Nursing Commons^™

Dental Students’ Psychological Stress: A Comprehensive Investigation Of Stress Inducing Factors At Mohammed Vi University Of Sciences And Health, Latifa El Mouden, Elmehdi Fettach

Health Sciences

Dental students are significantly confronted with mental health problems. We conducted a prospective recruitment of students at the Faculty of Dentistry of the Mohammed VI University of Sciences and Health to investigate the determinants of stress specific to this population in order to find solutions to improve their quality of life. In our study, 410 students responded to the survey, the average age of the students was 21.51 ± 2.102 years, 70% were female, 30% were in their 6th year, and 60% of the students were from Casablanca. The average MSP-25B score was 101.94 ± 33.035. In our study, there …

Ob-Pdcds Polish, Marianne E. Weiss, Malgorzata Nagorska

Post-Discharge Coping Difficulty Scale (PDCDS)

The Readiness for Hospital Discharge Scale, Quality of Discharge Teaching Scale, and Post-Discharge Coping Difficulty Scale were developed by Dr. Marianne Weiss to measure nurse-sensitive discharge care processes and patient outcomes. Three versions of the scales were developed concurrently for different patient populations – Adult medical-surgical patients, Parents of hospitalized children, and Postpartum Patient mothers (see Weiss & Piacentine, 2006, Weiss et al., 2007, and Bobay et al., 2018 for description of the development and initial testing). Additional scales and information about translation rights are located at Marquette Nursing.

PERMISSION TO USE

The Readiness for Discharge Scale, Quality of Discharge …

Improving Patient Engagement Post-Percutaneous Coronary Intervention Using The Systematic Introduction Of A Cardiac Rehabilitation Bundle In A Community Hospital: A Quality Improvement Project, Rebecca Vela

Doctor of Nursing Practice Final Project Abstract

PURPOSE This quality improvement project aimed to increase patient participation and program completion rates in cardiac rehabilitation (CR) following percutaneous coronary intervention (PCI) by 10% of the historical baseline within 3 months.

BACKGROUND Heart disease is the leading cause of death in the United States. PCI is a standard treatment for symptomatic heart disease. CR is a post-PCI secondary strategy proven to reduce mortality and improve quality of life. The project addressed below-average CR attendance at a community hospital in the greater Houston area.

METHODOLOGY An evidence-based, multidisciplinary bundle that included education, signage, defined quality metrics and dashboard, patient-centered care, …

Decreasing Compassion Fatigue In Inpatient Nurses Using Debriefing And Group Care Program, Hanh Nguyen

Doctor of Nursing Practice Final Project Abstract

Purpose: The quality improvement project's purpose was to use a group care program to decrease compassion fatigue (work-related stress) in nurses. The project aimed to reduce compassion fatigue in nurses by 25% and nurse turnover rates by 10% post-intervention.

Background: The project was implemented on two inpatient units in Texas. Decrease in compassion fatigue can help improve nurse well-being and nurse retention, promoting safe quality nursing care.

Methodology: The Professional Quality of Life Scale (ProQOL) survey measured compassion satisfaction and burnout pre-intervention. Twelve weekly program sessions were completed using strategies: debriefing, breathing exercise, and muscle relaxation. A …

Implementation Of Same Day Cervical Cancer And Chlamydia Screening In A University Clinic Setting, Amanda Rodriguez

Doctor of Nursing Practice Final Project Abstract

Implementation of same day cervical cancer and chlamydia screening in a university clinic setting

PURPOSE The purpose of this quality improvement project was to implement a screening questionnaire in a university student health center to increase the rates of up-to-date cervical cancer and chlamydia screening.

BACKGROUND The project was implemented at a university-based student health center with a student population of 31,559 with 60.3% of the population being female.

METHODOLOGY A screening questionnaire regarding pap smear results and last chlamydia testing was developed for all female students age 18-65 to complete at check in for their appointments. Medical staff were …

Impact Of A Nurse Manager Development Program On Manager Competency And Intent To Leave, Yashamika Short

Doctor of Nursing Practice Final Project Abstract

PURPOSE The purpose of this Quality Improvement Project is to create an evidence-based onboarding and orientation process for novice and assistant nurse managers that positively impacts nurse manager competency and intent to leave.

