Background: Nurses form a pivotal part of the burns care team and participate in caring for sever... more Background: Nurses form a pivotal part of the burns care team and participate in caring for severely burned patients. Previous studies have identified that severe burn injuries may serve as a form of stress to health professionals and as such they may require support whilst caring for these patients. However, there exists limited exploration of nurses' experiences regarding caring for severely burned patients. Aim: To explore and describe nurses' experiences of caring for severely burned patients. Methodology: An exploratory-descriptive approach was utilised to understand nurses' experiences. Purposive sampling was used to recruit nurses from the Burns Intensive Care Unit (n = 7). Face to face semi-structured interviews were conducted with an interview guide and proceedings audio-recorded. Two follow up interviews were conducted after the initial interviews. Analysis was undertaken using thematic analysis to generate emergent themes. Findings: The themes identified were exhaustion during caring (physical and emotional) and concerns regarding outcomes of care. Conclusion: Nurses face varied issues when caring for severely burned patients and require avenues to express themselves but these are lacking in our current setting. Peer support and other approaches need to be explored as avenues for encouraging nurses to talk about their experiences. Further research is also warranted in understanding how palliative care can be incorporated in burns care.
Background With today's complex needs of the population and high demands in quality of care, ther... more Background With today's complex needs of the population and high demands in quality of care, there will be a continuing need for expanding role of nurses to assume more responsibilities in healthcare. Newly graduated nurses, who possess the competence to function as Registered Nurses, will soon recognize that lecture-based, passive delivery of content is not sufficient to deal with the complex healthcare environment. Aim This study aimed to compare the effects of a blended video watching and peer learning program and the usual lecture-based program on the levels of satisfaction and self-confidence in learning, perceptions of peer learning, and academic performance of students enrolled in a master's nursing program. Methods A quasi-experimental study was conducted. The program was offered to Master of Science in Nursing students during Spring 2021 (intervention group, n = 46), while the usual face-to-face lectures and tutorial classes were provided to students enrolled during Fall 2020 (control group, n = 46). Results There was a statistically significant increase in satisfaction, self-confidence in learning, and academic performance in the intervention group after learning in a blended video-watching and peer learning mode. Conclusion This study fills a knowledge gap to meet the learning needs of time-conscious, part-time students working full time in hospitals.
BACKGROUND Although mobile health application (mHealth app) programs have effectively promoted di... more BACKGROUND Although mobile health application (mHealth app) programs have effectively promoted disease self-management behaviors in the last decade, usage rates have tended to fall over time. OBJECTIVE We used a case management approach led by a nurse and supported by a health-social partnership team with the aim of sustaining app usage among community-dwelling older adults and evaluated the outcome differences (i.e, self-efficacy, levels of depression, and total health service usages) between those who continued to use the app. METHODS This was a 3-arm randomized controlled trial. A total of 221 older adults with hypertension, diabetes, or chronic pain were randomized into 3 groups: mHealth (n=71), mHealth with interactivity (mHealth+I; n=74), and the control (n=76). The mHealth application was given to the mHealth and mHealth+I groups. The mHealth+I group also received 8 proactive calls in 3 months from a nurse to encourage use of the app. The control group received no interventions. Data were collected at preintervention (T1), postintervention (T2), and at 3 months’ postintervention (T3) to ascertain the sustained effect. RESULTS A total of 37.8% of mHealth+I and 18.3% of mHealth group participants continued using the mHealth app at least twice per week until the end of the sixth month. The difference in app usage across the 2 groups between T2 and T3 was significant (χ21=6.81, P=.009). Improvements in self-efficacy (β=4.30, 95% CI 0.25-8.35, P=.04) and depression levels (β=–1.98, 95% CI –3.78 to –0.19, P=.03) from T1 to T3 were observed in the mHealth group participants who continued using the app. Although self-efficacy and depression scores improved from T1 to T2 in the mHealth+I group, the mean values decreased at T3. Health service usage decreased for all groups from T1 to T2 (β=–1.38, 95% CI –1.98 to –0.78, P<.001), with a marginal increase at T3. CONCLUSIONS The relatively low rates of mHealth app usage at follow-up are comparable to those reported in the literature. More work is needed to merge the technology-driven and in-person aspects of mHealth. CLINICALTRIAL ClinicalTrials.gov NCT03878212; https://clinicaltrials.gov/ct2/show/NCT03878212 INTERNATIONAL REGISTERED REPORT RR2-10.1159/000509129
