看護とケアのジャーナル

Background: In Ethiopia, institutionalization of deliveries are happening at a fast pace. Assessing the knowledge and practice of midwives and nurses in these institutions is a priority in this current scenario. The initial adaptations by the baby at the time of birth should be facilitated by the midwives by giving essential newborn care. Therefore, this study is aimed to identify knowledge and performance gap on essential newborn care.
Objective: The objective of this study was to assess knowledge and practice of essential newborn care and associated factors.
Methods: Facility based cross-sectional design was conducted. Simple random sampling method was used to select the estimated 279 study participants from those who provide delivery and neonatal care. Self-administer questionnaires was distributed to participants to collect data and facilitated by data collectors. Data was entered to EpiData Manager and exported to statistical package for social sciences version 20 and analyzed. Finally, the result was illustrated in the form of text and tables.
Results: The mean knowledge score of study participants was 23.27. The study revealed that 52.2% and 47.8% of the respondents had good and poor knowledge respectively. The mean score of practice was 32.82 and 51.1% and 48.9% of the respondents had good and poor level of practice respectively. Field of study, educational level, interest to work in delivery room, in-service training was significantly associated with level of essential newborn care practice.
Conclusion and recommendation: The study population had poor knowledge and practice on some components of essential newborn care. Level of education, interest, in-service training and level of knowledge were found to be independent predictors of practice. Hence, strengthening of in-service training, priority should be given for those trained to give delivery and newborn care service, and incorporation of all components of essential newborn care in curriculum was recommended.

Background: Assessment of the traditional vital signs at ICUs as temperature, pulse, respiration, blood pressure and oxygen saturation are inadequate to determine patients’ clinical condition deteriorating; however assessment of eight vital signs should be included in a routine nursing assessment to improve patients’ outcomes for appropriate nursing diagnosis on proper time.
Aim: To assess nurses’ perception toward using a new eight vital signs chart at ICUs Methods: Descriptive cross-sectional study design was used in this study composed of 45 nurses from all ICUs at the Beni-Suef University Hospital from November 2015 to January 2017, data were collected using structured interview to assess nurses’ perception toward using a new eight vital signs chart at ICUs.
Results: The study findings demonstrate the distribution of all nurses’ perception items and found more than two third of the study sample (68.9%) were agreed to use eight vital signs, and almost all nurses had fantastic perception to eight vital signs, moreover about (84.4%) had adequate knowledge regarding assessment of pain, level of consciousness, urine output, as well as more than half of study sample reported the degree of importance is extremely important to assess additional three vital signs with basic vital signs (55.6%). However barrier may face nurses to assess pain, level of consciousness and urine output were reported high percentage (91.1%) and (97.8%) agreed to use the new eight vital signs chart at ICUs and defiantly it will help for better design of Nursing Diagnosis.
Conclusion: ICUs’ nurses strongly agreed to apply new 8 vital signs chart at ICUs for meticulous designing of nursing diagnosis of patients’ clinically unstable. Recommendation: The study is recommended to consider the importance of application a new eight vital signs chart instead of traditional five vital signs and generalized it in the hospital documentation system.

The purpose of this study is to explore the influence of transitional care by specialty nurses (SN) for elderly patients with dementia.
A total of 104 patients with dementia suffering from various diseases of the elderly were invited to participate in this research project in the Department of Internal Medicine in Shenzhen People's hospital from September 2015 to February 2016. Using purposive sampling, the patients were assigned into two groups: the control group and the observation group. Patients in both groups were evaluated before discharge. Patients in the control group were given only routine nursing care and telephone follow-up in the first month after discharge. Patients in the observation group were given transitional care on the top of the usual care offered. The unscheduled readmission rate, compliance behavior and incidence of complications for those discharged with tubes after discharge were compared between the groups.
The results showed that the unscheduled readmission rate of patients in the observation group decreased, compliance behavior improved and the incidence of complications for those discharged with indwelling catheters (IDC) was reduced. There were statistically significant differences in data between the groups.
Transitional care led by specialized nurses can lower the readmission rate, reduce complications, and improve compliance behavior, which results in a quick recovery for patients after discharge.

