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Effectiveness of Helmet Non-Invasive Ventilator Training Based on Simulation
No full textIntroduction: The use of helmet non-invasive ventilators in the treatment of patients with respiratory failure is increasing in intensive care unit. This study was based on the National League for Nursing/Jeffries Simulation Theory and aimed to develop a Helmet Non-Invasive Ventilator education training program and assess its impact on the knowledge, self-efficacy, and clinical performance abilities of intensive care unit nurses.
Design: A non-equivalent control group pretest- posttest design was used.
Methods: The participants consisted of 21 individuals in the experimental group and 22 in the control group. The experimental group received a simulation-based intervention, while the control group received a lecture intervention. The tools used for the study included self-report questionnaires for assessing knowledge and self- efficacy related to the Helmet Non-Invasive Ventilator both before and after the intervention, while clinical performance ability was evaluated post-intervention only by a research assistant under single blinded conditions.
Result: No statistically significant difference in pre and post-test knowledge(t=1.34, p=.093), self-efficacy(t=-1.386, p=0.87) scores between the control group and experimental group. The post-intervention clinical performance ability scores were significantly different, with the control group and experimental group(t=-7.1, p=\u3c.001).
Conclusion: Simulation-based training showed a greater effect in improving clinical performance compared to the lecture group, and both groups demonstrated improvements in knowledge, self-efficacy, and clinical performance after the training compared to before the training
Enhancing eHealth Technology Acceptance Among Patients With Chronic Illness-Role of eHealth Literacy
No full textPurpose: With the integration of healthcare and technology continuously accelerating, These technological transformations present significant challenges, especially in the care of patients with chronic illness who are older or with multiple comorbidities. The effectiveness of chronic illness management increasingly depends on patients\u27 acceptance and use of innovative eHealth technologies. eHealth literacy is a critical skill that reflects patients\u27 ability to understand and use technology, playing a pivotal role in their acceptance of innovative eHealth technology. This study aims to identify the predictors of eHealth technology acceptance and explore the mediating role of eHealth literacy in enhancing care outcomes for patients with chronic illness.
Methods: This cross-sectional study randomly sampled 169 patients with chronic illness from hospitals in Northern Taiwan. Data were collected using structured questionnaires, and multiple regression analyses were conducted to identify predictors of eHealth technology acceptance. Additionally, the SPSS PROCESS macro and bootstrapping techniques examined the mediating effects of eHealth literacy, controlling for variables such as age, occupation, education, and religion.
Results: The study involved participants with an average age of 58.48 years, predominantly male, with education levels up to high school or junior college, mostly of Buddhist faith, and married. The findings revealed that better health status was strongly associated with higher eHealth technology acceptance. Additionally, there were positive correlations between social support and eHealth literacy with eHealth technology acceptance. Notably, eHealth literacy fully mediated the relationship between social support and eHealth technology acceptance, indicating that improvements in eHealth literacy could enhance the impact of social support on technology acceptance among patients with chronic illness.
Conclusion: In the digital healthcare era, eHealth literacy among patients with chronic illness is crucial for enhancing eHealth technology acceptance. Strengthening eHealth literacy through improved social support mechanisms can significantly boost eHealth technology acceptance. As patients\u27 eHealth literacy improves, they are better equipped to utilize eHealth technologies effectively, thereby recognizing their usefulness and ease of use, ultimately enhancing eHealth technology acceptance
Accelerate: Growing Frontline Nurse Leaders Through a Year Long Innovative Leadership Cohort
No full textAccelerate Program is a year-long, frontline leadership development initiative, aimed at creating a pipeline of future nurse leaders designed and implemented at a large academic medical center. Focus centers on supporting the career advancement and succession planning of informal nurse leaders, enhance and develop nursing leadership competencies, provide innovative leadership development opportunities as well as promoting interprofessional learning and collaboration to achieve effective, impactful outcomes. The first cohort consisted of nurse clinicians from inpatient, procedural, emergency department and ambulatory settings.Curriculum design was guided by The American Organization for Nursing Leadership leader core competencies and was presented by experts from within the health system. Program requirements included manager nomination, full-time employment, no disciplinary action, and previous participation in the organization’s Charge Nurse or Preceptor Program. Accepted participants attended a rigorous yearlong collaborative program with monthly 8-hour sessions covering a range of topics, including: conflict management, financial literacy, communication and interprofessional skills, and the implementation of an evidence-based practice (EBP) project.Pre and post program data was gathered through an investigator developed 360-degree Likert score evaluation in the domains of: leader within, professionalism, communication, healthcare environment, business skills and leadership. Results indicated a significant improvement (6-9%) in all domains. Additionally, 28% of participants were promoted into formal leadership roles during the program.Involvement in the program prepared nurses for navigating the complexities of the nurse manager role while fostering growth and retaining nurse leaders. Anecdotally, participants perceived more confidence in their ability to lead others, conduct quality research projects, and make sound decisions that improve patient outcomes. Additionally, a second cohort is currently underway, and applicants are being nominated for the third cohort. This collaboration has brought together participants who typically wouldn\u27t interact, resulting in the creation of interprofessional EBP projects leading to the implementation of system-wide change initiatives. Further participation in leadership development programs such as Accelerate will continue to foster growth of nurse leaders
Patient’s Sexual Dignity Discomfort in Healthcare Setting: A Concept Development
No full textBackground: Touch and physical proximity are essential in various healthcare procedures. Despite their necessity, some procedures can evoke feelings of shame, embarrassment, humiliation, fear, and anger in patients (Brennan et al., 2023; Harriel-Hidlebaugh, 2023). Such negative experiences can lead to psychological harm, such as post-traumatic stress disorder, and may cause patients to avoid or refuse further care (Flynn et al., 2020; Harriel-Hidlebaugh, 2023).