IntroductionPost‐burn scarring is often cosmetically unappealing and create discomfort. This make... more IntroductionPost‐burn scarring is often cosmetically unappealing and create discomfort. This makes it crucial to understand the experience of individuals living with scars which can offer insights into their recovery. This review sought to develop an in‐depth understanding of living with post‐burn scars.DesignA systematic review and meta‐ethnography approach were employed. We utilized an interpretive approach to inductively generate codes. These codes were examined iteratively using a constant comparison strategy following which they were re‐interpreted to formulate themes which formed the basis of undertaking a narrative synthesis.ResultsTwenty‐five studies were retained. The analytical process yielded two themes: emergence of a new identity and living with the redefined self. The experience of living with scars is entwined with the initial trauma as the scars served as a permanent reminder of the injury. Emergence of a new identity involved a process of meaning making, mourning the loss of the old self, confronting the new self, reconciling the remains of the old self with the new, rebuilding a new identity, and navigating through functional restrictions. These processes were particularly challenging for persons involved in self‐immolation. Positive coping and changing one's perspective emerged as strategies to facilitate living with the redefined self.ConclusionLiving with scars is a challenging process which is more difficult for persons whose injuries are due to self‐immolation (act of burning oneself). The findings highlight a latent yet ongoing process towards subjective recovery. Clinicians need to be aware of the processes and incorporate these into rehabilitation programmes.Clinical relevanceBurn survivors need ongoing professional support to adjust to and live with the scars. Victims of self‐immolation should be considered for early psychosocial support.
Introduction With the rise in global migration, hospitals and health systems in developed countri... more Introduction With the rise in global migration, hospitals and health systems in developed countries are looking to supplement their workforces with migrant nurses who have been reported to feel devalued, underutilized with experience of deskilling and unmet expectations as they transitioned. Despite the plethora of literature reporting on the experiences of internationally trained nurses, only limited work has been done regarding understanding the experiences of Migrant African nurses. Thus, this study sought to synthesize existing qualitative studies to develop in-depth understanding of the transitioning experiences of migrant African nurses, their career progression and to highlight existing gaps to guide future studies as well as inform policies. Method A meta-synthesis was performed and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the Enhancing transparency in reporting the synthesis of qualitative research statement. A pre-planned search strategy was developed guided by the SPIDER tool for qualitative synthesis searching EMBASE via OVID, CINAHL via EBSCO, PubMed, Web of Science, and PsychINFO databases. We included published studies that 1) focused on migrant African nurses, 2) employed a qualitative design and 3) reported in English. Results The search yielded 139 studies of which nine studies met the inclusion criteria and included in final synthesis. Three themes with corresponding subthemes emerged from data synthesis: 1) Navigating reality shock (a. Navigating a new culture, b. Survival strategies and support amidst the shock); 2) Discrimination and limited opportunities for promotion (a. Prejudices and preference for White over Black, b. Lack of recognition and limited opportunities for a workplace promotion); and 3) Finding one's feet (a. Standing up for oneself and looking beyond discrimination, b. Experiencing growth). Conclusion Transitioning to a new setting can be a challenging experience for migrant African nurses warranting the availability of a tailor-made adaptation or orientation programme. Though African nurses may experience discrimination and prejudices as part of their transition, they consider their situation to be better off compared to back home. Therefore, clear transitioning policies which focus on career pathways are required by hiring institutions, and migrant nurses should be proactive in taking active roles in pushing their career ahead, instead of maintaining a culture of silence.