BACKGROUND Many organizations don’t provide formal leadership training for their nurse managers. Nurse managers are typically selected for their positions based on clinical expertise rather than leadership and management competency.

METHODOLOGY American Organization for Nursing Leadership Manager Competency Assessment tool and Dr. Nora Warshawsky Nurse Manager Intent to Leave Survey were utilized pre/post training. The framework has 3 domains: the science (managing the business), the art (leading …

Enhancing Medication Safety Through Standardized Protocols And Skills Competency Checklist: A Quality Improvement Project In Group Homes For Individuals With Intellectual Disabilities, Mary Chilaka

Doctor of Nursing Practice Final Project Abstract

PURPOSE

This quality improvement (QI) project aimed to enhance medication safety in group homes for individuals with intellectual disabilities by implementing standardized protocols and a skills competency checklist for Unlicensed Assistive Personnel (UAPs).

BACKGROUND

Medication errors in group homes often result from inconsistent training and oversight among UAPs. This project addressed these gaps by introducing structured training, a competency checklist, and workflow improvements to enhance adherence to best practices.

METHODOLOGY

Using the Plan-Do-Study-Act (PDSA) cycle, key interventions included bi-weekly training, hands-on shadowing, competency assessments, and "do not disturb" signage to minimize distractions. Data collection included pre- and post-training surveys, weekly …

Relationships Of Secondary Traumatic Stress, Compassion Fatigue, And Compassion Satisfaction Among Maternity Nurses Caring For Patients Who Succumbed To Maternal Mortality, Debra Joy Mendelson

Theses & Dissertations

Background:

Maternity nurses work where positive outcomes are the norm, leaving them more vulnerable to the adverse effects of dealing with death. Limited data indicate that caring for a maternity patient who dies may result in nurses developing secondary traumatic stress and associated compassion fatigue, which may affect their job performance. Research is warranted to promote a better understanding of nurses’ experiences, especially since the increase in maternal mortality has resulted in more nurses being exposed to maternal death.

Purpose:

The purpose of this study was to explore relationships between secondary traumatic stress, compassion fatigue, and compassion satisfaction of maternity …

Staff Perceptions On The Effectiveness Of Grip-S, A New Approach To Clinical Supervision Incorporating Safewards: An Interpretive Phenomenological Analysis, Jennifer Hamilton, Amanda Cole, Richard Bostwick, Irene Ngune

Research outputs 2022 to 2026

This study explored the impact of an innovative approach to clinical supervision for mental health nurses which integrates Safewards, named Group Reflective integrated Practice with Safewards–GRiP-S. Qualitative data was collected through 10 individual semi-structured interviews with nursing staff who had participated within the clinical supervision approach. Interviews provided insights into the nursing staff’s perception and experience of the clinical supervision approach. Through interpretive phenomenological analysis six themes emerged (i) illuminating embodied practice of Safewards, (ii) building confidence through empowering connections, (iii) creating a culture of positive change, (iv) identifying internal motivation for and external barriers to supervision engagement, (v) navigating …

It Takes It Out Of The Textbook: Benefits Of And Barriers To Expert By Experience Involvement In Pre-Registration Mental Health Nursing Education, Brenda Happell, Sarah Gordon, John Hurley, Kim Foster, Mike Hazelton, Richard Lakeman, Lorna Moxham, Terri Warner

Research outputs 2022 to 2026

What Is Known on the Subject?: Service user involvement in mental health nursing education is beneficial in terms of attitudinal change to reduce stigma, clinical skill development and enhancing understandings of recovery-oriented practice. Service users as experts by experience have not been embedded within pre-registration nursing programs. Consequently, they remain limited in number, ad hoc and frequently tokenistic. Nurse academics responsible for the design and delivery of pre-registration mental health nursing curricula have a potentially important role in facilitating expert by experience involvement in mental health nursing education. What this Paper Adds to Existing Knowledge: Nurse academics teaching mental health …

