Objective:To analyze domestic and international studies on the effects of positive thought intervention therapy on negative emotions and the quality of life of stroke patients to provide a reference for future related...Objective:To analyze domestic and international studies on the effects of positive thought intervention therapy on negative emotions and the quality of life of stroke patients to provide a reference for future related studies.Methods:Using the scoping review method as a guide,computer searches of PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,China Vipers Full Text Database and China Biomedical Literature Database were conducted to collect relevant studies on the application of positive thinking interventions in stroke patients from the establishment to January 2023,and the literature was screened according to the inclusion and exclusion criteria,and the data were extracted and analyzed by two investigators independently.Results:The search yielded 964 publications,and a total of 19 were included.The time of publication,study site,study population,study design,study length,and type of results of the included studies was summarized and analyzed.Conclusions:Positive thinking-based interventions have shown significant changes in negative emotions such as anxiety and depression in stroke patients and can reduce somatic pain,enhance their social integration,and improve their quality of life.However,interventions in the areas of self-compassion,artificial intelligence and the adoption of tailoring need to be further explored.展开更多
Background:Good adherence to post-operative exercise is crucial for long-term exercise intervention programs aimed at improving compliance,motivation for functional exercise,and quality of life among breast cancer pat...Background:Good adherence to post-operative exercise is crucial for long-term exercise intervention programs aimed at improving compliance,motivation for functional exercise,and quality of life among breast cancer patients.This study aims to evaluate the application effect of quality control circles on postoperative functional exercise compliance in breast neoplasm patients.Methods:A comprehensive search was conducted in CNKI,Wanfang,VIP,CBM,PubMed,Cochrane Library,Web of Science and CINAHL databases from their establishment to May 06,2023.Manual search and backtracking of relevant literature were also conducted.The search terms included a combination of subject terms and free words.Meta-analysis was performed using RevMan 5.4 software on eligible literature.Results:Initially,517 papers were retrieved,and after removing duplicates 238 papers using NoteExpress software,279 titles and abstracts were reviewed.Subsequently,225 non-compliant papers were excluded,leaving 54 full texts to be read.After excluding 38 non-compliant papers,16 eligible papers were included for Meta-analysis.These papers comprised a total of 1,342 patients(679 in the test group and 663 in the control group).The heterogeneity test using a fixed effects model showed P=0.22 and I2=21%.The Meta-analysis results demonstrated that the implementation of quality control circles alongside usual care significantly improved compliance with postoperative functional exercise in breast cancer patients(odds ratio=6.68,95%confidence interval(4.97,8.98),P<0.00001).Conclusion:Quality control circles activities can effectively enhance compliance with post-operative functional exercise among breast cancer patients,aiding in the recovery of affected limb function,improvement of self-care ability,and early reintegration into society and normal life,thereby enhancing quality of life.It is important to continually accumulate experience in applying relevant quality control circles activities in clinical work and promptly enhance the level of care accordingly,as the functional exercise of breast cancer patients after surgery involves a long-term and gradual improvement process.展开更多
Objective:The aim of this study was to examine of the effects of perceived stress on antenatal care behaviors and the labor process during the COVID-19 pandemic.Methods:This study was conducted with a descriptive desi...Objective:The aim of this study was to examine of the effects of perceived stress on antenatal care behaviors and the labor process during the COVID-19 pandemic.Methods:This study was conducted with a descriptive design.The data were collected using an“Introductory Information Form”and the“Antenatal Perceived Stress Inventory”.Descriptive statistics were analyzed using Kruskal-Wallis,Mann-Whitney U,and multinomial logistic regression tests.Results:The sample of the study included 487 women.The mean total Antenatal Perceived Stress Inventory score of the participants was found as 2.30±0.80.The mean medical and obstetric risks/fetal health,psychosocial changes during pregnancy,and prospect of childbirth subscale scores of the participants were determined to be 2.29±1.08,2.26±0.87,and 2.34±0.86,respectively.It was determined that as the antenatal perceived stress levels of the participants who frequently attended physical examinations increased,they became 1.535 times more likely to perceive the care they received to be adequate(Odds ratio(OR):1.535;1.045–2.254 Confidence interval(CI);P=0.029).It was found that as the antenatal perceived stress levels of the participants whose clinical tests were frequently analyzed increased,they were 1.518 times more likely to perceive the care they received to be adequate(OR:1.518;1.080–2.135 CI;P=0.016).Moreover,as the antenatal perceived stress levels of the participants who frequently underwent fetal health follow-ups increased,they were 1.573 more likely to perceive the care they received to be adequate(OR:1.573;1.042–2.375 CI;P=0.031).Conclusion:It was concluded that as the antenatal perceived stress levels of the women who frequently underwent physical examinations,clinical test analyses,and fetal health follow-ups increases,they were more likely to consider that they received adequate care.展开更多
Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,t...Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,there is still a lack of understanding regarding the full scope and role of the midwife.Aim:To evaluate the current situation of knowledge of midwives’role among women in Makkah.In addition,this study identifies the effect of women’s knowledge on their preferences for receiving maternity care from health professionals.Methods:This study employed a descriptive quantitative cross-sectional method.The total resultant sample size(N)equalled 379 global respondents,of which 306,with a response rate=of 80.73%completed the entire survey as requested.An electronic questionnaire in the Arabic language was used in this study.Results:Results revealed that most women had incorrect knowledge regarding three aspects of the midwives’roles during pregnancy 53.9%,labour 52.8%and childbirth 61.9%.Also,results presented that most women preferred obstetricians to follow up on an uncomplicated pregnancy,labour,childbirth,and maternity care 69.6%,53.9%,64.7%and 46.1%,respectively.The study found that the women’s knowledge about midwives’roles affects their preferences for healthcare professionals in receiving maternity care(P<0.05).Conclusion:Responses showed that most participants had no experience and had negative views about midwives’roles.Thus,it would affect their health professionals’preferences for receiving maternity care.Therefore,midwifery services and maternity care professionals should prioritize educating women about midwives’competencies in maternity care.展开更多
