41 research outputs found
Advanced Directives in Older Adults with Dementia: Ethical Challenges and Advocacy Role of Nurses
No full textThis article has no abstract.
Corresponding Author: Elham Navab
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An Overview Of Specialist Nurse Role In Patients With Stroke Caring And Their Care-Givers Support
No full textBackground: The practical difficulties for patients with stroke include lack of information about their condition, poor knowledge of the services and benefits available. Specialist Stroke nurses provide education and support services for people with Stroke in many health care systems. A key goal is helping and empowering unable people to self-manage their stroke and supporting caregivers of these valnurable population, too.Objective: The objective of this review was to assess the role of specialist nurse in care for patients following a stroke and their caregivers support.Search methods: The databases CINAHL, PubMed, Science Direct and Synergy were searched from 1988 to 2017 using the keywords Stroke, Specialist Nurse, Care, Caregivers and support. Bibliographies of relevant papers were searched, and hand searching of relevant publications was undertaken to identify additional Studies.Selection criteria: All studies of the effects of a specialist nurse practitioner on short and long term stroke outcomes were included in the review.Data collection and analysis: Three investigators performed data extraction and quality scoring independently; any discrepancies were resolved by consensus.Findings: Stroke, Specialist Nurse, Care, Caregivers concepts and labels are defined and measured in different and often contradictory ways by using 31 founded study.Conclusions: The findings indicate a dissonance in the views of different stakeholders within the care system. The division of labour associated with nursing care and specialist nurse requires further exploration. The contrasting paradigms of health care professionals and people with stroke regarding models of disability were highlighted. Stroke, like other chronic illnesses, requires substantial nursing care. There is a growing number of specialist nurses in the workforce, however, little is known how their role interfaces with other nurses. </jats:p
Hydrothermal synthesis of TiO2 nanorod for using as an electron transport material in perovskite solar cells
No full textLived experiences of Iranian family member caregivers of persons with Alzheimer’s disease: caring as ‘captured in the whirlpool of time’
No full textComparison of Nurses’ and Families’ beliefs and attitudes regarding visiting policy in selected intensive care units of Ghana
No full textBackground: The intensive care unit (ICU) is a challenging environment for patients, families, and healthcare professionals. Nurses often seek a calm and controlled work setting, while families prioritize proximity to their loved ones due to an increased feeling of anxiety. Existing literature suggests that liberalized visiting hours may offer benefits, such as reducing patient anxiety and improving communication between patients and families. However, there are also conflicting viewpoints on this matter. Objective: This study aims to compare the beliefs and attitudes of nurses and families regarding ICU visiting policies in selected hospitals in Ghana. Design: A comparative descriptive cross-sectional quantitative design was employed for this study. Methods: Participants were recruited from four public hospitals in Ghana, using consensus sampling for nurses and convenient sampling for family members. A self-administered questionnaire, the Beliefs and Attitudes Towards Visiting in ICU Questionnaire (BAVIQ), was utilized as the primary data collection tool. Data were analyzed using the Statistical Package for the Social Sciences (SPSS), version 16. Results: The study found a significant difference in the beliefs of nurses and families, but no significant difference in their attitudes towards ICU visitation. An independent t-test revealed that nurses favoured a restricted visiting policy, whereas families preferred an open visiting policy, although their attitudes remained somewhat skeptical. Nurses preferred that only three or fewer persons visit a patient in 24 h. Family members preferred 3–4 visitors within 24 h, with one visitor allowed at a time. Conclusion: A significant relationship was identified between nurses’ beliefs, attitudes, and demographic variables, except for age. Family members supported visitation but expressed concerns that unrestricted visiting could disrupt patient rest, cause psychological stress, and infringe on privacy. They favoured a slightly restrictive visiting policy, allowing 3–4 visitors within 24 h, with one visitor allowed at a time. To enhance patient-centered care, a balanced approach that considers the needs of patients, families, and healthcare professionals should be adopted when developing ICU visitation policies
Family members' beliefs and attitudes towards visiting policy in the intensive care units of Ghana
No full textDetermination of the effect of self-care based on the need for quality of life in people with AIDS
No full textIntroduction: Considering the prevalence of acquired immunodeficiency virus infection and the need to strengthen programs for improving quality of life, the present study was conducted to examine the effect of self-care based on the need for quality of life in people with acquired immunodeficiency syndrome (AIDS).
Material and methods: In a clinical trial study, 66 human immunodeficiency virus (HIV)-positive patients referred to Navab Safavi Hospital in Isfahan were assigned to two intervention and control groups randomly. The first group was placed under the intervention of self-care program and no intervention was performed in the second group. The quality of life score of patients before and after the intervention in the two groups was examined and compared.
