Open Journal of Nursing

Journal Information
ISSN / EISSN : 2162-5336 / 2162-5344
Current Publisher: Scientific Research Publishing, Inc. (10.4236)
Former Publisher:
Total articles ≅ 873
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Latest articles in this journal

Jaqueline Ribeiro de Barros, Giedre Soares Prates Herrerias, Madhoor Ramdeen, Rogerio Saad-Hossne, Rubia Aguiar Alencar, Ligia Yukie Sassaki
Open Journal of Nursing, Volume 11, pp 258-265; doi:10.4236/ojn.2021.114023

Background: Inflammatory Bowel Disease is a term that covers intestinal diseases, including ulcerative colitis and Crohn’s disease. Due to the condition of chronic and complex disease, the disease requires specialized nursing care and management in the context of a multi-disciplinary approach. As a guarantee of quality nursing care, it is essential to carry out the nursing process. Considering the commitment to assist the patient with Crohn’s disease, the nurse, through the nursing consultation, is able to diagnose the patient’s needs, proceed to the prescription of care and later evaluate the interventions, having the opportunity to develop work aimed at improving the quality of life of these patients. Objective: To describe the nursing process in a patient with Crohn’s disease. Methods: Exploratory case report study, carried out at the outpatient clinic for inflammatory bowel diseases of a public hospital in the countryside of the state of São Paulo, from June 2019 to October 2019. Data collection was performed through anamnesis, physical examination and analysis of medical records. Results: Female patient, 34 years old, diagnosed with Crohn’s disease. With the completion of the nursing process, it was possible to identify five nursing diagnoses and the elaboration of interventions and outcomes. The nursing evaluation was continuous and the patient adhered to the proposed interventions. Final considerations: The systematization and organization of the work of the nursing team proved to be essential for quality care, with efficiency and effectiveness, guaranteeing the patient comfort, general well-being and good rehabilitation.
Zhenghua Zhao, Xing Lan, Qinghong Chen, Chengying Li, Tingting Wang, Xiangdong Chen, Shanglong Yao
Open Journal of Nursing, Volume 11, pp 249-257; doi:10.4236/ojn.2021.114022

Coronavirus disease 2019 (COVID-19) is highly infectious and has spread worldwide. Medical staff may be exposed to the infection under circumstances of medical supply shortages and improper protection. How to better protect medical staff has become the focus of all walks of life. Therefore, during the COVID-19 outbreak, timely adjustments and optimization of nursing management strategies in isolation wards are important for improving care quality and reducing the infection of medical staff. Based on a literature review and clinical nursing management practices, this article summarizes the nursing management strategies in isolation wards during the COVID-19 outbreak, aiming to provide references for clinical nursing managers.
Nojima Keisuke, Takamizawa Emiko, Hatamochi Chieko
Open Journal of Nursing, Volume 11, pp 75-88; doi:10.4236/ojn.2021.112008

Background: With an increasing number of patients who visit emergency outpatient units, a shortage of physicians and nurses in emergency units has become an issue in Japan. Triage nurses who interview patients and their families before medical examinations feel stressed to determine the triage level in a limited time, necessitating the measures to alleviate stressors. Objective: To develop a triage nurse job stressor scale (TNJSS) for Japanese triage nurses in emergency outpatient units and to verify the reliability and validity of this scale. Methods: Anonymous, self-administered questionnaires were sent to nursing directors of 180 emergency and critical care centers randomly selected from 251 centers throughout Japan, requesting to distribute the questionnaire to nurses. Results: Based on the responses obtained from 363 nurses, the construct validity, internal consistency, and criterion-related validity were verified. A factor analysis of 44 items yielded five factors: “Lack of triage ability”, “Busy triage work”, “Patients without understanding of explanations”, “Complaints from patients waiting for treatment”, and “Lack of support to improve triage ability”. Cronbach’s α was 0.93 for the full scale and significant correlations were observed between the nurses’ stressor scores and scores for the Stress Response Scale-18 (r = 0.409; p r = 0.410; p < 0.01). Conclusions: The TNJSS with a five-factor structure containing 44 items was determined to be a reliable and valid tool for evaluating Japanese triage nurse job stressors. The findings suggest the necessity to continuously educate and support triage nurses.
Yuko Harding, Shinji Sunada, Masako Yano
Open Journal of Nursing, Volume 11, pp 204-217; doi:10.4236/ojn.2021.113018

