Open Journal of Nursing
ISSN / EISSN : 2162-5336 / 2162-5344
Current Publisher: Scientific Research Publishing, Inc. (10.4236)
Total articles ≅ 812
Latest articles in this journal
Open Journal of Nursing, Volume 10, pp 34-68; doi:10.4236/ojn.2020.101003
Introduction: Cancer affects patients and families, especially female spouses. Female carers are affected emotionally, psychologically, spiritually and physically. Challenges while caring for husbands with cancer include: higher stress; poorer health-related quality of life; emotional strain; impaired immune system; low appetite; high blood pressure; depression and anxiety. Female spousal carers also experience satisfaction that they rendered appropriate care to their spouse. Aim: To analyse challenges facing women caring for a spouse on cancer treatment. Method: Systematic critical literature review through CASP. Thematic analysis of data. Results: 16 studies met the inclusion criteria; 12 were selected by critical analysis. 4 themes emerged: “Quality of marital relationship”, “Effective communication”, “Carers” burden and need for support’, and “Coordination of care among providers”. Discussion: 4 themes are discussed in detail and related to literature outside the review. Conclusion: Women caring for a spouse on cancer treatment is affected by the cancer, symptoms, hospital admission and caring. They withhold information from their spouse to protect him. They have poor quality of life and poor health. HCP rarely recognize their role or needs.
Open Journal of Nursing, Volume 10, pp 770-776; doi:10.4236/ojn.2020.108055
Objective: To explore the application of intelligent equipment in non-negative pressure isolation ward for COVID-2019 patients. Method: From February 1 to March 17, 2020, intelligent equipment, such as communication interaction system, intelligent disinfection robot, delivering robot, were used in non- negative pressure isolation ward of COVID-2019. With the help of communication interaction system to supervise the implementation of infection prevention and control, and observe the incorrect situation of pee use and personal behavior before and after the implementation. The disinfection robot and meal delivery robot were used in ward disinfection and life nursing combined with nursing practice. Result: Through the supervision of communication interaction system, the frequency of pee use and personal behavior was reduced. The frequency of bad articles before and after improvement was wearing protective clothing (2.80%/0.84%), taking off protective clothing (5.87%/0.84%), personal behavior observation (8.38%/1.90%), P < 0.01. The robot disinfected and delivered medicine for 912.5 h, saving 225 shifts of nursing staff. Conclusion: Intelligent equipment is a good option for infection control in isolation ward of COVID-2019. It can not only reduce the workload of health workers, but also the cross-infection.
Open Journal of Nursing, Volume 10, pp 598-612; doi:10.4236/ojn.2020.106041
Objective: This study aims to determine the process of patients with newly diagnosed breast cancer in Japan telling their children about the disease, and how they have thought about it after the diagnosis. Methods: Semi-structured interviews were conducted with 15 patients with newly diagnosed breast cancer who had 3- to 14-year-old children. Narratives of participants about how they told their children about the disease were analysed by a qualitative and descriptive study design using the Modified Grounded Theory Approach (M-GTA). Results: In the process by which patients with newly diagnosed breast cancer tell their children about the disease, participants were [Maintaining mental balance in the face of the threat of the cancer] after the breast cancer diagnosis, and used the “Facing the cancer through the relationship with the children” as the core category in the process. The participants had [Determined to tell the children about the disease], while [Being worried about the influence of cancer on the children], [Thinking about the benefits of not hiding the cancer], and [Feeling difficulty in communicating the diagnosis of cancer to their children]. They were [Encouraged to tell about the disease to the children] by people around them, and did tell the children that they had a “disease” or “cancer”. The participants who told the children that they had the disease while [Determining the impact on the children] repeated the [Making herself look unconcerned] in the process. Those who told the children that they had cancer while [Determining the impact on the children] repeated [Talking openly about cancer and death] between parents and children. Conclusions: The participants came to face their own cancer by maintaining mental balance in the face of the threat of the cancer and telling their children about the disease. Nurses need to assist these patients to be able to deal openly with their children from the early stage of the diagnosis and solve problems by family members.
