GSTF Digital Library (GSTF-DL): Open Journal Systems (Global Science and Technology Forum)
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Factors related to administrative abilities of nurse administrators – focusing on confidence in nursing
Full text linkPurpose: This study aims to identify factors related to the administrative abilities of nurses in education programs for nurse administrators. Methods: We distributed a selfrating questionnaire survey to 1291 nurse administrators in positions equivalent to head nurse in 69 participating hospitals among the 172 hospitals with 300 beds or more in the Kanto and Tokai regions of Japan. The surveyed items are ability in nurse administration, demographic characteristics, and workplace environment. Results: We received 984 (76.2%) responses. Excluding responses that included two or more choices to a question and where there was no response to questions of gender and administrative abilities, this left 880 (68.2%) responses which were considered valid and these were included in the further analysis. We performed a multiple regression analysis with the focus on confidence in nursing. Here, the nurse administrators who showed better administrative abilities reported that ‘I am decisive’, ‘My judgment in nursing is appropriate’, ‘I read books about new nursing and medical care developments’, ‘I can demonstrate my ability in this job’, ‘I fulfill my responsibilities to achieve goals in accordance with my beliefs’, ‘The present ward (department) has an active atmosphere that makes work enjoyable’, and ‘I work with an awareness of work-life balance (WLB)’. Nurse administrators who showed poorer administrative abilities reported that ‘I became less kind to people since I became a nurse’. Conclusion: The findings suggest that nurse administrators who are confident in themselves and their decision making abilities, who fulfill their responsibilities in accordance with their beliefs, who think their workplace culture is good, and who work with an awareness of WLB may have better administrative abilities. In addition, nurse administrators with low cynicism (developing negative attitudes) scores, a subscale of the burnout score, appear to have better administrative abilities. Education programs for nurse administrators need to Vol.4 No.1, May-2019include support that enables nurse administrators to work reliably with an awareness of WLB, in the efforts to improve the workplace environment, and ensure that they are prevented from developing cynical attitude
The Effect of introducing a nurse guided enhanced recovery after surgery program on patients undergoing hepatectomy
Full text linkBackground: enhanced recovery after surgery (ERAS) could shorten hospital stay and decrease postoperative complications for patients undergoing colorectal surgery. Whether ERAS have the same  effect  in  patients undergoing hepatectomy is not clear, researches led by nurse are especially  rare.  The  study  aimed  at investigating the safety, feasibility and efficiency of nurse guided ERAS program on patients undergoing hepatectomyMethod: patients undergoing liver resection treated with nurse guided ERAS program were taken for ERAS group. ERAS program included: perioperative respiratory function training, perioperative diet guidance, early postoperative activity and postoperative pain management. Primary outcome measures we postoperative length of stay and postoperative complications. Secondary outcome measures were the first time to flatus and defecation, NRS on first and second postoperative day (POD), mortality and readmission rate.Result: The study included totally 100 patients, the patients in each group were 50.The length of stay of patients in ERAS group was shorter than control group (5 days vs 7 days, P=0.001). The overall complications rate and general complications rate of patients in ERAS group were obviously lower than control group (12% vs 30%, P=0.027; 8% vs 24%, P=0.029). The first time to flatus and defecation of ERAS group were both earlier than control group (3 days vs 4 days, P=0.000; 5 days vs 6 days, P=0.010). The NRS score on POD 1 and POD 2 of the ERAS groups were both lower than control group (6 vs 4, P=0.006; 5 vs 3, P=0.000). The surgery-related complications rate of two groups had no significant difference. There were no perioperative mortality or readmission of two groups in the study (0, P=1.000).Conclusion: The application of nurse guided ERAS program safe, effective and feasible for patients undergoing liver resection. It shortened postoperative length of stay and decreased postoperative complication. At the same time, it reduced postoperative pain and improved patient comfort. Â
Factors related to hospital nurse intention to leave: Does striving for work-life balance and sense of coherence affect wishes to stay in the organization?