Background:Prenatal iron and folic acid supplementation is an economical strategy for reducing iron and folic acid deficiency anemia among expectant mothers in resource-limited countries like Uganda.This study aimed t...Background:Prenatal iron and folic acid supplementation is an economical strategy for reducing iron and folic acid deficiency anemia among expectant mothers in resource-limited countries like Uganda.This study aimed to assess the level of compliance with iron and folic acid supplementation(IFAS)and identify associated factors among mothers receiving prenatal services in Lira district,Uganda.Methods:A cross-sectional study was conducted at the antenatal clinic of Lira Regional Referral Hospital,involving 252 pregnant mothers.Adherence levels to IFAS were evaluated using a visual analogue scale,and associated factors were collected through an interviewer-administered questionnaire.The data were analyzed using SPSS software,and the results were presented in tables.Results:Only 46%of the mothers attending the antenatal clinic adhered to IFAS during the 30 days preceding the study.Participants who had good knowledge of IFAS before recruitment(odds ratio(OR)1.49,95%confidence interval(CI)1.12–1.97),utilized reminder techniques(OR 1.05,95%CI 1.02–1.09),and received support from their partners or relatives(OR 1.56,95%CI 1.07–2.29)were more likely to have good adherence.The main reasons for missing IFAS were forgetfulness and fear of taking too many tablets.Conclusions:There was a low adherence rate to IFAS among mothers attending antenatal clinics in Lira district.Further investigations are recommended to identify barriers to adherence,and comprehensive health education programs should be provided to pregnant mothers.展开更多
Background:Maternal mortality is a prevalent issue in healthcare provision worldwide.It is particularly common in developing and underdeveloped countries,where maternal deaths during childbirth or pregnancy occur freq...Background:Maternal mortality is a prevalent issue in healthcare provision worldwide.It is particularly common in developing and underdeveloped countries,where maternal deaths during childbirth or pregnancy occur frequently.Various internal and external factors contribute to the high maternal mortality rate in specific regions.One model,known as the three delays model approach,examines three distinct causes that contribute to this problem.The first delay is the lack of awareness in seeking timely healthcare,the second delay involves obstacles in reaching healthcare facilities on time,and the third delay relates to poor or inadequate healthcare provision in tertiary care facilities.These delays are responsible for the elevated maternal mortality rates,with the prevalence of each delay varying across regions.Objective:The objective of this literature review is to examine and critically evaluate existing literature on perceptions and investigations regarding maternal mortality in Southeast Asia,Europe and Africa,utilizing the three delays model approach as a categorization framework.Method:This literature review followed BEME guide No.3.A total of 18 articles were included in the sample after conducting a thorough search of various databases and search engines.A Prisma flowchart was created,and the articles were critically appraised.Results:A total of 18 articles focusing on different regions were analyzed.The findings revealed that in countries of Southeast Asia,the primary cause of maternal mortality is the first delay,which refers to the lack of awareness in seeking medical care.On the other hand,in Africa and other European countries,the second and third delays are more prominently associated with maternal mortality.Conclusion:Inadequate care is one of the major causes of maternal mortality in majority of regions acrossthe globe.Multiple factors can hinder access to appropriate healthcare.The three delays model plays a significant role in the higher maternal mortality rate.By raising awareness among women and their families about the importance of seeking healthcare,the risk of fatality can be reduced.Similarly,in developing regions,it is crucial to ensure that healthcare facilities are easily accessible and provide high-quality emergency obstetric care to meet the needs of pregnant women in critical situations.展开更多
Background In order to prevent the widespread spread of COVID-19,a physical distancing program has been implemented,where it is necessary to maintain a distance of at least 6 feet between individuals.COVID-19 spreads ...Background In order to prevent the widespread spread of COVID-19,a physical distancing program has been implemented,where it is necessary to maintain a distance of at least 6 feet between individuals.COVID-19 spreads mainly among people who have been in close contact for a prolonged period.This study aims to make it easier for nurses to provide nursing care to families experiencing COVID-19.New health problems have made it difficult for nurses to provide care,and thus this model was developed to assist nurses in providing care[1].The effectiveness of family nursing care during the social distancing period will be analyzed using one-way analysis of variance for measurements I,II,III,and IV.The effectiveness of providing family nursing care with a focus on meeting the family’s basic needs and quality of life can be assessed by comparing measurements at the beginning and end of coaching every month using a paired t-test.To prepare a family health promotion model during the COVID-19 social distancing period,a factor analysis will be carried out using both explanatory factor analysis and confirmatory factor analysis through struqtural equation model testing.展开更多
Dear editor:Scientific knowledge is increasingly important today,and healthcare applications are changing rapidly.As the ageing population progresses,chronic treatment for acute disease depends on the treatment applic...Dear editor:Scientific knowledge is increasingly important today,and healthcare applications are changing rapidly.As the ageing population progresses,chronic treatment for acute disease depends on the treatment application that has changed the perspective of patient care and the quality of maintenance.Innovation is an important tool for improving the quality of life of the community.In general,innovations inthe health sector,especially in nursing,new methods,technologies,and working methods,are described as development processes.Innovation is vital for improving the quality of nursing care and its sustainability.Planning nursing practice submitting and assessing innovative strategies is one of the main factors that directly affect the quality of services.Based on all the reasons and literature,the paper is preparing to provide innovative information on nursing practice.展开更多
Background:The establishment of Saudi Vision 2030 has led to a shift from obstetric care to midwifery-led care in maternity care,giving rise to planned home birth(PHB).This study may enable midwives to carry out PHB a...Background:The establishment of Saudi Vision 2030 has led to a shift from obstetric care to midwifery-led care in maternity care,giving rise to planned home birth(PHB).This study may enable midwives to carry out PHB and achieve the goals of the Saudi health vision.The general aim is to explore Saudi midwives’attitudes towards the PHB,opportunities and challenges associated with PHB implementation in Saudi Arabia.Methods:We employed a qualitative study design and conducted interviews using open-ended questions with 19 Saudi midwives recruited from thirteen health regions.Thematic analysis was manually performed to analyze the qualitative data.Results:Thematic analysis revealed seven major themes:midwives as care providers in PHB,health institutions,academic institutions,national policy for PHB,Women’s health status,socio-economic and physical environment suitability,and maternal and neonatal health outcomes.However,Saudi midwives would exhibit a favorable attitude towards PHB if decision-makers from the Ministry of Health and the Ministry of Education addressed the challenges and promoted opportunities for providers,organizations,and the population.Conclusion:The findings of the thematic analysis shed light on several positive aspects,including job opportunities and high financial incomes for midwives.However,they also revealed challenges such as a shortage of midwifery staff,a scarcity of midwifery academic programs,and an ineffective administrative support system for midwives.Integrating both sets of findings enhances the understanding of the challenges and opportunities of planned home birth in Saudi Arabia from various perspectives,capturing the breadth and depth of the obtained data.展开更多
