Knowledge and Attitudes of General Practitioners and Sexual Health Care Professionals Regarding Human Papillomavirus Vaccination for Young Men Who Have Sex with Men.
Int J Environ Res Public Health. 2018 Jan 18;15(1):
Authors: Merriel SWD, Flannagan C, Kesten JM, Shapiro GK, Nadarzynski T, Prue G
Men who have sex with men (MSM) may be at higher risk for human papillomavirus (HPV)-associated cancers. Healthcare professionals' recommendations can affect HPV vaccination uptake. Since 2016, MSM up to 45 years have been offered HPV vaccination at genitourinary medicine (GUM) clinics in a pilot programme, and primary care was recommended as a setting for opportunistic vaccination. Vaccination prior to potential exposure to the virus (i.e., sexual debut) is likely to be most efficacious, therefore a focus on young MSM (YMSM) is important. This study aimed to explore and compare the knowledge and attitudes of UK General Practitioners (GPs) and sexual healthcare professionals (SHCPs) regarding HPV vaccination for YMSM (age 16-24). A cross-sectional study using an online questionnaire examined 38 GPs and 49 SHCPs, including 59 (67.82%) females with a mean age of 40.71 years. Twenty-two participants (20 SHCPs, p < 0.001) had vaccinated a YMSM patient against HPV. GPs lack of time (25/38, 65.79%) and SHCP staff availability (27/49, 55.10%) were the main reported factors preventing YMSM HPV vaccination. GPs were less likely than SHCPs to believe there was sufficient evidence for vaccinating YMSM (OR = 0.02, 95% CI = 0.01, 0.47); less likely to have skills to identify YMSM who may benefit from vaccination (OR = 0.03, 95% CI = 0.01, 0.15); and less confident recommending YMSM vaccination (OR = 0.01, 95% CI = 0.00, 0.01). GPs appear to have different knowledge, attitudes, and skills regarding YMSM HPV vaccination when compared to SHCPs.
PMID: 29346307 [PubMed - in process]
Effects of maternal heart sounds on pain and comfort during aspiration in preterm infants.
Jpn J Nurs Sci. 2018 Jan 17;:
Authors: Küçük Alemdar D, Güdücü Tüfekcİ F
AIM: This study aimed to evaluate the effects of providing prerecorded maternal heart sounds on the level of pain and comfort that are experienced by preterm infants during aspiration.
METHODS: This was a randomized controlled trial. Preterm infants (N = 62) who were receiving care or treatment at a neonatal intensive care unit were eligible for participation in this study. Infants in the intervention group (n = 32) were provided with prerecorded maternal heart sounds before, during, and after aspiration, whereas the infants in the control group (n = 30) received routine care. For the collection of the data, the "Preterm Infant Information Form" was used to record natal and postnatal information of the preterm infant, the "Premature Infant Pain Profile," assessed the level of pain, and the "Premature Infant Comfort Scale," assessed the level of comfort.
RESULTS: There was a significant difference observed between the groups' pain levels during aspiration; however, the difference was not significant before and after aspiration. Furthermore, there was a significant difference observed between the groups' comfort levels prior to aspiration before and during aspiration; however, the difference was not significant after aspiration.
CONCLUSION: Intervention with maternal heart sounds during aspiration effectively reduced pain and provided comfort to the premature infants.
PMID: 29345047 [PubMed - as supplied by publisher]
Lived Experiences of Mothers with Diabetic Children from the Transfer of Caring Role.
Int J Community Based Nurs Midwifery. 2018 Jan;6(1):76-88
Authors: Khandan M, Abazari F, Tirgari B, Cheraghi MA
Background: Following the confirmed type 1 diabetes in children and their discharge from the hospital, the care responsibilities are transferred from nurses to mothers. These mothers are faced with many challenges to play this caring role. The aim of this study was to explore the experiences of the diabetic children's mothers from the transfer of caring role.
Methods: In 2016, semi-structured interviews with Eleven Iranian mothers of children (aged≤14 year) with type 1 diabetes were conducted. Data were analyzed using Colizzi's phenomenological method.
Results: The following themes emerged in this study: 'Facing the care management challenges,' 'care in the shadow of concern', and 'hard life in the impasse of diabetes'.
Conclusion: The mothers of children with type 1 diabetes, who undertake the caring role that has been transferred to them by healthcare providers, are faced with many challenges. They feel a lot of concerns and experience a hard life. Thus, understanding the experiences of these mothers by the health professionals, to improve the quality of care, is necessary.
PMID: 29344538 [PubMed]
The Relationship between Health Literacy and Health Promoting Behaviors in Patients with Type 2 Diabetes.
Int J Community Based Nurs Midwifery. 2018 Jan;6(1):65-75
Authors: Chahardah-Cherik S, Gheibizadeh M, Jahani S, Cheraghian B
Background: Health promoting behaviors are known to be a key factor in managing type 2 diabetes and improving the quality of life in diabetic patients. However, there is little known about the factors influencing these behaviors in diabetic patients. This study aimed to find the relationship between the health literacy and health promoting behaviors in patients with type II diabetes.
Methods: This correlational study was conducted from August to September 2016 on 175 eligible diabetic patients (20 to 65 year-old) who referred to the selected centers of diabetes control in Ahvaz City. Patients were chosen using convenience non-probable sampling. Data were collected by diabetic patients' health promoting behaviors' questionnaire and health literacy questionnaire. Data were analyzed using SPSS 22, descriptive statistics and Pearson's correlation coefficient.
Result: The mean scores for health promoting behaviors and health literacy were determined 100.45±19.82 and 76.14±15.26, respectively. The highest and lowest scores in health promoting behaviors belonged to nutrition (26.11±6.85) and physical activity (6.70±2.75), respectively. There was a significant relationship between all dimensions of health promoting behaviors and health literacy (P<0.05).
Conclusion: Since health literacy has a positive relationship with health promoting behaviors in diabetic patients, health care providers need to concentrate on increasing the health literacy of their patients rather than solely concentrating on increasing their knowledge, thereby facilitating the development of health promoting behaviors in patients.
PMID: 29344537 [PubMed]
The Effect of Self-Care Education on Emotional Intelligence and HbA1c level in Patients with Type 2 Diabetes Mellitus: A Randomized Controlled Clinical Trial.
Int J Community Based Nurs Midwifery. 2018 Jan;6(1):39-46
Authors: Tavakol Moghadam S, Najafi SS, Yektatalab S
Background: The role of Emotional Intelligence (EI) in glycemic control in type 2 Diabetes Mellitus (DM) has not been fully understood. The present study aimed to investigate the effect of self-care education on EI and hemoglobin glycosylated (HbA1c) in patients with type 2 diabetes.
Methods: In this randomized controlled clinical trial, 48 patients with type 2 DM referred to Shahid Motahari Diabetes Center in 2015 were divided into an intervention and a control group using block randomization. The study data were collected using Bar-On questionnaire and blood testing immediately and two months after the intervention. The educational content was presented to the intervention group through 1-1:30-hour sessions held once a week for 8 continuous weeks. The control group, however, only received the clinic's routine cares.
Results: The results showed a significant difference in the mean level of HbA1c in the intervention group before and two months after the intervention (P=0.003). However, this difference was not significant in the control group. Moreover, the mean of EI was higher in the intervention group compared to the control group (P=0.08).
Conclusion: Self-care education improved the HbA1c level and EI among the patients with type 2 DM. Therefore, it is recommended that health care providers, specially nurses, should train the diabetic patients for self-care, which can lead to better glycemic control. Trial Registration Number: IRCT201408188505N7.
PMID: 29344534 [PubMed]
The Effect of Family-Centered Empowerment Program on Self-Efficacy of Adolescents with Thalassemia Major: A Randomized Controlled Clinical Trial.
Int J Community Based Nurs Midwifery. 2018 Jan;6(1):29-38
Authors: Borimnejad L, Parvizy S, Haghaani H, Sheibani B
Background: Chronic nature of thalassemia causes changes in different aspects of life in patients, including their self-efficacy. The aim of this study was to determine the effect of family-centered empowerment program on the self-efficacy of adolescents with Thalassemia major.
Methods: A quasi-experimental study was performed on adolescents with thalassemia major in 2013 in Bandar Abbas, Iran. The participants were divided into intervention and control groups, respectively. Research instruments included demographic data questionnaire, need assessment self-made questionnaire, general self-efficacy scale, and sickle cell self-efficacy scale. After collecting the data from the pre-intervention step, family-centered empowerment program was implemented for the intervention group and secondary test was conducted six weeks after the intervention and the results were analyzed by statistical SPSS-21 software, using independent t-test, paired t-test, Chi-square and Fisher's exact test, and descriptive statistics. A significance level of P<0.05 was considered as significant.