International Journal of Environmental Research and Public Health, Aug 3, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
AimTo identify and classify the transitional and aftercare needs of persons hospitalised with and... more AimTo identify and classify the transitional and aftercare needs of persons hospitalised with and recovering from COVID‐19.BackgroundSeveral studies exist that describe the patient needs at the acute phase of COVID‐19. The transitional and aftercare needs that emerge during recovery, however, remain vague.MethodsA scoping review was conducted and reported according to the PRISMA extension guidelines for scoping reviews (PRISMA‐ScR). Primary studies were identified from database search. Narrative synthesis was undertaken, with the Omaha System as a framework.ResultsForty studies were included. Persons recovering from the infection may have several needs in all domains of the Omaha System. Although the severity and persistence of the needs may be unrelated to the severity of the initial infection, they may vary based on factors such as age and pre‐morbid factors.ConclusionRecovering from COVID‐19 is associated with varied biopsychosocial‐environmental needs which can adversely affect the quality‐of‐life experience. The review findings represent an inventory of needs that can guide the development of multi‐disciplinary post‐acute or aftercare programmes.Relevance to Clinical PracticeRecovering from COVID‐19 can be a protracted process requiring ongoing professional support after discharge. Policies are required to support the development and implementation of post‐acute programmes of care. Comprehensive transitional and aftercare rehabilitative programmes are needed to support the recovery process.
International journal for human caring, Nov 1, 2017
Care provision to severely burned patients is a challenging task that has the potential of puttin... more Care provision to severely burned patients is a challenging task that has the potential of putting aside other spheres of the patient and placing emphasis on the physical injury. Thus, Watson’s Theory of Human Caring was applied to a burned patient. Though his stay was short, it offered an opportunity to assess the applicability of Watson’s theory to end of life care. The theory proved useful to end of life care in the unit but it was identified that the current nursing care strategies will have to change to the primary nursing approach to enable a continuity of this application.
International journal for human caring, Mar 1, 2017
Abstract Care provision to severely burned patients is a challenging task that has the potential ... more Abstract Care provision to severely burned patients is a challenging task that has the potential of putting aside other spheres of the patient and placing emphasis on the physical injury. Thus, Watson's Theory of Human Caring was applied to a burned patient. Though his stay was short, it offered an opportunity to assess the applicability of Watson's theory to end of life care. The theory proved useful to end of life care in the unit but it was identified that the current nursing care strategies will have to change to the primary nursing approach to enable a continuity of this application.
Objective The ongoing pandemic has accentuated the use of telecare services; however, only limite... more Objective The ongoing pandemic has accentuated the use of telecare services; however, only limited progress has been made in understanding the barriers and facilitators to using these services. In order to move towards sustaining such essential services, the present study aimed to ascertain the experiences of stroke survivors and healthcare providers regarding the utilization of a post-stroke telecare service in Hong Kong. Methods Interpretive description was employed for this study. Semi-structured discussions and interviews were undertaken with nine stroke survivors and four stroke nurses who delivered the telecare services. The principles of thematic analysis were inductively followed to analyse the data. The Standards for Reporting Qualitative Research checklist was used to guide the reporting of the data. Results Three themes emerged: (a) pre-existing post-discharge service pathways; (b) push factors/facilitators for telecare usage; and (c) barriers to telecare usage. Overall, the telecare service was considered a significant alternative and one that complements conventional face-to-face follow-ups. Stroke survivors were motivated to use the service because it was convenient and flexible. However, significant barriers exist, including technical issues and a lack of guidelines and training opportunities for healthcare providers. Conclusions Although telecare is still evolving, several factors drive stroke survivors to use the service. Attention needs to be paid to the emerging barriers to improve long-term usage of the service. Clear guidelines are needed to underpin the development and implementation of telecare services.