Objective:To design,create and validate an evaluation tool to measure progress of the patient within the national forensic mental health service.Methods:A methodological study with two sequential stages was used for t...Objective:To design,create and validate an evaluation tool to measure progress of the patient within the national forensic mental health service.Methods:A methodological study with two sequential stages was used for this study.Stage 1 was the instrument development;stage 2 was expert judgment and each for these stages had 3 steps.Results:The 28-item questionnaire was submitted to 20 experts.Both descriptive and quantitative analysis were undertaken.The descriptive analysis included item ambiguity,median and percentage agreement.The quantitative method included a content validity index,content validity ratio and content validity coefficient.The acceptable values for item ambiguity,median and percentage agreement,content validity index,content validity ratio and content validity coefficient were a range of 3 or more between scores,median of 2.75 and above,80 percent criterion,0.79,0.75 and 0.79 respectively.Conclusion:The 28-item tool met all the set criteria for content validity meeting the parameters established in the literature.展开更多
Objective:Several studies have shown that women are more satisfied with midwife-led care.However,their awareness regarding the midwives’roles was inadequate.The effect of the women’s awareness on their preferences f...Objective:Several studies have shown that women are more satisfied with midwife-led care.However,their awareness regarding the midwives’roles was inadequate.The effect of the women’s awareness on their preferences for maternity care from health professionals has not been understood.To identify research findings presenting women’s awareness of midwives’roles and preferences for receiving maternity care from health professionals.Methods:The systematic literature review used various electronic search engines,including SCOPUS,PubMed,ScienceDirect,and Cochrane Library.Also,other grey literature sources,including Google Scholar,were utilized to identify articles.The search included only English language articles published between 2017-2021.Results:This search provided 20 studies that fulfil the inclusion criteria and are relevant to the Population,Intervention,Comparison,and Outcomes question.The knowledge of midwives’role among the public is well studied in the literature,and few papers(4 studies)focused on women’s perceptions.The review of existing literature indicated the midwifery workforce in Arab countries like Saudi Arabia,the impact of midwives’role on maternal and child health outcomes,women’s experiences regarding midwife-led care,women’s knowledge and perception regarding the role of the midwife in maternal care,and the womens’preference for midwifes’role within the range of maternal care professionals.Conclusion:The review found a lack of awareness and knowledge among the public about the midwife’s role,particularly among women.According to evidence,women’s preferences for choosing health professionals for maternity care primarily depend on being informed about their care,being given care options,and the health professionals’comprehension of their particular care needs.展开更多
Background:Family is an essential element in caring for clients with hypertension.Appropriate hypertension management can reduce health risks during the treatment.Health coaching in family is a critical intervention t...Background:Family is an essential element in caring for clients with hypertension.Appropriate hypertension management can reduce health risks during the treatment.Health coaching in family is a critical intervention to control and manage hypertension through providing education,information,and skills intervention are needed to support lifestyle improvements,manage chronic conditions,and prevent complications of hypertension.This literature study describes health coaching for controlling blood pressure among clients with hypertension in the family.Methods:Narrative literature review was performed to select the article that relates to health coaching of hypertension in the family using search engines including PubMed,ProQuest,SpringerLink,ScienceDirect,and Google Scholar by using keywords health coaching,family,hypertension,and blood pressure.The analysis of articles was carried out using four stages based on the PRISMA flowchart diagram.Results:The results indicated eight articles that were analyzed in this study.Interactive health coaching interventions based on a healthy lifestyle carried out with patients and families effectively improve medication adherence and reduce systolic and diastolic blood pressure.Meanwhile,health coaching applied regarding the principles including motivation,discussion,interviews and goal setting to influence behavior change and self-management.Conclusions:That health coaching applied for families with clients with hypertension is effect on reducing blood pressure and other changes,including knowledge,self-efficacy,and behavior towards health services for patients with hypertension.Therefore,health coaching for the family could be used as a family intervention for clients with hypertension during home health care.展开更多
Objective:To systematically evaluate the effect of continuous nursing on the psychological status of rectal cancer patients undergoing stoma.Methods:Five databases including China HowNet,Chongqing Weipu Chinese Scienc...Objective:To systematically evaluate the effect of continuous nursing on the psychological status of rectal cancer patients undergoing stoma.Methods:Five databases including China HowNet,Chongqing Weipu Chinese Science and Technology Database,Wanfang Database,Embase and PubMed were searched.Randomized controlled trials were collected on the effect of continuing nursing on the psychological status of rectal cancer patients undergoing stoma.The searching time was from the establishment of the database to March 30,2019.RevMan 5.3 software was used to analyze the bias risk of the study after two researchers independently screened the researchers,extracted the data and evaluated the bias risk of the study.Results:A total of 15 studies were included.Meta-analysis showed that the continuing nursing group improved anxiety[MD=-10.89,95%CI(-13.52,-8.26),P<0.00001],depression[MD=-4.78,95%CI(-5.77,-3.80,P<0.00001],fear[MD=-6.06,95%CI(-7.70,-4.43),P<0.00001],hostile[MD=-7.00,95%CI(-13.62,-0.38),P=0.04<0.05],somatization[MD=-7.63,95%CI(-13.49,-1.77),P=0.01<0.05].The self-care ability[MD=38.24,95%CI(35.38,41.11),P<0.00001]was superior to the routine nursing group.Conclusion:Continuous nursing has more advantages than routine nursing,and it can improve the negative psychological state of rectal cancer patients undergoing stoma.Due to the limitations of the quantity and quality of the included studies,the above conclusions need to be verified by more high-quality studies.展开更多
