Medicine and Health Sciences Commons^™

Improving Handwashing Behavior Of School-Age Children Through A Game-Based Educational Program, Ikbal Fradianto, Arief Andriyanto, Nur Akbar, Nita Arisanti Yulanda, Bahtiar Bahtiar

ASEAN Journal of Community Engagement

Handwashing plays an essential role in overcoming health problems. Washing hands is a straightforward exercise but will not be done if not adequately informed and drilled on it. School-age children are a vulnerable group relative to health problems, but at the same time, is an excellent group to be given appropriate education. Educating school- age children on the importance of washing their hands is critical to improving health behavior. This community-based research aims to increase school-age children’s handwashing knowledge, attitudes, and practices using a game-based educational program. As a result, there are improvements in the handwashing behavior of around a …

Effect Of Progressive Muscle Relaxation Exercise On Anxiety Among Nursing Students Before Psychiatric And Mental Clinical Training, Ahmad Ayed

Journal of the Arab American University مجلة الجامعة العربية الامريكية للبحوث

Introduction: Psychiatric and mental clinical experiences offer valuable training for nurses. High-quality health care necessitates nurses having the necessary abilities, knowledge, and attitudes to care for people suffering from mental illness or distress. The purpose of this study was to investigate the effect of progressive muscle relaxation exercise on anxiety among nursing students in psychiatric and mental health nursing clinical training.

Methods: A controlled -experimental, pre-post study was conducted in the fall semester of 2020 in the Faculty of Nursing, Arab American University in Palestine. The sample of the study consisted of 60 nursing students enrolled in the Psychiatric …

A Cross-Sectional Study Of Nurses’ Perception Toward Utilization And Barriers Of Electronic Health Record, Mohammad Alboliteeh

Makara Journal of Health Research

Background: The utilization of electronic health records (EHRs) is crucial. This study aimed to determine the perception of nurses on the utilization and barriers to the use of EHRs.

Methods: This descriptive cross-sectional study on 327 participants was conducted at the government hospitals of Hail City that use EHRs. Data collection was conducted between March and April 2022. The adapted questionnaire was used to collect the data.

Results: Nurses perceived EHRs as useful (5.76 ± 1.71), easy to use (4.74 ± 1.56), and intend to use (5.85 ± 1.81). Sex had no effect on perceived usefulness ( …

Evaluation Of Internalized Stigma And Quality Of Life Of Patients With Psoriasis, Bedriye Cansu Demirkiran, Emine Kiyak

Makara Journal of Health Research

Background: Internalized stigma is defined as individuals’ acceptance of negative stereotypes created by society and then their alienation from society. Psoriasis is a dermatological disease that affects the quality of life. The study evaluated the internalized stigma and quality of life of patients diagnosed with psoriasis.

Methods: This cross sectional study enrolled 222 patients. Data were collected using the internalized stigma scale and the dermatology life quality index questionnaires. Data were analyzed using the Cronbach’s alpha.

Results: The internalized stigma score of the patients was 78.41 ± 23.14, and the quality of life score was 12.30 ± …

Factors Influencing The Utilization Of Antenatal Care, Institutional Delivery, And Postnatal Care Services Among Women In Bangladesh, Akibul Islam Chowdhury, Mohammad Asadul Habib, Tanjina Rahman

Makara Journal of Health Research

Background: In Bangladesh, the utilization of maternal health services is low, which triggers pregnancy-related complications and maternal deaths. The current community-based cross-sectional study aims to evaluate the factors associated with antenatal care (ANC), institutional delivery, and postnatal care (PNC) service utilization among women in selected areas of Southwest Dhaka, Bangladesh.

Methods: The study was carried out among 391 mothers from rural and urban areas. Data were collected using a standard questionnaire. Univariate and multivariate analyses were performed to identify the significant determinants associated with maternity care service utilization.

