This study can provide references for healthcare providers to future researches, clinical care, a... more This study can provide references for healthcare providers to future researches, clinical care, and nursing education regarding this important issue. The two subscales of the SCNS–P&C 45, Information Needs and Health Care Service Needs received the highest scores among the SCNS–P & C45. Pearson correlation analysis showed that higher anxiety (r = .37, p < .01) and higher depression (r = .31, p < .05) were correlated with greater level of care needs. The multiple linear regression analysis revealed that anxiety was the only significant predictor of care needs in primary caregivers of patients with brain tumor (R2 = 12.8%). Rank Care Needs % 6 Accessing information about the benefits and side-effects of treatment 76.30 7 Accessing information relevant to you needs as a carer / partner 76.30 8 Addressing fears about the person with brain’s physical or mental deterioration 75.00 9 Being involved in the person with brain’s care, together with the medical team 72.50
BACKGROUND Prior to acute myocardial infarction (AMI), patients may experience different prodroma... more BACKGROUND Prior to acute myocardial infarction (AMI), patients may experience different prodromal symptoms (PSs) that may delay their seeking medical treatment prior to hospitalization. PURPOSE This study was designed to identify the relationship between PSs and demographics, including gender and age, acute symptoms, and pre-hospital delay time, in patients with AMI. METHODS A cross-sectional study design was applied, and a convenience sampling approach was used to recruit 121 patients in the emergency room of a medical center located in southern Taiwan. Instruments, including a demographic and disease variables datasheet, acute symptoms of AMI, McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey (MAPMISS), and pre-hospital delay time, were used. Chi-square, Fisher exact, and Spearman correlation coefficients tests were used to examine the respective relationships between the targeted variables and PSs. Binary logistic regression analysis was used to determine the im...
BACKGROUND Failure to follow the "Five Rights" and interruptions during medication admi... more BACKGROUND Failure to follow the "Five Rights" and interruptions during medication administration are the two most common factors underlying nurse-related medication errors. PURPOSE This study was designed to examine the effectiveness in terms of improving nurses' medication administration self-efficacy and recognition of medication errors of an online objective structured video examination (OSVE) intervention focused on the "Five Rights" and "management of interruptions during medication administration". METHODS A quasi-experimental pretest-posttest research design with a respondent-driven sampling method was employed. One hundred and twelve nurses finished the online survey. Instruments included the self-efficacy of medication administration questionnaire and four online medication error OSVEs addressing the issue of medication error recognition. The intervention was an acute medication behavior OSVE. Paired t-tests were used to assess the pre-tes...
Post-stroke depression is the most common mood disorder after stroke, and the main factor of reco... more Post-stroke depression is the most common mood disorder after stroke, and the main factor of recovery limitation and rehabilitation in stroke patients. Depression also negatively impacts stroke outcome with increased morbidity, mortality, and poorer functional recovery. This study aims to examine the characteristics of patients who can be associated with depression experienced in patients before and after 1 month undergoing a stroke rehabilitation program in the first 3 months after a stroke onset. This study used descriptive correlative with cross sectional approach, total sampling were 22 respondents using purposive sampling technique with inclusion criteria for stroke patients who had the first or second stroke, had hemiplegia in the upper and / or lower extremities less than 3 months, had a Muscle Manual Testing (MMT) score <4. Exclusion criteria for patients with Trans-ischemic attack and patients with a history of depression. The assessment tools contained demographic quest...
Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies an... more Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies analyzedthe symptoms as one dimension such as the severity dimension. Conducting the comprehensive symptomassessment among patients with hemodialysis is necessary to gain a better understanding of the symptom burden.The aim of this study was to identify symptom burden among patients with hemodialysis comprehensively.This study was a descriptive study. A convenience sample of 320 patients undergoing hemodialysis was recruitedfrom the dialysis units at two referral hospitals in Indonesia (Fatmawati Hospital and Cipto MangunkusumoNational Hospital). Indonesian Version of Chronic Kidney Disease – Symptom Burden Index (CKD-SBI) wasused. For the data analysis, descriptive analysis was used. Total 320 subjects were collected. This study foundthat lack of energy was the highest physical symptom burden under 4 dimensions: occurrence 269 (84.0%),severity (mean = 4.28, SD = 3.08), distress (mean = 4....