Background: Though ageing is not a disease, it has been associated with the occurrence of conditi... more Background: Though ageing is not a disease, it has been associated with the occurrence of conditions which require health service utilisation. Ghana's population is characterised by a steady growth in the number of older adults and previous studies have noted limited levels regarding utilisation by older persons. Methods: Thus, this study utilised a qualitative approach to explore older persons' experiences regarding outpatient hospital service utilisation in the Asante Akyem North District of Ghana. The aim was to generate findings that will guide future policies. Sixteen semi-structured interviews were conducted and thematic analysis executed. The Andersen's Behavioural Model was used as a guiding framework. Results: Medical condition was noted to characterise the need component of utilisation. Also, perceived effects of ageing, beliefs and past health status predisposed an older person to utilise available services. Beliefs were noted to make an older person utilise either orthodox or herbal services. Despite these, family support (in the form of financial assistance), accessibility (health facility, health professional, medication and information) and health care costs either enabled or prevented an older person from utilising services. Despite the existence of the National Health Insurance Scheme, health care costs are high and that delayed utilisation or made others avoid the services altogether. The care processes were noted to be cumbersome and involved long hours; though these features were noted to be absent whilst utilising traditional medicine services and this provides an avenue for further research in assessing patient outcomes associated with traditional medicine usage. These findings might be contributing factors to why other studies identified limited usage of health services among older persons in Ghana. Conclusion: Though older persons in the district may feel the need to utilise health services on outpatient basis, the enabling factors (notably finance) appeared to be a driving force to actual utilisation. Thus, more innovative health care financing strategies are needed to enhance the coverage of health services for older persons in the district.
Background Despite emerging evidence on the effectiveness of eHealth interventions in improving c... more Background Despite emerging evidence on the effectiveness of eHealth interventions in improving cardiovascular health, little is known about the perception of use and efficacy of these interventions and real-world application. Objective We sought to develop an in-depth understanding of the perceptions of eHealth interventions in improving cardiovascular health. Methods This is a systematic review and meta-synthesis of qualitative studies. A comprehensive search of multiple databases and a manual search of the references list were conducted. Meta-synthesis of qualitative data was performed to review and interpret the findings. The study report followed the ENTREQ checklist. Results Four themes emerged regarding perceptions of eHealth interventions: preferred eHealth intervention design features, enabling healthcare professionals' support, eHealth engagement for health benefits, and barriers to eHealth engagement. Intervention design features should integrate motivational elements...
A burn has been described as a family injury warranting the delivery of family-centered care (FCC... more A burn has been described as a family injury warranting the delivery of family-centered care (FCC) across the continuum of burns management. This assertion notwithstanding, only limited progress has been made to develop and implement FCC interventions in the burn unit. As a starting point, this study sought to formulate a tentative framework to underpin FCC in burn care. A multi-method design comprising an umbrella review and the secondary data analysis of qualitative datasets was employed. Following these, the findings were merged and aligned to the Universal Model of FCC to formulate the burn-specific FCC framework. For the umbrella review, four review articles met the criteria for inclusion. Following a data synthesis of the review findings and their integration with the qualitative dataset, four meta-themes that encapsulate the shared needs/concerns of family members of both pediatric and adult burn survivors emerged: (1) psychosocial concerns, (2) issues relating to role change...
Despite the notable benefits of palliative care (PC) for patients with chronic diseases, its deli... more Despite the notable benefits of palliative care (PC) for patients with chronic diseases, its delivery to people with cardiac problems, particularly in the Middle East region (EMR), remains a critical issue. There is a scarcity of research assessing nursing staff’s needs and knowledge in providing PC to cardiac patients in the EMR. This study aimed to assess the level of knowledge and needs of PC among nurses towards the provision of PC in intensive coronary care units (ICCUs) in the Gaza Strip, Palestine. It also identified the barriers to the provision of PC services in ICCUs in the Gaza Strip. A hospital-based descriptive quantitative cross-sectional design was adopted to collect data from 85 nurses working in ICCUs at four main hospitals in the Gaza Strip. Knowledge about PC was collected using a developed questionnaire based on the Palliative Care Quiz Nursing Scale (PCQN) and Palliative Care Knowledge Test (PCKT). PC training needs and barriers were assessed using the PC Needs ...