Objective: This study aimed to develop and define the concept of “patient’s sexual dignity discomfort.”
Design: This study utilized a hybrid model of concept development, comprising three phases: theoretical, fieldwork, and analytical phases (Schwartz-Barcott & Kim, 2000).
Methods: In the theoretical phase, a scoping review was conducted to establish a working definition of patient’s sexual dignity discomfort. This definition was refined and validated using qualitative data collected from 18 participants during the fieldwork phase. All interviews were recorded and transcribed and were analyzed using directed content analysis (Hsieh & Shannon, 2005). In the analytical phase, a final conceptual model of patient’s sexual dignity discomfort was proposed by integrating findings from both the theoretical and fieldwork phases.
Results: Four themes describing attributes of patient’s sexual dignity discomfort were explored and confirmed: 1) experiencing shame and embarrassment, 2) vulnerability-induced loss of control, 3) dehumanization and objectification, and 4) uncertain sexual autonomy. Despite varying contextual factors, patient’s sexual dignity discomfort occurs when patients perceive care procedures as sexually inappropriate or as involving unnecessary sexual activity, particularly when healthcare providers display unprofessional attitudes or when patients lack consent or are not mentally prepared for the procedure because of insufficient information. Consequently, this discomfort leads patients to refuse or avoid healthcare treatments and prioritize finding better healthcare services over their health. It can also prompt providers to avoid patients, resulting in a compromised quality of care and poor health outcomes.
Conclusions: A patient’s sexual dignity discomfort poses a significant threat to the quality of patient care and preservation of dignity. Nurses can trigger this intentionally or unintentionally, highlighting the need for comprehensive education and training to prevent it
The Language Barrier in Nursing Education for Migrant Parents Who Do Not Speak the Native Language
No full textIntroduction: With the increase in global migration, encounters between people speaking different languages are becoming more common. In healthcare, effective communication is the cornerstone of quality care. In pediatric settings, communication between nurses and parents who speak languages other than the official language can become a barrier to nursing education.
Objectives: To identify how immigrant parents\u27 lack of proficiency in the native language affects their understanding of pediatric nursing education in Portugal, and to explore the strategies Portuguese nurses use to overcome the language barrier when educating parents.
Methodology: This is a qualitative, descriptive study. Data collection was carried out through guided observation using a checklist of six nursing education sessions for immigrant parents who do not speak Portuguese. These sessions took place in three portuguese clinical settings: Family Health Unit, Pediatric Emergency, and Neonatology Service. Data were analyzed using Laurence Bardin\u27s content analysis method (Bardin, 2016).
Results: The results highlighted three categories of analysis: understanding of the teachings, expressions of lack of comprehension, and strategies to overcome the language barrier. The lack of understanding of the nurse\u27s educational sessions was observed in all the interviews. Parents\u27 lack of understanding, particularly from Brazil, Guinea, India, and Pakistan, was observed through expressions of confusion such as shaking their heads, shrugging, brief answers. Strategies used by nurses to overcome the language barrier included the use of translators, expository methods, and demonstrations.