Aim: The primary aim of the study was to describe an interprofessional experience between physical therapist and nursing students involving an acute-care laboratory setting using simulated patients. A secondary aim was to present findings on student’s level of confidence in treating patients in an acute care setting.
Methods: A convenience sample (N=51) was used for this within groups study to explore self-reported confidence and perceived benefits/challenges among physical therapist and nursing students at baseline and following a 90-minute acute-care simulated laboratory experience. Debriefing sessions took place immediately after the simulation. Students were provided a survey via Survey Monkey one-week prior to and within one-week postacute- care simulation. Questions were slightly modified from previously used scales assessing student confidence in simulated experiences and working interprofessionally.
Results: A Wilcoxon signed-rank test determined that on average the students significantly improved their level of confidence from pre-test to post-test with all p values <0.05, ranging from p<0.001 to 0.019. Statistical analysis determined that students statistically improved their perception of working interprofessionally following an acute-care simulation.
Conclusion: Interprofessional education that consists of active learning between professions is vital to improve quality of patient care. The results of our pilot study suggest that an acute-care simulation between physical therapists and nursing students demonstrated improved confidence in clinical skills and a better understanding of interprofessional care.

Background: A consistent body of evidence shows that childhood exposure to intimate partner violence (IPV) represents a major risk factor for the development of a wide range of short- and long-term adjustment problems that span virtually all spheres of functioning. Although knowledge translation (KT) has the potential to improve the value of research evidence by making it available to professionals who can use them to promote the health of children exposed to IPV such as nurses, KT of research findings concerning this population has received very little attention in the literature.
Aim: The purpose of the present paper is to propose a comprehensive end-of-grant KT plan to diffuse and disseminate clinically relevant research evidence on children who have been exposed to IPV to selected knowledge users. In the KT plan, we emphasize the key role that nurse practitioners play as relevant knowledge users and in the implementation of some of the proposed KT strategies.
Methods: A systematic literature review was performed to identify research on children and adolescents exposed to IPV upon which we built an evidence-based KT plan targeting a variety of relevant audiences. In designing the KT plan, we adopted the definition of end-of-grant KT developed by the Canadian Institutes of Health Research (CIHR), which includes a wide range of activities targeting different audiences and involving a variety of health professionals, including nurses.
Conclusions: Given the high prevalence of childhood exposure to IPV worldwide and the associated adjustment problems children experience, the development of KT strategies to transfer clinically relevant information on this population to relevant knowledge users should be deemed a priority in the professional practice of nurses worldwide.

Background: Hospitals are facing difficulties to providing a consistent level of quality nursing care in a fastchanging health environment due to the shortage of experienced nurses which is a critical global issue. A number of nurses were quitting their profession to continue career in another profession in clinical and non-clinical fields. Factors that cause these problems were not investigated in Ethiopia yet. This study aims to assess the level of intention to stay in the nursing profession and its predictors among nurses working in Jimma Zone public Hospitals.
Methods: Institution based cross-sectional study was conducted on 317 nurses. Structured self-administered questionnaires were used to collect data. Data were entered and cleaned by using Epi-data version 3.1 then exported to IBM SPSS version 20 for analysis. Independent sample t-test, one-way ANOVA, and linear regression were done to see mean difference and association of variables. P-value of less than 0.05 was taken as statistically significant.
Result: The overall level of intention to stay is 57.75% of which 133 (42%) of them had low, 95 (30%) of them have moderate and the rest 89 (28.1%) have a high level of intention to stay in the profession. Organizational and professional commitment, working hospital, job satisfaction, organizational factor, and job-related stress were identified as predictors of intention of nurses to stay in their profession.
Conclusion: The overall level of intention to stay is low. Only less than one-third of nurses have high intention to stay in their profession in this study. Improving this level of intention needs collaborative intervention in related factors which are a big homework for managers on health sectors of Jimma zone public Hospitals.