Objective:To explore the influencing factors of patients with dysphagia after stroke who refuse to accept gastric tube implantation,and to provide intervention basis for improving the compliance of patients with gastr...Objective:To explore the influencing factors of patients with dysphagia after stroke who refuse to accept gastric tube implantation,and to provide intervention basis for improving the compliance of patients with gastric tube implantation.Methods:Asemi-structured interview method was used to conduct in-depth interviews with 11 patients who refused gastric tube placement,and the interview data were analyzed by Colaizzi analysis method.Results:The influencing factors of patients with dysphagia after stroke can be summarized into the following three themes:patient factors(patient's cognition of disease,patient's subjective pain perception and fear),family factors(patient's caregiver's cognition of disease,economic conditions)and medical factors(trust in medical staff,medical education methods).Conclusion:Medical staff should understand the influencing factors of dysphagia after stroke and take positive measures to improve the compliance of patients with gastric tube placement and ensure the treatment effect.展开更多
Objective:Analyze the research hotspots and frontiers of shared outpatient service,and provide a reference for researchers in this field to carry out follow-up research.Methods:Search the Web of Science core collectio...Objective:Analyze the research hotspots and frontiers of shared outpatient service,and provide a reference for researchers in this field to carry out follow-up research.Methods:Search the Web of Science core collection database until 2022 and visually analyzekeywords in this field through CiteSpace5.8.R3 software,Results:A total of 261 iteratures were included.The research focuses mainly on advanced care planning,diabetes care,andgroup prenatal care,The research trend tends to be telemedicine and nursing provided by specialized nurses.Conclusion:Scholars can learn from the research hotspots of foreign shared medical appointments,pay attention to the research trend,expand its application scope in combination with China's national conditions,and further promote thedevelopment of shared medical appointments in China.展开更多
Objective: This study was conducted to determine the effect of compassion levels and empathic tendencies of intensive care nurses' on quality of life. Methods: This descriptive and cross-sectional research study w...Objective: This study was conducted to determine the effect of compassion levels and empathic tendencies of intensive care nurses' on quality of life. Methods: This descriptive and cross-sectional research study was completed with a total of 202 nurses. The data were collected using the Personal Information Form, Compassion Scale, Empathic Tendency Scale and Professional Quality of Life Scale. The data were analyzed using descriptive statistics, Student t test, Mann-Whitney U test, Kruskal-Wallis Test, One-way analysis of variance ( ANOVA ) , Spe a rman correlation and Multiple regression analysis. Results: As a result of multiple regression analysis, it was found that the variable of compassion ( β = - 0.263, P < 0.01) had a negative and significant effect on the quality of life of employees;and the empathic tendency ( β = 0.385, P < 0.01) variable had a positive and significant effect on the quality of life of employees. Conclusion: As the compassion levels of intensive care nurses increase, their quality of life decreases;as their empathic tendencies increase, their quality of life also increases. Psychoeducation about compassion and empathy should be given to nurses who work in intensive care units with the aim of reducing compassion fatigue.展开更多
Dear editor:In today’s healthcare system,the delivery process includes many interfaces and patient handouts between several health professionals with further education and professional training levels.As a health car...Dear editor:In today’s healthcare system,the delivery process includes many interfaces and patient handouts between several health professionals with further education and professional training levels.As a health care science,nursing focuses on serving the needs of humans as biopsychosocial and spiritual beings.Its practice requires scientific knowledge and interpersonal,intellectual,and technical abilities and skills.This means a composition of knowledge,clinical work,and interpersonal communication.Communication is an essential element of nursing in all fields of activity,including prevention,treatment,therapy,rehabilitation,education,and health promotion.Moreover,the nursing process as a scientific method of exercise and implementation of nursing is achieved through dialogue,interpersonal environment,and specific verbal communication skills.展开更多
Background:At the beginning of the 70s,Dr.Candace Pert discovered for the first time the first component of the molecules of emotion,explaining and demonstrating how the mind and the body are interconnected.This study...Background:At the beginning of the 70s,Dr.Candace Pert discovered for the first time the first component of the molecules of emotion,explaining and demonstrating how the mind and the body are interconnected.This study aims to confirm the importance of emotions and how they intervene or are related to different types of pathologies,thus confirming the importance that this relationship represents for the state of health.Method:A systematic review has been carried out on the implication that emotions have on the state of health.A generalized search was carried out,preferably in articles published and related to our study in the last five years,mainly basing the bibliographic review on H ealth S ciences and S ocial S ciences databases.Results:We have been able to verify how emotions,in general,can favor or worsen diseases such as heart,mental,eating disorders,autoimmune diseases,or cancer,among others;in addition to the importance of positive and negative emotions in all kinds of diseases.Conclusions:We have seen throughout this study how emotions interfere with our state of health,especially due to the greater number of negative emotions that surround us daily to the detriment of the positive emotions that we know favor the state of not only physical and emotional health but also of social and general well-being.We need to look for situations or environments that,in a certain sense,foster positive emotions every day and in any place where we find ourselves(home,work,street,etc.).展开更多
Background:Shoulder-hand syndrome(SHS)is one of the common complications after stroke,which is difficult to cure once it occurs.Early risk identification is an effective measure to prevent and treat SHS,but there is n...Background:Shoulder-hand syndrome(SHS)is one of the common complications after stroke,which is difficult to cure once it occurs.Early risk identification is an effective measure to prevent and treat SHS,but there is no effective tool to assess the risk assessment of SHS.Objective:To develop a validated tool to assess the risk of SHS occurrence after stroke.Methods:This was an observational study with a 3-step process:(1)Literature review to establish initial indicators;(2)Application of a modified Delphi method for two rounds of correspondence,with final indicators obtained by modifying each round based on expert opinion;(3)Application of hierarchical analysis to determine the weights of each indicator.Results:The initial literature review constructed4 primary indicators and 24 secondary indicators;after the first round of Delphi,a total of 10 secondary indicators were deleted and 6 secondary indicators were added,and the final indicators included 3 primary indicators and 15 secondary indicators,and in the second round,consensus was reached;by AHP analysis,the highest weight was given to existing risk factors(0.5584),followed by relevant medical history(0.3196);lastly,demographic factors(0.1220),and the scores of other secondary indicators met the requirements.Conclusion:This study establishes and constructs a post-stroke SHS risk assessment tool,which provides a basis for early identification of SHS and early intervention.Meanwhile,this study provides a methodological reference for the development of other indicatorssets.展开更多