Results: The mean and standard deviation of the adolescents' age were 16±1.9 in the intervention group and 15.2±2 in the control group. Independent t-test showed a significant difference between the two groups after the intervention for both self-efficacies (P<0.01 and P=0.02). In the control group, the results of general self-efficacy scores after six weeks' time were reduced compared to the previous one while disease-related self-efficacy scores in the same group after six weeks' time increased and paired t-test indicated a significant difference in the mean scores for both self-efficacies in both groups.
Conclusion: Implementation of family-centered empowerment program for patients with thalassemia major is practically feasible and it can increase self-efficacy in these patients. It is suggested that the program should be used in comprehensive care protocols of children and adolescents. Trial Registration Number: IRCT201407211788N8.
PMID: 29344533 [PubMed]
Factors Affecting the Place of Delivery among Mothers Residing in Jhorahat VDC, Morang, Nepal.
Int J Community Based Nurs Midwifery. 2018 Jan;6(1):2-11
Authors: Dhakal P, Shrestha M, Baral D, Pathak S
Background: In Nepal, the maternal mortality ratio is 281 per thousand live births, among which 40% mortality occurs during home delivery. Home delivery increases the risk of maternal and neonatal mortality and morbidity due to the birth not assisted by skilled attendant. This study was carried out to determine the factors affecting the place of delivery among the mothers residing in Jhorahat VDC, Morang district, Nepal.
Methods: A mixed method study using interviews based on semi-structured questionnaire (n=93) among mothers and two focus group discussion among decision makers of the house and female community health volunteers was conducted between November to December 2012. For quantitative data, Chi-square test and Fischer's Exact test were used to examine the association between the selected variables and place of delivery.
Results: More than half (58.1%) of the mothers had institutional delivery and 41.9% of them had home delivery. The most common reason for home delivery was easy and convenient environment (66.7%) and that for institutional delivery was safety (77.8%). There was a significant association between caste, education of mothers, education of spouse, occupation of spouse, per capita income, time to reach the nearest health center, parity, previous place of delivery, number of antenatal visit, knowledge about place of delivery, planned place of delivery, and place of delivery.
Conclusion: Maternal health services, such as prenatal care, skilled assistance during delivery and post-natal care, along with adequately equipped health institutions, play a major role in the reduction of maternal morbidity and mortality. Concerted efforts should be made both at community and government levels to increase institutional delivery.
PMID: 29344531 [PubMed]
Psychometric properties of the communication skills attitude scale (CSAS) measure in a sample of Iranian medical students.
J Adv Med Educ Prof. 2018 Jan;6(1):14-21
Authors: Yakhforoshha A, Shirazi M, Yousefzadeh N, Ghanbarnejad A, Cheraghi M, Mojtahedzadeh R, Mahmoodi-Bakhtiari B, Emami SAH
Introduction: Communication skill (CS) has been regarded as one of the fundamental competencies for medical and other health care professionals. Student's attitude toward learning CS is a key factor in designing educational interventions. The original CSAS, as positive and negative subscales, was developed in the UK; however, there is no scale to measure these attitudes in Iran. The aim of this study was to assess the psychometric characteristic of the Communication Skills Attitude Scale (CSAS), in an Iranian context and to understand if it is a valid tool to assess attitude toward learning communication skills among health care professionals.
Methods: Psychometric characteristics of the CSAS were assessed by using a cross-sectional design. In the current study, 410 medical students were selected using stratified sampling framework. The face validity of the scale was estimated through students and experts' opinion. Content validity of CSAS was assessed qualitatively and quantitatively. Reliability was examined through two methods including Chronbach's alpha coefficient and Intraclass Correlation of Coefficient (ICC). Construct validity of CSAS was assessed using confirmatory factor analysis (CFA) and explanatory factor analysis (PCA) followed by varimax rotation. Convergent and discriminant validity of the scale was measured through Spearman correlation. Statistical analysis was performed using SPSS 19 and EQS, 6.1.
Results: The internal consistency and reproducibility of the total CSAS score were 0.84 (Cronbach's alpha) and 0.81, which demonstrates an acceptable reliability of the questionnaire. The item-level content validity index (I-CVI) and the scale-level content validity index (S-CVI/Ave) demonstrated appropriate results: 0.97 and 0.94, respectively. An exploratory factor analysis (EFA) on the 25 items of the CSAS revealed 4-factor structure that all together explained %55 of the variance. Results of the confirmatory factor analysis indicated an acceptable goodness-of-fit between the model and the observed data. [χ2/df = 2.36, Comparative Fit Index (CFI) = 0.95, the GFI=0.96, Root Mean Square Error of Approximation (RMSEA) = 0.05].
Conclusion: The Persian version of CSAS is a multidimensional, valid and reliable tool for assessing attitudes towards communication skill among medical students.
PMID: 29344525 [PubMed]
Experiences of Fathers with Inpatient Premature Neonates: Phenomenological Interpretative Analysis.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):71-78
Authors: Dadkhahtehrani T, Eskandari N, Khalajinia Z, Ahmari-Tehran H
Background: Birth and hospitalization of premature neonates create enormous challenges for the family with serious impacts on parents' mental and emotional health. The present study was designed to explore the experiences of fathers with premature neonates hospitalized in a neonatal intensive care unit (NICU).
Materials and Methods: In this interpretative phenomenological study, data were collected using in-depth interviews guided with a semi-structured questionnaire and analyzed by interpretative phenomenological analysis. Totally seven interviews were conducted with six participants.
Results: The mean age of the fathers was 32 (23-42) years, and all of the fathers lived with their wives. Experiences of the fathers were categorized into 13 subordinate and three superordinate themes: "abandonment and helplessness" (lack of financial support, lack of informational support, and indignation and distrust toward the hospital staffs); "anxiety and confusion" (family disruption, shock due to the premature birth of the neonate, uncertainty, the loss of wishes, feeling of guilt and blame, and occupational disruption); and "development and self-actualization" (emotional development, spiritual development, independence and self-efficacy, and responsibility).
Conclusions: The present study showed that the fathers with premature neonates hospitalized in NICU encounter both positive (development and self-actualization) and negative experiences (lack of financial and informational supports, distrusting toward the hospital staffs, family disruption, and occupational disruption). Planning to manage adverse experiences can help fathers to cope with this situation.
PMID: 29344051 [PubMed]
A Structural Equation Model of Self-care Activities in Diabetic Elderly Patients.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):61-65
Authors: Alavi M, Molavi R, Eslami P
Background: Self-care is a valuable strategy to improve health and reduce events of hospitalization and the duration of hospital stay in elderly diabetic patients. This study aimed to examine the model of self-care behaviors in elderly diabetic patients.
Materials and Methods: A survey was conducted among 209 diabetic elderly patients who were admitted in three hospitals affiliated with the Isfahan University of Medical Sciences, Iran. Convenience sampling method was used to recruit the participants. Depression, anxiety, stress, and perceived social support were considered as predicting exogenous variables and elderly patients' self-care activities were treated as endogenous variables. The data were collected by a four-part questionnaire consisting of demographic and health-related characteristics; 21-item depression anxiety stress scale, multidimensional scale of perceived social support, and Diabetes Self-care Activities scale. Structural equation modelling by Statistical Package for the Social Sciences (SPSS) version 16 and Analysis of Moment Structures-7 (AMOS) software was applied for data analysis.
Results: Mean (standard deviation) of depression, anxiety, stress, perceived social support, and self-care activities of participants were 14.29 (4.3), 13.62 (3.74), 16.83 (4.23), 57.33 (14.19), and 44.56 (13.77), respectively. The results showed that the overall model fitted the data (χ2/df = 3.8, goodness-of-fit index (GFI) = 0.52, incremental fit index (IFI) = 0.48, and root mean square error of approximation (RMSEA) = 0.14). Three out of four variables (i.e., perceived social support, anxiety, and depression) significantly predicted adherence to self-care behaviors among diabetic elderly patients (p < 0.05).
Conclusions: The perceived social support, anxiety, and depression were identified as key constructs which need to be taken into account and well managed by health care professionals to enhance adherence to self-care activities in diabetic elderly patients.