Increasing First-Attempt Endotracheal Intubation Success Rates In The Aeromedical Environment, Jared Copeland

Graduate Theses, Dissertations, and Problem Reports (ETD)

Problem Statement: In 2022, the first-attempt endotracheal intubation success rate of an aeromedical agency had steadily declined and was currently below the international average of 88.48%. This decreased success rate potentially placed patients at risk for adverse events that increase morbidity and mortality. Background: Patients who experience a failed first-attempt intubation are at greater risk of intubation related complications. These complications include hypoxemia episodes, severe arrhythmias, pulmonary aspiration, hypotension episodes, cardiac arrest, and death. Literature Review: Preoxygenation, patient positioning, maintenance of oxygenation, drug selection, and device utilization have been found to increase first-attempt endotracheal success rates. Project Aims: The project …

Implementing A Nurse-Driven Clostridium Difficile Screening Protocol, Sandrela Magnuson

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Background: Clostridium difficile infection (CDI) is a prevalent infection often contracted in hospitals. CDI is also increasingly originating from community settings. In addition to the health risks associated with CDI, diagnosis of a hospital-acquired CDI can have a significant financial impact on hospital systems. When hospital acquired, hospital systems are no longer reimbursed by payers. Secondary to the increasing prevalence of community-acquired CDI, mechanisms for early detection and isolation are warranted.

Local Problem: J.W. Ruby Memorial Hospital has an integrated Clostridium difficile (C. difficile) electronic health record (EHR) screening questionnaire that requires updating to align with current guidelines.

Purpose: …

The Development, Implementation And Evaluation Of A Novel Intervention For Delirium Prevention And Management In An Adult Intensive Care Unit: A Mixed Methods Study, Gideon Ugochukwu Johnson

Theses: Doctorates and Masters

Background: Delirium is a prevalent acute brain dysfunction in patients within intensive care units. Delirium is marked by a fluctuating mental state, inattention, and altered consciousness. This condition affects a substantial proportion of patients in intensive care units, and which leads to increased mortality, severe physiological and psychological consequences, and a significant economic burden on healthcare systems. Despite the evidence that supports the use of non-pharmacological interventions to prevent or minimise the impact of delirium such as orientation, sensory stimulation, early mobilisation, and family involvement, their implementation in intensive care units remains inconsistent. The involvement of family members in the …

Physical Health Of People With Mental Illness: A Snapshot Of Consumer Engagement In The Provision Of Care In Primary Care., Irene Ngune, Dianne Wynaden, Karen Heslop

Research outputs 2022 to 2026

Primary care is crucial to the health of people with mental illness. However, there is limited information on their reported engagement in this setting. This study surveyed 100 people with mental illness who had a general practitioner or a general practitioner and a case manager from a tertiary mental health service to determine their engagement level with their GP and what interventions they received to manage their health. Forty-four per cent had their psychotropic medications primarily prescribed by their GP, and 58% reported visiting their GP for physical health problems. Ninety-four point nine percent of participants aged 50 years and …

How Does The Proportion Of Child-Specific Content Of Pre-Registration Nursing Programmes In Higher Education Institutions Impact Upon Newly Qualified Registered Nurses’ Perceptions Of Preparedness To Care For Children, Young People, And Their Families? A Narrative Review Protocol, Matthew C. Carey, Danielle Edge, Julie Blamires, Mandie Foster, Sarah Neill

Research outputs 2022 to 2026

This paper presents a narrative review protocol to explore how the proportion of child-specific content of pre-registration programmes in universities impact upon newly qualified nurses’ perceptions of preparedness to care for children, young people (CYP), and their families. The preparation and education to become a nurse who cares for children and young people differs from country to country. Providers of pre-registration nurse education offer routes into nursing from diploma to degree and in some countries post-graduate routes. The United Kingdom offers pre-registration programmes leading to qualifying as a children’s nurse whereas programmes in countries such as the USA and Canada …