Results: The mean quality of life score in the intervention group was 68.7 +/- 11.8 before and reached 79.7 +/- 10.3 after intervention, which was statistically significant (p = 0.002). In the control group, the mean quality of life scores before and after treatment were 65.7 +/- 11.9 and 60.8 +/- 11.7, respectively, which was not statistically significant (p = 0.053). Also, the change in the quality of life score was statistically significant (p < 0.001) between case and control groups.
Conclusions: Providing self-care programs in patients with HIV leads to an increase in the quality of life in them. Since these patients are at risk for various types of psychiatric disorders, they must be mentally and emotionally supported and should be encouraged to improve their quality of life by promoting their own self-care programs. Medical science and doctors may find the findings useful in their medical experience and practice.
Keywords
Author Keywords:self-care; quality of life; acquired immune deficiency viru
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Examining the ethical challenges in managing elder abuse: a systematic review.
No full textElder abuse is an increasingly intangible phenomenon that has created numerous ethical issues for care teams and caregivers. Although different studies have concentrated on various ethical issues regarding abuse, no study has arrived at a comprehensive conclusion. Therefore, the present study aimed to determine the existing ethical challenges in this context. For this purpose, two researchers familiar with systematic search approach examined national and international journals on PubMed, Excerpta Medica Database (EMBASE), Scientific Information Database (SID) and similar databases between January and February 2017. They were able to find 116 articles that met the inclusion and exclusion criteria, and finally selected 15 articles based on the predesigned questions. The findings were classified in five subtitles as follow: 1) the common definition of elder abuse, 2) a comprehensive legislation on elder abuse, 3) comprehensive ethical principles about elder abuse, 4) ethical considerations regarding patients without competency, and 5) reporting and sharing information about elder abuse. The study results revealed no common definition and no legislation about elder abuse, and also showed that health care providers observance of ethical principles depends on the ethical and legal conditions of the community. Nowadays, elder abuse is a serious problem in many countries. Cultural and religious differences are the reasons for lack of a common definition and legislations, which comprises the biggest obstacle to protecting the rights of elderly people. It is clear that ethical principles should be respected as far as a person has competency. Furthermore, localization of clinical guidelines related to this issue leads to proper functioning of health care providers, especially nurses as the first line of treatment
Compassionate Care Among Iranian Nurses Caring for Candidate Brain Death Organ Donor Patients: A hermeneutic study
No full textApart of cares provided at the end oflife of patients in intensive care unitsis allocated to the care of brain deathpatients, which is considered under title of one caringunit. Many nurses tend to provide high-quality and compassionatecare. However, studies indicated that almost allpatients do not receive compassionate cares. This researchwas carried out to explain the living experiences of nursesin intensive units providing care for brain death patients.In this hermeneutic phenomenological study, van Manen’smethodology was used. Ten nurses (9 women and 1 man)working in Intensive Care Units were interviewed usingsemi-structured interviews. The data derived from the interviewswas analyzed after recording and transcribing.The main theme of this study, which manifested the importantand innovative aspect of caring the brain deathpatients, was “compassionate care”. It included two subthemesof commitment and devotion with sub subthemesof responsible caring and kindness in caring and sympatheticsupport with sub subthemes of providing emotionalsupport to family and emotional influence.According to the results of this research, it can be concludedthat providing care for brain death patients, whowere candidate for donation, despite imposing psychologicalburden on nurses, has provided a compassionate carefor patient and family. This care is due to commitment,professional responsibility and deep emotional effects inthem. The research results provide the conditions for educationalplanners to train nurses in order to improve theircare provided for the patients and support the nurses
Experiences of the Iranian Neonatal Intensive Care Unit Nurses in Implementing Family-Centered Care: Walking on an Insecure Foundation
No full textBackground: Most of the nurses have accepted family-centered care (FCC) as a standard model of care; however, they meet difficulties using this model. The aim of this study was to explore the perception of Neonatal Intensive Care Unit (NICU) nurses about the implementation of FCC.Methods: This qualitative study was carried out on 11 in-service NICU nurses with at least three years of work experience using an interpretative phenomenological approach. The study setting was three separate NICUs of three teaching hospitals affiliated with Tabriz University of Medical Sciences, Tabriz, Iran. Data collection was performed through semi-structured interviews and field notes. The data were analyzed using the seven-stage Diekelmann, Allen, and Tanner approach.Results: One of the important themes emerging in this study was “Walking on an insecure foundation” that included three subthemes of “Inappropriate base”, “A pathway with no lines” and “Unequal encounter”. The nurses described a lack of facilities, inadequate space, and staff’s specific instruction in encouraging parents’ engagement, as well as high work pressure due to short staffing as factors that affected their ability to provide an ideal FCC.Conclusion: As the findings indicated, the lack of essential substructures and absence of a systematic program to engage parents in the care process of their infants have resulted in different operations by the nurses and discontinuous FCC implementation in NICUs. Officials and policy-makers should consider basic requirements, adequate workforce, and explicit guidelines to contextualize and guarantee the continuity of FCC