Results: Result shows that approximately 65%, 71%, and 72% …

Does The Anastatica Hierochuntica Plant Shorten The Duration Of Labour? A Prospective Observational Study, Filiz Okumuş, Halime Öncü-Çelik, Nevin Şahin

Journal of Asian Midwives (JAM)

Objective: This study aims to investigate the effect of Anastatica Hierochuntica L. on the duration of labour in primiparous women.
Methods: A prospective, case-controlled study with an intervention (n=28) and control (n=29) group. Participants were not randomized; their preferences related to the use of the A. Hierochuntica L. determined the group in which they would be included. In the intervention group, Anastatica Hierochuntica L. was used by all women. Standard care continued for both the intervention and control group. The duration of the first and second stage of labour were evaluated and compared between groups.
Results: Participants’ mean of age …

Why Skin-To-Skin Contact Is Not Made A Traditional Practice Right After Childbirth? Hindrances Behind Its Non-Implementation, Ateefa Al-Noor

Journal of Asian Midwives (JAM)

Skin-to-skin contact (SSC) is the practice in which a newborn is dried and placed immediately on mother’s chest. Both the mother and the baby gains benefits from this as it aids in breastfeeding and helps baby adjust to temperature outside the mother’s womb. However, not many midwives in hospitals carry out this crucial practice. Staff shortage, lack of awareness and time constraints were identified as the main determinants because SSC was not implemented. Realistic measures should be taken to enhance SSC as discussed in the paper. Thus, promotion of SSC soon after childbirth will be advantageous for neonatal quality of …

Jam – Winter 2022, Rafat Jan, Edwin Van Teijlingen, Kiran Mubeen, Abeer Musaddique

Journal of Asian Midwives (JAM)

No abstract provided.

Nurses Addressing The Knowledge Gap In Advance Care Planning, Stephanie Winkel, Elaine B. Harwood

International Journal of Faith Community Nursing

Background: Advance care planning allows people autonomy about values and preferences related to care at the EOL. Engaging in advance care planning enables one to consider decisions about medical treatment at the EOL and informing significant others, including health care providers, about preferences (National Institute on Aging [NIA], 2018).

Methods: In this QI project, the intervention will be a one-time ZOOM^® meeting between nurse leaders and participating church members. The nurse leader will present the 5 Wishes curriculum and lead a question-and-answer portion at the end of the ZOOM^® meeting. Participants will be asked to complete a short …

Program Evaluation Of Faith Community Nursing Cardiovascular Education Intervention, Jennifer Cummings

International Journal of Faith Community Nursing

Abstract

Background: Cardiovascular disease is the leading cause of death in the United States. Many cardiovascular risk factors are modifiable. Community engagement by Faith Community Nurses in church settings can help patients reduce risk.

Problem/Purpose: Faith Community Nurses at a Philadelphia church identified a need for cardiovascular lifestyle risk modification education and planned this as the inaugural topic of its new health outreach program. The project purpose was to evaluate effectiveness of the program in increasing knowledge of cardiovascular risk modification, increasing level of readiness to make self-identified lifestyle changes, and to evaluate the program format as a potential model …

Advance Care Planning In Faith Communities: A Quality Improvement Project, Lorie Hacker, Jan Gaddis, Jessica Grimm, Catherine Chung

International Journal of Faith Community Nursing

This quality improvement project examined the impact of providing an advance care planning training tool to faith community nurses in the community setting on advance care planning knowledge, self-efficacy, and implementation of advance care planning outreach and advance directive completion. The pre- and post-intervention frequencies measure and paired-t test survey design resulted in clinically significant improvements in knowledge, and self-efficacy of advance care planning among faith community nurses. A fifty-fold increase was seen in advance care planning outreach activities among the group from pre- to post-intervention. The limitations of the project included small sample size and short implementation timing. However, …

Technology For Faith Community Nursing Practice, Katrina Goodrich

International Journal of Faith Community Nursing

Technology is an ever-expanding tool that can be utilized by Faith Community Nurses to enhance their practice. Technology offers options for organizing and promoting services, collaborating with others on an international level, education of both the Faith Community Nurse and their clientele, and multiple instruments for tracking and managing wellness plans.

Editorial Board

Nursing & Health Sciences Research Journal

No abstract provided.