Out-Of-Hospital Birth Training, Experience And Confidence Of Australian Rural Volunteer Ambulance Officers, Michella G. Hill, Belinda Flanagan, Sara Hansen, Luke Hopper, Brennen Mills

Research outputs 2022 to 2026

Introduction: Unplanned out-of-hospital births represent less outs have a high risk of life-threatening complications, which are than 1% of ambulance requests for assistance. However, these call- particularly complex in rural or remote settings with limited accessibility to specialist care support. Many community hospitals Four themes emerged from analysis: (1) Lack of education and no longer provide obstetrics care, so birth parents must travel to exposure to birth resulted in low confidence. Most participants larger regional or metropolitan hospitals for assistance. Increased reported significant anxiety attending obstetric call-outs, and travel time may increase the risk of unplanned out-of-hospital explained under-utilisation of …

Nurses’ Attitude Toward Trauma-Informed Care In Critical Care Units: A Cross-Sectional Study, Hashem Alkotaifan, Raghad H. Abdelkader, Mohammad N. Alshloul, Shaher H. Hamaeh, Mohammed S. Albashtawy, Nazzal M. Alshloul, Doha M. Alshloul

Research outputs 2022 to 2026

Objective: Trauma-informed care (TIC) is an innovative concept that recognizes the lasting impact of psychological trauma. Critical care nurses’ attitude toward TIC plays an essential role in assessing, monitoring, and addressing trauma experienced by patients. This study aimed to describe critical care nurses’ attitudes toward TIC in critical care units at Jordanian military hospitals. Methods: This descriptive-analytical cross-sectional study was performed on 315 critical care nurses at seven military hospitals (two from the north, three from the center, and two from the south) in 2022. The data collection tool was the Attitudes Related to Trauma-Informed Care-35 (ARTIC-35) scale. Multi-stage sampling …

The Gender Pay Gap In The Australian Nursing Workforce: A Retrospective Observational Study, Gemma Doleman, Christine Duffield, Ian W. Li

Research outputs 2022 to 2026

Aim: To explore the gender pay gap among the Australian nursing workforce and identify reasons for such a gap. Background: Gender discrimination exists in nursing, with men having a higher rate of pay and a faster rate of career progression, irrespective of experience and qualifications. In addition, men are shown to have a greater representation in leadership roles compared to the proportion of men in the profession. Methods: The study uses a retrospective, observational survey design of graduate nurses from all Australian universities. Findings: The gender wage gap was around 4% at six months after graduation, increasing to 13% at …

Cross-Sectional Survey Of Staff And Family Perspectives On The Use Of Cctv In Australian Residential Aged Care, Davina Porock, Caroline Vafeas, Mandy Towell-Barnard, Laura Emery, Gemma Doleman, Janine Alan

Research outputs 2022 to 2026

Objective: To describe staff and family members' opinions about closed-circuit television (CCTV) in communal and private areas of residential aged care facilities (RACF), and to investigate how this relates to perceptions of care quality. Methods: A cross-sectional survey was developed to capture perceptions of CCTV's influence on care quality, and acceptable locations for CCTV placement. Data were recorded as ordinal-scale and open responses. Non-parametric tests of association were conducted. Results: The survey was completed by 81 staff and 74 family members. Both staff and family were satisfied with care quality and safety, irrespective of CCTV use. More family members were …

Study Protocol For A Stepped-Wedge Cluster (Nested) Randomized Controlled Trial Of Antenatal Colostrum Expression (Ace) Instruction In First-Time Mothers: The Ace Study, Cassandra Cuffe, Roslyn Giglia, Matthew N. Cooper, Julie Hill, Desiree Silva, Anita M. Moorhead, Valerie Verhasselt, Joshua R. Lewis, Deborah Ireson, Jill R. Demirci, Talea Cotte, Kathryn Webb, Frances Patey, Therese A. O’Sullivan

