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音量 10, 問題 2 (2021)

短いコミュニケーション

Transitional care model of patients with Myocardial Infarction

Judith J. Sugay

Most people survive their first heart attack and try to return to their normal lives. However, having a heart attack entails an individual to make some changes in his life to effectively cope with myocardial infarction (MI) right after hospitalization. When transferred to different care settings, these patients become more vulnerable and hinder their recovery. This study explored the coping strategies and quality of life (QOL) of patients with MI. Furthermore, a transitional care model (TCM) was developed.

The study utilized a mixed method design. The participants were discharged MI patients age 40 to 65 years old from hospitals in Metro Manila.  Self-made and adapted questionnaire were used. A Semi-structured interview was conducted to explore the participants’ QOL as to physical, emotional, and social domains. The variables were analyzed using descriptive and inferential statistics.  Association between coping strategies and QOL were determined using Pearson’s r, and thematic analysis for the qualitative data.

Result shows that when grouped according to gender, women had better social QOL (MS: 4.08) than men (MS: 3.93). In physical QOL, men (MS: 5.02) had better QOL than women (MS: 4.91). Employed (MS: 5.35) had the better quality of life than retired (MS: 5.00), and unemployed (MS: 3.30). There is no significant relationship (0.85) between the participants’ coping strategy and QOL. The identified themes showed interrelatedness of the coping strategies used and the QOL were described as interaction role, touching role, and support role.

Coping was evident on certain emotional, physical, and social strategies. There was uncertainty on emotional and physical QOL because of their dependency from other people. The developed TCM illustrated how an integrated care could guide the patients after hospitalization and seek care through different health programs in the community.

短いコミュニケーション

Instructional alignment to learning experience of nursing students through understanding variations in learning styles

Jocelyn Baluyot Hipona

Learning style varies on a person’s learning inclinations to apprehend, to consolidate, to process information and to acknowledge learning experiences thus, each learners’ have different learning strategies as they have distinctive individual differences. In view of the important role of learning styles in learning and academic achievement, the present study aims to determine the learning styles of nursing students for the improvement of instructional strategies plan.

This study is a quantitative research that used a descriptive research designs and also take the form of an applied type of research, a distinctive aspect of this scholastic work is that it accommodated the investigator’s familiarity within the area of interest. The participants chosen for this study were nursing students, this includes students from first level to fourth level in selected three different universities in the Philippines that caters Bachelor of Science in Nursing.

Nursing students have varied learning styles such as visual, auditory and tactile. This implies that the nursing students learning style in terms of visual learning happens sometimes during the course of their studying. Occasionally the students used visual learning style if it requires them to, however, this gives a good impact on their understanding of the course, thus, making it retain longer in their memory. However, promoting instruction remains intensely dependent on showing substance essentially through verbal signals such as composed or talked words. Without visual instruction, few students experienced low academic performance due to the irregularity between teachers’ educating styles and students’ learning styles.

 

短いコミュニケーション

Covid-19, our Elderly and their Careers: the way forward

Michael Galea

The present COVID-19 pandemic threatens humanity is various ways, especially due to the unpredictable nature of its course and progress. The impact of COVID-19 on mental health varies from place to place, but it is widely felt all over. The impact is more pronounced on vulnerable groups within every population. Research is beginning to show that this reality has both short term and long term impacts, and we need to address it holistically. This pandemic has struck where it really hurts: one of our basic human assumptions, that of a sense of control. Dealing with this fear of the unknown has brought us face to face with our existence and finiteness.

Ongoing data from Malta, gathered from Richmond Foundation, is increasingly suggesting a worrying picture on the mental health status of people across all walks of life, particularly among the elderly. Increased anxiety and stress is quite paramount, together with less trust in the respondents’ perception on the handling of the local pandemic situation. Moreover, results point at participants’ increase in outward projection and reach, while a decrease in subjects’ own self-care. A number of practical suggestions will be discussed, particularly in light of care-giving.

研究論文

Factors Affecting Nursing Ethics in Nursing Practice at University Hospitals of Tigray, Ethiopia, 2019: A Qualitative Research Study

Degena Bahrey Tadesse

Objective: Nursing ethics is the rational and sustainable use of communication, knowledge, clinical skills, emotions and values in nursing practice. This study aimed to discover and explain factors that affect nursing ethics in nursing practice at Aksum university hospital. This qualitative study was conducted using content analysis approach. Twenty five nurses with at least 2 years of experience participated in the study; they were selected using purposive sampling technique. Data were collected through semi-structured interviews and analyzed using thematic analysis. Results: After encoding and classifying the data, five major categories were identified: individual character and responsibility, communication challenges, organizational preconditions, support systems, educational and cultural development. To conclude knowledge of professional ethics and its contributing factors could help nurses and healthcare professionals provide better services for patients. At the same time, such understanding would be valuable for educational administrators for effective planning and management.

総説

12-Hour Shift, Beneficial or Harmful

Karen Watkins

12- hours shifts are becoming increasingly common in nursing as a result of several factors. In the U.S., many hospitals have employed 12-hour shifts because leaders in these healthcare organizations believe it's the ideal way of providing 24-hour care with enhanced continuity of staff and reduced costs. Nurses have different sentiments about 12-hour shifts with some preferring to practice longer daily hours with few shifts, allowing them higher flexibility and more days off. Nonetheless, there has been increasing concerns over possible threats to patient safety and quality of care, with major stakeholders questioning the benefits of 12-hour shifts. With the current focus on retention, increasing quality of care, and improving patient outcomes, hospital administrators need to find the balance between 12-hour and 8-hour shifts. The goal is for policy law makers to enforce a comprehensive approach to fatigue management by supporting healthful work schedules, and appropriate nurse/patient ratios at the national, state and organizational level.

研究論文

Neonatal Nurses�?? Perceived Barriers to the Provision of Developmental Care in Neonatal Intensive Care Units of Selected Hospitals in Addis Ababa, Ethiopia

Mekdes Hailegebreal Habte

Neonatal developmental care refers to the use of a range of nursing interventions to reduce stressors originating from the Neonatal Intensive Care Unit (NICU) environmentfactors is essential for the successful planning and implementation of developmental care provision in the neonatal intensive care units. Nurses are the frontline care provider in the neonatal intensive care units as their approach to patient care, training, and scope of practice is wide. In spite of this, there are a few investigations on nurses�?? perceived barrier assessments of neonatal developmental care provision. Therefore, the aim of this study was to find out Nurses�?? perceived barriers to the provision of developmental care in neonatal intensive care units of governmental hospitals in Addis Ababa, Ethiopia.

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