complication of diabetes, which is triggered by intraglomerular hypertension and ultrafiltration caused by hyperglycemia, insulin resistance and abnormal hemodynamics (Bose et al., 2018). It is characterized by hypertrophy of the glomerulus, reduced proteinuria/glomerular filtration, and renal fibrosis, resulting in loss of renal function (Lu et al., 2018). DN not only brings a heavy burden to society, but also seriously affects the QOL of patients (Xiong et al., 2018). Studies have shown that patients with diabetes have a high incidence of depression and anxiety during the illness, which may worsen the overall QOL of the patients (Khan et al., 2019). Therefore, during nursing, we always paid attention to the patient's psychological state and explained the disease knowledge, and timely ease the negative emotions of patients, which was the reason behind the better relieved anxiety and depression in patients with systematic nursing. Evidence has demonstrated that this patient- centered nursing model, which respects and responds to patients' experience, needs, preferences and values, can contribute to improving the efficiency and effect of medical services and is expected to improve patients' physical and mental health (Schouten et al., 2019). Therefore, nurses should actively inquire about the experience and needs of patients in the process of nursingintervention, and focus on the needs and preferences of patients in order to achieve a good match between patients and nurses, so as to bolster the comprehensiveness and efficiency of nursingintervention.
Introduction: It is important to recognize the importance of taking into account the families of critically ill patients, by emotional reactions that generate an imbalance psycho right, which could influence the disease process and recovery. Objective: To describe the perception of the situation of families of critically ill patients who are in ICU and key intervention strategies nurse to this problem based on the model of Jean Watson. Materials and Methods: Qualitative and quantitative study with a cross-sectional descriptive and hermeneutic type performed in 45 relatives of patients in intensive care unit. The sample was a convenience considering inclusion and exclusion criteria, consisted of 36 families. For data collection technique was selected as the interview and how the survey instrument, as the data were obtained, these were organized into Excel for further analysis of the results obtained. Results: 78% of relatives of patients hospitalized in an ICU of a IPS level III have the perception that nurses are not conducive to the expression of emotion to them about the critical situation in which they find themselves; 67% say nurses do not take advantage of opportunities to give encouragement to the family, did not even hold hands when they are sad or distressed. 83% did not receive counseling from nurse while visiting relatives hospitalized in ICU. Conclusion: Nursing interventions to families of ICU patients are efficient, but they are not being given adequate information about the condition, treatment, and course of the disease which causes a large majority of the families maintain a state of uncertainty that leads to the negative perception of nursingintervention during the crisis situational and are not satisfied with the treatment they give nurses both verbally and nonverbally.
Background: Anxiety experienced by women during their participation in breast cancer screening programs can condition their adherence to the program. The aim was to determine whether a brief nursingintervention could reduce anxiety before screening mammography. Method: A randomized controlled trial carried out with 436 Spanish women aged between 50-69 years, who attended a population breast cancer screening program. The experimental group received an ad-hoc tailored intervention, which consisted of offering information about the screening program and the mammography exam, as well as of providing personal emotional support. Anxiety was assessed using the State-Trait Anxiety Inventory (STAI). Fear of screening outcome and fear of breast cancer were also assessed. Results: Women of the experimental group had 60% less probability of having a high anxiety state (OR = 0.40; 95%: CI [0.25, 0.65]), after adjusting for sociodemographic and clinical variables. Regarding trait anxiety, no differences were observed between groups. The stratifi ed analysis showed that this positive impact was greater in women who did not fear the screening outcome (OR = 0.24; 95% CI [0.11, 0.52]) or breast cancer (OR = 0.07; 95% CI [0.01, 0.41]). Conclusions: A protocolized nursingintervention reduced the probability of being anxious when undergoing a screening mammography.