Achieving 6th Magnet Designation Via Virtual Visit During The Covid-19 Pandemic, Lourdes C. Castaneda, Suzanne S. Spoerl, Catherina Chang Martinez

Nursing & Health Sciences Research Journal

Despite the challenges encountered with the arrival of the COVID-19 pandemic, Baptist Hospital of Miami achieved the prestigious American Nursing Credentialing Center Magnet 6^th designation. We describe the journey including writing the documents, preparing for the virtual visit, and efforts from key stakeholders to support the virtual site visit with the use of technology, to hold videoconferencing and tours “on wheels.” Nurses showcased their professional practice and excellence in patient care through exemplars and narratives presented during the virtual visit. Last, we provide recommendations for success to organizations contemplating a virtual site visit.

Evaluation Of Anti-Factor Xa Level Usage For Low Molecular Weight Heparin In A Healthcare System, Natalie Quesep, Lourdes R. Menendez, Erika Dittmar, Radhan B. Gopalani, Payal Patel, Srikanth Nagalla

Nursing & Health Sciences Research Journal

Background: Low-molecular-weight heparin (LMWH) is a commonly used anticoagulant for treatment of venous thromboembolism (VTE). Routine monitoring of therapeutic effects through anti-Xa levels is not recommended but may be beneficial in patients with altered pharmacokinetics.^1,2 Inappropriate monitoring leads to excessive testing and premature dose adjustments, compromising safety and efficacy. The purpose of this project was to assess appropriateness of monitoring LMWH anti-Xa levels and identify opportunities to optimize utilization within a community health system.

Methods: A random-sample, retrospective chart review at a multi-site hospital system was conducted over a 3-year period. Inclusion criteria were adults admitted with …

A Concept Analysis Of Moral Comfort In Nursing, Natalie Bermudez

Nursing & Health Sciences Research Journal

Introduction: Nurses are the most trusted professional group in the United States. As such, examination and exploration of concepts or phenomena, either positively or negatively affecting nurses’ ethical decision-making and moral actions, are needed. While nursing literature is abundant on moral distress and its negative impact, literature on moral comfort (a positive phenomenon) is sparsely available. The purpose of this concept analysis is to explore MC within nursing literature and other disciplines to identify moral comfort’s defining attributes, antecedents, consequences, and empirical referents.

Method: Walker and Avant’s eight-step concept analysis approach was used.

Results: Six articles were included in this …

Exploring Nurses' Confidence In Providing Support To Bereaved Families Following Stillbirth Fetal Loss, Silvia E. Salazar, Priscilla Kahn, Jill Costley, Roxana Linares, Natalie Bermudez

Nursing & Health Sciences Research Journal

Introduction: Stillbirth fetal loss (SFL) is a significant cause of infant death in the US, with 23,000 reported in 2017. Negative psychological and emotional repercussions of SFL, for parents and nurses, may be mitigated by nurses’ preparedness to provide bereavement support (BS). Several studies exploring BS for miscarriage-related fetal loss were found. However, studies exploring SFL BS and nurses’ preparedness for providing SFL BS are sparse. The purpose of this study was to assess nurses’ confidence and knowledge for providing BS to families experiencing stillbirth fetal loss.

Methods: This was a cross-sectional quantitative descriptive study. Postpartum registered nurses (RN) were …

Letter From The Editor: Coming Together As A Resilient Workforce, Nohemi Sadule Rios

Nursing & Health Sciences Research Journal

No abstract provided.

Exploring Workplace Incivility And Bullying In Healthcare Workers In A South Florida Community Hospital, Nada Wakim, Natalie Bermudez, Claudia C. Sabogal-Rodriguez

Nursing & Health Sciences Research Journal

Introduction: Workplace incivility and bullying are concerning issues in healthcare with detrimental consequences for healthcare workers (HCW) and healthcare organizations. Organizational leaders’ recognition of incivility/bullying within healthcare organizations, and their sources, is imperative to prevent and/or address issues by creating “zero tolerance” work environments. The purpose of this cross-sectional, descriptive study was to explore HCWs’ experiences with incivility and bullying at a South Florida community hospital.