Open Journal of Nursing, Volume 10, pp 534-550; doi:10.4236/ojn.2020.105037
Introduction: Controlling hypertension across world continues to be challenging. Managing hypertension is not only concerned with lowering blood pressure by using antihypertensive medications; it also aims to minimize its consequences through adopting self-care practices. Compliance with self-care practices among patients with hypertension is considered a multidimensional phenomenon. The phenomenon of hypertension has been studied quantitatively, however; little qualitative studies were conducted to understand the compliance with self-care among patients with hypertension. Aim: To understand the process that patients with hypertension go through to comply with self-care practices. Methods: This study used a qualitative design that followed constructivist grounded theory approach; purposive sampling was used to recruit participants from cardiac clinics; semi structured, in-depth and face-to-face interview was used as a major method for data collection. Findings: Four participants with hypertension participated in this study; the phenomena of self-care was identified as the central phenomena; the start of the disease was identified as a casual condition; beliefs toward hypertension disease, beliefs toward self-care practices, knowledge and awareness regarding hypertension disease and self-care practices were identified as strategies; experiencing self-care practices was identified as consequence and being patients with hypertension in a social context. Conclusions: The process of compliance with self-care has a path of actions and interactions. The process started from the moment of diagnosis where the patients start to think about self-care. The absence of health care context leads to varying level of compliance with self-care among patients with hypertension. This indicated the need for more effective patient and health care provider relationship, education and awareness campaign.
Open Journal of Nursing, Volume 10, pp 551-562; doi:10.4236/ojn.2020.105038
The adoption by health professionals to the practice of patient isolation is a decision that reduces patients’ risks of occupational exposure to potentially contaminated biological material and prevents nosocomial infections. Verify the compliance of health professionals to the practices of contact precautions in patients colonized by microorganisms in a teaching hospital. This was a prospective observational cohort study in a special-sized hospital located in southeastern Brazil. The observation of health professionals in delivery of health care to patients with contact precaution was performed regarding hand hygiene, use of overcoat, glove, and mask. We carried out 1502 observations involving the following professional categories: nursing technicians and/or nursing assistants (n = 1028; 68.4%), nurses (n = 200; 13.3%), physical therapists (n = 185; 12.3%), and physicians (n = 89; 5.9%), totaling 971.8 hours. Regarding the level of compliance of professionals to contact precaution practices with hand hygiene after the procedures, the use of overcoats, gloves, and masks, all were statistically significant (p Klebsiella pneumoniae was the most positive pathogen identified in laboratory tests. This study provided the mapping of the compliance of health professionals to the practices of contact precautions in order to support a safer management of patient care reducing the risks of Healthcare-Associated Infections (HAI). This study also showed that health professionals are using practice management to deal with their behavior to protect their health.
Open Journal of Nursing, Volume 10, pp 513-525; doi:10.4236/ojn.2020.105035
Policy development on chemotherapy management has increased the demand for deeper knowledge in this field. In this way, there was a need to identify, recognize the consumption trends of chemotherapeutic and prioritize the interest of regulatory bodies, as well as to design programs for health education. In 1978 for the first time in Kosovo, a Hematology Department was established within the Internal Diseases Clinic by Dr. Shaban Geci. In 2013 it became a Clinic of Hematology. The Department of Clinical Hematology deals with the diagnosis of hematologic and hematopoietic diseases including erythrocytes, leukocytes, platelets as well as malignant diseases. Within the department is also the location for puncture and biopsy of the bone marrow as well as for ultrasonography. Methods: The study was prospective and was conducted at University Clinical Center of Kosova (UCCK) and is based on an anonymous survey designed specifically for this purpose. The subject of the analysis was the available space for hospitalization and administration of chemotherapeutic at UCCK, the existence or not of written protocols, and available technical equipment. Results: Respondents were asked how many nurses handle the administration of cytostatic at the clinic where they work. 48% of respondents state that 1 - 5 nurses deal with cytostatic administration, 52% of respondents say 1 - 15 nurses deal with cytostatic administration, while alternatives 6 - 10 nurses and 16 and more nurses were not selected by no respondents.
Open Journal of Nursing, Volume 10, pp 209-218; doi:10.4236/ojn.2020.103014
Purpose: In Japan, demand for nursing is high. However, some novice nurses are unable to adapt to the workplace, and subsequently quit. This study aimed at clarifying relationship issues between novice and senior nurses and examining measures that could be enforced in wards for novice nurses based on the results. Methods: An inductive analysis was conducted on qualitative data from semi-structured interviews with 11 newly hired nurses who had recently graduated from nursing school. The study period was from November 2016 to March 2017. Results: The analysis generated the following three themes related to potential workplace maladaptation: 1) Adaptation to the workplace: difficulty in forming relationships with senior nurses and adapting, 2) Workplace education system: education by preceptors and senior nurses, 3) Professional stance: qualities as a nurse. Conclusion: The results indicated that novice nurses had difficulties in adapting to the workplace as well as its education system in wards. Hence, it was necessary to create habits that would not overly burden others, but instead, spread the rules of the organization, help novice nurses to understand their responsibilities, and assist them in overcoming challenges.
