Health impairments characteristic for metabolic syndrome such as increased body mass, a dysregulated lipid or glucose profile and elevated blood pressure can be reversed by appropriate lifestyle ...modifications. Supplementing the normal diet with herbal infusions is a promising strategy. We conducted a randomised double-blind comparative study in which participants with at least two traits of metabolic syndrome consumed an infusion of either
Helichrysum italicum
subsp.
italicum
(HI,
n
= 14) or
Helichrysum arenarium
(HA,
n
= 13) daily for 28 days. Anthropometric and biochemical parameters were measured at baseline, at the end of the intervention and after a 2-week washout period. HI infusion consumption had a beneficial effect on anthropometric traits; significant reductions in body weight, body mass index, and visceral and total body fat were observed. In the HA group, there was a greater reduction in serum glucose levels and an improvement in the lipid profile. In both groups, high LDL levels were measured at baseline, but two weeks after the intervention, in 84% of participants in the HA group and 71% in the HI group, the levels were within the reference range. Both interventions caused a decrease in HDL but also improved serum antioxidant properties. Consuming either infusion could thus be recommended as a simple, profitable habit for individuals with traits of metabolic syndrome.
Regular consumption of
Helichrysum italicum
infusion improves body composition, while
Helichrysum arenarium
ameliorates lipid profile. Therefore, both hold great potential for the management of metabolic syndrome.
Cilj:
Cilj je rada istražiti trenutnu perspektivu medicinskih sestara o njihovoj ulozi u međuprofesionalnom sudjelovanju pri farmaceutskoj skrbi pacijenta i usporediti mišljenja medicinskih sestara ...iz Slovenije i Hrvatske te kvalitativno prikazati razlike i sličnosti o njihovim ulogama.
Metode:
Korištena je kvalitativna metoda istraživanja te je u sklopu te metode izabrana deskriptivna interpretativna metoda. Uzorak ispitanika bio je namjerni te je uključivao ukupno 16 medicinskih sestara – 8 iz Hrvatske i 8 iz Slovenije. S ispitanicima su individualno provedeni polustrukturirani intervjui. Prikupljeni podaci analizirani su pomoću analize sadržaja prema okviru koji je bio osmišljen na ERASMUS+KA2 projektu DeMoPhac.
Rezultati:
Istraživanje je pokazalo da se sve ispitane medicinske sestre, bez obzira na to rade li u Sloveniji ili Hrvatskoj, suočavaju sa sličnim problemima vezanima za farmaceutsku skrb pacijenta. Glavni problemi s kojima se susreću medicinske sestre jesu nedovoljno obrazovan kadar u smjeru farmaceutske skrbi, nejednak položaj medicinskih sestara unutar tima te manjak komunikacije s liječnicima i farmaceutima. Ostali problemi koje ispitanici navode su nezadovoljstvo medicinskih sestara radnim uvjetima i politikom koji oblikuju zdravstveni sustav u kojemu medicinske sestre obavljaju svoj posao.
Rasprava i zaključci:
Međuprofesionalna suradnja u okviru farmaceutske skrbi iznimno je važna te ima pozitivan učinak na rezultate liječenja. Međutim, da bi medicinske sestre bile ravnopravne unutar tima, moraju imati dodatne kompetencije, dodatno se obrazovati te više sudjelovati u istraživanjima. Također, važno je da su medicinske sestre primjereno plaćene za obavljanje svog posla.
Aim:
The aim of the study is to explore the current perspective of nurses on their role in interprofessional participation in pharmaceutical patient care and compare the opinions of nurses from Slovenia and Croatia and qualitatively show the differences and similarities in their roles.
Methods:
We used a qualitative research method and chose a descriptive interpretive method within that method. The non-random sample of interviewees was selected for this purpose. It included 16 nurses – eight from Croatia and eight from Slovenia. Individual partial structured interviews were conducted with the interviewees. The collected data were analysed using content analysis, according to a framework designed on the ERASMUS + KA2 project DeMoPhac.