Methods: A convenience sample of HCWs at a South Florida community hospital were recruited to voluntarily complete the Nursing Incivility Scale.

Results: A sample of 325 HCWs responded to the survey. The results showed …

Improving The Timing Of Insulin Administration In Adult Acute Care Patients, Hollie Gow, Harold Girado, Venessa Rodriguez, Lourdes Talavera, Leyner Martinez, Pierce R. Buzzi Davidson, Esty Trimino, Dayana M. Aguilera, Catherina Chang Martinez, Annette Caravia, Joy Mitts, Shelli Anne Marie Chernesky, Diana Maria Lopez, Hector Gonzalez, Sandy Jones, Sara Perez, Nell Mayendia Blanco, Orlando Bodes Ramil, Christopher Scott, Andrea Calvo, Jan V. Roy, Yaribey Lopez, Margie Martin, Angelines Diaz, Yessenia Muniz, Joey Carralero

Nursing & Health Sciences Research Journal

Background: The correct timing of insulin administration in diabetic patients admitted to the hospital is important for the prevention of transient and serious glycemic deviations that could lead to negative patient outcomes. In November 2021, a South Florida Hospital identified an area of opportunity for quality improvement related to the process of subcutaneous insulin administration. In addition to bar code scanning, manual verification of the insulin dose by the primary nurse and another nurse was required prior to administration. Patients were experiencing delays in the timing of their insulin dose and nurses were reporting frustration with the process. Methods: The …

Decreasing Sudden Unexpected Infant Death, Carey B. Acosta, Kristal Brown, Judy E. Bowling

Nursing & Health Sciences Research Journal

Background: Sleep-related sudden unexpected infant death (SUID) is an alarming, potentially preventable event with over 3,500 annual occurrences in the United States (US). In response to sleep-related SUIDs, the American Academy of Pediatrics and National Institutes of Health advocate for safe sleep practices to promote establishment of safe sleep environments for infants through the Safe to Sleep initiative. However, research evidence shows that lack of knowledge in hospital staff and community members (parents/caregivers) and cultural barriers/biases are factors associated with the inability or resistance to adopting safe sleep practices for infants.

Methods: In 2017, internal evidence within a local …

The Creation Of A Critical Care Admission Pressure Injury Prevention Cart To Reduce Hospital-Acquired Pressure Injuries, Hollie Gow, Courtney Willard, Nelkys Casal, Lili Estevez, Laurie Green, Jose Arnaez, Carolina Granados, Diana Petraitis, Dayana Aguilera, Nushi Berahman, Ismaray Machin, Stephanie Colon, Rayma Yero, Shireen Knox, Gabriela Castillo, Catherina Chang Martinez, Seth Lopez

Nursing & Health Sciences Research Journal

The goal of this process improvement initiative is to reduce hospital-acquired pressure injuries related to Covid-19 with Critical Care patients. Critically ill and ventilated patients require prone position therapy and prolonged ventilator times place the patient at risk for hospital acquired conditions and pressure injuries. The Critical Care team created a Critical Care Admission Pressure Injury Prevention Cart that contains preventative dressings for all pressure areas at risk.

The Critical Care Admission Pressure Injury Prevention Cart has significantly reduced the pressure injury rate. With the emergence of the pandemic and additional surges, pressure injuries continued to be on the rise …

Nursing Considerations For Elderly Adults With Urinary Tract Infections In Nursing Homes, Mary Marlett

D.U.Quark

No abstract provided.