Full text linkThe aim of this study is to identify relationships between striving for work-life balance (S-WLB), sense of coherence (SOC), and intention to leave among hospital nurses. In August of 2017, we conducted a self-administered questionnaire survey to 2239 nurses at nine public hospitals. The questionnaire included demographic factors, work environmental factors, organizational factors, striving for worklife balance, a 13-item SOC, the Maslach Burnout Inventory, and intention to leave. We carried out a multiple regression analysis with intention to leave as the dependent variable and others as independent variables. We obtained valid responses from 1368 full-time employed nurses (61.1%). The mean age of respondents was 36.38 ± 10.18 years, and the length of clinical experience 13.4 ± 9.65 years. The mean total score of the intention to leave was 14.58 ± 5.09. As a result of the multiple regression analysis, the SWLB and the SOC were found to be statistically related to the intention to leave even after controlling for the confounding factor of burnout. In addition, the satisfaction of desire level for the actual working assignment at the workplace was a significant independent factor. In this study, the full-time nursing staff had a low intention to leave score when they had a high score in the SWLB and the SOC. It was also found that the level of satisfaction with appointment to a desired assignment is a significant factor in the intention to leave. In establishing an attractive workplace for nursing staff, it is important to create a workplace environment and supports to be able to properly evaluate workplace satisfaction after assignments are made while taking into account individual S-WLB and SOC functions
Exploring to Bangkok Chaay Rak Chaay (Gay Men) Accessing Health Services in Thailand
Full text linkHealth services are central to the provision of services for those affected by HIV including, prevention, health promotion and treatment. Access to health services for gay men is significant in increasing their knowledge associated with issues relevant to HIV so that they can better protect and care for themselves. Aim: This ethnographic study sought to clarify and further understand the experience of Bangkok’s gay men and their access to health services relevant to HIV issues. Methods: The data collection was conducted between May and August, 2014. 45 to 60 minutes Face to face interview and digital audio recording were utilised for the data collection processes. Semi structured in-depth interviews undertaken at the Thai Red Cross Research Centre, Bangkok. All interview transcripts were translated from Thai to English. The NVivo program version 10 was utilised to organise the data coding and theming. Result: This study identified that there are few specific clinics for gay men with HIV in Thailand. Additionally, information associated with HIV and other related concerns are required to be more accurate and specific to men living with HIV. Many chaay rak chaay face difficulties accessing services, including a lack of information, privacy concerns and inadequate provision of services. Conclusion: the specific clinic and information relevant HIV issues need to be more readily available and widely circulated. Moreover, health care services should be aware of the privacy issues and personal confidentially issues. Such approaches toward providing services for gay me in Bangkok may assist in eliminating some of the many barriers faced by gay men when accessing health services in the city
An Experimental Study on Using Instructional Pronunciation Video to Improve Students’ Pronunciation
Full text linkTechnology has been used in many ways to enhance language learning. Professional literature and research have shown that using video technology in the teaching and learning of pronunciation in the English language classroom has been useful. This study was conducted to assess the effectiveness of an Instructional Pronunciation Video (IPV) in helping students with low oral proficiency to improve their English pronunciation. The one group pre-test post-test experimental research design is employed in determining whether the use of the IPV will lead to improvement in the students’ pronunciation. The data of this quantitative study were generated from the audio recordings of the pre and post reading aloud tests of 20 university students for identifying students’ pronunciation errors. The numbers of pronunciation errors from the pre and post reading aloud tests were then compared, in order to determine if there is any difference in students’ achievement after the IPV intervention. It was found that students improved significantly in their post reading aloud test as they made less pronunciation errors in the post reading aloud test by 48.7%. Therefore, it is recommended that instructors utilise IPV to support English pronunciation learning
THE EXPERIENCES OF RECTAL CANCER SURVIVORS WITH STOMA IN WEST JAVA INDONESIA
