Aims
To determine the need for care robots among nurses and to suggest how robotic care should be prioritized in integrated nursing care services.
Background
Korea is expected to be a super‐aged ...society by 2030. To solve care issues with elderly inpatient caused by informal caregivers, the government introduced “integrated nursing care services”; these are comprehensive care systems staffed by professionally trained nurses. To assist them, a care robot development project has been launched.
Design
The study applied a cross‐sectional survey.
Methods
In 2016, we conducted a multicentre survey involving 302 Registered Nurses in five hospitals including three tertiary and two secondary hospitals in Korea. The questionnaire consisted of general characteristics of nurses and their views on and extents of agreement about issues associated with robotic care.
Results
Trial centre nurses and those with ≥10 years of experience reported positively on the prospects for robotic care. The top‐three desired primary roles for care robots were “measuring/monitoring”, “mobility/activity” and “safety care”. “Reduction in workload”, especially in terms of “other nursing services” which were categorized as nonvalue‐added nursing activities, was the most valued feature. The nurses approved of the aid by care robots but were concerned about device malfunction and interruption of rapport with patients.
Conclusion
Care robots are expected to be effective in integrated nursing care services, particularly in “measuring/monitoring”. Such robots should decrease nurses’ workload and minimize nonvalue‐added nursing activities efficiently. No matter how excellent care robots are, they must cooperate with and be controlled by nurses.
Based on the current status of the mobile medical market, combined with the specific needs of clinical care, this article analyzes the needs and business models of mobile nursing integrated ...workstations in detail, and combines the user's usage habits with the SOA architecture implemented by WebService. XML, as a standard format for data exchange between heterogeneous systems, and the data exchange method of ORACLE object technology, complete the interaction of data information; and use mobile intelligent devices to achieve the first‐time data collection at the bedside, and design mobile care integration workstation.
Cardiogenic shock (CS) is the most serious complication of acute myocardial infarction (AMI) with high mortality, and the conventional nursing mode can not meet the clinical needs. Studies have shown ...that integrated care model has advantages for critical and chronic diseases. However, there is no clinical study to evaluate the clinical efficacy of this nursing model on cardiogenic shock induced by acute myocardial infarction (CS-AMI).
This is a prospective randomized controlled trial to study the clinical efficacy of integrated care combined with vasopressin in the treatment of CS-AMI. Participants will be randomized in a 1:1 ratio to receive integrated care combined with vasopressin in the treatment group and conventional care combined with vasopressin in the control group. The patients will be followed up for 3 months after systematic treatment. Observation indicators include: length of hospital stay, quality of life score, blood pressure level, and nursing satisfaction score. Finally, SPASS 20.0 software will be used for statistical analysis of the data.
This study will evaluate the clinical efficacy of integrated nursing combined with vasopressin in the treatment of CS-AMI. The results of this study will provide a reference for selecting appropriate nursing programs for CS-AMI patients.
OSF Registration number: DOI 10.17605/OSF.IO/K8CN4.
Purpose: To investigate the effect of an integrated nursing model in day surgeries, treated with tobramycin-dexamethasone suspension, and its influence on patient satisfaction, quality of life, and ...indicators of immunity recovery.
Methods: Ninety-eight patients with ophthalmic diseases admitted to Anhui No. 2 Provincial People’s Hospital, Anhui, China from January 2021 to June 2022 were scheduled for surgery and treated with tobramycin-dexamethasone. They were randomly divided into two groups (control and study groups, with 49 cases in each group). All patients received routine nursing intervention, and an integrated nursing model was applied to the study group on this basis. Improvement in ocular symptoms, SF-36, changes in immune-related lymphocyte subsets in peripheral blood, and nursing satisfaction were compared.
Results: Ocular symptom score at 24 h after operation in the study group was lower than in control group (p < 0.05). The SF-36 scores (physical status, cognitive ability, social function, emotional and mental status), immune-related lymphocyte subsets, and overall satisfaction rate after intervention in the study group were higher than those in the control group (p < 0.05).
Conclusion: Integrated nursing model achieves ideal nursing effect in day surgery managed with tobramycin-dexamethasone> It also facilitates the recovery of patient’s eyes and plays a significant role in improving the quality of life, restoration of immunity, and nursing satisfaction of patients. A multicenter investigation will, however, be required prior to its full-scale clinical application.
The purpose of this study was to clarify the awareness and current status of community-based integrated nursing education among diploma nursing school teachers in order to obtain suggestions in ...regard to nursing education strategies for training nursing students to be aware of and capable of practicing community-based integrated nursing. The participants were teachers with at least 3 years of teaching experience at 26 diploma nursing schools in two prefectures in the Kanto area. We conducted an anonymous questionnaire survey by postal mail. Responses were obtained from 68 teachers in 14 schools (response rate: 70%). Regarding awareness, about 90% of the teachers answered that they “strongly agreed” to that “hospital nurses need to think about each patient's life after discharge” and that “every nursing teacher, regardless of his/her specialty, needs to instruct students to think about each patient's life after discharge.” The survey items in educational situations based on community-based integrated nursing for which less than 50% of the respondents answered “do frequently” regarded : local health and medical welfare services, home care support systems, multidisciplinary collaboration, and outpatient nursing. In addition, various educational difficulties on teachers', students', and practical training facility were clarified. In order to enhance community-integrated nursing education, we suggested to train teachers at nursing schools in community nursing knowledge and engage with the community.