Nursing Students’ Perceptions Of Using Branching Simulation: A Qualitative Descriptive Study, Mohammad Rababa, Dania Bani-Hamad, Shatha Al-Sabbah

The Qualitative Report

Previous intervention studies have shown that branching simulation (BS) unfolds the complex multidimensional aspects of challenging health problems. The present study aimed to examine graduate nursing students’ perceptions of using BS in professional training. This study used a qualitative descriptive design with semi-structured interviews with a sample of 20 graduate nursing students. Four main themes emerged from the results: (a) BS as a support to students’ professional training, (b) BS leads to changes in clinical practice, (c) whether BS is a stressful learning experience, and (d) BS versus traditional lecturing. The participating students perceived BS as a valid learning tool …

Leading With Emotional Intelligence In Perioperative Nursing: An Integrative Review, Elise Rhodes, Paula Foran

Journal of Perioperative Nursing

Background: Emotional intelligence has increasingly become synonymous with effective leaders within successful organisations. The perioperative environment is a complex setting within an organisation that requires nurse leaders to possess self-awareness that allows them to understand and control their emotions while using this insight to benefit others. Perioperative nurse leaders can use their emotional intelligence to manage conflict, negotiate between multidisciplinary team members, motivate staff to provide high level safe patient care and promote a positive work culture that can increase staff retention.

Review methods: A literature search of databases of CINAHL, Pubmed, Medline and Scopus was conducted to extract qualitative, …

Implementation Of A Virtual Nurse Residency Program For Public Health Nurses: A Pilot Study, Ashlie L. Pullen

Journal of the Georgia Public Health Association

Implementation of a Virtual Nurse Residency Program for Public Health Nurses: A Pilot Study

Background: Nursing retention is a growing concern for many healthcare organizations. One of the Georgia Department of Public Health’s goals is to improve the recruitment and retention rates of public health nurses in the state. In this cohort study of nurses with less than 18 months of experience in public health, pre and post-tests were conducted to measure stress, confidence, job satisfaction, and public health core competencies.

Methods: The participants took part in asynchronous and synchronous online content led by public health professionals. These two modules …

Who Leads The Emergency Department Debrief?, Allison D. Lane, Ethan Bryce, Marcy R. Milbrandt, Lisa R. Stoneking

Journal of Wellness

No abstract provided.

Lessons Learned: Covid-19 In Post-Corrections Secured Behavioral Rehabilitation, Jennifer G. Jones, Maria Devalpine, Erica J. Lewis

Virginia Journal of Public Health

Background: The COVID-19 case rate on June 5, 2020, for prisoners in the United States (US) was 5.5 times higher than the US population case rate (Saloner et al., 2020). Secure facilities were challenged to mitigate the spread of COVID-19. One secure behavioral rehabilitation facility made many changes to facility and program protocols to meet this challenge.

Methods: The purpose of this program evaluation was to assess newly implemented infection control measures at a secure behavioral rehabilitation facility and to inform policy and procedure recommendations for the mitigation of COVID-19 transmission in congregate living facilities in the future. Case rates, …

Strategies To Prevent Inadvertent Retained Surgical Items: An Integrative Review, Amanda J. Snape, Jed Duff, Oya Gumuskaya, Kerry Inder, Alison Hutton

Journal of Perioperative Nursing

Background: The surgical count process is currently the recommended strategy for preventing unintentionally retained surgical items (RSIs) in Australia. Despite this, RSIs still occur and remain an internationally recognised issue and sentinel event associated with morbidity and mortality. There are numerous new and emerging strategies to prevent inadvertent RSIs, apart from the surgical count, and many involve the use of technology. These strategies are not currently specified in Standards for Perioperative Nursing in Australia (the ACORN Standards).

Aim: To provide an integrative synthesis of the literature to identify current and emerging strategies for preventing RSIs during surgical procedures.

Design: An …

It’S Time For The Perioperative Community To Recommit To The Who Surgical Safety Checklist, Jed Duff

Journal of Perioperative Nursing

For over a decade, the World Health Organization (WHO) Surgical Safety Checklist has been recognised as an essential perioperative safety tool. The first landmark multi-national study demonstrated a remarkable 47 per cent reduction in mortality and a 36 per cent reduction in surgical complications, which was confirmed in subsequent studies. Although effective in a research environment, the checklist has been challenging to implement. Today, hospitals worldwide still struggle to use the checklist as designed and maintain enthusiasm for its sustained use. Is it time for the perioperative health care community to revisit the checklist and recommit to safer surgery?