which indicated that OR nursing could effectively reduce the incidence of surgical incision infection compared with conventional nursingintervention. Tan (Tan ,2018) and Zheng (Zheng et al.,2018) et al. confirmed that OR nursing had remarkable effect in reducing the incidence of postoperative infection in patients undergoing orthopedic surgery, similar to our research results. It might because the nursing staff disinfected and cleaned the operation area before operation, strictly followed the operation procedure and aseptic principle during operation, cleaned the operation incision regularly after operation, and treated patients with antibiotics according to the doctor’s advice, which accelerated the healing of the incision and reduced the incidence of infection. IL-6 (Uciechowski and Dempke,2018) and TNF-α (El-Tahan et al.,2016) are proinflammatory cytokines, which play a vital role in the pathogenesis and inflammatory reaction of many diseases. CRP is a reactive protein in acute phase, and its expression level increases with inflammation. In the acute phase of inflammation or infection, it is mainly induced by IL-6’s effect on the gene responsible for CRP transcription (Nehring et al.,2018). Thus, we detected the levels of IL-6, TNF-α and CRP in incision secretion of patients in both groups, and found that the level of inflammatory factors in incision secretion of patients in the OG was dramatically lower than that in the CG. This may be due to the close monitoring and all-round disinfection of patients’ vital signs by OR nursing, and strict adherence to the aseptic operation principle in the treatment of patients’ surgical sites to reduce infection. Inflammation is the host’s protective response to infection and tissue damage. Under normal circumstances, it is beneficial to the host, but the imbalance of inflammatory response will lead to excessive or persistent tissue damage, which will lead to acute or chronic inflammatory disease development (Gammoh and Rink,2017; Sproston and Ashworth,2018; Basil and Levy,2016). Therefore, we believe that the incidence of surgical incision infection in the OG is lower than that in the CG, which is also due to the lower level of inflammatory factors, the lower degree of inflammatory reaction and the reduction of infection.
Child abuse is an issue of great relevance in Chile. The Third Study of Child Abuse created by the United Nations International Children’s Emergency Fund [UNICEF] in 2006, showed a 75.3% of children are victims of any kind of violence, which can be physical or psychological, and may re- sult in serious complications in their health. This study was done during a clinical experience in a children’s hospital of Metropolitan Region and pretends to pose nursing interventions to hospita- lized children for child abuse. The nursing staff fulfi lls a vital role in the process of health recovery in child abuse cases. It is important to consider both the child’s context and vital cicle stage, as well as identifying and enhancing the abilities of both the child in question and the person taking care of him, promoting resilience, increasing attachment to others and self-caring with the aim of contributing safe environments that allow the child’s effective biological, psychological and social development. Key words: child abuse, nursing care, bonding, resilience.
Adolescence is a key stage of life to the empowerment that must have health, but it has many needs that health teams still have not resolved. This article presents an analysis of the health situation of a group of teenagers attending a public institution of higher education and intervention by nursing students, focused on creating conditions for health promotion and disease prevention. This research was conducted from a quantitative, descriptive and was performed in an institution of secondary education in the period from September to November 2012. We worked with students and students of eighth and ninth year with a convenience sample. The main results indicated needs in sexuality, healthy lifestyles and conflict resolution. To address these issues evolved different strategies planned, organized, directed and controlled by the individual. We conclude that health education in adolescents is a public health problem and that nurses must meet.
Institution : University of Costa Rica
The purpose of this essay is to reflect on the work of the teacher as a mediator between the curriculum and their audiences and how to transform their knowledge appropriately discipline for the student to understand and internalize the knowledge gained in the module: nursingintervention with older adulthood, proposal consistent with constructivist pedagogical model assumed for the development of the curriculum of the Bachelor of nursing at the University of Costa Rica. They emphasize the reasons why it is relevant pedagogical content knowledge and teaching strategies applied by teachers. Subsequently, defined teaching strategies and content representation and mediation support for teachers and the way they are implemented in the course. The foundations are drawn from research and educational recent reviews related to concepts such as pedagogical content knowledge.
Tobacco consumption is one of the main causes of avoidable mortality in the western world, as well as one of the risk factors of several chronic diseases. Control and prevention of smoking are key areas in order to help to eradicate the harmful consequences of tobacco for human health. Carrying out a successful nursingintervention through education for health in the fight against tobacco use is a challenging professional task. The aim of this paper is to reflect the most effective preventive strategies carried out by nurses to achieve smoking cessation in active smokers.