Background:Conflict among nurses often has an undesirable effect on their work.Thus,understanding the predictable causes of conflict helps in dealing with it at an early stage,preventing negative consequences that may...Background:Conflict among nurses often has an undesirable effect on their work.Thus,understanding the predictable causes of conflict helps in dealing with it at an early stage,preventing negative consequences that may impact nurses’performance,ultimately affecting the quality of care and patient safety.This study aimed to explore the sources of conflict and how Saudi nurses in Taif deal with conflicts in hospitals.Method:A descriptive qualitative approach was employed,using the semi-structured interview method to collect data from 17 Saudi nurses working in 3 hospitals in the city of Taif from September 2022 to January 2023.Ethical approval was obtained from the Research and Studies Department at the Directorate of Health Affairs in Taif(IRB registration number with King Abdulaziz City for Science and Technology,KSA:HAP-02-T-067,approval number:720 on 10/08/2022).Results:The data revealed two main themes:firstly,conflicts arising among nurses,which can be categorized into two sub-themes:lack of awareness in work policies and procedures,and lack of communication;secondly,preemptive strategies for dealing with conflicts.Three sub-themes emerged in this regard:identifying conflict sources in advance,conducting regular meetings to enhance communication,and increasing awareness of policies and regulations while adhering to them.Conclusion:Conflict negatively impacts the quality of nursing care.Therefore,it is crucial to implement preventive and early measures,such as improving communication among nurses and enhancing awareness of policies and procedures,to address the ambiguities that lead to workplace conflict.展开更多
文摘Objective:To analyze domestic and international studies on the effects of positive thought intervention therapy on negative emotions and the quality of life of stroke patients to provide a reference for future related studies.Methods:Using the scoping review method as a guide,computer searches of PubMed,Web of Science,Embase,Cochrane Library,China National Knowledge Infrastructure,Wanfang Database,China Vipers Full Text Database and China Biomedical Literature Database were conducted to collect relevant studies on the application of positive thinking interventions in stroke patients from the establishment to January 2023,and the literature was screened according to the inclusion and exclusion criteria,and the data were extracted and analyzed by two investigators independently.Results:The search yielded 964 publications,and a total of 19 were included.The time of publication,study site,study population,study design,study length,and type of results of the included studies was summarized and analyzed.Conclusions:Positive thinking-based interventions have shown significant changes in negative emotions such as anxiety and depression in stroke patients and can reduce somatic pain,enhance their social integration,and improve their quality of life.However,interventions in the areas of self-compassion,artificial intelligence and the adoption of tailoring need to be further explored.
文摘Background:Good adherence to post-operative exercise is crucial for long-term exercise intervention programs aimed at improving compliance,motivation for functional exercise,and quality of life among breast cancer patients.This study aims to evaluate the application effect of quality control circles on postoperative functional exercise compliance in breast neoplasm patients.Methods:A comprehensive search was conducted in CNKI,Wanfang,VIP,CBM,PubMed,Cochrane Library,Web of Science and CINAHL databases from their establishment to May 06,2023.Manual search and backtracking of relevant literature were also conducted.The search terms included a combination of subject terms and free words.Meta-analysis was performed using RevMan 5.4 software on eligible literature.Results:Initially,517 papers were retrieved,and after removing duplicates 238 papers using NoteExpress software,279 titles and abstracts were reviewed.Subsequently,225 non-compliant papers were excluded,leaving 54 full texts to be read.After excluding 38 non-compliant papers,16 eligible papers were included for Meta-analysis.These papers comprised a total of 1,342 patients(679 in the test group and 663 in the control group).The heterogeneity test using a fixed effects model showed P=0.22 and I2=21%.The Meta-analysis results demonstrated that the implementation of quality control circles alongside usual care significantly improved compliance with postoperative functional exercise in breast cancer patients(odds ratio=6.68,95%confidence interval(4.97,8.98),P<0.00001).Conclusion:Quality control circles activities can effectively enhance compliance with post-operative functional exercise among breast cancer patients,aiding in the recovery of affected limb function,improvement of self-care ability,and early reintegration into society and normal life,thereby enhancing quality of life.It is important to continually accumulate experience in applying relevant quality control circles activities in clinical work and promptly enhance the level of care accordingly,as the functional exercise of breast cancer patients after surgery involves a long-term and gradual improvement process.
文摘Objective:The aim of this study was to examine of the effects of perceived stress on antenatal care behaviors and the labor process during the COVID-19 pandemic.Methods:This study was conducted with a descriptive design.The data were collected using an“Introductory Information Form”and the“Antenatal Perceived Stress Inventory”.Descriptive statistics were analyzed using Kruskal-Wallis,Mann-Whitney U,and multinomial logistic regression tests.Results:The sample of the study included 487 women.The mean total Antenatal Perceived Stress Inventory score of the participants was found as 2.30±0.80.The mean medical and obstetric risks/fetal health,psychosocial changes during pregnancy,and prospect of childbirth subscale scores of the participants were determined to be 2.29±1.08,2.26±0.87,and 2.34±0.86,respectively.It was determined that as the antenatal perceived stress levels of the participants who frequently attended physical examinations increased,they became 1.535 times more likely to perceive the care they received to be adequate(Odds ratio(OR):1.535;1.045–2.254 Confidence interval(CI);P=0.029).It was found that as the antenatal perceived stress levels of the participants whose clinical tests were frequently analyzed increased,they were 1.518 times more likely to perceive the care they received to be adequate(OR:1.518;1.080–2.135 CI;P=0.016).Moreover,as the antenatal perceived stress levels of the participants who frequently underwent fetal health follow-ups increased,they were 1.573 more likely to perceive the care they received to be adequate(OR:1.573;1.042–2.375 CI;P=0.031).Conclusion:It was concluded that as the antenatal perceived stress levels of the women who frequently underwent physical examinations,clinical test analyses,and fetal health follow-ups increases,they were more likely to consider that they received adequate care.