Compassion fatigue is a relatively new term in nursing. This term describes mood swings experienc... more Compassion fatigue is a relatively new term in nursing. This term describes mood swings experienced by healthcare providers that are both complex in origin and intensify over time due to cumulative stress. Quality of care can be affected if compassion fatigue goes untreated. This paper presents a concept analysis of compassion fatigue using Walker & Avant's method. Results show the defining attributes of compassion fatigue to include: 1. accumulated patient and family suffering; 2. sufferer unable to release built-up stresses effectively; and 3. negative effects on physical, psychological, and spiritual health. Identified antecedents of compassion fatigue included: (1) working as a healthcare provider; (2) investing sympathy in others over a long period of time; and (3) ignoring stress symptoms and personal emotional needs over time. Identified consequences of compassion fatigue included: (1) decreased coping ability; (2) damage / destruction of patient relationship; and (3) inc...
Journal of transcultural nursing : official journal of the Transcultural Nursing Society, 2021
In the context of familial paternalism in Taiwan, nonreading older adult women (NOAWs) may passiv... more In the context of familial paternalism in Taiwan, nonreading older adult women (NOAWs) may passively disengage from treatment and submit to the decisions of their families. The purposes of this case study were to examine the ethical conflicts regarding the autonomy of hospitalized NOAWs receiving percutaneous coronary intervention in a cultural environment of familial paternalism and to propose a theoretical framework based on a literature review to resolve the ethical challenges specific to this cultural context. The proposed framework "Nursing advocacy model for engaging NOAWs with their medical treatment" was established on the basis of relational ethics, nursing advocacy, and shared decision making. Our argument does not question traditional Chinese cultural values. Instead, we advocate for NOAWs to engage with their treatment, express their preferences, and communicate with their families in a decision-making process that incorporates mutual respect and understanding ...
... I would also like to thank Dr. Heather Becker for her encouragement and for her generosity in... more ... I would also like to thank Dr. Heather Becker for her encouragement and for her generosity in sharing with me her extensive ... Second, several heart diseases can cause HF (Hunt et al., 2005; Leung &amp;amp; Bradley, 2001; Lloyd-Jones et al., 2002; Naughton, 2003). ...
This study can provide references for healthcare providers to future researches, clinical care, a... more This study can provide references for healthcare providers to future researches, clinical care, and nursing education regarding this important issue. The two subscales of the SCNS–P&C 45, Information Needs and Health Care Service Needs received the highest scores among the SCNS–P & C45. Pearson correlation analysis showed that higher anxiety (r = .37, p < .01) and higher depression (r = .31, p < .05) were correlated with greater level of care needs. The multiple linear regression analysis revealed that anxiety was the only significant predictor of care needs in primary caregivers of patients with brain tumor (R2 = 12.8%). Rank Care Needs % 6 Accessing information about the benefits and side-effects of treatment 76.30 7 Accessing information relevant to you needs as a carer / partner 76.30 8 Addressing fears about the person with brain’s physical or mental deterioration 75.00 9 Being involved in the person with brain’s care, together with the medical team 72.50
BACKGROUND Prior to acute myocardial infarction (AMI), patients may experience different prodroma... more BACKGROUND Prior to acute myocardial infarction (AMI), patients may experience different prodromal symptoms (PSs) that may delay their seeking medical treatment prior to hospitalization. PURPOSE This study was designed to identify the relationship between PSs and demographics, including gender and age, acute symptoms, and pre-hospital delay time, in patients with AMI. METHODS A cross-sectional study design was applied, and a convenience sampling approach was used to recruit 121 patients in the emergency room of a medical center located in southern Taiwan. Instruments, including a demographic and disease variables datasheet, acute symptoms of AMI, McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey (MAPMISS), and pre-hospital delay time, were used. Chi-square, Fisher exact, and Spearman correlation coefficients tests were used to examine the respective relationships between the targeted variables and PSs. Binary logistic regression analysis was used to determine the im...
BACKGROUND Failure to follow the "Five Rights" and interruptions during medication admi... more BACKGROUND Failure to follow the "Five Rights" and interruptions during medication administration are the two most common factors underlying nurse-related medication errors. PURPOSE This study was designed to examine the effectiveness in terms of improving nurses' medication administration self-efficacy and recognition of medication errors of an online objective structured video examination (OSVE) intervention focused on the "Five Rights" and "management of interruptions during medication administration". METHODS A quasi-experimental pretest-posttest research design with a respondent-driven sampling method was employed. One hundred and twelve nurses finished the online survey. Instruments included the self-efficacy of medication administration questionnaire and four online medication error OSVEs addressing the issue of medication error recognition. The intervention was an acute medication behavior OSVE. Paired t-tests were used to assess the pre-tes...