Research outputs 2022 to 2026

Background: Although many mothers initiate breastfeeding, supplementation with human-milk substitutes (formula) during the birth hospitalization is common and has been associated with early breastfeeding cessation. Colostrum hand expressed in the last few weeks before birth, known as antenatal colostrum expression (ACE), can be used instead of human-milk substitutes. However, evidence is lacking on the efficacy of ACE on breastfeeding outcomes and in non-diabetic mothers. Methods and Planned Analysis: This multicenter stepped-wedge cluster (nested) randomized controlled trial aims to recruit 945 nulliparous pregnant individuals. The trial is conducted in two phases. During Phase 1, control group participants are under standard care. …

The Implementation And Evaluation Of A Family-Led Novel Intervention For Delirium Prevention And Management In Adult Critically Ill Patients: A Mixed-Methods Pilot Study, Gideon U. Johnson, Amanda Towell-Barnard, Christopher Mclean, Beverley Ewens

Research outputs 2022 to 2026

Background: Family-led interventions have been identified as effective in many areas of care including the management of delirium. However, because of the heterogeneity and ambiguity of family-led interventions, they are not consistently applied within intensive care units. A user-friendly digital intervention may therefore support consistent family integration into delirium management. Aim: To explore the feasibility and acceptability of a family member's voice reorientation intervention for delirium prevention and management in an adult intensive care unit. Study Design: Parallel, convergent mixed-methods pilot study was conducted in a general adult intensive care unit in the United Kingdom. Thirty participants (15 patients and …

Establishing Guidelines For Implementing Electronic Hand Hygiene Monitoring Systems, Olaoti Opaleye

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Healthcare-associated infections (HAIs) in hospitals threaten patient safety and quality of care, which leads to increased healthcare costs. Despite national and state-level progress in hand hygiene compliance (HHC), the 2022 CDC annual report on HAIs highlighted ongoing concerns for standard infection ratios (SIRs) and called for improved HHC to reduce HAIs. Many hospitals use trained observers to collate HHC data; their audits are limited and often skewed by the Hawthorne Effect (HE) and observer bias, resulting in inaccurate HHC data. This project aimed to create guidelines for implementing electronic hand hygiene monitoring systems (EHHMSs) to help hospital inpatient units adopt …

Manual Qualitative Data Coding Using Ms Word For Students And Early Career Researchers In Resource-Constrained Settings, Kahabi Isangula, Susan Kelly, Joyce Wamoyi

School of Nursing & Midwifery, East Africa

In recent years, the field of qualitative data collection, management, and analysis has undergone significant evolution, with researchers worldwide increasingly leveraging technological advancements to streamline and simplify their practices. Despite the advantages of using qualitative data coding software, several challenges persist, particularly in resource-constrained settings. Issues such as the high cost of software licenses, the time required to learn and use these tools, and the complexity of advanced features often hinder researchers, especially students and early career researchers in low-income contexts, and contribute to the generation of poor-quality research evidence. This paper aims to provide a simplified, step-by-step guide to …

A Qualitative Exploration Of Nurses’ And Midwives’ Experiences In Designated Covid-19 Healthcare Facilities In Rural And Urban Tanzania, Kahabi Isangula, Lucy Kisaka, Loveluck Mwasha

School of Nursing & Midwifery, East Africa

Background:

Frontline healthcare providers, particularly nurses and midwives, are at higher risk of COVID-19 infection due to frequent patient contact. However, studies examining their experiences, particularly in low-income countries like Tanzania, are limited.

Objective:

This study aimed to explore the experiences of nurses and midwives providing care in COVID-19-designated healthcare facilities in selected regions of Tanzania.

Methods:

A qualitative descriptive approach was used to investigate the experiences of nurses and midwives in COVID-19 care. In-depth interviews were conducted with 20 purposefully selected participants from Dar es Salaam, Shinyanga, and Pwani regions. Data were coded with NVivo 12 software and analyzed …

Improving Patient Safety And Continuity Of Care By Educating Nurses About Standardized Handoffs In The Post-Anesthesia Care Unit: A Quality Improvement Project, Remi Dos Santos

Master's Theses and Capstones

Background: Effective communication during patient handoffs is crucial for ensuring patient safety and continuity of care. The I-PASS handoff tool has been identified as an effective method to standardize communication and reduce errors during these critical transitions.

