An evolutionary concept analysis of “patients’ values”

BackgroundPatients' values are everywhere and nowhere in nursing: frequently invoked and associated with effective nursing care but seldom explicitly defined or subject to dedicated analysis. Clarification of the concept of patients’ values is pivotal because respecting and supporting patients’ values are widely recognized as crucial for ethical nursing care. Despite this and the pervasive employment of the term patients’ values in theories, approaches, and clinical guidelines, the concept remains ambiguous.PurposeWe sought to understand the key elements of the concept by investigating its use in theoretical and empirical literature.MethodThis study used Rodgers’ evolutionary concept analysis approach.FindingsWe found that values are core individual beliefs that function in hierarchical systems; however, in the context of disease, the priority assigned to values by the individual may change. This is important, given that values play a foundational role in health-related decisions, such as in the context of chronic diseases.DiscussionValues are influenced by both individual intrinsic needs and the social context, but importantly, are involved in guiding decision-making. The attributes of the values may vary according to the context of the disease, the type of disease, and the decision at hand.     

Diabetes mellitus aggravates ranolazine-induced ECG changes in rats

Journal of Interventional Cardiac Electrophysiology - Diabetes mellitus (DM) is known to affect the pharmacokinetics of drugs. In this study, we evaluated the effect of DM on the liver content of...     

Feasibility,Acceptability, and Preliminary Efficacy of a Gamified Mobile Health Contingency Management Intervention for PrEP Adherence Among Black MSM

AIDS and Behavior - Oral HIV pre-exposure prophylaxis (PrEP) is effective at preventing HIV. However, low adherence is common and undermines these protective effects. This is particularly relevant...     

The effect of functional stretching exercises on functional outcomes in spastic stroke patients: A randomized controlled clinical trial

Background

Stroke is the biggest cause of disability in adults. Spasticity is a primary impairment of stroke with a highly variable prevalence. In the present research, we aimed to determine the impact of functional stretching exercises on functional outcomes in stroke patients.

Electromyographic changes in muscles around the ankle and the knee joints in women accustomed to wearing high-heeled or low-heeled shoes

Objectives

This study aimed to investigate muscle activities in the muscles around the ankle and knee joints in women accustomed to wearing high-heeled or low-heeled shoes.

The high incidence of acute hemolysis due to favism in Ahvaz,Iran—clinical features and laboratory findings

ObjectiveTo collect comprehensive information about the features of favic patients in Ahvaz (Capital of Khouzestan, Iran) and analyze the extent of the differences with their corresponding in other regions.MethodsA total of 103 patients with acute hemolysis admitted to pediatric division of Abouzar Hospital located in the city of Ahvaz, Iran during 21st of June 2008 to 20^th of June 2009 were analyzed retrospectively.Results95.14% of the patients had favism while 4.86% of them underwent hemolysis due to other reasons. These patients were male (68.93%) and female children (31.06%) admitted mostly during the spring season. The three main symptoms were urine discoloration, jaundice and vomiting. At the admission time, the main hematologic findings were as follows: G6PD sufficient status (45.63%), G6PD deficient status (54.36%) and hemoglobin concentration: 2.5–11.8 (mean±SD: 6.45 ±2.12) g/dL.ConclusionsIn conclusion, Ahvaz was determined as a black zone for favism in which the disease can be considered a life threatening health problem. Moreover, slight differences were observed in the three main symptoms compared with favic patients in other regions.