Personal Choice or Evidence-Based Nursing Intervention: Nurses' Decision-Making about Influenza Vaccination

2010 ◽  
Author(s):  
Lori M. Rhudy ◽  
Sharon J. Tucker ◽  
Cori L. Ofstead ◽  
Gregory A. Poland
Keyword(s):  
Decision Making ◽  
Influenza Vaccination ◽  
Nursing Intervention ◽  
Evidence Based ◽  
Personal Choice ◽  
Evidence Based Nursing

scholarly journals Quandaries of Autonomy and Empowerment in Evidence-Based Nursing Care

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Marita Nordhaug
Keyword(s):  
Decision Making ◽  
Nursing Care ◽  
Patient Empowerment ◽  
Professional Autonomy ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Autonomous Choice ◽  
Patient’S Autonomy ◽  
Research Findings ◽  
Evidence Based Nursing

Empowerment and evidence-based practice represent two influential principles in nursing care: that decision-making should be based upon the patient’s autonomous choice, and the most up-to-date research findings, respectively. In this article, patient empowerment is taken to imply a transfer of control and power from the nurse to the patient through communication and care and acknowledging the patient’s perspectives and values. Empowerment-based nursing may thus be central to enhancing a patient’s autonomy. Evidence-based nursing combines up-to-date research findings, the nurse’s clinical expertise and the patient’s preferences. This article concerns some of the potential conflicts these principles may give rise to in everyday deliberations in nursing care. It is argued that patient empowerment and autonomy potentially both have paternalistic connotations. It is also questioned whether an increased emphasis on patient empowerment and autonomy may lead to a risk of diminished professional autonomy.

scholarly journals Application of Evidence-based Nursing in Elderly Patients with Arrhythmia after Acute Myocardial Infarction

2019 ◽  
Vol 1 (01) ◽  
Author(s):  
Xiongxin Wang ◽  
Man Xu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Elderly Patients ◽  
Nursing Intervention ◽  
Control Group ◽  
Evidence Based ◽  
Clinical Effects ◽  
Observation Group ◽  
The Difference ◽  
Evidence Based Nursing

Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.

STUDI KASUS PENGGUNAAN HOT GINGER COMPRESS UNTUK MENURUNKAN SKALA NYERI PADA PASIEN ARTHRITIS RHEUMATOID

2021 ◽  
Vol 12 (2) ◽  
pp. 24-28
Author(s):  
Henri Setiawan ◽  
Andan Firmansyah ◽  
Fidya Anisa Firdaus
Keyword(s):  
Rheumatoid Arthritis ◽  
Alternative Therapy ◽  
Complementary Therapy ◽  
Nursing Intervention ◽  
Pain Scale ◽  
Evidence Based ◽  
Nursing Outcomes ◽  
The North ◽  
Nursing Diagnosis ◽  
Evidence Based Nursing

Rheumatoid arthritis is an autoimmune disease that many elderly people suffer from. This disease causes chronic systemic inflammation that can affect tissues and organs, especially attacking the flexible (synovial) joints and causing pain, eventually causing damage to the inside of the joints and will interfere with the patient's activities / work. Ginger compress is a traditional medicine or alternative therapy to reduce rheumatoid arthritis pain. This case study aims to present the results of implementing the evidence-based nursing hot ginger compress to reduce pain scale in rheumatoid arthtritis patient. Physical examination was performed using the head to toe method in typoid patients. The North American Nursing Diagnosis Association (NANDA) is used to determine nursing diagnoses. Meanwhile, nursing intervention refers to the Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC). The intervention was carried out in five stages of implementing evidence-based nursing in nursing practice, with complementary therapy in the form of ginger warm compresses and progressive application of 1 week for patients with rheumatoid arthritis. Performed pretest and posttest after being given the intervention every day. The result, giving ginger warm compress intervention for 7 days showed a reduction in the patient's pain scale from a pain scale of 4-5 to a pain scale of 1-2. EBN implementation of ginger warm compress therapy is very influential in reducing the intensity of joint pain in rheumatoid arthritis patients.

scholarly journals Application of Evidence-based Nursing in Elderly Patients with Arrhythmia after Acute Myocardial Infarction

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Xiongxin Wang ◽  
Man Xu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Elderly Patients ◽  
Nursing Intervention ◽  
Control Group ◽  
Evidence Based ◽  
Clinical Effects ◽  
Observation Group ◽  
The Difference ◽  
Evidence Based Nursing

Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.

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