Local Problem: In the Post-Anesthesia Care Unit (PACU) of a hospital in New England, the lack of standardized procedures for nurse handoffs posed a risk to patient safety and care quality.

Methods: A quality improvement project was conducted using the Plan-Do-Study-Act (PDSA) cycle to implement and evaluate an educational intervention aimed at improving PACU nurses' proficiency with the I-PASS handoff tool. Pre- and …

Active Nursing Research Studies As Of 1-2024 (Study Summaries),, Vicki Babb, Kelly Ray, Breann Taylor, Debbi Bowman, Kaylyn Kistler, Erin Lacross, Naomi Adamski, Brooke Randol Msn, Rn, Agcns-Bc, Cmsrn, Cws, Stacy Greene, Preston Jennings, Jennifer Sorg, Olivia Figura, Rebecca Howard, Kelly Ray, Amber Childers, Kristy Jackson, Christine Fawcett, Lisa Morgan Bsn, Rn, Cnrn, Andrea D. Conley Msn, Rn, Agcns-Bc, Mscrn, Kellie Girardot Msn, Rn, Jennifer Thieman, Stephani Schultz Bsn, Rn, Cmsrn, Holly Platt, Abby Gaff, Chelsea Tetzlaff, Donna Hitzeman, Latoshia Gilbert, Meghan Winebrenner, Jan Powers Phd, Rn, Ccrn, Andrea Conley, Kristen Emenhiser, Rebecca Havens, Philip Roberts, Jennifer Esslinger Bsn, Rn, Cfrn, Ctrn, Lindy Bilimek Msn, Agcns-Bc

Nursing Active Studies

Nursing Clinical Action Team Chair and Co-Chair Education: Back to Basics in Leading the Unit-Based Team.

PI: Vicki Babb, Kelly Ray, BreAnn Taylor, Debbi Bowman

Project ROSC-O

PI: Kaylyn Kistler

Assessment of Nurse Perceptions Related to Shared Governance Culture.

PI: Erin LaCross, Naomi Adamski, Brooke Randol, Stacy Greene, Preston Jennings, Jennifer Sorg, Olivia Figura, Rebecca Howard Kelly Ray, Amber Childers, Kristy Jackson, Christine Fawcet

Nursing Evidence-Based Practice Survey Assessing Nursing Knowledge.

PI: Lisa Morgan

Custom Machine Learning Model for Hospital-Acquired Pressure Injuries (HAPI)

PI: Andrea Conley, Brooke Randol

Exploration of Intrinsic and Extrinsic Factors of Skin Injury in Intensive Care …

A Structured Diabetes Continuous Glucose Monitor Education Program To Improve Patient Knowledge And Self-Efficacy, Krystal Abucevicz-Swick

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/background: Continuous glucose monitor (CGM) is a recommended method of glucose monitoring for patients living with diabetes who are on insulin or experience documented hypoglycemia. CGM is a tool that can improve patient management of diabetes but works best when paired with education to achieve the maximum therapeutic benefits.

Purpose: The purpose of this project was (1) to develop an evidence-based structured CGM education program toolkit for people with diabetes who are ordered CGM, (2) to implement the CGM education toolkit into the Diabetes Self-Management and Education Services (DSMES) program at the project site, (3) to improve patient knowledge about …

Improving Empathy With Simulation: A Quality Improvement Project, Jami Layne

Doctor of Nursing Practice Projects

This study examines the effectiveness of simulation-based training in enhancing empathy levels among undergraduate nursing students. A lack of empathy can negatively impact the healthcare outcomes of patients (Levett-Jones et al., 2019). Improving the empathy levels of nursing students can improve patient outcomes and impact student learning outcomes such as the student’s ability to think critically and improve communication and social skills (Chua et al., 2021; Ferri et al., 2017; Hakansson Eklund et al., 2019; Koukourikos et al., 2021). The purpose of the quality improvement project was to improve empathy levels in undergraduate associate degree nursing students and increase the …

