看護とケアのジャーナル

The purpose of this study is to clarify the process in which fathers of home-cared children who are in need of
medical care acquire technique of care and physical condition management for their children. Subjects of the study
were 5 fathers of home-cared children needing medical care of in Prefecture A. Survey period is from May, 2018 to
July. The researchers visited home of fathers who agreed with participation in the study and performed semi-structured
interview for them. The interview time is average 51 minutes and the revised version of Grounded Theory was used for
data analysis. As a result of the analysis, 33 concepts, 13 subcategory and 3 categories were generated. “Challenge
the care”, “Acquisition of analytical thinking” “Independence of care and judgment” were extracted for the categories.
Fathers who just begin to learn about medical care tended to judge conditions of their children with numeric values as
a standard, without having expert knowledge. They received instructions from mothers, who mastered care more. After
that, the fathers came to see expression and foot colors of their children while observing anaerobic conditions, and
minded the mood of the children. Mothers assumed the central role of the care and fathers guessed their symptoms
while being unable to predict them. By the time when the children spent 1-2 years pass after the discharge from NICU,
the father became able to judge physical conditions of their children comprehensively and care them Father’s support
surpassed what nurses could do in observing and caring children.

Objectives: To test the effects of self-management for COPD patients in improvement of exercise capacity,health-related quality of life (HRQoL), and self-efficacy.

Methods: A randomized controlled trial was used in the study. Patients with COPD meeting inclusioncriterion were recruited from three community healthcare centers. 224 eligible COPD patients were randomlyto either self-management (SM) group or usual care (UC) group. Patients in SM group received SMtraining and practice, those in UC group received the usual care. Outcomes assessment included exercisecapacity, HRQoL, self-efficacy. Data collection was conducted at baseline, 3 and 6-month post-intervention.

1.3 Results: COPD patients revealed the statistical improvements in walking distance, HRQoL, self-efficacy in SMgroup in comparison with individuals in UC group over 6 months intervention. The significant group × time interactionswere found in walking distance and HRQoL in SM group, showing sustaining enhancements in two variables over6-month SM.

Conclusion: The self-management for COPD patients is effective and feasible in improvement of exercisecapacity and HRQoL at community healthcare centers in China. The sustaining effects of self-management for COPDpatients need to be confirmed using follow-up design in future study.

Background: Evidence-based practice is important in improving the overall quality of patient care, enhancenursing practice and increase the confidence in decision-making. Evidence-based practice is a technique used insolving clinical issues regarding patient care by integrating well-designed evidence with patient preferences, patientassessments and health professionals. The aim of this review is to explore barriers that confront nursing in theimplementation of Evidence-based practice. Consequently, by determining some of the barriers to the implementationof EBP among nurses, health care systems can form solutions that allow the health centers to avoid such issues andexecute the approach among health care providers.

Methods: peer review was undertaken following literature search in the databases involved CINAHL, MEDLINEand EBSCO Web of Science databases. Included studies were from October 2018 to December 2018, Englishlanguage and peer-reviewed studies that aimed to explore the organizational and individual barriers within healthcaresetting. Quality appraisal tool was used to appraise all the included studies.

Results: A total of 12 studies were included. Six studies were quantitative, five studies were qualitative, and onestudy used mixed methods. Four organizational barriers to implement Evidence-based practice among nurses werefound by reviewing the literature which are (“lack of support and supervision”, “lack of training” and “education”, “limitedresources” and “time restriction”). While, four main themes were considering as an individual barrier to implementingEvidence-based practice among nurses: (“lack of nurses’ knowledge”, “skills and awareness regarding use theEvidence-based practice”, “lack of professional characteristic”, “nurses’ personal attitude and experience in using” and“language barrier in using or implementing Evidence-based practice”).

Conclusion: Nursing administrators and educators have the main role to facilitate evidence-based practiceimplementation among nurses, therefore; the findings of this review can help to overcome the identified barriers.Training and education are important to enhance knowledge and skills of nurses to use evidence based in practice.Time management, providing the required resources and adequate supervision can facilitate the implementation ofevidence-based practice which positively influence the quality of care.

Recommendations: For further research, it is very fruitful to investigate the common barriers of EBP in one specificculture such as the middle eastern culture. Furthermore, the future research may focus on barriers of implementingEBP related to the patients and their family.

Non-compliance after coronary artery bypass graft is a complex problem and major health care issue worldwide.It may result in poor health outcome. This is descriptive cross –sectional hospital based study, aimed at assessingof patient's compliance to medication and life style changes after coronary artery bypass graft. Sample size was 50patients total coverage, Data was collected by using interview questionnaire and analyzed by statistical package forsocial science (SPSS25). The results revealed that about (96%) of participants were compliance to medication. And(76%) of participants don’t practice exercise. Then about (62%) of participants were take high fat and salts diet. Thestudy concluded that noncompliance to life style changes, in spite of had good compliance to medication. Also thestudy recommended implementing further research to observe changes of compliance through time.

Cancer is a non-communicable disease that brings conformational changes among healthier connections of brain interms of psychological stability. This disrupts congenial feelings between different relationships of a Family. Cancer is a metastatic disorder disorders healthier connection in and between people which will be established purely on the aspects of psychological enumeration of perceptions. Psychological faith plays a vital role in establishing better preview in relationships between family members and in and around people having connection with them. In this article we presented the interactive psychological and nursing modularity which paves the way for the increased longevity to survive in terminally ill cancer patient.