PMID: 29344049 [PubMed]
The Impact of Normal Saline on the Incidence of Exposure Keratopathy in Patients Hospitalized in Intensive Care Units.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):57-60
Authors: Davoodabady Z, Rezaei K, Rezaei R
Background: Patients in the intensive care unit (ICU) have impaired ocular protective mechanisms that lead to an increased risk of ocular surface diseases including exposure keratopathy (EK). This study was designed to evaluate the effect of normal saline (NS) on the incidence and severity of EK in critically ill patients.
Materials and Methods: This single-blind randomized controlled trial was conducted on 50 patients admitted to ICUs. The participants were selected through purposive sampling. One eye of each patient, randomly was allocated to intervention group (standard care with NS) and the other eye to control group (standard care). In each patient, one eye (control group) randomly received standard care and the other eye (intervention group) received NS every 6 h in addition to standard care. The presence and severity of keratopathy was assessed daily until day 7 of hospitalization using fluorescein and an ophthalmoscope with cobalt blue filter. Chi-square test was used for statistical analysis in SPSS software.
Results: Before the study ( first day) there were no statistically significant differences in the incidence and severity of EK between groups. Although, the incidence and severity of EK after the study (7th day) was higher in the intervention group compared to the control group, their differences were not statistically significant. Although, the incidence and severity of EK, from the 1st day until the 7th, increased within both groups, this increase was statistically significant only in the intervention (NS) group.
Conclusions: The use of NS as eye care in patients hospitalized in ICUs can increase the incidence and severity of EK and is not recommended.
PMID: 29344048 [PubMed]
A Comparative Study of Shift Work Effects and Injuries among Nurses Working in Rotating Night and Day Shifts in a Tertiary Care Hospital of North India.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):51-56
Authors: Verma A, Kishore J, Gusain S
Background: Shift work can have an impact on the physical and psychological well-being of the healthcare worker, affecting patients as well as their own safety at the workplace. This study was conducted to compare the health outcomes and injuries, along with associated risk factors between the nurses working in rotating night shift (RNS) as compared to day shift (DS) only.
Materials and Methods: It was a cross-sectional study conducted from June to November 2016 in a tertiary care hospital of Delhi. It involved 275 nurses working in RNS and 275 nurses from DS of various departments, selected through simple random sampling. Standard Shift Work Index Questionnaire (SSI) was used as the study instrument, with selected variables (according to objectives of the study). Data were analyzed using descriptive statistics, Chi-square, t-test, and multivariate regression.
Results: Female nurses had more sleep disturbance, fatigue, and poor psychological health. Working on a contractual basis, RNS, and living outside the hospital campus were associated with higher odds of having needle stick injury (NSI). The nurses working in RNSs were found to have significantly lower mean scores in job satisfaction (p = 0.04), sleep (p < 0.001), and psychological well-being (p = 0.047) as compared to DS workers.
Conclusions: Health outcomes among nurses working in RNSs call for the interventions, focused on various factors which can be modified to provide supportive and safer working environment.
PMID: 29344047 [PubMed]
Relationship between Spiritual Intelligence with Happiness and Fear of Childbirth in Iranian Pregnant Women.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):45-50
Authors: Abdollahpour S, Khosravi A
Background: Spiritual intelligence is a person's ability to feel a connection to a higher power and a sacred entity. With regard to its relation with happiness, it can have an important effect on the mental health of pregnant women. Therefore, this study aimed to investigate the relationship between spiritual intelligence and happiness and fear of childbirth in pregnant women.
Materials and Methods: This cross-sectional study was conducted on 245 low-risk pregnant women from June till September 2015. Using random cluster sampling method, the subjects were selected among the women who referred to health care centers in Shahroud (Northeast of Iran). After obtaining informed consent, the researchers evaluated the spiritual intelligence, happiness, and fear of childbirth. Data were analyzed using STATA12 and Chi-square test, t-test, analysis of variance, and Strucrural Equation Model.
Results: In this study, the spiritual intelligence mean (SD) score was 64.43(16.51). Comparison between mothers with and without fear of childbirth showed there was a significant difference between the spiritual intelligence score and happiness mean scores in these two groups. There is a negative correlation between spiritual intelligence and happiness with fear of childbirth (-0.73 and -0.69, respectively).
Conclusions: Increased level of spiritual intelligence in pregnant women can lead to an increase in their happiness and reduce their fear of childbirth. The fear of childbirth can be prevented via trainings to pregnant women about the components of spiritual intelligence; moreover, training the techniques to achieve more happiness can help mothers to reduce their fear of childbirth and hence promote natural childbirth.
PMID: 29344046 [PubMed]
Ethical Challenges of Embryo Donation in Embryo Donors and Recipients.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):36-39
Authors: Taebi M, Bahrami R, Bagheri-Lankarani N, Shahriari M
Background: Embryo donation, as one of the novel assisted reproductive technologies (ART), has remained a controversial issue. This is due to this methods' need for individuals from outside the family circle. Their presence can cause many ethical issues and complicate the designing and planning of the embryo donation process. The present study was conducted with the aim to assess the ethical challenges of embryo donation from the view point of embryo donors and recipients.
Material and Methods: This descriptive, cross-sectional study was conducted on 192 couples (96 embryo donators and 96 embryo recipients) referring to Isfahan Fertility and Infertility Center and Royan Institute, Iran. The subjects were selected through convenience sampling. The data collection tool was the researcher-made Ethical Challenges Questionnaire. Data were analyzed in SPSS software.
Results: Embryo donors and recipients expresses the most important ethical challenges of embryo donation in the principle of justice (70.20%) and respect for autonomy (42.57%), respectively.
Conclusions: The four ethical principles are important in the view of embryo donors and recipients; however, they highlighted the importance of the principle of respect for autonomy considering the existing barriers in the services of infertility centers. Legislators and relevant authorities must take measures toward the development of guidelines for this treatment method in the framework of ethics principles and incorporate all four principles independently.
PMID: 29344044 [PubMed]
Effect of Telephone Follow-up by Nurses on Self-care in Children with Diabetes.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):26-30
Authors: Samimi Z, Talakoub S, Ghazavi Z
Background: Diabetes is a serious chronic disease during childhood. Because of the chronic nature of the disease, self-care is necessary. Education alone is not effective in providing care. Misunderstanding by the patients regarding diabetes during the training programs render telephone follow-up after training essential.
Materials and Methods: This quasi-experimental study with two groups (experimental and control) was conducted in two phases in 2014. The study population consisted of 70 children of 10-18 years of age with type I diabetes (35 patients in the experimental group and 35 in the control group). The participants were randomly selected from the patients referring to the Sedigheh Tahereh Diabetic Research and Treatment Center in Isfahan, Iran. Data were collected using a researcher-made questionnaire on self-care and a glycosylated hemoglobin recording form. The experimental group received 12 weeks of telephone follow-up training by the center, whereas the control group received no follow-up.
Results: The results showed that, after intervention, the total mean score of self-care in all aspects of diabetes care for children was significantly higher in the experimental group (p < 0.001). In addition, a statistically significant difference was observed between the experimental and control groups in terms of mean glycosylated hemoglobin after the intervention (p = 0.030).
Conclusions: It can be concluded that telephone follow-up by a nurse can improve total self-care and glycosylated hemoglobin in patients with type I diabetes.
PMID: 29344042 [PubMed]
Health Journalism: Health Reporting Status and Challenges.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):14-17
Authors: Keshvari M, Yamani N, Adibi P, Shahnazi H
Background: Media play crucial role in disseminating health information. Due to the importance of accurate health news reports, and the national need to professionalism in health journalism, this study aimed to investigate the characteristics of health journalists, and health reporting status and the challenges involved.
Materials and Methods: Using consensus sampling, this descriptive cross-sectional study was conducted on all health news reporters in Isfahan (34 journalists) in 2015-2016. Data collection was done via a researcher-made questionnaire. Content validity of the questionnaire was determined by qualitative method and based on the opinions of six experts. The test-retest reliability coefficient was 98.0. Data analysis was done by Statistical Package for the Social Sciences, version 16 and descriptive statistics and content analysis were used for analyzing the responses to two open questions.
Results: Among 34 journalists, 56% were women and 44% men; the majority of journalists (65%) had no specialized training on health reporting, 35% of journalists were not able to understand the health issues, and the knowledge of medical terminology in 59% of them was moderate to low. The most important required skill for reporters was the ability to interpret medical research reports (88%), 97% were eager to participate in specialized health education.