Background: Nurses form a pivotal part of the burns care team and participate in caring for sever... more Background: Nurses form a pivotal part of the burns care team and participate in caring for severely burned patients. Previous studies have identified that severe burn injuries may serve as a form of stress to health professionals and as such they may require support whilst caring for these patients. However, there exists limited exploration of nurses' experiences regarding caring for severely burned patients. Aim: To explore and describe nurses' experiences of caring for severely burned patients. Methodology: An exploratory-descriptive approach was utilised to understand nurses' experiences. Purposive sampling was used to recruit nurses from the Burns Intensive Care Unit (n = 7). Face to face semi-structured interviews were conducted with an interview guide and proceedings audio-recorded. Two follow up interviews were conducted after the initial interviews. Analysis was undertaken using thematic analysis to generate emergent themes. Findings: The themes identified were exhaustion during caring (physical and emotional) and concerns regarding outcomes of care. Conclusion: Nurses face varied issues when caring for severely burned patients and require avenues to express themselves but these are lacking in our current setting. Peer support and other approaches need to be explored as avenues for encouraging nurses to talk about their experiences. Further research is also warranted in understanding how palliative care can be incorporated in burns care.
Background With today's complex needs of the population and high demands in quality of care, ther... more Background With today's complex needs of the population and high demands in quality of care, there will be a continuing need for expanding role of nurses to assume more responsibilities in healthcare. Newly graduated nurses, who possess the competence to function as Registered Nurses, will soon recognize that lecture-based, passive delivery of content is not sufficient to deal with the complex healthcare environment. Aim This study aimed to compare the effects of a blended video watching and peer learning program and the usual lecture-based program on the levels of satisfaction and self-confidence in learning, perceptions of peer learning, and academic performance of students enrolled in a master's nursing program. Methods A quasi-experimental study was conducted. The program was offered to Master of Science in Nursing students during Spring 2021 (intervention group, n = 46), while the usual face-to-face lectures and tutorial classes were provided to students enrolled during Fall 2020 (control group, n = 46). Results There was a statistically significant increase in satisfaction, self-confidence in learning, and academic performance in the intervention group after learning in a blended video-watching and peer learning mode. Conclusion This study fills a knowledge gap to meet the learning needs of time-conscious, part-time students working full time in hospitals.
BACKGROUND Although mobile health application (mHealth app) programs have effectively promoted di... more BACKGROUND Although mobile health application (mHealth app) programs have effectively promoted disease self-management behaviors in the last decade, usage rates have tended to fall over time. OBJECTIVE We used a case management approach led by a nurse and supported by a health-social partnership team with the aim of sustaining app usage among community-dwelling older adults and evaluated the outcome differences (i.e, self-efficacy, levels of depression, and total health service usages) between those who continued to use the app. METHODS This was a 3-arm randomized controlled trial. A total of 221 older adults with hypertension, diabetes, or chronic pain were randomized into 3 groups: mHealth (n=71), mHealth with interactivity (mHealth+I; n=74), and the control (n=76). The mHealth application was given to the mHealth and mHealth+I groups. The mHealth+I group also received 8 proactive calls in 3 months from a nurse to encourage use of the app. The control group received no interventions. Data were collected at preintervention (T1), postintervention (T2), and at 3 months’ postintervention (T3) to ascertain the sustained effect. RESULTS A total of 37.8% of mHealth+I and 18.3% of mHealth group participants continued using the mHealth app at least twice per week until the end of the sixth month. The difference in app usage across the 2 groups between T2 and T3 was significant (χ21=6.81, P=.009). Improvements in self-efficacy (β=4.30, 95% CI 0.25-8.35, P=.04) and depression levels (β=–1.98, 95% CI –3.78 to –0.19, P=.03) from T1 to T3 were observed in the mHealth group participants who continued using the app. Although self-efficacy and depression scores improved from T1 to T2 in the mHealth+I group, the mean values decreased at T3. Health service usage decreased for all groups from T1 to T2 (β=–1.38, 95% CI –1.98 to –0.78, P<.001), with a marginal increase at T3. CONCLUSIONS The relatively low rates of mHealth app usage at follow-up are comparable to those reported in the literature. More work is needed to merge the technology-driven and in-person aspects of mHealth. CLINICALTRIAL ClinicalTrials.gov NCT03878212; https://clinicaltrials.gov/ct2/show/NCT03878212 INTERNATIONAL REGISTERED REPORT RR2-10.1159/000509129