ปัจจัยคัดสรรที่มีความสัมพันธ์กับภาวะไข้จากเม็ดเลือดขาวต่ำ ในผู้ป่วยมะเร็งต่อมน้ำเหลืองที่ได้รับยาเคมีบำบัด, ปรียาภรณ์ หงส์พิมลมาศ, สุรีพร ธนศิลป์

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาภาวะไข้จากเม็ดเลือดขาวต่ำ และความสัมพันธ์ของอายุ เพศ ระดับ Albuminในเลือด พฤติกรรมการดูแลตนเอง  ชนิดของโรค ระยะของโรคมะเร็ง จำนวนครั้งที่ได้รับเคมีบำบัด โรคร่วม และกิจกรรมทางกาย กับภาวะไข้จากเม็ดเลือดขาวต่ำในผู้ป่วยมะเร็งต่อมน้ำเหลืองที่ได้รับยาเคมีบำบัด ของผู้ป่วยมะเร็งต่อมน้ำเหลืองที่ได้รับยาเคมีบำบัด

รูปแบบการวิจัย: การศึกษาครั้งนี้เป็นการวิจัยเชิงพรรณนา

วิธีดำเนินการวิจัย: กลุ่มตัวอย่าง คือ ผู้ป่วยมะเร็งต่อมน้ำเหลืองที่มาใช้บริการในแผนกผู้ป่วยนอกคลินิกโลหิตวิทยา โรงพยาบาลจุฬาลงกรณ์ จำนวน 114 คน เครื่องมือที่ใช้ในการวิจัย ประกอบด้วย แบบสอบถามพฤติกรรมการดูแลตนเอง และแบบสอบถามกิจกรรมทางกาย ตรวจสอบความตรงตามเนื้อหาได้ 1.0 เท่ากัน และตรวจสอบความเที่ยงได้ ค่าสัมประสิทธิ์แอลฟาของครอนบาคเท่ากับ 0.76 และ 0.72 ตามลำดับ วิเคราะห์ข้อมูลด้วยสถิติพรรณนา และวิเคราะห์การถดถอยโลจิสติค ผลการศึกษา: พบว่ามีผู้ป่วยมะเร็งต่อมน้ำเหลืองที่ได้รับยาเคมีบำบัดเกิดภาวะไข้จากเม็ดเลือดขาวต่ำร้อยละ 34.2 ส่วนใหญ่เกิดในครั้งแรกของการได้รับยาเคมีบำบัด ร้อยละ 48.7 และเกิดภาวะไข้จากเม็ดเลือดขาวต่ำเพียง 1 ครั้ง คิดเป็นร้อยละ 84.6 โดยปัจจัยที่มีความสัมพันธ์ทำให้ผู้ป่วยมะเร็งต่อมน้ำเหลืองเกิดภาวะไข้จากเม็ดเลือดขาวต่ำมากขึ้น ได้แก่ เพศหญิง ผู้ที่มีอายุ 60 ปีขึ้นไป ระดับอัลบูมินในเลือดต่ำ(<3.5 g/dL) เป็นมะเร็งต่อมน้ำเหลืองระยะแพร่กระจาย จำนวนครั้งที่ได้รับยาเคมีบำบัด และการมีโรคร่วม (OR=5.43, 1.68, 4.76, 1.62, 1.83, 2.33 ตามลำดับ p<.05) และปัจจัยที่มีความสัมพันธ์ทำให้เกิดภาวะไข้จากเม็ดเลือดขาวต่ำลดลง คือ กิจกรรมทางกาย(OR= 0.58, p<.05) ส่วนปัจจัยที่ไม่มีความสัมพันธ์กับภาวะไข้จากเม็ดเลือดขาวต่ำ ได้แก่ พฤติกรรมการดูแลตนเอง และชนิดของโรคมะเร็ง(OR=0.62, 1.15 ตามลำดับ p >.05)