Nursing care pertains to activities that are developed by the nursing staff, such as administering medication, patient ambula- tion , changes of position, bathing patients, mouth care, recording vital signs, intake and output documentation, nutrition, and educa- tion for hospital discharge, among others. When these essential elements of care are not offered to the patient, it is known as missed nursing care or errors of omission (3, 4). Previous studies show missed nursing care and errors of omission can be frequent at hospitals that attend to patients with acute health problems. According to WHO (1), an error is defined as the failure to comple- te a planned action, as intended, or the application of an incorrect plan. For example, an error can occur when something is done in- correctly (error of commission) or when something that should be done is not (error of omission). In the planning and implementa- tion of care, regardless of whether the error is one of commission or omission, it is necessary to analyze why it occurred, to offer solutions, and to prevent any recurrence (3).
In this area, studies have explored the association between the workload of the nursing team and the quality and safety of care given to the patient, showing an inverse relationship between the nurse/patients ratio and negative effects for patients and nurses. Among the negative effects for patients: increases in the failure to rescue; increased incidence of urinary tract infection; pneumonia and upper gastrointestinal bleeding; patients’ falls and increased mortality(6-8). Furthermore, research has shown that insufficient nursing staffing cause job dissatisfaction, stress and intention of quitting the job (9-11) .
Para esta revisión de la literatura se realizó una búsqueda en seis bases de datos (PubMed, Web of Science, LILACS, ProQuest Nursing & Allied Health Source, Google Scholar y Scielo) incluyendo co- municaciones científi cas desde 2005 hasta 2012. Se utilizaron las palabras clave pres- cripción, enfermería, nurse, prescription, nurse prescribing.
Nursing Care for Emergency Surgical Patients. The surgical process consists of three sections (preoperative, intraoperative and postoperative), where the nursing activities, characteristics, conditions and circumstances of each patient are different. There are two ways to guarantee the correct attendance by the nursing: adequate training of the professionals and protocolization and standardization of the processes. Perioperative Nursing: "Role of nursing professionals in total attendance before, during and after surgery. Nursing is essential in this health area.
Journal for Educators, Teachers and Trainers JETT, Vol. 10 (2); ISSN: 1989-9572 34 ideologies and terminology, to gain novel knowledge about approaches and methods, which are used in adjacent specialties. The third important factor is to create possibilities for open communication among other early intervention professional across the field. The professional supervisions can be a very useful and effective tool. Usually supervisions are provided by external professionals who help a team solve problems that may arise in their clinical practice. Developing early intervention programs in St. Petersburg, we created a new model of supervision. Early intervention departments were opened in several pediatric policlinics in the city. Therefore, several teams received educational courses at the Institute, together. The main questions arose after the course ended, when specialists in newly opened centers started their practical work. We got the idea to organize regular supervisions for all these Early Intervention teams to serve as continued practical education. Several teams come together to attend the supervision, where one team presented their practical case that was then discussed among the professionals from other centers. Every team received the chance to present their most complicated case as well as their most successful one. Specialists from the Institute provided advice and shared some additional knowledge where necessary. This form of education and interaction between specialists became very popular among practitioners and still is very highly demanded.
The unprecedented monetary expansion implemented by central banks in developed economies during recent years has induced an extraordinary flow of funds to emerging economies and supported high commodity prices. This has created upward pressures on the value of local currencies and a further expansion of available funds and lending. This situation gave rise to concerns about a possible misalignment of the real exchange rate relative to its equilibrium level, especially because it can be deemed a temporary response to the current phase of the cycle in developed economies, but with a potentially lasting negative impact on the tradable sector of the economy. In Peru, the response to this situation has been an intensification of sterilized intervention in the foreign exchange market and the use of reserve requirements on local banks’ foreign currency liabilities, reinforcing macro-financial stability in an economy with a partially dollarized financial system. Both instruments have contributed significantly to reducing excessive exchange rate volatility, building up an international reserve buffer, and ensuring a normal flow of bank credit.