IntroductionPost‐burn scarring is often cosmetically unappealing and create discomfort. This make... more IntroductionPost‐burn scarring is often cosmetically unappealing and create discomfort. This makes it crucial to understand the experience of individuals living with scars which can offer insights into their recovery. This review sought to develop an in‐depth understanding of living with post‐burn scars.DesignA systematic review and meta‐ethnography approach were employed. We utilized an interpretive approach to inductively generate codes. These codes were examined iteratively using a constant comparison strategy following which they were re‐interpreted to formulate themes which formed the basis of undertaking a narrative synthesis.ResultsTwenty‐five studies were retained. The analytical process yielded two themes: emergence of a new identity and living with the redefined self. The experience of living with scars is entwined with the initial trauma as the scars served as a permanent reminder of the injury. Emergence of a new identity involved a process of meaning making, mourning the loss of the old self, confronting the new self, reconciling the remains of the old self with the new, rebuilding a new identity, and navigating through functional restrictions. These processes were particularly challenging for persons involved in self‐immolation. Positive coping and changing one's perspective emerged as strategies to facilitate living with the redefined self.ConclusionLiving with scars is a challenging process which is more difficult for persons whose injuries are due to self‐immolation (act of burning oneself). The findings highlight a latent yet ongoing process towards subjective recovery. Clinicians need to be aware of the processes and incorporate these into rehabilitation programmes.Clinical relevanceBurn survivors need ongoing professional support to adjust to and live with the scars. Victims of self‐immolation should be considered for early psychosocial support.
Introduction With the rise in global migration, hospitals and health systems in developed countri... more Introduction With the rise in global migration, hospitals and health systems in developed countries are looking to supplement their workforces with migrant nurses who have been reported to feel devalued, underutilized with experience of deskilling and unmet expectations as they transitioned. Despite the plethora of literature reporting on the experiences of internationally trained nurses, only limited work has been done regarding understanding the experiences of Migrant African nurses. Thus, this study sought to synthesize existing qualitative studies to develop in-depth understanding of the transitioning experiences of migrant African nurses, their career progression and to highlight existing gaps to guide future studies as well as inform policies. Method A meta-synthesis was performed and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the Enhancing transparency in reporting the synthesis of qualitative research statement. A pre-planned search strategy was developed guided by the SPIDER tool for qualitative synthesis searching EMBASE via OVID, CINAHL via EBSCO, PubMed, Web of Science, and PsychINFO databases. We included published studies that 1) focused on migrant African nurses, 2) employed a qualitative design and 3) reported in English. Results The search yielded 139 studies of which nine studies met the inclusion criteria and included in final synthesis. Three themes with corresponding subthemes emerged from data synthesis: 1) Navigating reality shock (a. Navigating a new culture, b. Survival strategies and support amidst the shock); 2) Discrimination and limited opportunities for promotion (a. Prejudices and preference for White over Black, b. Lack of recognition and limited opportunities for a workplace promotion); and 3) Finding one's feet (a. Standing up for oneself and looking beyond discrimination, b. Experiencing growth). Conclusion Transitioning to a new setting can be a challenging experience for migrant African nurses warranting the availability of a tailor-made adaptation or orientation programme. Though African nurses may experience discrimination and prejudices as part of their transition, they consider their situation to be better off compared to back home. Therefore, clear transitioning policies which focus on career pathways are required by hiring institutions, and migrant nurses should be proactive in taking active roles in pushing their career ahead, instead of maintaining a culture of silence.