Introduction: Knowing an epidemic existed in Mizunami city and knowing the healthcare provided to overcome the disease may give hints on how the epidemic was handled. Aim: To examine the literature on the epidemic that occurred in the Meiji era and the contributions of healthcare providers who were active in the history of Mizunami city. Method: This is a historical study, mainly using literature. In collaboration with the Mizunami City Board of Education, we searched for materials stored by Mizunami city. In addition, with the cooperation of the local residents of the healthcare providers who were active in Mizunami city, we collected materials in reference to our purpose. Result: The outbreak of the epidemic near Mizunami city was seen as a fight against smallpox. In addition, cholera, dysentery, Spanish flu, and typhoid fever also occurred. Vaccinations were carried out in the Tono region. Healthcare providers who were active in the Meiji era include six doctors and two midwives. Discussion: In the future, it will be necessary to provide more in-depth evidence through surveys, such as interviews with the cooperation of relatives of the active healthcare providers. Conclusion: In the Meiji era, in the vicinity of Mizunami city, doctors and midwives actively fought against epidemics, such as smallpox and other infectious diseases.
Ronie Walters, Leah Macaden, Abbi Tracey, Annetta Smith
Open Journal of Nursing, Volume 11, pp 89-103; doi:10.4236/ojn.2021.113009

Globally, the population is living longer and by 2050, it is predicted to reach 2.1 billion people. Sensory and cognitive impairments are common long-term conditions among older Europeans and have considerable functional, social, emotional and economic impacts on the individual and those caring for them. Nurses have frequent encounters with patients with these impairments and are expected to prioritise people, assess their needs and accommodate practice to meet these needs. In order to develop the requisite knowledge and understanding to support people living with these impairments, student nurses require an immersive and experiential approach to learning as opposed to just information transfer. This study reports on a cross-sectional analysis of a low fidelity simulation on sensory impairments as part of a wider dementia curriculum in semester one of the undergraduate nursing programme at the University of Highlands and Islands. Findings from an online questionnaire-based survey and content analysis of free text responses revealed that students found the simulation activities critical for gaining subject knowledge, understanding and insight. This study concluded that low-fidelity simulation of sensory/cognitive impairments, within the context of a broader curriculum of supportive activities, can be effective at developing relevant knowledge, understanding and gaining insights in this subject area among undergraduate nursing students.
Darius Niyungeko, Emmanuel Gasaba, Ariane Ndayisaba, Jean Bosco Ndikumana, Justin Ndayisaba, Amina Uwamahoro, Angèle Nzobakenga, Esdras Nishimwe, Margueritte Ndikumana, Rose Barbara
Open Journal of Nursing, Volume 11, pp 139-151; doi:10.4236/ojn.2021.113013

Background: Nursing care in the recovery room is oriented to take into account the patient’s condition after surgery intervention with its main purpose of providing direct and continuous patient observation in emergence from general or regional anesthesia. In the absence of professional assistance, patients can develop complications that can lead them into shock or death. This study aims to understand the place of nurses in guiding nursing care in recovery room in two hospitals of Gitega Province by assessing the nurse’s knowledge and attitudes for the promotion of quality nursing care for post-operative patients. Methods: A cross sectional study design was used to assess the practice of nurses in managing nursing care in the recovery room in these two hospitals. A purposive sampling method was used to select the 82 nurses working in the recovery room for these two hospitals and Alain Bouchard’s formula was used to calculate the sample size. Data were collected using a self-report method involving questionnaire completion with five components addressing participants identifications, factors related to the work organization, factors related to the work environment, factors related to healthcare system, and nursing interventions in recovery room. Results: Findings revealed a significant lack of knowledge among the participants and their attitudes were slightly poor as for most of the variables of factors related to healthcare system as their score was less than 50% and their knowledge for nursing interventions was also poor as most of variable scores were less than 25%. Conclusions: The study findings were slightly poor as their scores were less than 50% in most of the variables; therefore, it was recommended that in-service training and workshops should be organized by these healthcare facilities for the purpose of empowering the nurse’s knowledge and practice. Moreover, these institutions should provide and encourage nurses to use nursing guidelines and protocols.
Ni Ding, Huiping Chen, Qianqian Ji
Open Journal of Nursing, Volume 11, pp 164-169; doi:10.4236/ojn.2021.113015

Objective: To explore the disease management methods and effects for patients with inflammatory bowel disease (IBD) in the special period of pandemic. Methods: Medical staffs carried out the management of patients with IBD on the inflammatory disease service platform of this center from February to May of 2020 in addition to routine clinical works. Results: None of the nearly 3000 IBD patients who are being followed up at our center were infected with COVID-19. During this period, no patients experienced drug-related serious side effects or disease recurrence that could not be treated in time due to failure to reach the medical staffs. Conclusion: The disease management methods based on IBD platform allow the patients to be properly managed during this special period.
Hsiang-Chu Pai, Hui-Hua Cheng, Yu-Ling Huang
Open Journal of Nursing, Volume 11, pp 104-120; doi:10.4236/ojn.2021.113010

