Introduction: In Slovenia there is a lack of valid and reliable instruments for measuring medication administration errors. The aim of research is to determine the content validity and internal ...reliability of the Slovenian version of the ''Medication Administration Error Survey''. Methods: We used the translation and back translation tested the questionnaire for its content validity on the basis of an agreement of eight experts. Content validity was quantified by the content validity index and a modified Cohen kappa index. A cross-sectional design, with a convenience sample of 91 caregivers working in internal or surgical wards in two health care institutions, was used to test the internal consistency by calculating Cronbach's α and corrected item-total correlations. Results: 64 items showed an excellent content validity index, ranging from 0.875 to 1.000, and modified kappa index over 0.740. Two items had a content validity index 0.750 and modified kappa index 0.560. The average content validity index for three main parts of the questionnaire ranged from 0.940 to 0.959. Cronbach's α for these three parts ranged from 0.832 to 0.989. The corrected item-total correlations reached a required criterion for all items, except one. Discussion and conclusion: Instrument has an acceptable content validity and internal reliability, however, due to some methodological shortcomings results should be interpreted with caution. Further psychometric testing is needed.
A concise, accessible introduction to the development, application and evaluation of nursing theories, this new edition of Fundamentals of Nursing Models, Theories & Practice provides a thorough ...overview of the body of knowledge on the topic, and a clear outline of their relevance to everyday nursing practice. Linking the development of theory to practice, this full- updated text features learning outcomes, key concept summaries and reflective exercises to aid the study of this key element of all modern nursing courses. Special Features * Clearly examines the relationship between nursing theory, clinical practice and nursing roles * Accessible and user-friendly with a range of features to help study, including key concepts, learning objectives and reflective exercises * Useful for all pre-registration nursing students, as well as newly qualified nurses * Accompanied by an online resource centre featuring case studies, multiple choice questions, exercises and activities
Abstract Purpose The purpose of the research was to explore nurses' perceptions of different causes of inadequate food intake in children treated with chemotherapy and to determine how often nurses ...identify these causes. Method Qualitative and quantitative approaches were used. Qualitative data were first gathered using semistructured interviews in a sample of six nurses and analysed by conventional content analysis. Based on the results of qualitative data and literature analysis, a 28-item questionnaire was developed and evaluated for its face validity in a sample of fifteen nurses. Questionnaires were then administered to twenty-seven nurses working at one pediatric oncology ward. Quantitative data were analysed using descriptive statistic. Results The major themes that emerge from the content analysis, describing nurses' perceptions of causes of inadequate food intake in children undergoing chemotherapy, were as follows: physiological causes of eating problems, psychological causes of eating problems, change in food selection, hospital food and individual counselling. 13 causes of inadequate food intake were identified from the questionnaire data. Pain due to mucositis was the most commonly identified cause of inadequate food intake in children, followed by nausea and vomiting, altered taste, loss of appetite and an altered smell. Psychological causes of eating problems are rarely identified. Conclusion Nurses identify most of the physiological and psychological causes of inadequate food intake in children treated with chemotherapy. The early identification and management by nurses of inadequate food intakes should be part of the curriculum for nurse education as well as part of treatment planning in clinical environment.
Uvod: Namen članka je prikazati analizo podatkov o učinkih maščobnih kislin omega-3 na celjenje ran ter njihovo uporabnost pri obravnavi ran na koži.
Metode: Za pregled literature ter analizo ...dobljenih virov so bile uporabljene podatkovne baze: PubMed, CINAHL, Medline in ScienceDirect. Iskanje je bilo izvedeno s ključnimi besedami v angleščini: omega-3, fish oil, polyunsaturated fatty acid (PUFA), wound, wound healing, in Boolovim operatorjem AND. V analizo so bile vključene eksperimentalne ali randomizirane klinične raziskave, objavljene v angleškem jeziku in izdane od 1993 do januarja 2014, ki so vključevale preprečevanje ali zdravljenje akutnih ali kroničnih ran na koži z uporabo maščobnih kislin omega-3. Izključitveni kriterij je bil obravnava uporabe maščobnih kislin omega-3 pri opeklinah. Iz iskalnega nabora 1151 zadetkov je bilo v podrobno analizo vključenih 15 raziskav.
