patients). A delayed transport to specialized neurosurgical care was associated with increased in-hospital mortality. Transportation time was mainly prolonged in cases where an alternative diagnosis was made by the emergency physician. Mortality was highest in patients with cardiovascular complications of subarachnoid hemorrhage.Conclusion
Delayed admission to specialized care is associated with a higher mortality rate in patients with high-grade aneurysmal subarachnoid hemorrhage. Accompanying non-neurosurgical, mainly cardiac complications might be a significant factor leading to delayed admission. The emergency physician should be aware that cardiovascular abnormalities are a relevant complication and sometimes the first identified clinical feature of high-grade subarachnoid hemorrhage. 相似文献18.
Natalie C. Clohesy Anthony G. Schneiders Sharyn Eaton 《Journal of manipulative and physiological therapeutics》2018,41(7):628-639
Objective
The purpose of this review was to determine the most commonly reported and utilized low back pain (LBP) Patient Reported Outcome Measures (PROMs) within the chiropractic literature and to investigate their temporal and methodological publication characteristics.Methods
A systematic search of English-language publications in 5 electronic databases (PubMed, Cochrane [CENTRAL], CINAHL/EBSCO, PsycINFO, and Index to Chiropractic Literature) was conducted for articles published from the inception of each database through June 2016.Results
One hundred forty-four articles were retrieved that utilized 75 different LBP PROMs. The 4 most commonly used LBP PROMs in the chiropractic literature were the Oswestry Disability Index, Numeric Rating Scale, Visual Analogue Scale, and Roland Morris Questionnaire.Conclusions
This research has created a unique list of the most commonly used LBP PROMs within the chiropractic literature. 相似文献19.
Background
Collaborative learning has been used in nursing education for more than two decades. However, little is known about its relationship to quality of nursing education, its implementation process as well as what factors likely influence the effectiveness of the teaching approach.Methods
Previous relevant literature had been searched and located from three electronic databases including CINAIL, PubMed, and Google Scholar.Results
Collaborative learning had been employed in classroom teaching, clinical education and online course teaching. The strategy of instruction was found useful for improving nursing knowledge and skill performance, improving student clinical competency, as well as promote student group skills and learning behavior (e.g., Class engagement, motivation for learning, self-confidence).Conclusions
It was recommended to integrate collaborative learning into nursing education due to positive influences on student learning. 相似文献20.