Background: Nursing professional socialization significantly influences the sustainable development of nursing students’ careers. This study aims to examine the factors that influence professional socialization in nursing students. Methods: This is a quantitative study of a sample of 108 nursing students (80 females and 28 males). The Simulation Learning Effectiveness Scale, Caring Assessment Report Evaluation Q-sort, Self-Reflection and Insight Scale, and Holistic Nursing Competence Scale were used to collect the data on the independent variables. The Team Skills Scale, Nursing Image as a Profession questionnaire, and Nursing Professional Commitment Scale were used to assess the level of students’ nursing professional socialization, which is an outcome construct variable. A multigroup analysis was used to examine the professional socialization research model. Results: The full model findings show that individual learning effectiveness had a significantly positive effect on nursing students’ caring behavior and on self-reflection and insight. In addition, caring behavior and self-reflection and insight had a significantly positive effect on nursing competence. Finally, nursing competence also had a significantly positive effect on nursing professional socialization. Overall, all independent variables were significant predictors of nursing professional socialization, explaining 36.7% of the variance in the integrated model of professional socialization. In addition, a permutation test revealed no differences in the two comparisons’ path coefficient estimates in the model (female vs. male). Conclusion: It is important to further strengthen nursing students’ self-learning effectiveness to promote their self-reflection and caring behavior. Increasing students’ nursing competence is a key factor in improving their professional socialization.
Janet Kemei, Josephine Etowa
Open Journal of Nursing, Volume 11, pp 121-131; doi:10.4236/ojn.2021.113011

Background: The purpose of this paper is to report the perceptions of continuous professional development by the nurses and midwives in a low resource country. These findings are part of a larger study on the experiences of nurses and midwives providing postpartum care in rural areas of Kenya. Besides being the main healthcare providers in rural areas, nurses in low resource countries have limited access to continuous professional development. Research design: This is a qualitative research guided by critical theory and Foucault’s concepts of power and knowledge. Focused ethnography provided the framework of data collection and analysis. 23 in-depth interviews were contacted, and thematic analysis was used for data analysis. Reflexive memos kept throughout the research process helped to ensure the trustworthiness of data. Findings: This paper will focus on the theme of continuing professional development (CPD) as a resource for a healthy work environment. While the knowledge of the nurses and midwives allowed them to provide care to the mothers and their infants adequately, personal and structural barriers prevented them from participating in continuing professional development. Discussion and Conclusion: A well-prepared nursing and midwifery workforce could have the capacity to transform the health outcomes of their clients through the application of evidence-based practices. Therefore, courses that are context-appropriate and meet the needs of different learners should be available to support the nurses’ and midwives’ professional growth. There is a need for more research on the nurses’ and midwives’ participation in CPD in Kenya, and the effect of CPD on specific health outcomes.
Sonia González González, Patricia Cruz Bello, María De Lourdes García Hernández, María Alberta García Jiménez, Gabriela Yanet Cortés Moreno
Open Journal of Nursing, Volume 11, pp 28-41; doi:10.4236/ojn.2021.111004

Objective: Currently Mexico is one of the 1st places in overweight and obesity in teenagers; the health and nutrition national survey in 2018, expresses a 41.1% of women in teenager’s population and a 35.8% in men. To analyze teenagers’ lifestyles with healthy weight against overweight and obesity. Method: Descriptive, transverse, analytic and comparative, a non-probabilistic sampling distributed up to convenience in 2 groups of cases and controls, with 50 teenagers diagnosed with overweight and obesity and 50 teenagers with healthy weight, in a 12 to 15 years old age range; for previous informed consent, the survey Health-Promoting Lifestyle Profile II was applied to measure the lifestyles in 6 dimensions. The analysis got a standard deviation and the association of variables U of Mann-Whitney for independent samples. Results: In both teenagers’ groups male gender prevailed with a 76%, the result in teenagers’ group was identified, an average lifestyle with the dimensions of: interpersonal relationships, feeding, physical activity, stress management and spiritual growth and a low level in the dimension of health responsibility. There is a meaningful difference in the variables association in the spiritual growth lifestyle. Conclusions: The evaluation of both groups is similar to an average score; this shows that there is a risk to unleash overweight, obesity and complications in the adult age of the teenager.
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