文摘Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,there is still a lack of understanding regarding the full scope and role of the midwife.Aim:To evaluate the current situation of knowledge of midwives’role among women in Makkah.In addition,this study identifies the effect of women’s knowledge on their preferences for receiving maternity care from health professionals.Methods:This study employed a descriptive quantitative cross-sectional method.The total resultant sample size(N)equalled 379 global respondents,of which 306,with a response rate=of 80.73%completed the entire survey as requested.An electronic questionnaire in the Arabic language was used in this study.Results:Results revealed that most women had incorrect knowledge regarding three aspects of the midwives’roles during pregnancy 53.9%,labour 52.8%and childbirth 61.9%.Also,results presented that most women preferred obstetricians to follow up on an uncomplicated pregnancy,labour,childbirth,and maternity care 69.6%,53.9%,64.7%and 46.1%,respectively.The study found that the women’s knowledge about midwives’roles affects their preferences for healthcare professionals in receiving maternity care(P<0.05).Conclusion:Responses showed that most participants had no experience and had negative views about midwives’roles.Thus,it would affect their health professionals’preferences for receiving maternity care.Therefore,midwifery services and maternity care professionals should prioritize educating women about midwives’competencies in maternity care.
文摘Background:Prenatal iron and folic acid supplementation is an economical strategy for reducing iron and folic acid deficiency anemia among expectant mothers in resource-limited countries like Uganda.This study aimed to assess the level of compliance with iron and folic acid supplementation(IFAS)and identify associated factors among mothers receiving prenatal services in Lira district,Uganda.Methods:A cross-sectional study was conducted at the antenatal clinic of Lira Regional Referral Hospital,involving 252 pregnant mothers.Adherence levels to IFAS were evaluated using a visual analogue scale,and associated factors were collected through an interviewer-administered questionnaire.The data were analyzed using SPSS software,and the results were presented in tables.Results:Only 46%of the mothers attending the antenatal clinic adhered to IFAS during the 30 days preceding the study.Participants who had good knowledge of IFAS before recruitment(odds ratio(OR)1.49,95%confidence interval(CI)1.12–1.97),utilized reminder techniques(OR 1.05,95%CI 1.02–1.09),and received support from their partners or relatives(OR 1.56,95%CI 1.07–2.29)were more likely to have good adherence.The main reasons for missing IFAS were forgetfulness and fear of taking too many tablets.Conclusions:There was a low adherence rate to IFAS among mothers attending antenatal clinics in Lira district.Further investigations are recommended to identify barriers to adherence,and comprehensive health education programs should be provided to pregnant mothers.
文摘Background:Maternal mortality is a prevalent issue in healthcare provision worldwide.It is particularly common in developing and underdeveloped countries,where maternal deaths during childbirth or pregnancy occur frequently.Various internal and external factors contribute to the high maternal mortality rate in specific regions.One model,known as the three delays model approach,examines three distinct causes that contribute to this problem.The first delay is the lack of awareness in seeking timely healthcare,the second delay involves obstacles in reaching healthcare facilities on time,and the third delay relates to poor or inadequate healthcare provision in tertiary care facilities.These delays are responsible for the elevated maternal mortality rates,with the prevalence of each delay varying across regions.Objective:The objective of this literature review is to examine and critically evaluate existing literature on perceptions and investigations regarding maternal mortality in Southeast Asia,Europe and Africa,utilizing the three delays model approach as a categorization framework.Method:This literature review followed BEME guide No.3.A total of 18 articles were included in the sample after conducting a thorough search of various databases and search engines.A Prisma flowchart was created,and the articles were critically appraised.Results:A total of 18 articles focusing on different regions were analyzed.The findings revealed that in countries of Southeast Asia,the primary cause of maternal mortality is the first delay,which refers to the lack of awareness in seeking medical care.On the other hand,in Africa and other European countries,the second and third delays are more prominently associated with maternal mortality.Conclusion:Inadequate care is one of the major causes of maternal mortality in majority of regions acrossthe globe.Multiple factors can hinder access to appropriate healthcare.The three delays model plays a significant role in the higher maternal mortality rate.By raising awareness among women and their families about the importance of seeking healthcare,the risk of fatality can be reduced.Similarly,in developing regions,it is crucial to ensure that healthcare facilities are easily accessible and provide high-quality emergency obstetric care to meet the needs of pregnant women in critical situations.
文摘Background In order to prevent the widespread spread of COVID-19,a physical distancing program has been implemented,where it is necessary to maintain a distance of at least 6 feet between individuals.COVID-19 spreads mainly among people who have been in close contact for a prolonged period.This study aims to make it easier for nurses to provide nursing care to families experiencing COVID-19.New health problems have made it difficult for nurses to provide care,and thus this model was developed to assist nurses in providing care[1].The effectiveness of family nursing care during the social distancing period will be analyzed using one-way analysis of variance for measurements I,II,III,and IV.The effectiveness of providing family nursing care with a focus on meeting the family’s basic needs and quality of life can be assessed by comparing measurements at the beginning and end of coaching every month using a paired t-test.To prepare a family health promotion model during the COVID-19 social distancing period,a factor analysis will be carried out using both explanatory factor analysis and confirmatory factor analysis through struqtural equation model testing.
文摘Dear editor:Scientific knowledge is increasingly important today,and healthcare applications are changing rapidly.As the ageing population progresses,chronic treatment for acute disease depends on the treatment application that has changed the perspective of patient care and the quality of maintenance.Innovation is an important tool for improving the quality of life of the community.In general,innovations inthe health sector,especially in nursing,new methods,technologies,and working methods,are described as development processes.Innovation is vital for improving the quality of nursing care and its sustainability.Planning nursing practice submitting and assessing innovative strategies is one of the main factors that directly affect the quality of services.Based on all the reasons and literature,the paper is preparing to provide innovative information on nursing practice.
文摘Background:The establishment of Saudi Vision 2030 has led to a shift from obstetric care to midwifery-led care in maternity care,giving rise to planned home birth(PHB).This study may enable midwives to carry out PHB and achieve the goals of the Saudi health vision.The general aim is to explore Saudi midwives’attitudes towards the PHB,opportunities and challenges associated with PHB implementation in Saudi Arabia.Methods:We employed a qualitative study design and conducted interviews using open-ended questions with 19 Saudi midwives recruited from thirteen health regions.Thematic analysis was manually performed to analyze the qualitative data.Results:Thematic analysis revealed seven major themes:midwives as care providers in PHB,health institutions,academic institutions,national policy for PHB,Women’s health status,socio-economic and physical environment suitability,and maternal and neonatal health outcomes.However,Saudi midwives would exhibit a favorable attitude towards PHB if decision-makers from the Ministry of Health and the Ministry of Education addressed the challenges and promoted opportunities for providers,organizations,and the population.Conclusion:The findings of the thematic analysis shed light on several positive aspects,including job opportunities and high financial incomes for midwives.However,they also revealed challenges such as a shortage of midwifery staff,a scarcity of midwifery academic programs,and an ineffective administrative support system for midwives.Integrating both sets of findings enhances the understanding of the challenges and opportunities of planned home birth in Saudi Arabia from various perspectives,capturing the breadth and depth of the obtained data.