Conclusions: Our study showed that health journalists lacked knowledge and specialized training for dissemination of health news. This has brought about serious challenges. Thus, development and implementation of training courses in close collaboration with educational department of the Ministry of Health and news programs professionals at Islamic Republic of Iran Broadcasting is highly recommended.
PMID: 29344040 [PubMed]
The Effect of Auriculotherapy on the Stress and the Outcomes of Assistant Reproductive Technologies in Infertile Women.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):8-13
Authors: Saffari M, Khashavi Z, Valiani M
Background: Infertility means failure to achieve pregnancy after one year of regular unprotected sexual intercourse. Infertile women may experience severe stress and depression. Numerous studies have indicated that auriculotherapy could reduce stress. Thus, the aim of the present study was to determine the effect of auriculotherapy on the stress and the outcome assisted reproductive technology in infertile women.
Materials and Methods: The present study was a clinical trial that was conducted on 56 infertile women aged 20-45, who were assigned into two groups of intervention and control, from November 2014 to November 2015. The control group only received the routine treatments, while the intervention group, in addition to their routine treatment, received auriculotherapy for 8-10 sessions during menstrual cycle. Both groups completed Newton's Fertility Problem Inventory in three stages. The datasets collected for the study were analyzed using independent t-test, repeated-measures analysis of variance, and Chi-square test.
Results: The mean score of stress in the intervention group decreased significantly, compared to the control group prior to the embryo transfer and pregnancy test stages. Although insignificant, the rate of pregnancy in the intervention group was higher than the control group. There was a significant increase in the rate of clinical pregnancy in the intervention group, compared to the control.
Conclusions: The results indicated that auriculotherapy might be effective in reducing stress and improving the outcome of assisted reproductive treatment.
PMID: 29344039 [PubMed]
Perceived organizational support and moral distress among nurses.
BMC Nurs. 2018;17:2
Authors: Robaee N, Atashzadeh-Shoorideh F, Ashktorab T, Baghestani A, Barkhordari-Sharifabad M
Background: Moral distress is prevalent in the health care environment at different levels. Nurses in all roles and positions are exposed to ethically challenging conditions. Development of supportive climates in organizations may drive nurses towards coping moral distress and other related factors. This study aimed at determining the level of perceived organizational support and moral distress among nurses and investigating the relationship between the two variables.
Methods: This was a correlational-descriptive study. A total of 120 nurses were selected using random quota sampling method. A demographic questionnaire, Survey of Perceived Organizational Support, and Moral Distress Scale were used to collect the data which were analyzed using descriptive and analytical tests in SPSS20.
Results: The mean perceived organizational support was low (2.63 ± 0.79). The mean moral distress was 2.19 ± 0.58, which shows a high level of moral distress. Moreover, Statistical analysis showed no significant relationship between perceived organizational support and moral distress (r = 0.01, p = 0.86).
Conclusion: Given the low level of perceived organizational support and high moral distress among nurses in this study, it is necessary to provide a supportive environment in hospitals and to consider strategies for diminishing moral distress.
PMID: 29344004 [PubMed]
Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania.
Glob Health Action. 2018;11(1):1423862
Authors: Moshiro R, Ersdal HL, Mdoe P, Kidanto HL, Mbekenga C
BACKGROUND: Intrapartum-related hypoxia accounts for 30% of neonatal deaths in Tanzania. This has led to the introduction and scaling-up of the Helping Babies Breathe (HBB) programme, which is a simulation-based learning programme in newborn resuscitation skills. Studies have documented ineffective ventilation of non-breathing newborns and the inability to follow the HBB algorithm among providers.
OBJECTIVE: This study aimed at exploring barriers and facilitators to effective bag mask ventilation, an essential component of the HBB algorithm, during actual newborn resuscitation in rural Tanzania.
METHODS: Eight midwives, each with more than one year's working experience in the labour ward, were interviewed individually at Haydom Lutheran Hospital, Tanzania. The audio recordings were transcribed and translated into English and analysed using qualitative content analysis.
RESULTS: Midwives reported the ability to monitor labour properly, preparing resuscitation equipment before delivery, teamwork and frequent ventilation training as the most effective factors in improving actual ventilation practices and promoting the survival of newborns. They thought that their anxiety and fear due to stress of ventilating a non-breathing baby often led to poor resuscitation performance. Additionally, they experienced difficulties assessing the baby's condition and providing appropriate clinical responses to initial interventions at birth; hence, further necessary actions and timely initiation of ventilation were delayed.
CONCLUSIONS: Efforts should be focused on improving labour monitoring, birth preparedness and accurate assessment immediately after birth, to decrease intrapartum-related hypoxia. Midwives should be well prepared to treat a non-breathing baby through high-quality and frequent simulation training with an emphasis on teamwork training.
PMID: 29343190 [PubMed - in process]
PHYSICAL RESTRAINTS IN INTENSIVE CARE: EXPERIENCES OF PATIENTS, FAMILIES AND NURSES.
Aust Nurs Midwifery J. 2017 05;24(10):45
Authors: Perez D, Peters K, Wilkes L, Murphy G
Critically ill patients admitted to an intensive care unit (ICU) often require many invasive procedures and medical devices (Martin and Mathisen 2005). While these interventions are a necessity, they can potentially cause patients a great amount of pain and discomfort, often leading to restlessness and agitation (Langley et al. 2011).
PMID: 29280605 [PubMed - indexed for MEDLINE]
IMPLEMENTING A MENTORING PROGRAM IN THE OPERATING SUITE.
Aust Nurs Midwifery J. 2017 05;24(10):44
Authors: Nichholson P
Due to the rapidly increasing demand for healthcare, driven by an ageing population and the rising cost of technology, Australia is facing the challenge of sustaining a health workforce to meet this demand. In the most recent Health Workforce Australia (HWA) Report (2014) a predicted shortfall in the supply and demand of critical care and emergency nurses was reported.
PMID: 29280604 [PubMed - indexed for MEDLINE]
A2K: A COMPREHENSIVE AND SYSTEMATIC APPROACH TO THE PHYSICAL ASSESSMENT OF POSTOPERATIVE PATIENT.
Aust Nurs Midwifery J. 2017 05;24(10):43
Authors: Plowman E
The physical assessment of postoperative patients is a crucial and potentially lifesaving skill that may be improved with the use of a mnemonic to guide assessment structure.
PMID: 29280603 [PubMed - indexed for MEDLINE]
GUIDANCE FOR PERIOPERATIVE NURSES TO PREVENT PERIOPERATIVE HYPOTHERMIA IN OBSTETRICS.
Aust Nurs Midwifery J. 2017 05;24(10):41
Authors: Munday J
The prevention of perioperative hypothermia is a responsibility of all members of the perioperative team. Nurses are well placed to have a central role in implementing strategies to reduce perioperative heat loss, which is associated with a host of adverse outcomes (National Collaborating Centre for Nursing and Supportive Care 2008).
PMID: 29280601 [PubMed - indexed for MEDLINE]
PARENTAL PRESENCE DURING INDUCTION OF ANAESTHESIA -- AN EVIDENCE BASED PRACTICE REVIEW.
Aust Nurs Midwifery J. 2017 05;24(10):40
Authors: Smith J
Parental presence during the induction of anaesthesia remains a controversial issue related to family centered care which is highlighted through discrepancies in observational studies, beliefs and current practices.
PMID: 29280600 [PubMed - indexed for MEDLINE]
TEN TIPS FOR DRESSING AND SECUREMENT OF IV DEVICE WOUNDS.
Aust Nurs Midwifery J. 2017 May;24(10):32-4
Authors: Richard C, Ullman A, Kleidon T, Marsh N
Nurses insert and care for more than two billion intravascular (IV) devices globally each year. A wound is created for each IV insertion, and the wound cannot heal while the IV remains.
PMID: 29274271 [PubMed - indexed for MEDLINE]
Celebrate through self care.
Aust Nurs Midwifery J. 2017 May;24(10):16-20
Authors: Eccles M
International Day of the Midwife and International Nurses Day, celebrated on 5 May and 12 May respectively, are when nurses and midwives are acknowledged for the job that they do and also thanked for the vital care they give to their patients, their patients' families and each other. Yet while nurses and midwives are good at taking care of others, sometimes they can fall short of taking care of themselves. When celebrating nurses and midwives during May it is important to take time to acknowledge your own achievements as a nurse and/or a midwife, but also review what you are doing to care for yourself. Applying a few strategies could help you live more fulfilling, productive and happier lives, professionally and personally.
PMID: 29274266 [PubMed - indexed for MEDLINE]
USING MAPPING TOOLS TO IMPROVE ABORIGINAL PATIENT JOURNEYS.