Results:
The research showed that all surveyed nurses, regardless of whether they work in Slovenia or Croatia, face similar problems related to the patient's pharmaceutical care. The main problem nurses facing is insufficiently educated staff in pharmaceutical care, the unequal position of nurses within the team, and lack of communication with doctors and pharmacists. Other problems cited by interviewees are the dissatisfaction of nurses with working conditions and policies that play a major role in the formation of the health system in which nurses work.
Discussion and conclusion:
The involvement of a multidisciplinary team in pharmacological care is very important and favorable for patients' outcomes. However, for nurses to be equal members of such a team, they need to gain additional competencies, further education and participate more in research. It is also important that nurses are adequately rewarded for their work.
This study aimed to synthesize the findings of studies evaluating educational programs providing curricular transcultural nursing education.
Nursing care education about cultural diversity and ...experience with taking care of patients from different cultures and special populations are significant factors that could likely influence cultural competence. The effect of transcultural nursing education given to nursing students has been investigated by different researchers and different methods. Addressing the effects of transcultural nursing education on nursing students’ cultural awareness, knowledge and attitudes can contribute to future transcultural nursing education activities and the creation of training content.
This study was a methodological systematic review study.
Methodological quality was assessed following the PRISMA guidelines. PubMed, Science Direct, APA PsycArticles, OVID, EBSCO, and Web of Science databases were searched from 2010 to 2020. The following keywords were used: “Transcultural nursing”, “education”, “curriculum”, “course”, “effectiveness”, “cultural competence”, “knowledge”, “skills”, “attitudes”, and “nursing students”. Studies published in peer-reviewed journals in English using both experimental and quasi-experimental designs were included.
Total of 11 research papers, (n = 1375) nursing students’ outputs were included in this review. Cultural competence interventions/programs were provided as part of the core theoretical courses or as elective courses. Different durations and types of teaching methods included debates, discussions, case scenarios, practicums, simulation, international learning projects, experiential learning, storytelling, and traditional teaching lectures. In ten studies, an increase in the level of culture-related competences was reported as statistically significant (p < 0.05).
Limited studies have generally proven the effectiveness of transcultural nursing education provided to nursing students. Education content, training methods and training periods were not standard in the literature. More comprehensive, valid and reliable measurement tools are needed to evaluate the education provided for nursing students.
•Nurses must be prepared to recognize patients' needs that derive from their cultural backgrounds.•Nursing students must develop cultural awareness, knowledge, and skills before graduated.•Different types of teaching methods and durations were provided in transcultural nursing education.•Limited studies have generally proven the effectiveness of transcultural nursing education.
Aim(s)
This study aims to map the extent of the research activity in the field of financial competencies and nursing and identify main patterns, advances, gaps, and evidence produced to date.
...Background
Financial competencies are important indicators of professionalism and may influence the quality of care in nursing; moreover, these competencies are the basis of health care sustainability. Despite their relevance, studies available on financial competencies in the nursing field have not been mapped to date.
Evaluation
A scoping review was guided according to (a) the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Review and (b) the Patterns, Advances, Gaps and Evidence for practice and Research recommendations framework.
Key issue(s)
A total of 21 studies were included. Main research patterns have been developing/evaluating the effectiveness of education programmes and investigating the nurse's role in the context of financial management, challenges and needs perceived by them, and tool validation to assess these competencies. The most frequently used concept across studies was ‘financial management competencies’ (n = 19).
Conclusion(s)
The sparse production of studies across countries suggests that there is a need to invest in this research field.
Implications for nursing management
Nurses with managerial roles should invest in their financial competencies by requiring formal training both at the academic and at the continuing education levels. They should also promote educational initiatives for clinical nurses, to increase their capacity to contribute, understand, and manage the emerging financial issues.
Safe pharmaceutical care (PC) requires an interprofessional team approach, involving physicians, nurses and pharmacists. Nurses' roles however, are not always explicit and clear, complicating ...interprofessional collaboration. The aim of this study is to describe nurses' practice and interprofessional collaboration in PC, from the viewpoint of nurses, physicians and pharmacists.
A cross-sectional survey.
The study was conducted in 17 European countries, each with their own health systems.
Pharmacists, physicians and nurses with an active role in PC were surveyed.
Nurses' involvement in PC, experiences of interprofessional collaboration and communication and views on nurses' competences.