Rezultati: Rezultati analize literature so pokazali, da so maščobne kisline omega-3 večinoma neučinkovite pri obravnavi travmatskih in kirurških ran na koži, potencialno učinkovite pri obravnavi diabetičnih ran in učinkovite pri obravnavi razjed zaradi pritiska.
Diskusija in zaključek: Protivnetni učinek maščobnih kislin omega-3 upočasnjuje in moti celjenje akutnih ran na koži, vendar lahko z njimi obvladujemo lokalne vnetne odzive in pospešujemo reepitelizacijo pri kroničnih ranah. Za oblikovanje natančnih smernic uporabe bodo potrebna nadaljnja raziskovanja.
Uvod: Zdravstveni delavci so v paliativni oskrbi soočeni s številnimi zapletenimi in neprijetnimi situacijami, ko je potrebno bolnikom lajšati bolečine, jim na različne načine pomagati in hkrati ...tolažiti družino. Namen raziskave je bil ugotoviti, kako zdravstveni delavci ocenjujejo svoje znanje in stopnjo samozaupanja pri izvajanju paliativne oskrbe.
Metode: Izvedena je bila neeksperimentalna kvantitativna raziskava, v katero so bili vključeni zdravstveni delavci primarnega in sekundarnega nivoja zdravstvene dejavnosti Koroške regije (n = 100). Vzorčenje je bilo namensko nenaključno. S strukturiranim vprašalnikom pridobljeni podatki so bili statistično analizirani s programom SPSS ver. 20.0. Sklopa vprašanj, ki sta se nanašala na izvajanje paliativne oskrbe, sta pokazala dobro mersko zanesljivost instrumenta (Cronbach alfa 0,781 in 0,914).
Rezultati: Medicinske sestre in zdravniki so znanje in izkušnje v paliativni oskrbi v največji meri pridobivali v klinični praksi (50 %), svoje znanje so pretežno ocenili le kot zadovoljivo (53 %). Lasten odziv na zdravstvene težave oziroma na svetovanje in komunikacijo z bolnikom so medicinske sestre in zdravniki ocenili s povprečno oceno 2,7 do 3,2, kar pomeni, da pretežno zmorejo situacije pri praktičnem izvajanju paliativne oskrbe rešiti samostojno. Medicinske sestre in zdravniki na primarnem nivoju zdravstvene dejavnosti so navedli večjo stopnjo samozaupanja glede svetovanja o možnostih izbire kraja paliativne oskrbe.
Diskusija in zaključek: Ugotovitve kažejo, da medicinske sestre in zdravniki vprašanj bolnikov o procesu umiranja in njihovih želja niso ocenili kot posebej neprijetnih. Bodoče raziskave bi lahko nadaljevale v tej smeri in ugotavljale, katere situacije zdravstvenemu osebju predstavljajo največje breme in kako se z njimi soočiti.
Uvod: Temeljne značilnosti pediatrične zdravstvene nege so najboljša skrb za otroka, vzdrževanje integritete družine in otrokove rutine ter posebna znanja in spretnosti za negovanje otroka. Teorija ...medosebnih odnosov poudarja pomen medosebnega odnosa med medicinsko sestro in pacientom, ki se razvija skozi posamezne faze medsebojnega odnosa. Namen opisa, analize in vrednotenja teorije je ugotoviti možnost prenosa in uporabe teorije v praksi pediatrične zdravstvene nege. Metode: Uporabljen je bil pregled znanstvene in strokovne literature v naslednjih podatkovnih bazah: Web of Science, ProQuest, Medline, PubMed, ScienceDirect in CINAHL. Upoštevana so bila priporočila PRISMA. Identificirane zadetke smo uvrstili v nivo glede na hierarhijo dokazov in ocenili kakovost s pomočjo priporočil GRADE. Teorijo smo opisali, analizirali in evalvirali po modelu avtorice M. Pajnkihar. Rezultati: Izmed 321 identificiranih zadetkov je bilo v končno analizo vključeno 21 zadetkov. S pomočjo analize identificiranih zadetkov ugotavljamo, da večina avtorjev teorijo medosebnih odnosov opredeli kot teorijo srednjega obsega. V veliki meri se strinjajo, da je teorija enostavna in kompleksna ter ima jasno opisane koncepte, propozicije in predpostavke. Fenomen medosebnih odnosov je jasen medicinskim sestram v kliničnem okolju. Diskusija in zaključek: Teorija je uporabna za prakso zdravstvene nege, raziskovanje in izobraževanje. Pred aplikacijo teorije v prakso in izobraževanje na področju pediatrične zdravstvene nege je treba teorijo testirati. Teorija podpira razvoj medosebnih odnosov ter verbalne in neverbalne komunikacije in jo lahko uporabimo za prakso, podprto s teorijo.