Aust Nurs Midwifery J. 2017 04;24(9):43
Authors: Kelly J
Nurses and midwives play a central role in ensuring effective healthcare for Aboriginal patients in urban, rural and remote locations. However, at times they feel underequipped to fully support Aboriginal patients and their families with the skills and knowledge and resources available (Dwyer et at 2014).
PMID: 29274219 [PubMed - indexed for MEDLINE]
PERINEAL WOUND CARE: EDUCATION AND TRAINING IN AUSTRALIA.
Aust Nurs Midwifery J. 2017 03;24(8):41
Authors: Diaz MP, Steen M
In Australia, approximately 75% of women who have a vaginal birth will sustain some form of perineal trauma (AIHW 2013); and over half of perineal injuries will require suturing.
PMID: 29266902 [PubMed - indexed for MEDLINE]
POTENTIAL TO REDUCE URINARY TRACT INFECTIONS WITH THE USE OF BLADDER SCANNERS IN MATERNITY CARE.
Aust Nurs Midwifery J. 2017 03;24(8):40
Authors: Lovell B, Steen M
The National Medical Research Council Australia website states that 20% of hospital acquired infections are urinary tract infections (UTIs). This percentage is derived from a study involving 75,694 participants, undertaken in England, Wales, Northern Ireland and the Republic of Ireland and of the reported UTIs, 40-57% are caused by urinary catheters (Smyth et al. 2008).
PMID: 29266901 [PubMed - indexed for MEDLINE]
USING POSITIVE CLINICAL LEADERSHIP TO SUPPORT A CULTURE OF PRESSURE INJURY PREVENTION.
Aust Nurs Midwifery J. 2017 03;24(8):39
Authors: Sage S, Tudor H
The Royal Melbourne Hospital (RMH) is an 800 bed tertiary referral service within metropolitan Melbourne. While the hospital acquired pressure injury (HAPI) incidence rate is low (2.5%), there is still work to be done in this area.
PMID: 29266900 [PubMed - indexed for MEDLINE]
IGNITING THE POTENTIAL OF WOUND CARE CHAMPIONS.
Aust Nurs Midwifery J. 2017 03;24(8):38-9
Authors: Ng AW, Sage S
Melbourne Health is celebrating the 13th year of a wound care champion program that has transformed 85 ward nurses into a unique group of Wound Resource Nurses (WReNs) to meet the challenges and demands of implementing evidence based wound care practices.
PMID: 29266899 [PubMed - indexed for MEDLINE]
INFECTION PREVENTION: PERIPHERAL INTRAVENOUS CATHETER ASSESSMENT AND CARE.
Aust Nurs Midwifery J. 2017 Mar;24(8):34
Authors: Ray-Barruel G
Peripheral intravenous catheters are the most common device in hospital patients, but they do come with infection risks. Awareness of the complications and regular assessment can reduce risks and improve patient outcomes.
PMID: 29261251 [PubMed - indexed for MEDLINE]
DO AGED CARE NURSES PERCEIVE MORE PROFIT EQUALS LESS AUTONOMY?
Aust Nurs Midwifery J. 2017 Mar;24(8):28-31
Authors: Papavasiliou S
The number of Australians aged 85 years and over is projected to double by 2032 with an additional 82,000 residential care places required by 2025 (Sudholz 2016).
PMID: 29261243 [PubMed - indexed for MEDLINE]
EMPLOYER CAMPAIGN TO DEREGULATE WORKING HOURS.
Aust Nurs Midwifery J. 2017 Mar;24(8):15
Authors: Blake N
Over the past five years the ANMF has been resisting a concerted campaign by aged care employers to remove important protections that give part time employees a level of predictability in their hours and days on which they are required to work.
PMID: 29260841 [PubMed - indexed for MEDLINE]
INHIBITORS TO EXERCISE AND HEALTH PROMOTION PROGRAMS FOR THE OLDER PERSON WITH DIABETES.
Aust Nurs Midwifery J. 2017 02;24(7):42
Authors: Middleton R, Moxham L, Parrish D
Diabetes care incurs a high cost burden, and is one of the main geriatric syndromes along with its related complications. To effectively counter this, healthcare needs to be proactive in establishing exercise and health promotion programs that promote healthy and active ageing.
PMID: 29257651 [PubMed - indexed for MEDLINE]
WHERE HAS THE COMPASSION GONE FROM THE RESIDENTIAL AGED CARE ENVIRONMENT?
Aust Nurs Midwifery J. 2017 02;24(7):40
Authors: Oliver K
Would working in residential aged care be your dream job as a newly qualified nurse, probably not, but why not? Montayre (2015) suggests that although nurses don't like to talk about it, or even less, what the real problem is perceived to be with this practice area, residential aged care nursing is thought to be less exciting, monotonous, and requiring less skill than other areas such as emergency nursing, or medical nursing.
PMID: 29257650 [PubMed - indexed for MEDLINE]
FOOD CHOICES -- LETTING AGED CARE RESIDENTS HAVE THEIR CAKE, AND EAT IT AS WELL.
Aust Nurs Midwifery J. 2017 02;24(7):39
Authors: Wang D, Villarosa AR
In residential aged care (RAC), malnutrition and unplanned weight loss among residents is an important quality indicator. A contributing factor is limited access to food choices in the facility that meet their personal food preferences.
PMID: 29257649 [PubMed - indexed for MEDLINE]
COMMUNITY BASED HOME VISITING SERVICE IN KOREA: CITY OF GWANGMYEONG.
Aust Nurs Midwifery J. 2017 02;24(7):38
Authors: Cho CM, Parker D, Blyth S
There has been growing interest in enhancing the quality of life of the economically vulnerable through programs aimed at improving the equality of and accessibility to public health services for these people.
PMID: 29257648 [PubMed - indexed for MEDLINE]
PARTNERSHIPS FOR LEARNING AND MENTORING IN AGED CARE.
Aust Nurs Midwifery J. 2017 02;24(7):36
Authors: Anderson J, Bernoth M, Croxon L
It is well known that the Australian population is ageing (Australian Bureau of Statistics, 2013). This ageing population has led to an increase in chronic and complex diseases, leading to a range of challenges for healthcare providers (Hunter & Levett-Jones, 2010), yet 75% of residential aged care facilities report skills shortages.
PMID: 29257647 [PubMed - indexed for MEDLINE]
IMPROVING HEALTH AND SAFETY IN AGED CARE USING GAME BASED SIMULATION.
Aust Nurs Midwifery J. 2017 02;24(7):35
Authors: Andersen P, Horton E, Clarke KA
Australia faces the challenge of supporting a growing ageing population (AIHW, 2012). Health and safety is paramount in ensuring care is economically sustainable. Nurses involved in healthcare have a responsibility to protect themselves and those being cared for against health and safety risk. Training of the workforce is paramount to reducing the chance of injury (Robson et al. 2012).
PMID: 29257640 [PubMed - indexed for MEDLINE]
A COLLABORATIVE PROJECT.
Aust Nurs Midwifery J. 2017 02;24(7):35
Authors: Horton E, Livingstone A, Dodd E
The Queensland government Department of Communities, Child Safety and Disability Services has funded Community Resourcing to establish the Community Care Smart Assistive Technology Collaborative (CCSATC) online space.
PMID: 29257639 [PubMed - indexed for MEDLINE]
A REVIEW OF AGED CARE PROVISION IN MULTIPURPOSE SERVICES (MPS).
Aust Nurs Midwifery J. 2017 02;24(7):34
Authors: Anderson J, Deravin-Malone L, Croxon L
The MPS model has been in place for over 20 years in NSW as a way to address the ongoing healthcare needs of small rural communities.
PMID: 29257638 [PubMed - indexed for MEDLINE]
ANMF PRIORITIES 2017.
Aust Nurs Midwifery J. 2017 02;24(7):12-5
Without a doubt our professions and our communities are up for some significant challenges in health and aged care during 2017. Based on the issues important to you, the ANMF has set key priorities for the year ahead and will work hard to ensure health equity and fair conditions for all.
PMID: 29257363 [PubMed - indexed for MEDLINE]
OFF THE BEATEN TRACK. THE RISE OF REMOTE AREA NURSING.
Aust Nurs Midwifery J. 2017 02;24(7):18-23
Authors: Fedele R
Remote Area Nurses (RANs) work in far-flung pockets of Australia delivering healthcare to largely disadvantaged communities. Highly skilled, adaptable, and resilient, RANs collectively strive to improve health outcomes for people living remote. As the sector moves forward, ongoing challenges loom large, namely workforce shortage issues, boosting safety, and improving health service provision, writes Robert Fedele.