Open Journal of Nursing, Volume 10, pp 239-251; doi:10.4236/ojn.2020.103016
Introduction: Despite being referred to as one of the country’s “food baskets”, 41% of children, 6 - 59 months of age in the Rwenzori sub-region, Western Uganda are stunted. Stunting is a form of chronic malnutrition in which children are short for their age. In this study, we established the prevalence and determinants of stunting in one of the sub-counties in this region. Methods: This was a cross-sectional descriptive study conducted in one of the sub-counties in the Rwenzori sub-region, Western Uganda from May 26th to June 26th, 2018. A total of 372 mothers and their children were recruited using systematic sampling. Data was collected using a questionnaire. Stunting was determined by taking child’s height or length and comparing it with child’s age. A child whose height or length for age index was less than −2 Standard Deviations (SD) was considered stunted. We used descriptive statistics to understand characteristics of mothers and multivariable logistic regression model to obtain the determinants of stunting. Data was analyzed using SPSS version 20. Results: A total of 372 mothers and their children were included in this study; majority, 307 (83.0%) of the children were 6 - 24 months old and nearly half, 167 (44.9%) were stunted. We found that reserving food stock for use in the dry season (aOR = 0.23, CI = 0.08 - 0.62, p = 0.004), deworming children (aOR = 0.32, CI = 0.18 - 0.54, p = 0.001) and the family earning at least 10,000 Ushs (2.7USD) at the end of the month (aOR = 0.36, CI = 0.22 - 0.58, P = 0.001) were associated with no stunting. Conclusions: We found a high prevalence of stunting among children 6 - 59 months of age. We recommend enforcing ownership of food granary by households especially during dry season, support to de-worming programs targeting children below five years of age and establishing community based income generating livelihood projects.
Open Journal of Nursing, Volume 10, pp 277-285; doi:10.4236/ojn.2020.103019
Background: Low and middle income countries have the highest rates of stillbirths in the world. In Jordan, stillbirth and how it impacts on mothers who experience it is under-researched. The stories of mothers who have had a stillbirth need to be told and the silence associated with stillbirth needs to be broken. The aim of this study is to explore and understand the meanings attributed by mothers’ to their experience of stillbirth in Jordan. Methods: The study will employ phenomenological qualitative research design. Semi-structured interview will be conducted with the mothers’ who will be recruited from three governmental hospitals in the north, middle and south of Jordan. Data will be transcribed, managed and analysed using interpretative, phenomenological analysis. The Jordanian Ministry of Health and Jordan University Ethics Committee approved the study on Nov. 2019, FEB 2020, respectively. Discussion: The findings of this study will make an original contribution to our knowledge about how stillbirth is experienced by mothers in Jordan. This finding will be useful to health care providers to improve the quality of health care provided to those mothers by adopting individualized and holistic care approach to meet the needs of each mother. Moreover, it will inform public health authorities and policy makers regarding the need for more awareness of stillbirth and a better bereavement care strategy for mothers in hospitals.
Open Journal of Nursing, Volume 10, pp 260-276; doi:10.4236/ojn.2020.103018
Background: Student nurses and other healthcare students are the future mental health professionals and have the potential for changing the future of mental healthcare. Therefore, their negative attitudes and behaviors should be screened and corrected by effective anti-stigma interventions. Otherwise, they would likely withhold some health services and practice coercive treatments once planning care to people with mental illness. However, little is known on effective approaches to correct these negative attitudes and behaviors, despite the previous reviews that have shown that contact-based interventions have demonstrated positive attitudinal and behavioral changes for nursing students towards people with mental illness. Aim: The aim of this literature review was to compile the available research evidence on contact-based interventions that have targeted the attitudes and behaviors of nursing students towards people with mental illness. Methods: The relevant literature was extracted by searching electronic databases (MEDLINE, PsycINFO, and CINAHL) and by hand checking reference lists of past similar reviews. Results: Eleven studies were retrieved and included in this review. The included studies in this review either have employed social contact interventions, video-based social contact interventions, or both types for the aim of combining or comparing. Furthermore, the included studies either have targeted the attitudes of nursing students towards people with mental illness (including prejudice), or a combination of attitudinal and behavioral outcomes (including behavioral intentions and social distance). No studies have targeted behavioral outcomes solely. Conclusions: From the available literature, the current authors cannot draw conclusions on the most effective type, form, or ingredients of contact-based interventions among nursing students, as previous literature has large variations. No consistency was found in the previous studies regarding the types or contents of effective contact-based interventions. The compiled evidence in this review, has suggested that contact-based interventions (both social contact and video-based social contact) have been effective in changing the attitudes and behaviors of nursing students favorably, similarly to what previous reviews have found.