文摘Objective:To design,create and validate an evaluation tool to measure progress of the patient within the national forensic mental health service.Methods:A methodological study with two sequential stages was used for this study.Stage 1 was the instrument development;stage 2 was expert judgment and each for these stages had 3 steps.Results:The 28-item questionnaire was submitted to 20 experts.Both descriptive and quantitative analysis were undertaken.The descriptive analysis included item ambiguity,median and percentage agreement.The quantitative method included a content validity index,content validity ratio and content validity coefficient.The acceptable values for item ambiguity,median and percentage agreement,content validity index,content validity ratio and content validity coefficient were a range of 3 or more between scores,median of 2.75 and above,80 percent criterion,0.79,0.75 and 0.79 respectively.Conclusion:The 28-item tool met all the set criteria for content validity meeting the parameters established in the literature.
文摘Objective:Several studies have shown that women are more satisfied with midwife-led care.However,their awareness regarding the midwives’roles was inadequate.The effect of the women’s awareness on their preferences for maternity care from health professionals has not been understood.To identify research findings presenting women’s awareness of midwives’roles and preferences for receiving maternity care from health professionals.Methods:The systematic literature review used various electronic search engines,including SCOPUS,PubMed,ScienceDirect,and Cochrane Library.Also,other grey literature sources,including Google Scholar,were utilized to identify articles.The search included only English language articles published between 2017-2021.Results:This search provided 20 studies that fulfil the inclusion criteria and are relevant to the Population,Intervention,Comparison,and Outcomes question.The knowledge of midwives’role among the public is well studied in the literature,and few papers(4 studies)focused on women’s perceptions.The review of existing literature indicated the midwifery workforce in Arab countries like Saudi Arabia,the impact of midwives’role on maternal and child health outcomes,women’s experiences regarding midwife-led care,women’s knowledge and perception regarding the role of the midwife in maternal care,and the womens’preference for midwifes’role within the range of maternal care professionals.Conclusion:The review found a lack of awareness and knowledge among the public about the midwife’s role,particularly among women.According to evidence,women’s preferences for choosing health professionals for maternity care primarily depend on being informed about their care,being given care options,and the health professionals’comprehension of their particular care needs.
文摘Background:Family is an essential element in caring for clients with hypertension.Appropriate hypertension management can reduce health risks during the treatment.Health coaching in family is a critical intervention to control and manage hypertension through providing education,information,and skills intervention are needed to support lifestyle improvements,manage chronic conditions,and prevent complications of hypertension.This literature study describes health coaching for controlling blood pressure among clients with hypertension in the family.Methods:Narrative literature review was performed to select the article that relates to health coaching of hypertension in the family using search engines including PubMed,ProQuest,SpringerLink,ScienceDirect,and Google Scholar by using keywords health coaching,family,hypertension,and blood pressure.The analysis of articles was carried out using four stages based on the PRISMA flowchart diagram.Results:The results indicated eight articles that were analyzed in this study.Interactive health coaching interventions based on a healthy lifestyle carried out with patients and families effectively improve medication adherence and reduce systolic and diastolic blood pressure.Meanwhile,health coaching applied regarding the principles including motivation,discussion,interviews and goal setting to influence behavior change and self-management.Conclusions:That health coaching applied for families with clients with hypertension is effect on reducing blood pressure and other changes,including knowledge,self-efficacy,and behavior towards health services for patients with hypertension.Therefore,health coaching for the family could be used as a family intervention for clients with hypertension during home health care.
文摘Objective:To systematically evaluate the effect of continuous nursing on the psychological status of rectal cancer patients undergoing stoma.Methods:Five databases including China HowNet,Chongqing Weipu Chinese Science and Technology Database,Wanfang Database,Embase and PubMed were searched.Randomized controlled trials were collected on the effect of continuing nursing on the psychological status of rectal cancer patients undergoing stoma.The searching time was from the establishment of the database to March 30,2019.RevMan 5.3 software was used to analyze the bias risk of the study after two researchers independently screened the researchers,extracted the data and evaluated the bias risk of the study.Results:A total of 15 studies were included.Meta-analysis showed that the continuing nursing group improved anxiety[MD=-10.89,95%CI(-13.52,-8.26),P<0.00001],depression[MD=-4.78,95%CI(-5.77,-3.80,P<0.00001],fear[MD=-6.06,95%CI(-7.70,-4.43),P<0.00001],hostile[MD=-7.00,95%CI(-13.62,-0.38),P=0.04<0.05],somatization[MD=-7.63,95%CI(-13.49,-1.77),P=0.01<0.05].The self-care ability[MD=38.24,95%CI(35.38,41.11),P<0.00001]was superior to the routine nursing group.Conclusion:Continuous nursing has more advantages than routine nursing,and it can improve the negative psychological state of rectal cancer patients undergoing stoma.Due to the limitations of the quantity and quality of the included studies,the above conclusions need to be verified by more high-quality studies.
文摘Objective:To explore the influencing factors of patients with dysphagia after stroke who refuse to accept gastric tube implantation,and to provide intervention basis for improving the compliance of patients with gastric tube implantation.Methods:Asemi-structured interview method was used to conduct in-depth interviews with 11 patients who refused gastric tube placement,and the interview data were analyzed by Colaizzi analysis method.Results:The influencing factors of patients with dysphagia after stroke can be summarized into the following three themes:patient factors(patient's cognition of disease,patient's subjective pain perception and fear),family factors(patient's caregiver's cognition of disease,economic conditions)and medical factors(trust in medical staff,medical education methods).Conclusion:Medical staff should understand the influencing factors of dysphagia after stroke and take positive measures to improve the compliance of patients with gastric tube placement and ensure the treatment effect.