PMID: 29257361 [PubMed - indexed for MEDLINE]
SKIN INTEGRITY PORTFOLIO HOLDERS ARE GOLDEN.
Aust Nurs Midwifery J. 2017 02;24(7):10
Authors: Shannon M
I have been the Skin Integrity Clinical Nurse Consultant (SICNC) at Peninsula Health for about eight years. In my role, I oversee wound care and pressure prevention measures.
PMID: 29256577 [PubMed - indexed for MEDLINE]
NEONATAL ABSTINENCE SYNDROME AND THE ATTACHMENT RELATIONSHIP.
Aust Nurs Midwifery J. 2016 12;24(6):42
Authors: Shannon J, Blythe S, Peters K
Approximately 4.2% of pregnant women consume illicit drugs during pregnancy (AIHW, 2011). Drug exposed infants are more likely to be born small for gestational age, be pre-term, and be admitted to special care or intensive care nurseries (AIHW, 2007).
PMID: 29251895 [PubMed - indexed for MEDLINE]
ALCOHOL, TOBACCO AND OTHER DRUGS NURSING WITHIN A CORRECTIONAL SETTING.
Aust Nurs Midwifery J. 2016 12;24(6):39
Authors: Wiley A, O'Neill S
In Australia 67% of prisoners report previous illicit drug use (AIHW, 2015) with 39% reporting high risk of alcohol-related harm. The links between effective ATOD health programs and outcomes are clearly linked to reduced recidivism (Ombudsman report, 2015) and better biopsychosocial determinates. Correctional nurses' work in challenging environments but their adaptability and passion are key to the provision of community equivalent care.
PMID: 29251892 [PubMed - indexed for MEDLINE]
POLYSUBSTANCE USE IN A TERTIARY HOSPITAL EMERGENCY DEPARTMENT IN AUSTRALIA.
Aust Nurs Midwifery J. 2016 12;24(6):38
Authors: Fry S, Bonomo Y
Alcohol and Other Drug (AOD) presentations are common in the Emergency Department (ED) especially on weekends (Parkinson et al. 2016) and the presence of AOD use can account for substantial healthcare costs (Butler et al. 2016).
PMID: 29251890 [PubMed - indexed for MEDLINE]
STUDENT KNOWLEDGE OF PROVIDING CARE FOR WOMEN WHO EXPERIENCE ALCOHOL-USE DISORDERS.
Aust Nurs Midwifery J. 2016 12;24(6):37
Authors: Bosworth R, Moxham L, Brighton R
Harmful alcohol consumption is associated with detrimental health and social consequences, yet this modifiable and preventable risk factor for serious non-communicable diseases remains an unmet challenge (Spanagel et al. 2013; WHO, 2014, 2016).
PMID: 29251889 [PubMed - indexed for MEDLINE]
INCLUDINGMEN IN THE GLOBAL HEALTH AGENDA: AN INVESTMENT IN FAMILIES.
Aust Nurs Midwifery J. 2016 11;24(5):39
Authors: Jans C
Male health outcomes continue to be significantly poorer than females in many parts of the world. By 2010, women were generally outliving men by six years, with a life expectancy at birth approximately 5.3 years less (Baker et al. 2014).
PMID: 29251478 [PubMed - indexed for MEDLINE]
SUPPORTIVE CARE NEEDS OF PROSTATE CANCER SURVIVORS.
Aust Nurs Midwifery J. 2016 11;24(5):34
Authors: O'Shaughnessy K
Recent advances in detection combined with increasingly effective treatment for prostate cancer has led to significant improvements in life expectancy. More men are living longer with the significant physical and emotional after-effects of prostate cancer treatment.
PMID: 29251471 [PubMed - indexed for MEDLINE]
CHALLENGING ASSUMPTIONS ABOUT MEN: PROPOSITIONS FOR MENTAL HEALTH NURSING.
Aust Nurs Midwifery J. 2016 11;24(5):32
Authors: Scholz B
There are many assumptions when it comes to how men view and seek treatment for their own mental health. This article highlights some of the assumptions and proposes how healthcare providers can address them.
PMID: 29251464 [PubMed - indexed for MEDLINE]
NURSE PRACTITIONERS TAKING URGENT CARE OF PERTH.
Aust Nurs Midwifery J. 2016 11;24(5):22
Authors: Keast K
From chronic disease management to emergency care, Nurse Practitioners (NPs) have been redefining the face of health care in Australia since 2000. While the role continues to remain a largely untapped health solution, two endorsed nurse practitioners are treading their own career path with an innovative venture.
PMID: 29251460 [PubMed - indexed for MEDLINE]
NURSE PRACTITIONERS -- THE ANSWER FOR AGED CARE.
Aust Nurs Midwifery J. 2016 Nov;24(5):15
Authors: Bryce J, Foley E, Reeves J
The nurse practitioner role is now well established in Australia, with these nurses driving clinical leadership and innovation, across a diversity of care settings. The aged care sector, however, was slower than other areas to create positions for nurse practitioners.
PMID: 29250944 [PubMed - indexed for MEDLINE]
Supporting adherence to oral anticancer agents: clinical practice and clues to improve care provided by physicians, nurse practitioners, nurses and pharmacists.
BMC Cancer. 2017 Feb 10;17(1):122
Authors: Timmers L, Boons CC, Verbrugghe M, van den Bemt BJ, Van Hecke A, Hugtenburg JG
BACKGROUND: Healthcare provider (HCP) activities and attitudes towards patients strongly influence medication adherence. The aim of this study was to assess current clinical practices to support patients in adhering to treatment with oral anticancer agents (OACA) and to explore clues to improve the management of medication adherence.
METHODS: A cross-sectional, observational study among HCPs in (haemato-)oncology settings in Belgium and the Netherlands was conducted in 2014 using a composite questionnaire. A total of 47 care activities were listed and categorised into eight domains. HCPs were also asked about their perceptions of adherence management on the items: insight into adherence, patients' communication, capability to influence, knowledge of consequences and insight into causes. Validated questionnaires were used to assess beliefs about medication (BMQ) and shared decision making (SDM-Q-doc).
RESULTS: In total, 208 HCPs (29% male) participated; 107 from 51 Dutch and 101 from 26 Belgian hospitals. Though a wide range of activities were reported, certain domains concerning medication adherence management received less attention. Activities related to patient knowledge and adverse event management were reported most frequently, whereas activities aimed at patient's self-efficacy and medication adherence during ongoing use were frequently missed. The care provided differed between professions and by country. Belgian physicians reported more activities than Dutch physicians, whereas Dutch nurses and pharmacists reported more activities than Belgian colleagues. The perceptions of medication adherence management were related to the level of care provided by HCPs. SDM and BMQ outcomes were not related to the care provided.
CONCLUSIONS: Enhancing the awareness and perceptions of medication adherence management of HCPs is likely to have a positive effect on care quality. Care can be improved by addressing medication adherence more directly e.g., by questioning patients about (expected) barriers and discussing strategies to overcome them, by asking for missed doses and offering (electronic) reminders to support long-term medication adherence. A multidisciplinary approach is recommended in which the role of the pharmacist could be expanded.
PMID: 28187759 [PubMed - indexed for MEDLINE]
Exploring educational needs and design aspects of internet-enabled patient education for persons with diabetes: a qualitative interview study.
BMJ Open. 2016 Oct 31;6(10):e013282
Authors: Jafari J, Karimi Moonaghi H, Zary N, Masiello I
OBJECTIVE: The objective of this article is to explore the educational needs and design aspects of personalised internet-enabled education for patients with diabetes in Iran.
DESIGN: Data were collected using semistructured interviews and then qualitatively analysed using inductive content analysis.
PARTICIPANTS: 9 patients with type 2 diabetes were included. Inclusion criteria were access to and knowledge on how to use the internet. The selection ensured representation based on gender, age, occupation and educational background.
SETTING: The sample population was patients with diabetes who were admitted to an outpatient diabetes clinic in Mashhad, a large city of Iran with about 3 million inhabitants.
RESULTS: 4 core categories emerged from the data: (1) seeking knowledge about diabetes, including specific knowledge acquisition, patient's interactions and learning requirements; (2) teaching and learning, including using different teaching methods and different ways to learn about the disease; (3) facilitators, including internet and mobile phone use to learn about the disease; and (4) barriers, including lack of internet access, uncertainty of access to the internet and lack of website in the local language and also perceived cultural barriers, such as patients' fears of the internet, lack of time and awareness.