A total of 4888 nurses, 974 physicians and 857 pharmacists from 17 European countries responded. Providing patient education and information (PEI), monitoring medicines adherence (MMA), monitoring adverse/therapeutic effects (ME) and prescribing medicines were considered integral to nursing practice by 78%, 73%, 69% and 15% of nurses, respectively. Most respondents were convinced that quality of PC would be improved by increasing nurses' involvement in ME (95%), MMA (95%), PEI (91%) and prescribing (53%). Mean scores for the reported quality of collaboration between nurses and physicians, collaboration between nurses and pharmacists and interprofessional communication were respectively <7/10, ≤4/10, <6/10 for all four aspects of PC.
ME, MMA, PEI and prescribing are part of nurses' activities, and most healthcare professionals felt their involvement should be extended. Collaboration between nurses and physicians on PC is limited and between nurses and pharmacists even more.
Nurses play an important role in pharmaceutical care. They are involved in: detecting clinical change; communicating/discussing pharmacotherapy with patients, their advocates, and other healthcare ...professionals; proposing and implementing medication-related interventions; and ensuring follow-up of patients and medication regimens. To date, a framework of nurses' competences on knowledge, skills, and attitudes as to interprofessional pharmaceutical care tasks is missing.
To reach agreement with experts about nurses' competences for tasks in interprofessional pharmaceutical care.
A two-phase study starting with a scoping review followed by five Delphi rounds was performed. Competences extracted from the literature were assessed by an expert panel on relevance by using the RAND/UCLA method. The experts (n = 22) involved were healthcare professionals, nurse researchers, and educators from 14 European countries with a specific interest in nurses' roles in interprofessional pharmaceutical care. Descriptive statistics supported the data analysis.
The expert panel reached consensus on the relevance of 60 competences for 22 nursing tasks. Forty-one competences were related to 15 generic nursing tasks and 33 competences were related to seven specific nursing tasks.
This study resulted in a competence framework for competency-based nurse education. Future research should focus on imbedding these competences in nurse education. A structured instrument should be developed to assess students' readiness to achieve competence in interprofessional pharmaceutical care in clinical practice.
Cilj: Cilj je rada istražiti trenutnu perspektivu medicinskih sestara o njihovoj ulozi u međuprofesionalnom sudjelovanju pri farmaceutskoj skrbi pacijenta i usporediti mišljenja medicinskih sestara ...iz Slovenije i Hrvatske te kvalitativno prikazati razlike i sličnosti o njihovim ulogama.
Metode: Korištena je kvalitativna metoda istraživanja te je u sklopu te metode izabrana deskriptivna interpretativna metoda. Uzorak ispitanika bio je namjerni te je uključivao ukupno 16 medicinskih sestara – 8 iz Hrvatske i 8 iz Slovenije. S ispitanicima su individualno provedeni polustrukturirani intervjui. Prikupljeni podaci analizirani su pomoću analize sadržaja prema okviru koji je bio osmišljen na ERASMUS+KA2 projektu DeMoPhac.
Rezultati: Istraživanje je pokazalo da se sve ispitane medicinske sestre, bez obzira na to rade li u Sloveniji ili Hrvatskoj, suočavaju sa sličnim problemima vezanima za farmaceutsku skrb pacijenta. Glavni problemi s kojima se susreću medicinske sestre jesu nedovoljno obrazovan kadar u smjeru farmaceutske skrbi, nejednak položaj medicinskih sestara unutar tima te manjak komunikacije s liječnicima i farmaceutima. Ostali problemi koje ispitanici navode su nezadovoljstvo medicinskih sestara radnim uvjetima i politikom koji oblikuju zdravstveni sustav u kojemu medicinske sestre obavljaju svoj posao.
Rasprava i zaključci: Međuprofesionalna suradnja u okviru farmaceutske skrbi iznimno je važna te ima pozitivan učinak na rezultate liječenja. Međutim, da bi medicinske sestre bile ravnopravne unutar tima, moraju imati dodatne kompetencije, dodatno se obrazovati te više sudjelovati u istraživanjima. Također, važno je da su medicinske sestre primjereno plaćene za obavljanje svog posla.
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