International Journal of Environmental Research and Public Health, Aug 3, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
AimTo identify and classify the transitional and aftercare needs of persons hospitalised with and... more AimTo identify and classify the transitional and aftercare needs of persons hospitalised with and recovering from COVID‐19.BackgroundSeveral studies exist that describe the patient needs at the acute phase of COVID‐19. The transitional and aftercare needs that emerge during recovery, however, remain vague.MethodsA scoping review was conducted and reported according to the PRISMA extension guidelines for scoping reviews (PRISMA‐ScR). Primary studies were identified from database search. Narrative synthesis was undertaken, with the Omaha System as a framework.ResultsForty studies were included. Persons recovering from the infection may have several needs in all domains of the Omaha System. Although the severity and persistence of the needs may be unrelated to the severity of the initial infection, they may vary based on factors such as age and pre‐morbid factors.ConclusionRecovering from COVID‐19 is associated with varied biopsychosocial‐environmental needs which can adversely affect the quality‐of‐life experience. The review findings represent an inventory of needs that can guide the development of multi‐disciplinary post‐acute or aftercare programmes.Relevance to Clinical PracticeRecovering from COVID‐19 can be a protracted process requiring ongoing professional support after discharge. Policies are required to support the development and implementation of post‐acute programmes of care. Comprehensive transitional and aftercare rehabilitative programmes are needed to support the recovery process.
International journal for human caring, Nov 1, 2017
Care provision to severely burned patients is a challenging task that has the potential of puttin... more Care provision to severely burned patients is a challenging task that has the potential of putting aside other spheres of the patient and placing emphasis on the physical injury. Thus, Watson’s Theory of Human Caring was applied to a burned patient. Though his stay was short, it offered an opportunity to assess the applicability of Watson’s theory to end of life care. The theory proved useful to end of life care in the unit but it was identified that the current nursing care strategies will have to change to the primary nursing approach to enable a continuity of this application.
International journal for human caring, Mar 1, 2017
Abstract Care provision to severely burned patients is a challenging task that has the potential ... more Abstract Care provision to severely burned patients is a challenging task that has the potential of putting aside other spheres of the patient and placing emphasis on the physical injury. Thus, Watson's Theory of Human Caring was applied to a burned patient. Though his stay was short, it offered an opportunity to assess the applicability of Watson's theory to end of life care. The theory proved useful to end of life care in the unit but it was identified that the current nursing care strategies will have to change to the primary nursing approach to enable a continuity of this application.
Objective The ongoing pandemic has accentuated the use of telecare services; however, only limite... more Objective The ongoing pandemic has accentuated the use of telecare services; however, only limited progress has been made in understanding the barriers and facilitators to using these services. In order to move towards sustaining such essential services, the present study aimed to ascertain the experiences of stroke survivors and healthcare providers regarding the utilization of a post-stroke telecare service in Hong Kong. Methods Interpretive description was employed for this study. Semi-structured discussions and interviews were undertaken with nine stroke survivors and four stroke nurses who delivered the telecare services. The principles of thematic analysis were inductively followed to analyse the data. The Standards for Reporting Qualitative Research checklist was used to guide the reporting of the data. Results Three themes emerged: (a) pre-existing post-discharge service pathways; (b) push factors/facilitators for telecare usage; and (c) barriers to telecare usage. Overall, the telecare service was considered a significant alternative and one that complements conventional face-to-face follow-ups. Stroke survivors were motivated to use the service because it was convenient and flexible. However, significant barriers exist, including technical issues and a lack of guidelines and training opportunities for healthcare providers. Conclusions Although telecare is still evolving, several factors drive stroke survivors to use the service. Attention needs to be paid to the emerging barriers to improve long-term usage of the service. Clear guidelines are needed to underpin the development and implementation of telecare services.