Conclusion: The lack of proficiency in Portuguese among immigrant parents hindered their understanding of nursing education, despite efforts made to overcome the language barrier. Nurses employed strategies such as informative leaflets, translation apps, and procedure demonstrations. However, they felt that the teachings were not fully understood by the parents, which has implications for hospital readmissions and the quality of care provided by parents to their children
The Experience of Fathering a Child with Autism Spectrum Disorder and the Challenge of Self-Care
No full textParenting a child with autism spectrum disorder (ASD) is associated with a high level of chronic stress which has the potential to negatively impact the well-being of the parents and may be mitigated by self-care. To date, there has been little research about the experience of fathering a child with ASD, and self-care among these fathers. This study used a qualitative descriptive narrative design with Story Theory as the theoretical framework and Story Inquiry Method as the methodology to explore the experience of fathering a child with ASD and the challenge of selfcare.Several themes and sub-themes related to the fathering experience and self-care were identified. Themes included Accommodated Work-life, Healthy Diversions, Unhealthy Diversions, Mindless Activity, Small Joys, Storytelling, Family and Social Events, and Self-Care. Self-Care had six sub-themes. Escape was identified as a theoretical construct related to self-care. Additional themes, theoretical constructs and patterns of relationships related to the fathering experience were identified. Themes included Complicated Life, Disability Awareness, Providing, and Parenting Journey. Disability Awareness and Providing have five sub-themes, and Parenting Journey has two sub-themes. Theoretical constructs included Anguish, Despair, Dissonance, Fear, Grief, Isolation. Patterns of relationships include Parent-Child Relationship, Partner Relationship, and Connections. School Interaction was identified as a pattern of causation and explanation.Several new insights emerged. The themes Accommodated Work-life, Mindless Activity, Small Joys, and Providing and theoretical constructs Escape and Dissonance have not been identified in the current literature on fathers of children with ASD and their self-care.This study offers a muti-faceted view of the experience of fathering a child with ASD and the challenge of self-care
Collaborating With a Global Partner: Experiences of Bilingual Students in the US and Brazil
No full textBackground: What scares you the most about teaching? Is it not being able to connect with the students? In the United States (U.S.), students are being admitted to our nursing programs from international locations. As this world changes, we see more and more interactions with individuals from faraway places. English is no longer only spoken in a few countries. It is gaining worldwide popularity as a second language in many countries. Nursing students from overseas want to experience a nursing course taught in English. As an expert in your field, consider sharing your knowledge with students from other countries. Teaching and supporting students with a native language other than English is becoming more manageable.
Purpose: The purpose of this study was to describe the enriching experiences and formidable challenges of bilingual students whose primary language is other than English. These students were in a Bachelor of Science in Nursing (BSN) program who had Health Assessment, an introductory nursing course, taught in the English language.
Methods: A qualitative hermeneutic phenomenology design was used. Collaborating with a global partner, data gathering was performed using interviews with two bilingual groups. One group of undergraduate students was from an urban city in New Jersey, U.S., and the second group was from an urban city in Ceará, Brazil.
Results: Twelve bilingual nursing students from the U.S. and eight bilingual nursing students from Brazil completed the course and the interview process. The resulting themes included (a) welcoming the challenge, (b) recognizing bilingual benefits, (c) overcoming language hurdles, and (d) encouraging support systems.
Conclusions: Results from this study may inspire and support other nursing faculty to collaborate with global partners, expand their instructor role, and teach abroad where English is not the dominant language. This study may also be used to assist nurse faculty in identifying key factors to support bilingual student retention and success in BSN programs in the U.S. The knowledge gained may potentially be used to develop and implement strategies to create a more productive and inclusive environment for bilingual nursing students across the globe, creating a more diversified nursing profession
Collaborative Care Integration for Improving Outcomes With Type 2 Diabetes and Psychiatric Disease
No full textPsychiatric disorders and diabetes are problems that frequently overlap in psychiatric and primary care settings. Those patients with psychiatric disorders and/or social problems have a higher incidence of diabetes complications and poor outcomes (Knudsen, et al., 2022). Clinician awareness of the person\u27s diabetes health with measures to identify and support them, may reduce their risk of developing complications of Type 2 Diabetes Mellitus (T2DM). The purpose of this presentation is to address early identification and interventions to prevent complications of T2DM, and the importance of collaboration with diabetic care specialists among patients receiving psychiatric care. Diabetes and psychiatric disorders can present when psychiatric disorders are associated with the chronicity and complexities of living with diabetes and as adverse metabolic effects associated with weight gain from antipsychotics and some other psychiatric medications.The healthcare team aiding in diabetic management should include those who specialize in diabetes, including physicians, nurse practitioners, physician