文摘Objective:Analyze the research hotspots and frontiers of shared outpatient service,and provide a reference for researchers in this field to carry out follow-up research.Methods:Search the Web of Science core collection database until 2022 and visually analyzekeywords in this field through CiteSpace5.8.R3 software,Results:A total of 261 iteratures were included.The research focuses mainly on advanced care planning,diabetes care,andgroup prenatal care,The research trend tends to be telemedicine and nursing provided by specialized nurses.Conclusion:Scholars can learn from the research hotspots of foreign shared medical appointments,pay attention to the research trend,expand its application scope in combination with China's national conditions,and further promote thedevelopment of shared medical appointments in China.
文摘Objective: This study was conducted to determine the effect of compassion levels and empathic tendencies of intensive care nurses' on quality of life. Methods: This descriptive and cross-sectional research study was completed with a total of 202 nurses. The data were collected using the Personal Information Form, Compassion Scale, Empathic Tendency Scale and Professional Quality of Life Scale. The data were analyzed using descriptive statistics, Student t test, Mann-Whitney U test, Kruskal-Wallis Test, One-way analysis of variance ( ANOVA ) , Spe a rman correlation and Multiple regression analysis. Results: As a result of multiple regression analysis, it was found that the variable of compassion ( β = - 0.263, P < 0.01) had a negative and significant effect on the quality of life of employees;and the empathic tendency ( β = 0.385, P < 0.01) variable had a positive and significant effect on the quality of life of employees. Conclusion: As the compassion levels of intensive care nurses increase, their quality of life decreases;as their empathic tendencies increase, their quality of life also increases. Psychoeducation about compassion and empathy should be given to nurses who work in intensive care units with the aim of reducing compassion fatigue.
文摘Dear editor:In today’s healthcare system,the delivery process includes many interfaces and patient handouts between several health professionals with further education and professional training levels.As a health care science,nursing focuses on serving the needs of humans as biopsychosocial and spiritual beings.Its practice requires scientific knowledge and interpersonal,intellectual,and technical abilities and skills.This means a composition of knowledge,clinical work,and interpersonal communication.Communication is an essential element of nursing in all fields of activity,including prevention,treatment,therapy,rehabilitation,education,and health promotion.Moreover,the nursing process as a scientific method of exercise and implementation of nursing is achieved through dialogue,interpersonal environment,and specific verbal communication skills.
文摘Background:At the beginning of the 70s,Dr.Candace Pert discovered for the first time the first component of the molecules of emotion,explaining and demonstrating how the mind and the body are interconnected.This study aims to confirm the importance of emotions and how they intervene or are related to different types of pathologies,thus confirming the importance that this relationship represents for the state of health.Method:A systematic review has been carried out on the implication that emotions have on the state of health.A generalized search was carried out,preferably in articles published and related to our study in the last five years,mainly basing the bibliographic review on H ealth S ciences and S ocial S ciences databases.Results:We have been able to verify how emotions,in general,can favor or worsen diseases such as heart,mental,eating disorders,autoimmune diseases,or cancer,among others;in addition to the importance of positive and negative emotions in all kinds of diseases.Conclusions:We have seen throughout this study how emotions interfere with our state of health,especially due to the greater number of negative emotions that surround us daily to the detriment of the positive emotions that we know favor the state of not only physical and emotional health but also of social and general well-being.We need to look for situations or environments that,in a certain sense,foster positive emotions every day and in any place where we find ourselves(home,work,street,etc.).
基金This research was supported by Harbin Medical University Innovative Scientific Research Funding Project(No.2020-kyywf-1487).
文摘Background:Shoulder-hand syndrome(SHS)is one of the common complications after stroke,which is difficult to cure once it occurs.Early risk identification is an effective measure to prevent and treat SHS,but there is no effective tool to assess the risk assessment of SHS.Objective:To develop a validated tool to assess the risk of SHS occurrence after stroke.Methods:This was an observational study with a 3-step process:(1)Literature review to establish initial indicators;(2)Application of a modified Delphi method for two rounds of correspondence,with final indicators obtained by modifying each round based on expert opinion;(3)Application of hierarchical analysis to determine the weights of each indicator.Results:The initial literature review constructed4 primary indicators and 24 secondary indicators;after the first round of Delphi,a total of 10 secondary indicators were deleted and 6 secondary indicators were added,and the final indicators included 3 primary indicators and 15 secondary indicators,and in the second round,consensus was reached;by AHP analysis,the highest weight was given to existing risk factors(0.5584),followed by relevant medical history(0.3196);lastly,demographic factors(0.1220),and the scores of other secondary indicators met the requirements.Conclusion:This study establishes and constructs a post-stroke SHS risk assessment tool,which provides a basis for early identification of SHS and early intervention.Meanwhile,this study provides a methodological reference for the development of other indicatorssets.
文摘Background:Conflict among nurses often has an undesirable effect on their work.Thus,understanding the predictable causes of conflict helps in dealing with it at an early stage,preventing negative consequences that may impact nurses’performance,ultimately affecting the quality of care and patient safety.This study aimed to explore the sources of conflict and how Saudi nurses in Taif deal with conflicts in hospitals.Method:A descriptive qualitative approach was employed,using the semi-structured interview method to collect data from 17 Saudi nurses working in 3 hospitals in the city of Taif from September 2022 to January 2023.Ethical approval was obtained from the Research and Studies Department at the Directorate of Health Affairs in Taif(IRB registration number with King Abdulaziz City for Science and Technology,KSA:HAP-02-T-067,approval number:720 on 10/08/2022).Results:The data revealed two main themes:firstly,conflicts arising among nurses,which can be categorized into two sub-themes:lack of awareness in work policies and procedures,and lack of communication;secondly,preemptive strategies for dealing with conflicts.Three sub-themes emerged in this regard:identifying conflict sources in advance,conducting regular meetings to enhance communication,and increasing awareness of policies and regulations while adhering to them.Conclusion:Conflict negatively impacts the quality of nursing care.Therefore,it is crucial to implement preventive and early measures,such as improving communication among nurses and enhancing awareness of policies and procedures,to address the ambiguities that lead to workplace conflict.