Full text linkIntroduction: Important specific experience of rectal cancer survivors is how they perceive the treatment of cancer, undergo treatment completely and get healed, and live productively after recovery. The aim of the study was to obtain the significant experience of rectal cancer survivors. Methods: This study was  a  qualitative phenomenological method. Sample was taken based on the snowball technique to get three individual patients. Data was collected through in-depth interview, and then was analyzed with seven steps analysis of Colazzi. Results: A total of eight major  themes that describe various experiences of the participants of rectal cancer with stoma were found, namely: difficulty in mobility/ social activity, sense of low self-esteem, pain, extra expenses,  changes  of  patterns of sexual intercourse, dealing with loss, restrictions to worship, and the desire to share with other patients with permanent stoma. Discussion: This difficulty is drawn from the fear of lacking public facilities to support their condition, such as the place to change or unload the stoma bag/appliance, fear that the bag may produce bad odor and uncomfortable sound, purchase the bag routinely, while most of them were already unemployed, worry that the spouse feel disgusted or  pity,  and  the uncertainty  if  the prayer and worship is acceptable to God. Conclusion: life’s meaning  of  being  rectal cancer  survivor helps increase the desire to share it with other patients in order to elevate their spirit amidst the same situation. Based on the stud, nurses should provide psychological support and clear information so that patients can meet their basic needs.Â
Psychological distress and health-related quality of life in implantable cardioverter defibrillator patients with coronary artery disease
Full text linkImplantable cardioverter defibrillator (ICD) patients are found to have poorer health-related quality of life (HRQoL) and heightened psychological distress, particularly depression. Coronary artery disease (CAD) is evidenced to be associated with lowered HRQoL and more negative emotions. This study was to examine psychological status and HRQoL as well as identify factors associated with these two areas among ICD patients with a history of CAD. Of 57 ICD patients with CAD, most of them (91.2%) aged 60 or older with mean age 63.04 years old (SD=14.58). A majority of them were married (84.2%) and selfcare dependent (89.5%). All participants had a history of SCA experience. Almost 80% were the first ICD recipients and had ICD implantation more than one year. Only two of them had ICD shock experience. The participants were more depressive (mean 3.67±3.57). About 8.8% of patients had severe clinical depression (score ≥8) and 19.3% had severe clinical anxiety (score ≥8). The participants had relatively poorer mental health (mean 58.35±9.31) than physical health (mean 38.15±14.98). Female gender was found to have positive association with anxiety; whereas, having a history of DM has positive association with depression. Self-care dependence was the most significant factor associated with anxiety and depression. Depression was found to be negatively associated with physical health; whereas, anxiety was negatively associated with mental health. By contrast, having occupation and having a history of hyperlipidemia were found to be positively associated with physical health. The results showed that identification of factors enables nurses to develop strategies to remove or reduce the negative effects but to provide more support to foster the positive effects arising from the factors. The study results can direct healthcare policy makers implement strategies for optimizing HRQoL and reducing psychological burdens
Level of Performance of Wards’ Staff Nurses in Rendering Care among TB Patients in Selected Government Hospitals in Fourth District of Quezon Province: Basis for Enhancement
Full text linkKnowledge and understanding of Tuberculosis (TB) is essential in rendering quality care to all individuals, since Nursing is a profession of caring individuals from womb to tomb. This research is about the level of performance of staff nurses on their rendering care among TB patients in the wards. It is quantitative and comparative which covered 22 staff nurses and five head nurses from selected government hospitals in Quezon province. They were selected using purposive sampling. The profile of staff nurses includes gender, age, and length of service. The head nurses are all female and in their late adulthood. The study was conducted in Guinayangan Medicare Community Hospital, Maria L. Eleazar District Hospital, and Magsaysay Memorial District Hospital. The respondents answered the adapted questionnaires from the Orientation of Hospitals on Benchbook Self-Assessment and Accreditation Process Manual II 2005 of Philippine Health Insurance Corporation which was modified by the researcher into two questionnaires and were validated by experts. The questionnaire for staff nurses had a reliability result of 0.97 and 0.99 for head nurses respectively using Cronbach Alpha. Statistical treatments that were utilized includes: frequency and percentage, mean, standard deviation, and independent sample t-Test. The result elucidated that there was no significant difference in their perceived level of performance in rendering care among TB patients in the wards when their profiles were considered. It can also be concluded that there was no significant difference between the perception of the head nurses and the staff nurses on their level of performance in rendering care among TB patients in the wards. Moreover, enhancement program pertaining to Evaluation of Care, Access, and Assessment through trainings and seminars were include