assistants, nurses, dietitians, exercise specialists, pharmacists, dentists, podiatrists, and mental health professional (American Diabetes Association Practice Committee, 2024). Factors to consider include A1c goals, efficacy, cost, side effects, contraindications, adherence, comorbidities, mechanisms of action, and non-glycemic effects on atherosclerotic cardiovascular disease, obesity, congestive heart failure, and chronic kidney disease (ElSayed et al., 2023; Schroeder, 2022).In the psychiatric setting, clinicians can provide intensive behavioral counseling interventions to promote a healthful diet, physical activity, and weight loss. Considering side effects including weight-gain of antipsychotics and antidepressants, should be considered in prescribing pharmacological therapies, when treating acute psychiatric presentations (McIntyre et al., 2024).Metformin should be considered in those with prediabetes, especially with a BMI ≥35 kg/m2, those aged \u3c60 years, and women with prior gestational diabetes mellitus (American Diabetes Association Professional Practice Committee, 2024). For T2DM, glucagon-like peptide 1 receptor agonist (GLP-1 RA), and/or sodium–glucose cotransporter 2 inhibitor (SGLT-2) may be considered as first line agents instead of metformin, considering the atherosclerotic cardiovascular, heart failure, and chronic kidney disease benefits
Barriers to Use of Antenatal Services Among Pregnant Women. A Temporal Decision-Making Perspective
No full textAntenatal care (ANC) is essential for reducing maternal morbidity and mortality, yet utilization rates remain low across sub-Saharan Africa, including Kenya. This study explores pregnant Kenyan women’s experiences with ANC, focusing on how temporal decision-making affects their access to and attendance during pregnancy. Using a qualitative descriptive approach, 20 pregnant women, were purposively sampled, to understand their perspectives on ANC access and use through in-depth interviews. Analysis, based on the Betty Neuman systems model, categorized factors influencing ANC attendance into three primary areas: intrapersonal (individual beliefs and perceptions), interpersonal (social, cultural, and economic influences), and extra-personal (systemic and structural barriers).
Findings revealed a complex interplay of factors that influenced women’s decisions about access and attendance to ANC. These included intrapersonal barriers like personal beliefs, perceptions and fears, while interpersonal influences encompassed cultural norms, gender roles, and financial challenges and dependencies on the family. Extra-personal barriers included transportation difficulties, uncivil healthcare practices and policies, and the added impact of COVID-19 on access to timely and subsequent care. Many women reported that these factors influenced their temporal decision-making, causing delays in seeking ANC or reducing the frequency of their visits. Financial constraints and lack of respectful maternal care were also cited as significant barriers that led some women to delay or avoid ANC.
These findings emphasize the need for healthcare policies that strengthen community healthcare linkages, promote respectful maternal care, and enhance communication between midwives and clients. Addressing these interconnected barriers is crucial to improving ANC access and, consequently, maternal health outcomes in resource-limited settings. The study highlights the importance of a holistic approach to ANC to consider the diverse challenges women face and further research is needed to develop targeted strategies for improving ANC utilization among pregnant women in Kenya
Enhancing Pediatric Stoma Nursing Care: Analyzing YouTube Videos for Pediatric Stoma Care Techniques
No full textBackground: Stoma care requires a multidisciplinary team, but when the patient is a child, family-centered care is crucial [1, 2, 3]. Caregivers and patients without prior experience in ostomy care often share their experiences and seek answers to their questions on digital platforms like social media and YouTube [3, 4]. YouTube is considered a valuable resource for educating pediatric patients and parents. It provides interactive and visual education, which is more accessible than traditional written materials [4, 5, 6]. However, it\u27s important to assess the reliability and validity of these videos through content analysis.
Purpose: The purpose of this study was to evaluate the quality, content, and reliability of YouTube videos that address ostomy bag change in children.
Design: A descriptive, retrospective, cross-sectional research design was used to evaluate YouTube videos focused on pediatric ostomy bag change techniques.
Subjects and Setting: The study included a total of 33 YouTube videos identified through searches conducted between May 3 and May 30, 2024. Videos included infants, children, and adolescents and were selected based on their relevance to pediatric double pouch ostomy care.
Methods: Videos were scored using the modified DISCERN score and the Global Quality Scale (GQS) to assess video quality and reliability. A checklist based on established ostomy care guidelines [6] was used for analysis and identification of procedural errors. The view rates, video/likes ratio, and popularity of the videos were calculated as the video power index.
Results: The analysis showed that 54.5% of the videos were uploaded by independent publishers and 45.5% by healthcare institutions. Videos aimed at caregivers were the most common (66.7%). The mean number of views was 24,026.57, with a mean modified DISCERN score of 2.53 and a GQS score of 2.80. Healthcare organization videos generally had higher quality than those from independent publishers.
Conclusions: The study found significant differences in the quality and reliability of YouTube videos on changing pediatric ostomy pouches. Videos from healthcare institutions were of higher quality. This highlights the need for better educational resources and quality control on digital platforms to support caregivers of pediatric ostomy patients