ปัจจัยทำนายภาวะสับสนเฉียบพลันในผู้สูงอายุที่เข้ารับบริการในแผนกฉุกเฉิน, สุภาวิดี แก้วสินธ์ุ์, ศิริพันธุ์ สาสัตย์

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อศึกษาปัจจัยทำนายภาวะสับสนเฉียบพลันในผู้สูงอายุที่เข้ารับบริการในแผนกฉุกเฉิน

รูปแบบการวิจัย: การวิจัยเชิงพรรณนาแบบหาความสัมพันธ์เชิงทำนาย

วิธีดำเนินการวิจัย: กลุ่มตัวอย่าง คือ ผู้ที่มีอายุเกิน 60 ปีบริบูรณ์ขึ้นไปทั้งเพศชายและเพศหญิงที่เข้ารับการรักษาในแผนกฉุกเฉินและอุบัติเหตุทุกประเภทในโรงพยาบาลศิริราช โรงพยาบาลพระมงกุฎเกล้า และ                     โรงพยาบาลราชวิถี จำนวน 220 คน เครื่องมือที่ใช้ในการวิจัย คือ แบบประเมินข้อมูลส่วนบุคคล แบบประเมินภาวะสับสนเฉียบพลัน แบบคัดกรองภาวะสมองเสื่อม แบบประเมินความปวด โดยใช้มาตรวัดแบบตัวเลข และในกรณีผู้สูงอายุที่ไม่สามารถบอกระดับความเจ็บปวดได้ ใช้แบบประเมินความเจ็บปวดสำหรับผู้ที่มีภาวะสมองเสื่อม ผ่านการตรวจสอบการหาค่าความเที่ยง โดยการหาค่าสัมประสิทธิ์แอลฟาครอนบาคของแบบประเมินภาวะสับสนเฉียบพลันและแบบคัดกรองภาวะสมองเสื่อม มีความเที่ยงเท่ากับ .83 และ .79 ตามลำดับ และหาค่าความเที่ยงของแบบประเมินความเจ็บปวดโดยใช้มาตรวัดแบบตัวเลขและแบบประเมิน  ความเจ็บปวดสำหรับผู้ที่มีภาวะสมองเสื่อมโดยวิธีการวัดซ้ำ มีค่าความเที่ยงเท่ากับ .77 และ .97 ตามลำดับ

ผลการศึกษา: 1) ผู้สูงอายุที่เข้ารับบริการในแผนกฉุกเฉิน มีภาวะสับสนเฉียบพลัน จำนวน 34 คน จากจำนวนกลุ่มตัวอย่างทั้งหมด 220 คน คิดเป็นร้อยละ 15.45 2) ภาวะการรู้คิดบกพร่อง ประวัติโรคหลอดเลือดสมอง ระยะเวลาการเข้ารับบริการในแผนกฉุกเฉิน ระดับความปวด ภาวะเลือดออกในสมอง และภาวะซึมเศร้า มีความสัมพันธ์เชิงบวกกับภาวะสับสนเฉียบพลันในผู้สูงอายุที่เข้ารับบริการในแผนกฉุกเฉิน อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 (x2 = 9.277, 10.020, rpb= .216, x2 = 9.000, 9.568, 3.874 ตามลำดับ) 3) ตัวแปรที่สามารถร่วมกันทำนายภาวะสับสนเฉียบพลันในผู้สูงอายุที่เข้ารับบริการในแผนกฉุกเฉินได้อย่างมีนัยสำคัญทางสถิติที่ระดับ .05 คือ ภาวะการรู้คิดบกพร่อง (AOR=7.25, 95% CI : 1.681-31.276) ประวัติโรคหลอดเลือดสมอง (AOR=4.74, 95% CI : 1.540-14.579) ระยะเวลาการเข้ารับบริการในแผนกฉุกเฉิน (AOR=6.67, 95% CI : 2.300-19.337) ภาวะเลือดออกในสมอง (AOR=14.72, 95% CI : …