Aims: To clarify the extent of implementation and longitudinal changes in the difficulty of utilization of practical teaching elements (6 categories, 24 elements) incorporating community and home ...health care perspectives into hospital nursing, and suggest methods to promote their utilization.Methods: A questionnaire survey of clinical instructors and teachers who participated in a” Workshop on Practical Teaching Elements for Community-based integrated Nursing” was conducted at two time-points: immediately after the workshop and three months later.Results: A total of 16 participants responded, of whom 44% had less than 5 years of practical teaching experience. After three months, more than 80% indicated that they practiced 22 teaching elements. For all 24 teaching elements, the difficulty of utilization increased after 3 months. Descriptions about the difficulties in practical teaching included “students’ and instructors’ lack of knowledge and learning problems” and “difficulty in changing the status of awareness about community-based integrated nursing”.Conclusions: The understanding of the meaning of each of the teaching elements was deepened by participation in the workshop, which increased the realization of difficulties in actual practice. In order to promote utilization, it is necessary to add a concrete explanation for each element.
This study aimed to understand the experiences of nurses working in the integrated nursing care service, a relatively recent addition to the Korean hospital infrastructure, to suggest ways in which ...to address their grievances and needs and improve their job satisfaction, thereby reducing turnover.
This study adopted a qualitative approach to explore subjects' vivid experiences. Data were collected through in-depth interviews with 17 nurses with over one year of experience working in integrated nursing care wards. The main question asked was "Can you describe your experiences in the integrated nursing care ward?" All interviews were recorded, transcribed, and analyzed using Colaizzi's method for phenomenological research.
Six theme clusters were derived from the analysis: "distorted perceptions of the integrated nursing care ward," "challenges owing to distorted perceptions of the integrated nursing care ward," "loneliness and fighting alone," "being ridiculed," "practicing textbook holistic care," and "the satisfaction felt only in the integrated nursing care ward." For the overarching theme, we identified "Satisfaction in providing holistic care despite the challenges."
While working in the integrated nursing care ward, nurses practiced holistic nursing care, which in turn built their self-esteem. However, they experienced greater levels of stress as a result of misinformation. Therefore, dissemination of accurate information is necessary to correct public misunderstandings of the integrated nursing care wards. Further, adequate compensation and support systems are needed to relieve the stress nurses felt because of such misunderstandings. Additionally, nurses should be motivated to continue to provide quality care for the patients and take pride in their work. Future research should explore the physical and mental concerns of nurses working in integrated care wards.
Aim
This study aimed to analyse the policy formation process of South Korean Integrated Nursing Care Service System (INCSS).
Background
Due to the shortage of chronic nursing staff in Korea, many ...nursing services have been overlooked, which has led to a customary caregiving culture that relied on inpatient families. To improve this, Korea legislated the INCSS in 2015.
Methods
This study retrospectively analysed policy formation process of the INCSS using Kingdon's Multiple‐Streams Framework from on–offline materials generated between 1994 and 2015.
Results
The caregiving culture, which was raised as one of the main causes of the Middle East Respiratory Syndrome coronavirus (MERS‐CoV) infection spread, has garnered intensive attention from media and politicians. The streams of problem, politics and policy that each flowed independently were coupled, the policy window finally opened leading to successful legislation.
Conclusions
The leading political activities of the United Healthcare Civic‐Group, in which general nurses were the core, were effective in introducing the system.
Implications for Nursing Management
This study's results could be used for promoting hospital‐based healthcare policy intervention by enhancing general nurses' political competence.
In the traditional biomedical model of clinical practice, which assumes a medicine focused on disease, diseases are considered as biological or psycho-physiological universal entities. This ...explanation, although necessary, is not enough. Several authors have recently become interested in the use of narrative practices in the medical care setting, underlining the increasing importance of "a patient-centered approach", a "relationship -centered care" and "narrative medicine". Even in Nursing, the challenge was to combine two models that seemed incompatible: the Evidence-Based Nursing Model and the Narrative-Based Nursing Model. The first one is based on the disease and is capable of reaching measurable objectives. It is marked by rationality, objectivity, determinism, unilateralism and linearity, and its methods emphasize logic, control, measurement and deduction. The second model is based on a global approach, resulting in a psycho-social perspective which stresses the importance of individuality, interpersonal relationship, and the illness and sickness as significant parts of healthcare. Through a short examination of different narrative models in medicine, we underlined some principles which can be used in nursing practice and we suggested a new healthcare paradigm based on integrated narrative nursing. It represents a groundbreaking new normative approach, deriving from different epistemological (positivist paradigm and interpretive paradigm) and methodological approaches that integrate quantitative data already normally detected on the patient, with subjective information obtained from the person and his family, and by the social impact that the disease causes. The integrated narrative nursing makes use of quantitative (e.g. scales and scientific evidence) and qualitative tools (e.g. narratives, autobiographies, therapeutic emplotment and patient's agenda). This approach, based on holistic comprehension, hermeneutic dialogue and a high degree of narrative skill, produces different ways of understanding and offering cure, care and assistance. This could allow a targeted assessment, a precise diagnosis and a personalized education. The benefits coming from the use of this paradigm are several, as for example, to disseminate a personal experience in a perspective of humanization, to improves quality of life and to create a positive effects on patient care outcomes.
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