看護とケアのジャーナル

Providing quality mental health care in the community level requires collaboration between the community and health workers including nurses. This study explored the community-primary health care system link in forty-seven health centres and their host communities in three purposively selected states in Northern Nigeria. A mixed-research method was employed to obtain data from 191 PHC workers, and 18 community members including Traditional Medicine Men (TrMM). Data were collected through a questionnaire and in-depth interviews. Quantitative analyses was done descriptively using SPSS Version 20 while the qualitative analysis was carried out thematically. These were synergised to meet research objectives. Findings show that 55.0% of the workers said there is no collaboration with the community, while another 42.0% claimed that communities are involved. Nurses and midwives constitutes 23.5% (n=45) of the PHC workforce. Further survey findings indicated 53 (33.0%) of respondents reported collaboration between the traditional and the modern health practitioners; 84 (44.0%) reported absence of it; others (n=44; 23.0%) were uncertain. Qualitative data supported these divergent views. Community leaders in two of the three states revealed community collaboration; some community leaders were even made chairmen of PHC committees in their respective domains. However, responses from the TrMM were mixed. While some TrMM said they invited modern medical practitioners (like nurses in Gombe State) to treat the physical conditions of their mental patients, some others even established an occupational therapy collaboration with specialist neuro-psychiatric hospitals (like in Kaduna State). Yet others vehemently refused even visits from modern mental health workers to their centres (in Kaduna State) for various reasons. These findings present PHC workers including nurses/midwives) with diverse challenges of collaborating with the community’s traditional medical system, which need to be overcome to achieve effective community mental health care. The need for continual enlightenment and advocacy on collaboration to attain this is paramount. Health care professionals should continue to brainstorm on the appropriate models to adopt for a more robust collaboration to make the scarce community mental health services available to communities.

Clinical execution is a significant capability for nursing understudies to accomplish. Be that as it June, little is had some significant awareness of how much self-directed learning intervenes the connections among the ability to understand people on a deeper level, cooperation, and clinical execution in nursing understudies. This study was intended to research the intervening impact of self-managed learning on clinical execution. A cross-sectional, unmistakable, correlational plan was utilized, and a comfort test of 302 nursing understudies in Years 3 and 4 of a four year certification program were enlisted as members from five colleges in South Korea. Data on member qualities, the ability to appreciate individuals on a profound level, cooperation, self-managed learning, and clinical execution was gathered from the members utilizing self-revealed surveys from September to October 2019. Incomplete least squares underlying condition displaying was utilized to assess the examination model.

The commonness of dementia in Taiwan proceeds to rise, and related patient consideration is becoming trying for relatives and guardians. Nondrug medicines are much of the time utilized as a consideration procedure to mitigate the ways of behaving related with demolishing dementia. Numerous worldwide analysts have analyzed the viability of show treatment on dementia care. Notwithstanding, there is an absence of related examinations in Taiwan. The point of this study was to look at the impacts of show treatment concerning working on burdensome side effects, consideration, and personal satisfaction in patients with feeble dementia.

The age of teenagers' sexual inception is diminishing around the world. Early sexual commencement has been accounted for to influence social, physical, and psychological well-being, however little is had some significant awareness of the connection between the planning of sexual inception and self-destructive ideation. This study was intended to distinguish the relationship between the planning of sexual inception and self-destructive ideation by orientation. This cross-sectional review utilized information from South Korea's Youth Health Behavior Online Survey for 2016. Information on 1st to twelfth grade understudies (N=10,810) were dissected utilizing expressive insights, χ² tests, and various leveled calculated relapse. The outcomes uncovered a huge connection between early sexual inception and self-destructive ideation among both young men and young ladies. This relationship stayed critical subsequent to controlling for bewildering factors that are known to influence self-destructive ideation, including apparent pressure, sadness, school grades, and sociodemographic qualities. The gamble of self-destructive ideation was higher among understudies who first experienced sex in quite a while (before the 10th grade) and was likewise higher in young ladies than in young men. Wellbeing suppliers ought to know about the possibly higher gamble of self-destructive way of behaving among young people after early sexual commencement. Given the outrageous responsiveness and weakness of this target populace, a multidisciplinary the everyday schedule based intercession program to advance the psychological wellness of impacted people and the overall understudy populace is justified.

Medical services experts' "social biases" toward people's social convictions, perspectives, and discernments influence the consideration they give. Their attention to their inclination is firmly connected with the nature of medical services gave. This study was intended to survey attendants' discernments with respect to giving consideration to Syrian evacuee patients utilizing similitudes and to assess their perspectives in view of these analogies.

The percutaneous coronary intercession (PCI) is the most well-known treatment for coronary supply route infection. Wellbeing related personal satisfaction (HRQoL), close by mortality and repeat rates, is a key result pointer for PCI. The point of this study was to explore the elements affecting HRQoL in patients with coronary vein sickness who had gotten PCI. A comfort test from the cardiovascular focus of a tertiary clinic in South Korea was enlisted for this elucidating, cross-sectional review. This study was directed utilizing an organized poll and patients' clinical records on an example of 210 patients with coronary supply route sickness who were ≥ 18 years of age and >multi month post-PCI. The survey gathered data on broad, clinical, and psychosocial qualities. Information were examined utilizing spellbinding measurements, autonomous t test, one-way examination of difference, the Scheffé test, and the Pearson connection test. A different direct relapse, along with the huge factors in univariate examination, was utilized to decide the factors that essentially impacted HRQoL.