Background: Though ageing is not a disease, it has been associated with the occurrence of conditi... more Background: Though ageing is not a disease, it has been associated with the occurrence of conditions which require health service utilisation. Ghana's population is characterised by a steady growth in the number of older adults and previous studies have noted limited levels regarding utilisation by older persons. Methods: Thus, this study utilised a qualitative approach to explore older persons' experiences regarding outpatient hospital service utilisation in the Asante Akyem North District of Ghana. The aim was to generate findings that will guide future policies. Sixteen semi-structured interviews were conducted and thematic analysis executed. The Andersen's Behavioural Model was used as a guiding framework. Results: Medical condition was noted to characterise the need component of utilisation. Also, perceived effects of ageing, beliefs and past health status predisposed an older person to utilise available services. Beliefs were noted to make an older person utilise either orthodox or herbal services. Despite these, family support (in the form of financial assistance), accessibility (health facility, health professional, medication and information) and health care costs either enabled or prevented an older person from utilising services. Despite the existence of the National Health Insurance Scheme, health care costs are high and that delayed utilisation or made others avoid the services altogether. The care processes were noted to be cumbersome and involved long hours; though these features were noted to be absent whilst utilising traditional medicine services and this provides an avenue for further research in assessing patient outcomes associated with traditional medicine usage. These findings might be contributing factors to why other studies identified limited usage of health services among older persons in Ghana. Conclusion: Though older persons in the district may feel the need to utilise health services on outpatient basis, the enabling factors (notably finance) appeared to be a driving force to actual utilisation. Thus, more innovative health care financing strategies are needed to enhance the coverage of health services for older persons in the district.
Background Despite emerging evidence on the effectiveness of eHealth interventions in improving c... more Background Despite emerging evidence on the effectiveness of eHealth interventions in improving cardiovascular health, little is known about the perception of use and efficacy of these interventions and real-world application. Objective We sought to develop an in-depth understanding of the perceptions of eHealth interventions in improving cardiovascular health. Methods This is a systematic review and meta-synthesis of qualitative studies. A comprehensive search of multiple databases and a manual search of the references list were conducted. Meta-synthesis of qualitative data was performed to review and interpret the findings. The study report followed the ENTREQ checklist. Results Four themes emerged regarding perceptions of eHealth interventions: preferred eHealth intervention design features, enabling healthcare professionals' support, eHealth engagement for health benefits, and barriers to eHealth engagement. Intervention design features should integrate motivational elements...
A burn has been described as a family injury warranting the delivery of family-centered care (FCC... more A burn has been described as a family injury warranting the delivery of family-centered care (FCC) across the continuum of burns management. This assertion notwithstanding, only limited progress has been made to develop and implement FCC interventions in the burn unit. As a starting point, this study sought to formulate a tentative framework to underpin FCC in burn care. A multi-method design comprising an umbrella review and the secondary data analysis of qualitative datasets was employed. Following these, the findings were merged and aligned to the Universal Model of FCC to formulate the burn-specific FCC framework. For the umbrella review, four review articles met the criteria for inclusion. Following a data synthesis of the review findings and their integration with the qualitative dataset, four meta-themes that encapsulate the shared needs/concerns of family members of both pediatric and adult burn survivors emerged: (1) psychosocial concerns, (2) issues relating to role change...
Despite the notable benefits of palliative care (PC) for patients with chronic diseases, its deli... more Despite the notable benefits of palliative care (PC) for patients with chronic diseases, its delivery to people with cardiac problems, particularly in the Middle East region (EMR), remains a critical issue. There is a scarcity of research assessing nursing staff’s needs and knowledge in providing PC to cardiac patients in the EMR. This study aimed to assess the level of knowledge and needs of PC among nurses towards the provision of PC in intensive coronary care units (ICCUs) in the Gaza Strip, Palestine. It also identified the barriers to the provision of PC services in ICCUs in the Gaza Strip. A hospital-based descriptive quantitative cross-sectional design was adopted to collect data from 85 nurses working in ICCUs at four main hospitals in the Gaza Strip. Knowledge about PC was collected using a developed questionnaire based on the Palliative Care Quiz Nursing Scale (PCQN) and Palliative Care Knowledge Test (PCKT). PC training needs and barriers were assessed using the PC Needs ...
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Papers by Jonathan Bayuo