CONCLUSIONS: This study provides a better understanding of the patient's educational expectations and technical needs in relation to internet-enabled education. This knowledge will inform the development of functional mock-ups in the next research phase using a design-based research approach in order to design internet-enabled patient education for self-management of diabetes.
PMID: 27799245 [PubMed - indexed for MEDLINE]
REIMAGINING A FUTURE FOCUSED BACHELOR OF NURSING CURRICULA.
Aust Nurs Midwifery J. 2016 10;24(4):42
Authors: Theobald K, Campbell C
Higher education providers of nursing education programs are charged with the responsibility to produce 'work ready' graduates to meet the changing demands of healthcare including a shift from acute care to home and community based chronic care (Primary health Care Advisory Group, 2015.
PMID: 29249101 [PubMed - indexed for MEDLINE]
THE NATIONAL CANCER NURSING EDUCATION PROJECT -- TEN YEARS ON.
Aust Nurs Midwifery J. 2016 10;24(4):39
Authors: Ash K, Yates P
The National Cancer Nursing Education Project (EdCaN) suite of resources support integration of a nationally consistent approach to cancer care education and professional development of nurses at all levels of practice in a range of settings.
PMID: 29249096 [PubMed - indexed for MEDLINE]
PALLIATIVE CARE. WORKFORCE DEVELOPMENT.
Aust Nurs Midwifery J. 2016 10;24(4):33
Authors: Ash K, Yates P
Palliative care is delivered in almost all settings where healthcare is provided, including neonatal units, paediatric services, acute hospitals, general practices, community settings and aged care services. People who are dying have needs which require that nurses are able to deliver high quality evidence based and compassionate care no matter what their setting of practice.
PMID: 29249089 [PubMed - indexed for MEDLINE]
NURSE PRACTITIONER LEADERSHIP IN PATIENT-CENTRED COLLABORATIVE CARE.
Aust Nurs Midwifery J. 2016 10;24(4):31
Authors: Davies A
Important changes are underway for the Australian health system. National health reform and the Healthier Medicare Review are creating new opportunities to lead innovation in primary healthcare, in particular, chronic disease management.
PMID: 29248672 [PubMed - indexed for MEDLINE]
ENHANCING FERTILITY LITERACY FOR NURSES AND MIDWIVES IN PRIMARY CARE.
Aust Nurs Midwifery J. 2016 09;24(3):42
Authors: Hampton K
Prevention in healthcare through improved health literacy is at the very heart of change in Australia's health system to improve overall population health, ensure health equity, and make Australia's health system sustainable into the future (Australian government Department of Health and Ageing, 2010).
PMID: 29244472 [PubMed - indexed for MEDLINE]
UNDERGRADUATE NURSING EDUCATION RELATED TO EUTHANASIA.
Aust Nurs Midwifery J. 2016 09;24(3):40
Authors: Croxon L, Anderson J
Euthanasia is a subject that has been debated in health ethics courses for many years. With the increase in quality palliative care and emphasis on 'dying well', in response to the increased number of people living with life limiting conditions (Swerissen & Duckett, 2014), it has not been so prevalent in public forum discussions of late.
PMID: 29244470 [PubMed - indexed for MEDLINE]
PEER REVIEWED BASED ASSESSMENT IN POST GRADUATE EDUCATION.
Aust Nurs Midwifery J. 2016 09;24(3):37
Authors: Delaney L
Students have a propensity to focus their learning aligned to the assessment items established within the units of study, rather than acknowledging the broader need to learn and apply the content taught. This approach to education stifles students' learning and their ability to apply knowledge, and as a result, essential content can be poorly retained.
PMID: 29244465 [PubMed - indexed for MEDLINE]
DIVERSITY: RESEARCHERS AND NURSE EDUCATORS COLLABORATE.
Aust Nurs Midwifery J. 2016 09;24(3):36
Authors: McMillan S
Inter-professional collaboration between the RDNS Education and Learning Centre and RDNS Institute has resulted in the design and development of a diversity training workshop for community aged care staff.
PMID: 29244464 [PubMed - indexed for MEDLINE]
CREATING SIMULATION ACTIVITIES FOR UNDERGRADUATE NURSING CURRICULA.
Aust Nurs Midwifery J. 2016 09;24(3):34
Authors: McGough S, Heslop K
Simulation is considered a valuable educational strategy to prepare nursing students for clinical practice and bridge the gap between theory and clinical experience (Unsworth et al. 2012) with Milkins et al. (2014) advocating for the use of simulation in student education to support the National Safety and Quality Health Service Standards (NSQHSS) (Australian Commission on Safety and Quality in Health Care (ACSQHC), 2012).
PMID: 29244462 [PubMed - indexed for MEDLINE]
Aust Nurs Midwifery J. 2016 Sep;24(3):28-9
Authors: Davis J
The following excerpt is from our Elder Abuse tutorial on the ANMF's Aged Care Training Room (ACTR). Subtopics covered include defining elder abuse, legalities, contributing factors, indicators of elder abuse, organisational issues, characteristics of the abused resident/client and their abuser, worker characteristics, prevention and compulsory reporting to name but a few.
PMID: 29243473 [PubMed - indexed for MEDLINE]
ALL HANDS ON TECH. HOW DIGITAL TECHNOLOGY IS REDEFINING HEALTHCARE.
Aust Nurs Midwifery J. 2016 Sep;24(3):14-9
Authors: Thomson R
Digital technology is on the cusp of transforming healthcare. The number of health apps at the fingertips of consumers has surpassed 165,000, giving people around the world more access to information than ever and the tools to take care of themselves. Similarly, the adoption of digital medical records across clinical settings is another catalyst shaping the new landscape. Robert Fedele explores the digital health movement amid its upward spiral.
PMID: 29243464 [PubMed - indexed for MEDLINE]
PARENTING EFFECTIVELY DESPITE: THE MATERNAL EARLY CHILDHOOD SUSTAINED. HOME-VISITING PROGRAM.
Aust Nurs Midwifery J. 2016 08;24(2):43
Authors: Kemp L, Bruce T, Byrne F
Nurse led home visiting programs as an intervention to invest in children's health and wellbeing is considered a useful and effective way to deliver a health and parenting service (US Department of Health and Human Services, 2014).
PMID: 29240393 [PubMed - indexed for MEDLINE]
THE LOW DOWN ON LONG-ACTING REVERSIBLE CONTRACEPTIVES IN PRIMARY HEALTHCARE.
Aust Nurs Midwifery J. 2016 08;24(2):42
Authors: Sweet L
Effective primary healthcare (PHC) is meant to support people to manage their health issues in the community, resulting in less hospitalization, fewer health inequalities and better health outcomes for all people. This being said, unplanned pregnancy remains an urgent and pressing key health issue in Australia.
PMID: 29240392 [PubMed - indexed for MEDLINE]
PRIMARY MENTAL HEALTHCARE FOR AUSTRALIANS: MENTAL HEALTH NURSES LEADING THE WAY.
Aust Nurs Midwifery J. 2016 08;24(2):40
Authors: Patterson C, Moxham L
In 2008, the World Health Organization (WHO) released a report on integrating primary health into primary care. The key message of the report was 'integrating mental health services into primary care is the most viable way of ensuring that people get the mental healthcare they need' (WHO, 2008, p1).
PMID: 29240390 [PubMed - indexed for MEDLINE]
THE LINK NURSE ROLE IN END OF LIFE CARE IN AGED CARE.
Aust Nurs Midwifery J. 2016 08;24(2):38
Authors: Rosenberg J
The care of older people at the end of life is a key element of primary and community care. The Decision Assist -- Palliative Care Linkages project aimed to improve end of life care given to older Australians through establishing linkages between aged care and specialist palliative care services.
PMID: 29240388 [PubMed - indexed for MEDLINE]
THE NATURE OF COLLABORATION IN GENERAL PRACTICE.
Aust Nurs Midwifery J. 2016 08;24(2):37
Authors: McInnes S
It is anticipated that over the next decade, demand for primary care services will exceed the capacity of the general practice workforce (Crettenden et al. 2014). Collaboration may help alleviate workforce stressors by ensuring that the most appropriate team member delivers care in an efficient and timely manner (Wagner et al. 2001).
