26 research outputs found

    Strategies to Improve the Knowledge and Clinical Skills for Recognition and Management of Delirium of Critical Care Nurses

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    Delirium is common among hospitalised individuals, particularly in intensive care units (ICUs). The complications of delirium among critically ill patients can lead to adverse outcomes. Critical care nurses are the frontline professionals providing direct care to critically ill patients. However, critical care nurses in Taiwan did not have adequate training or perform routine delirium assessment in their daily practice. Low awareness of delirium among critical care nurses contributes to a high incidence rate of ICU delirium. Therefore, the overall aim of this doctoral thesis was to develop an ICU-specific delirium care education programme to enhance the knowledge, confidence, competence and clinical performance of critical care nurses in Taiwan

    Data_Sheet_1_Effects of virtual reality natural experiences on factory workers’ psychological and physiological stress.pdf

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    IntroductionManufacturing facilities and factories are stressful work environments. Interventions to improve factory workers’ stress is necessary to promote occupational health. This study aimed to examine the effects of virtual reality natural experiences on furniture factory employees’ psychological and physiological stress.MethodsA single-blinded, non-randomised quasi-experimental study was conducted between July and December 2021. Factory workers were recruited from two factories, and all participants at a given factory were assigned to either an experimental group or a comparison group. The intervention was conducted in a clean conference room once a week for 12 weeks during the worker’s break time. The experimental group received virtual reality natural experiences consisting of 30-minute nature-based 360° videos which were played in a headset. The generalised estimating equations were performed for the statistical analyses.ResultsIn total, 35 participants completed the intervention. As to psychological stress, the experimental group showed improvements in distress, depression, and anxiety, and a positive affect after the intervention compared to the comparison group. As to physiological stress, the experimental group showed improvements in indicators of heart rate variability compared to the comparison group, including standard deviations of all normal-to-normal intervals, low-frequency power, and high-frequency power.DiscussionVirtual reality is an innovative platform to bring the natural environment into an indoor environment to create similar health effects.</p

    The factor loadings of exploratory factor analysis.

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    <p><sup>a</sup> Extraction method: Principal Component Analysis. Rotation method: Varimax with Kaiser Normalization.</p><p><sup>b</sup> Cumulative variance explained after rotation.</p><p><sup>c</sup> Removed items: 7. Leaves the table 8. Cannot sit still: slipping or twisting body affecting eating. 10. Becomes drowsy or falls asleep.</p><p>The factor loadings of exploratory factor analysis.</p

    Characteristics of subjects (<i>N</i> = 213).

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    <p><sup>a</sup> MMSE, Mini-Mental Status Examination; ADL, Independence in Activities of Daily Living</p><p><sup>b</sup> GDS-S, Geriatric Depression Scale- Short form; BMI, body-mass index.</p><p>Characteristics of subjects (<i>N</i> = 213).</p

    STROBE checklist.

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    COVID-19-related fear negatively affects the public’s psychological well-being and health behaviours. Although psychological distress including depression and anxiety under COVID-19 is well-established in literature, research scarcely evaluated the fear of COVID-19 with a large sample using validated scale. This study aimed to validate a Korean version of fear scale(K-FS-8) using an existing fear scale(Breast Cancer Fear Scale; 8 items) and to measure the fear of COVID-19 in South Korea. A cross-sectional online survey was conducted with 2235 Korean adults from August to September 2020. The Breast Cancer Fear Scale was translated from English into Korean using forward-backward translation, and then face validity was assessed. Patient Health Questionnaire-4 and Primary Care Post-Traumatic Stress Disorder Screen for DSM-5 were used for assessing convergent validity of K-FS-8, and item response theory analysis was also conducted to further validate the K-FS-8. This study confirmed the validity and reliability of the K-FS-8. The validity of the scale was confirmed by convergent validity, known-group validity and item response theory analysis, and internal consistency was also examined(Cronbach’s α coefficient = 0.92). This study also identified that 84.6% participants had high COVID-19 fear; whilst 26.3%, 23.2% and 13.4% participants had high risk of post-traumatic stress disorder, depressive and anxiety symptoms, respectively. The K-FS-8 showed the acceptability measuring the fear of COVID-19 in the Korean population. The K-FS-8 can be applied to screen for fear of COVID-19 and related major public health crises identifying individuals with high levels of fear in primary care settings who will benefit from psychological support.</div
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