Post-stroke depression is the most common mood disorder after stroke, and the main factor of reco... more Post-stroke depression is the most common mood disorder after stroke, and the main factor of recovery limitation and rehabilitation in stroke patients. Depression also negatively impacts stroke outcome with increased morbidity, mortality, and poorer functional recovery. This study aims to examine the characteristics of patients who can be associated with depression experienced in patients before and after 1 month undergoing a stroke rehabilitation program in the first 3 months after a stroke onset. This study used descriptive correlative with cross sectional approach, total sampling were 22 respondents using purposive sampling technique with inclusion criteria for stroke patients who had the first or second stroke, had hemiplegia in the upper and / or lower extremities less than 3 months, had a Muscle Manual Testing (MMT) score <4. Exclusion criteria for patients with Trans-ischemic attack and patients with a history of depression. The assessment tools contained demographic quest...
Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies an... more Patients with hemodialysis commonly experience multiple symptoms. Most of the previous studies analyzedthe symptoms as one dimension such as the severity dimension. Conducting the comprehensive symptomassessment among patients with hemodialysis is necessary to gain a better understanding of the symptom burden.The aim of this study was to identify symptom burden among patients with hemodialysis comprehensively.This study was a descriptive study. A convenience sample of 320 patients undergoing hemodialysis was recruitedfrom the dialysis units at two referral hospitals in Indonesia (Fatmawati Hospital and Cipto MangunkusumoNational Hospital). Indonesian Version of Chronic Kidney Disease – Symptom Burden Index (CKD-SBI) wasused. For the data analysis, descriptive analysis was used. Total 320 subjects were collected. This study foundthat lack of energy was the highest physical symptom burden under 4 dimensions: occurrence 269 (84.0%),severity (mean = 4.28, SD = 3.08), distress (mean = 4....
Compassion fatigue is a relatively new term in nursing. This term describes mood swings experienc... more Compassion fatigue is a relatively new term in nursing. This term describes mood swings experienced by healthcare providers that are both complex in origin and intensify over time due to cumulative stress. Quality of care can be affected if compassion fatigue goes untreated. This paper presents a concept analysis of compassion fatigue using Walker & Avant's method. Results show the defining attributes of compassion fatigue to include: 1. accumulated patient and family suffering; 2. sufferer unable to release built-up stresses effectively; and 3. negative effects on physical, psychological, and spiritual health. Identified antecedents of compassion fatigue included: (1) working as a healthcare provider; (2) investing sympathy in others over a long period of time; and (3) ignoring stress symptoms and personal emotional needs over time. Identified consequences of compassion fatigue included: (1) decreased coping ability; (2) damage / destruction of patient relationship; and (3) inc...
Journal of transcultural nursing : official journal of the Transcultural Nursing Society, 2021
In the context of familial paternalism in Taiwan, nonreading older adult women (NOAWs) may passiv... more In the context of familial paternalism in Taiwan, nonreading older adult women (NOAWs) may passively disengage from treatment and submit to the decisions of their families. The purposes of this case study were to examine the ethical conflicts regarding the autonomy of hospitalized NOAWs receiving percutaneous coronary intervention in a cultural environment of familial paternalism and to propose a theoretical framework based on a literature review to resolve the ethical challenges specific to this cultural context. The proposed framework "Nursing advocacy model for engaging NOAWs with their medical treatment" was established on the basis of relational ethics, nursing advocacy, and shared decision making. Our argument does not question traditional Chinese cultural values. Instead, we advocate for NOAWs to engage with their treatment, express their preferences, and communicate with their families in a decision-making process that incorporates mutual respect and understanding ...
... I would also like to thank Dr. Heather Becker for her encouragement and for her generosity in... more ... I would also like to thank Dr. Heather Becker for her encouragement and for her generosity in sharing with me her extensive ... Second, several heart diseases can cause HF (Hunt et al., 2005; Leung &amp;amp; Bradley, 2001; Lloyd-Jones et al., 2002; Naughton, 2003). ...
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