PMID: 29240387 [PubMed - indexed for MEDLINE]
EVALUATION OF A NURSE-LED HYPERTENSION MANAGEMENT INTERVENTION IN AUSTRALIAN GENERAL PRACTICE: THE IMPRESS INTERVENTION.
Aust Nurs Midwifery J. 2016 08;24(2):36
Authors: Stephen C
Hypertension is currently the most frequently seen condition in Australian general practice (Britt et al. 2015). Of the 4.6 million Australians living with hypertension, many struggle to keep their blood pressure under control and are at increased risk of renal failure, cardiovascular disease and premature death (Australian Institute of Health and Welfare, 2015; Cadilhac et al. 2012). The General Practice Nurse (GPN) has a significant role to play in supporting self-management and lifestyle risk factor reduction.
PMID: 29240386 [PubMed - indexed for MEDLINE]
MAKING THE MOVE TO PRIMARY HEALTHCARE -- UNEARTHING THE EXPERIENCES OF ACUTE CARE NURSES TRANSITIONING TO PHC EMPLOYMENT.
Aust Nurs Midwifery J. 2016 08;24(2):34
Authors: Ashley C
There wouldn't be a nurse who hasn't experienced that sinking feeling when waking up on the day they are about to start work in a new position.
PMID: 29240384 [PubMed - indexed for MEDLINE]
THE GLAMOROUS ROLE OF A COMMUNITY STOMAL THERAPIST.
Aust Nurs Midwifery J. 2016 08;24(2):33
Authors: Griffin T
Stomal therapy nursing is rarely described as glamorous. Indeed sometimes the stomal therapist is referred to as "The BAG" lady -- a label I personally hold in high regard.
PMID: 29240383 [PubMed - indexed for MEDLINE]
RE-ENGINEERING PRIMARY HEALTHCARE NURSING AS A FIRST CAREER CHOICE.
Aust Nurs Midwifery J. 2016 08;24(2):31
Authors: Wheeler E, Govan L
In line with international models and critical to the primary healthcare nursing workforce, the Australian Primary Health Care Nursing Association (APNA) has been funded by the Commonwealth Department of Health to develop an Education and Career Framework and Toolkit for primary healthcare nurses. The aim of the project is to improve the recruitment and retention of nurses and to re-engineer primary healthcare as a first choice career option.
PMID: 29240381 [PubMed - indexed for MEDLINE]
THE VALUE OF HEALTH PROMOTION PROGRAMS FOR OLDER PEOPLE WITH CHRONIC CONDITIONS IN THE COMMUNITY.
Aust Nurs Midwifery J. 2016 08;24(2):30
Authors: Middleton R, Moxham L, Parrish D
The Ottawa Charter of Health Promotion (WHO, 1996) advocates that health promotion occurs when people are able to improve and practice more successful control over their health. The concept of health promotion was founded on the notion of community action, raising awareness and instilling community accountability and involvement in one's own actions.
PMID: 29240380 [PubMed - indexed for MEDLINE]
REGIONAL WOUNDS. VICTORIA.
Aust Nurs Midwifery J. 2016 08;24(2):29
Authors: Nair D, RWV collaborative
Regional Wounds Victoria (RWV) are a collaborative of nine nurse consultants who cover 96% of Victoria's land mass that services 30% of Victoria's home and community care clients. They work alongside staff in the District Nursing Services and high level care Public Sector Residential Aged Care Services, targeting all aspects of the management of chronic and complex wounds.
PMID: 29240379 [PubMed - indexed for MEDLINE]
TRAUMA-INFORMED CARE AND PRACTICE IN NURSING.
Aust Nurs Midwifery J. 2016 08;24(2):28
Authors: Kezelman C
Trauma comes in many guises--from accidents, natural disasters (single incident trauma) to complex trauma such as child abuse and growing up with domestic violence. Illness, medical procedures, treatments and hospitalization are themselves often traumatic, with recent traumas compounding those experienced previously.
PMID: 29240378 [PubMed - indexed for MEDLINE]
STUDENT PERCEPTIONS OF PRIMARY HEALTHCARE.
Aust Nurs Midwifery J. 2016 08;24(2):27
Authors: Anderson J, Croxon L
Reviews of undergraduate nursing courses reveal variability in what is being taught regarding primary healthcare (Betony & Yarwood, 2013; Keleher et al. 2010). In an investigation of the perceptions of final year students and recent graduates about underlying conceptual frameworks. Anderson et al. (2015) found students and graduates value primary healthcare as part of their curriculum.
PMID: 29240376 [PubMed - indexed for MEDLINE]
DEVELOPING A CULTURE OF RESEARCH IN COMMUNITY NURSING.
Aust Nurs Midwifery J. 2016 08;24(2):24-6
Authors: Cummins D, Anderson-Noorgard K, Foley L, Nurmeiyati J, Komusanac I
In today's demanding clinical environments it is challenging for nurses to undertake research, Barriers include time, limited self-belief and confidence, commitment, limited knowledge of the research process, and lack of administrative support. Yet nurses are curious and many have ideas to improve clinical care and patient outcomes. This paper discusses how a community nursing service, Sydney District Nursing, has developed a congenial and collegial process to improve the culture of nursing research, and to support its nurses to undertake research and develop quality improvement projects.
PMID: 29240372 [PubMed - indexed for MEDLINE]
AN EXPLORATION OF THE AUSTRALIAN BREAST CARE NURSE ROLE IN SUPPORTING WOMEN WITH BREAST CANCER.
Aust Nurs Midwifery J. 2016 07;24(1):36
Authors: Ahern T
The lack of literature surrounding the role of the Australian Breast Care Nurse (BCN) and the well documented disparity between cancer survival in urban versus rural and remote areas has inspired an RN working in rural Australia to undertake doctoral research to further explore these issues.
PMID: 29237117 [PubMed - indexed for MEDLINE]
HOPE FOR PKU. FUTURE.
Aust Nurs Midwifery J. 2016 07;24(1):35
Authors: Inglis J
I have been living with Phenylketonuria (PKU) for 45 years. My journey has been challenging for many reasons but mostly related to how the disease is viewed and the lack of awareness.
PMID: 29237116 [PubMed - indexed for MEDLINE]
BREAKING THE SILENCE--THE TERMINALLY ILL MENTAL HEALTH CLIENT.
Aust Nurs Midwifery J. 2016 07;24(1):30
Authors: Hawkins M
Both mental illness and terminal disease require an adjustment of expectations from both therapist and client if management of either condition is to be achieved. When mental illness is present in the terminal patient, these adjustments are both radical and very difficult. Which beckons the question, does this provide a basis for integrated mental health services within palliative care?
PMID: 29236435 [PubMed - indexed for MEDLINE]
GROUND ZERO. STANDING UP AGAINST VIOLENCE IN OUR HEALTHCARE SECTOR.
Aust Nurs Midwifery J. 2016 07;24(1):18-23
Authors: Fedele R
Occupational violence and aggression is rife within the healthcare sector. The impact of verbal and physical assault can leave psychological scars that lead many to question their place in the workforce. Growing public awareness, harsher penalties for perpetrators, and improved safety strategies mark a shift towards a culture of zero tolerance and collective attitude that enough is enough. Robert Fedele investigates.
PMID: 29236431 [PubMed - indexed for MEDLINE]
Black men and utilisation of healthcare services.
Aust Nurs Midwifery J. 2014 11;22(5):35-6
Authors: Iheduru-Anderson K
Health disparities is described as inequalities signified by differences in environment, access, utilization, quality of care, health status, or particular health outcomes. On a variety of health measures, healthcare access and other social determinants of health, minority men fare worse than white men. Nurses have the responsibility to eliminate health disparities among people from diverse racial, ethnic, and cultural backgrounds. To do this, nurses must become more knowledgeable about the health disparities among the racial and ethnic groups they serve.
PMID: 29236383 [PubMed - indexed for MEDLINE]
Expanding our understanding of suicidal men's help-seeking practices.
Aust Nurs Midwifery J. 2014 11;22(5):34
Authors: River J
There is a striking gender difference in suicide rates in Australia and worldwide with men accounting for approximately 80% of all deaths (World Health Organization (WHO), 2011; Australian Bureau of Statistics (ABS), 2012). Yet research data suggests suicidal men are less likely than women to access professional help (Booth & Owens, 2,000).
PMID: 29235832 [PubMed - indexed for MEDLINE]
Personal Development is Professional Development. Taking care of the wellbeing of our nurses.
Aust Nurs Midwifery J. 2014 11;22(5):32
Authors: Cooper J
PMID: 29235828 [PubMed - indexed for MEDLINE]