Cognitive Computing supported Medical Decision Support System for Patient’s Driving Assessment
Full text linkTo smartly utilize a huge and constantly growing volume of data, improve productivity and increase competitiveness in various fields of life; human requires decision making support systems that efficiently process and analyze the data, and, as a result, significantly speed up the process. Similarly to all other areas of human life, healthcare domain also is lacking Artificial Intelligence (AI) based solution. A number of supervised and unsupervised Machine Learning and Data Mining techniques exist to help us to deal with structured data. However, in a real life, we pretty much deal with unstructured data that hides useful knowledge and valuable information inside human-readable plain texts, images, audio and video. Therefore, such IT giants as IBM, Google, Microsoft, Intel, Facebook, etc., as well as variety of SMEs are actively elaborating different Cognitive Computing services and tools to get a value from unstructured data. Thus, the paper presents feasibility study of IBM Watson cognitive computing services and tools to address the issue of automated health records processing to support doctor’s decision for patient’s driving assessment
Intervention program to promote self-management for prevention of lymphedema after gynecological cancer surgery ― Evaluation of the effectiveness at 12 months after the intervention –
Full text linkIn Japan cancer has been the most common cause of deaths since 1981, and effort has been made to provide countermeasure for cancers. The key to countermeasures is for the general population including cancer patients to know about and overcome cancer. Because the development of cancer is related to lifestyle, it is necessary to work at preventing cancer with attention to the conduct of daily life. The five-year relative survival rate registered in the community from 2006 to 2008 was 62.1%, and this illustrates that there are many cancer survivors leading daily lives after contracting cancer. Uterine cancer was the fifth most common in cancer in 2013. However, it is an important object of the treatment to prevent postoperative complications in gynecologic cancer patients, such as development of lymphedema, because it is reported that the survival rate of uterine cancer is high. The incidence of lymphedema is reported to be between 27.2% and 42% in Japan. Once lymphedema develops, it is difficult to cure, making prevention of the onset an important issue.As a result of the multiple logistic regression analysis performed here using patients where the right femoral circumference increased 2 cm or more as an objective variable, there were differences between the groups analyzed (intervention and control). Compared to the intervention group, 4.46 times more patients in the control group had increases in the right femoral circumference by 2 cm or more. We conducted a randomized controlled trial of an intervention program to promote self-management to prevent lymphedema development after gynecological cancer surgery, and examined the effectiveness at 12 months after the surgery. From the results it can be inferred that observing the lymphedema symptoms including measuring and recording of femoral circumferences and body weight by patients themselves influenced the promotion of self-management. Six months after the surgery, there were significantly more patients who developed lymphedema in the control group, but there were no differences between the groups at 12 months after the surgery. Lymphedema development after gynecological cancer surgery appears about 2.6 months after surgery and chronic lymphedema often appears around 9.7 months after surgery. It can be inferred that this difference is due to the temporary improvement of lymphatic reflux after the improvement of edema. The difference in femoral circumferences is sometimes used as one diagnostic tool for the determination of lymphedema. In this study, we compared the right femoral circumferences before discharge and 12 months after the surgery. Mild lymphedema is defined as larger than 10 mm but smaller than 20 mm in any dimension. In severe cases, a dimension may be larger than 20 mm]. In this study, we performed a multiple logistic regression analysis by defining the patients with lymphedema as patients whose right femoral circumference is increased more than 2 cm. The analysis showed the following as factors influencing the increase in the right femoral circumference by more than 2 cm: group (intervention and control), aerobic exercise, and self-efficacy. Compared to the intervention group, 4.46 times more patients in the control group had increases in the right femoral circumference of more than 2 cm, and this suggests that the intervention program to promote self-management to prevent lymphedema after gynecological cancer surgery is effective at 12 months after the surgery