1,721,067 research outputs found
The Impact of the 9-21 Earthquake Experiences of Taiwanese Nurses as Rescuers
No full text(English): The powerful earthquake of September 21, 1999 wrought incalculable havoc on lives and properties in Taiwan . Although the scars of the earthquake can never be erased, the calamity can lead to a more full understanding of the experiences, perceptions and reflections of nurses involved directly in post-rescue situations. The purpose of this study was to compare the impacts of rescue experiences on Taiwanese female and male nurses who worked as rescuers following the earthquake of 21 September. A purposive sample of 46 nurses (40 women, 6 men) (mean age 26) who worked in a renowned hospital with a reputation for high quality of emergency care in Northern Taiwan was obtained. Data were collected by in- depth semi-structured interviews and analyzed by a unique mode of between- method triangulation. The majority of the subjects (38 female, 6 male) reported various impacts from their rescue experiences. They are: (a) recognition of the impermanence of life and wishing to lead a more significant life (32 female, 3 male); (b) more caring relationships with others and for their homeland (19 female, 5 male); (c) a clearer concept of disaster care (19 female, 4 male); (d) a better appreciation of the value of nursing and their own self-worth (11 female, 3 male); (e) enhanced knowledge of the survivors’ needs (3 female); and( f) enhanced ability to identify the factors hindering rescue operations (1 female, 2 male). However, one female nurse complained of having been bothered by feelings of fear of earthquake disasters resulting from her rescue experience. Rescue experiences help to strengthen most Taiwanese nurses’ professional competency, reinforce their commitment to nursing, and lead them to have positive life goals. The relative weight of the impacts for male and female nurses were somewhat different. The vulnerability of nurses, which was manifested in the post-rescue stage, requires attention and long-term follow-up. A comprehensive and organized pre- rescue training program which recognizes the need to care for both acute and chronic post-disaster conditions, along with spiritual care for the survivors, as well as a “ disaster reduction” course for health professionals are suggested
Comparison on Bereavement Adjustment of Elderly Taiwanese Widows with Intrinsic or Extrinsic Religious Affiliations
No full textTaiwanese Nurses' Most Unforgettable Rescue Experiences in the Disaster Area after the 9-21 Earthquake in Taiwan
No full textThe purpose of this study was to reveal the most unforgettable rescue experiences of nurses at the central site of the 921 Taiwan earthquake during the crucial early recovery stage-the first 72h. A purposive sample of 46 nurses was obtained (40 women and 6 men, with an average age of 28). Data were collected using semi-structured interviews and analyzed by content analysis. The negative aspects of most unforgettable experiences reported by 87% of the subjects were primarily: (a) the prevalence of psychoneurotic syndromes (50%); (b) the severe destruction of geographic treasures (43%); (c) the buried-alive bodies of whole families or village populations (33%); (d) inadequate care for the children and teenagers that were left homeless (22%); (e) deterioration of the condition of patients with chronic health problems (15%); and (f) manifestation of the greedy or selfish nature of human beings (13%). Still 76% of the subjects reported the following positive aspects of their rescue experiences: (a) feeling rewarded from helping others (43%); (b) being deeply touched by residents' mutual support (33%); and (c) the good attitude and tangible help given by other health professionals (15%). This study highlights a need for long - term follow-up and attention of these nurse rescuers in the post-rescue stage. The implementation of a well designed " disaster reduction" course for the health professionals was also encouraged. (C) 2002 Elsevier Science Ltd. All rights reserved
A Lecture on Spiritual Care for Patients in Critical Care Units: Taiwanese Nurses' Appraisal
No full textDevelopment of a Culturally Competent Spiritual Care Teaching Program for Taiwanese Nurses
No full text[[alternative]]Postpartum massage therapy for women and infants: The effect on maternal depression, stress, fatigue and infant temperament
No full text[[abstract]]ABSTRACTBackground: Mother-and-infant massage, a complementary therapy, has the potential to alleviate depression, stress, and fatigue, as well as to convert difficult infant temperaments into more manageable ones.Aim: To examine the effect of massage therapy on mother-infant dyads to reduce postpartum depression, stress, fatigue, and infant temperament. Methods: This study used a quasi-experimental study with a two-group pre-test and post-test design. A total of 102 respondents from four Community Health centers in Sleman were recruited. Over five weeks, twice each week, the experimental groups received 10 times massages in total. The research instruments included the Edinburgh Postnatal Depression Scale (EPDS), Perceive Stress Scale (PSS), Perceive Fatigue Scale (PFS), and Infant Temperament (IT). The content Validity Index and Cronbach’s alpha were utilized to analyze the validity and reliability of the instrument's translation. Bivariate analysis, including Independent t-test, chi-square, and Fisher exact test, was used to analyze the comparison of the demographic data