Self-reflection can be used as a tool for describing student experiences and have a significant impact on their learning. It enables nursing students to develop the ability to identify and analyse ...their problems and find possible solutions.
To present students' self- reflection in their first clinical practice as their first stage of our nursing study program.
The research was based on a naturalistic philosophical paradigm using a qualitative methodological approach. The research took place at one of the Slovenian universities with an undergraduate nursing education program. Purposive sampling was chosen. The data were obtained through written self-reflection diary entries collected between March and June 2016. A thematic analysis was selected for data analysis. Ensuring that all ethical considerations were covered, seventeen students in the first clinical practice were included.
Three main thematic themes were identified that define the experience of students in their first clinical practice: (1) emotional experience, (2) interpersonal relationships, (3) learning.
The research has found that the experiences and the perceptions of students in the first clinical practice are mainly expressed emotionally. Self-reflection helps students to express emotions and feelings to reliving and to identifying problems and also, to understanding themselves better. Further research should be focused on the importance of the students' self-reflections in their professional and personal growth.
Due to coronavirus disease 2019, which affected the provision of nursing care to chronic patients, the self-management of patients has increased through the use of modern technology. To support the ...self-management of chronic patients, it is essential to analyze and clarify the concept of self-management before using it in practice.
A literature search was performed in the Web of Science, PubMed, CINAHL, ScienceDirect, Sage Journals, MEDLINE, Cochrane Library databases, in addition to Google Scholar and COBISS using the keywords “concept,” “self-care,” “chronic disease,” and “nurse.” Qualitative, quantitative, and mixed methods research, books, and abstracts, related to the selected concept in English were included in the review. Studies were ranked according to the hierarchy of evidence. Concept analysis by Cutcliffe and McKenna was used.
Of the 2974 identified studies, 31 were included in the analysis. Seven attributes were identified: assessment of physical and emotional signs and symptoms, response to changes, consultation with the health care provider, communication, goals, attention to treatment effectiveness, and awareness of the situation. The antecedents are learning, motivation, habits, cultural and religious values, self-efficacy, literacy. The consequences concept includes improving individuals’ clinical outcomes and quality of life and reducing public health costs.
As nursing care focuses more and more on self-management of the disease and not just on treatment, patients are increasingly using different techniques to manage their disease. By incorporating the concept of self-management of chronic disease into modern technology, we can contribute to patient care.
Highlights • We studied undiagnosed type 2 diabetes screening in the Slovenian working population. • Optimal FINDRISC cut-off value was 7 for men and 13 for women. • The FINDRISC cut-off value should ...be substantially reduced in working-age Slovenians.
Introduction: Biomedical devices are tools used for locating invisible and impalpable peripheral veins. The purpose of this article is to give a systematic review and analysis of existing studies on ...the available biomedical devices used for locating peripheral veins and on their effectiveness in clinical practice. Methods: Databases CINAHL, Medline and ScienceDirect were used for the literature review and analysis. The search was performed with the following key words in English: devices, visualization, technology, cannulation, vein, nursing care, with Boolean operators 'AND' and 'OR'. The analysis included randomized and experimental clinical studies published in the English language in the period from 2000 to August 2016. From a total of 1,020 retrieved studies, 17 were included in the detailed analysis. Results: The results of the analysis have shown that the success rate of the first attempt of intravenous cannulation using biomedical devices in more than half of the studies was not significantly higher than when the process was performed using the conventional method. The success of the first attempt of intravenous cannulation mostly depends on the experience and skills of nurses. Biomedical devices are more helpful for novice nurses who do not perform cannulation on a daily basis, for beginners and nursing students. Discussion and conclusions: Based on research, we cannot affirm that biomedical devices significantly contribute to easier peripheral venous cannulation. Further research is required to validate the advantages of such an approach. However, this is limited due to the affordability issues of such biomedical devices.
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