between intervention and waitlist control groups. Pearson correlation and independent t-tests were used to analyze the relationship between demographic data and obstetric information with the outcome variables. A Generalized Estimating Equation (GEE) was used to analyze the effect between the intervention and waitlist control group and the covariate variable. Results: Age, education, marital status, employment status, number of children, type of childbirth, and pregnancy planning do not indicate a statistically significant distinction (p > .05) with the outcomes. There were significant differences in depression and fatigue in the pretest, post-test 1, and post-test 2 (p<.001); stress had a significant difference in post-test 1 and 2 (p<.05). Infant temperament had no significant difference in the pretest, post-test 1, and post-test 2. There was a relationship between age (r = -.14; p = .014), stress (r =.24; p <.001), fatigue (r = .45; p < .001), and infant temperament (r = .40; p < .001) with depression. Stress correlates with fatigue (r = .29; p <.001) and infant temperament (r = .15; p = .007). The GEE analysis showed that massage therapy has an impact on depression (p<.001), fatigue, and infant temperament (p<.05).Conclusion: Massage therapy has a substantial impact on maternal biopsychological health and infant temperament, which is a valuable complementary treatment that alleviates depression, fatigue, and infant temperament. Immediate implementation of a health policy emphasizing the early detection and treatment of postpartum depression is necessary. Additionally, training in the early detection and management of postpartum depression is compulsory for healthcare providers. Keywords: Postpartum Depression, Stress, Fatigue, Infant Temperament, Massage Therap
台灣靈性護理課程的評值
No full textAim(s) of study. The aims of this study were threefold: (a) to develop the first spiritual care program for master of science in nursing degree students (MSNDS) in Taiwan, since most of these students are or will be nursing leaders in clinical practice, education, administration, or research; ( b) to facilitate the MSNDS in applying the contents of this program to care of their clients; and (c) to understand the MSNDS' appraisals of the usefulness of the program in helping them provide spiritual care in clinical settings. Background. The World Health Organization (WHO) (1998) proclaimed that health needs should include spiritual well- being in addition to physical, mental, and social domains. Nevertheless, many dominant medical educational systems have not yet encompassed spiritual care as part of their comprehensive or core curricula. Design/methods. The methodological triangulation research design used in this project included various strategies of developing a novice course entitled 'Spirituality in Nursing Practice' which was given to the subjects over 18 weeks from September 1998 to February 1999. The course included classroom lectures, field trips, clinical implications, and presentation-appraisal. A convenience sample of 22 female MSNDS who were or had the potential to be nursing leaders from two schools of nursing in northern Taiwan was obtained. Results. Four types of help were identified: (a) help in clarifying the theoretical concepts of spiritual care (100%); (b) help in providing a culturally bonded spiritual care plan (100%); (c) help in self-disclosure of the nurse's personal value systems and spiritual needs (91%); and (d) help in clarifying the symbolic meaning and the impact of religious rituals (86%). The explicit spiritual care plans and an empirical example of spiritual care were provided. Conclusions. This study presented the first spiritual care program for MSNDS in Taiwan. All subjects considered the course helpful in providing spiritual care for their clients in various clinical settings. The concept of spirituality is arousing great interest in the world, and this is evident in the spiritual care courses appearing in nursing curricula for nursing leaders in Taiwan
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Evaluation of a lactation intervention program to encourage breastfeeding: a longitudinal study
No full text[[abstract]]The purpose of this study was to evaluate the implementation of a change to the breastfeeding policy in seven hospitals in accordance with the ‘Ten Steps to Successful Breastfeeding’ issued by the World Health Organization and the United Nations Children’s Fund and to assess the impact of hospital practices on breastfeeding. A 3-year quasi-experimental pre-post test design was conducted in 12 hospitals. The subjects were composed of 4614 lactating women in both experimental and control groups. The research instruments included the Baby-Friendly hospital Initiative training programs and questionnaires on breastfeeding duration, knowledge, attitude, and demographic data.
Breastfeeding rates (including exclusive breastfeeding, mixed breastfeeding, and overall breastfeeding rates) of the experimental and control groups were measured and compared at four different times, during the hospital stay and at 2 weeks, 1 and 2 months postpartum. The results indicated that the exclusive and overall breastfeeding rates of the experimental group were higher than those of the control group (p1.96, p<0.05) with scores increasing year by year. The results also showed that higher scores reflected better knowledge in breastfeeding, and, in turn, a longer duration of breastfeeding
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