scholarly journals Clinical Profile and Nursing Diagnosis of the Newborn in a Special Care Nursery (SCN) Unit

Jurnal NERS ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. 101
Author(s):  
Defi Efendi ◽  
Yeni Rustina ◽  
Dian Sari
Keyword(s):  
Decision Making ◽  
Descriptive Analysis ◽  
Special Care ◽  
Clinical Profile ◽  
Future Research ◽  
Risk Of Infection ◽  
Breathing Patterns ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Nurses Role

Introduction: A good comprehension of the clinical profile and nursing diagnosis of newborn in Special Care Nursery (SCN) unit guides decision-making by nurses. In addition, it can become an initial basis for making plans for improving quality of care, management and nursing research. The purpose of this study was to identify clinical profile and nursing diagnosis of newborns in an SCN unit.Methods: It is a quantitative, cross-sectional, descriptive study in SCN (Level II and III) with a sample of 77 medical records of newborns less than 31 days old in a national referral hospital. Descriptive analysis was used to identify demographic characteristic, the medical diagnosis and nursing diagnosis of newborns at birth and hospitalization.Results: Newborns treated in SCN unit are dominated by preterm with low birth weight (74%). Respiratory system disorders (55.8%) and infections (35.1%) dominate newborn problems both at birth or coming. Most   nursing diagnoses when the baby is born or coming are the risk of infection (90.9%) and ineffective breathing patterns (76.6%). As for the treatment, most diagnoses show the risk of infection and hypovolemia.Conclusion: A good clinical profile and nursing diagnosis of newborns can guide nurses to decision-making. Continuous update on nursing diagnosis determination, improvement of nurses’ knowledge about the signs of deterioration, and future research that prioritizes issues in neonates are required to optimize nurses’ role in SCN units.

scholarly journals Patients Perception of Risks and Benefits of Biologic Therapy

2019 ◽  
Author(s):  
Kara Mari De Felice
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Personality Trait ◽  
Biologic Therapy ◽  
Cross Sectional Study ◽  
Therapeutic Benefit ◽  
Future Research ◽  
Shared Decision ◽  
Cross Sectional ◽  
Individualized Care

Abstract Biologic therapy continues to be underutilized despite its efficacy and overall favorable side effect profile when compared with corticosteroids. Siegel et al found in a well-done, cross-sectional study that patients perceived that corticosteroids were more beneficial, more familiar, and less dreadful than biologics despite perceiving that corticosteroids are more risky. They also found that perception of risk may be influenced by a patient’s personality trait. Patients who believe that their health is influenced by their own choices or behaviors perceived biologic therapy less scary compared with patients who believed their health is influenced by chance. Physicians and patients disagree about how much medication-related risk is tolerable for improvements on efficacy. However, they are both willing to accept risks for therapies that offer significant therapeutic benefit. Physicians are tasked to translate complex evidenced-based data accurately and should take into account a patient’s personality trait in order to provide individualized care and help guide shared decision-making. Future research should assess physician’s personality traits, treatment experiences, and perception of risks, benefits, and dread of IBD medications and how it influences shared-decision making.

Nurses' Conceptions of Decision Making Concerning Life-Sustaining Treatment

2008 ◽  
Vol 15 (2) ◽  
pp. 160-173 ◽  
Author(s):  
Marit Silén ◽  
Mia Svantesson ◽  
Gerd Ahlström
Keyword(s):  
Decision Making ◽  
Qualitative Content Analysis ◽  
Future Research ◽  
Dialysis Patients ◽  
Next Of Kin ◽  
Test Models ◽  
Semistructured Interviews ◽  
Nurses Role ◽  
Life Sustaining Treatment

The aim of this study was to describe nurses' conceptions of decision making with regard to life-sustaining treatment for dialysis patients. Semistructured interviews were conducted with 13 nurses caring for such patients at three hospitals. The interview material was subjected to qualitative content analysis. The nurses saw decision making as being characterized by uncertainty and by lack of communication and collaboration among all concerned. They described different ways of handling decision making, as well as insufficiency of physician—nurse collaboration, lack of confidence in physicians, hindrances to patient participation, and ambivalence about the role of patients' next of kin. Future research should test models for facilitating communication and decision making so that decisions will emerge from collaboration of all concerned. Nurses' role in decision making also needs to be discussed.

Nurses' knowledge about systematization of nursing assistance

2010 ◽  
Vol 5 (1) ◽  
pp. 10
Author(s):  
Cleid Pereira Vasconcelos ◽  
Paulline Pereira Boaventura ◽  
Luciano Ramos Lima ◽  
Cris Renata Grou Volpe ◽  
Silvana Schwerz Funguetto ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Nursing Process ◽  
Cross Sectional ◽  
Public And Private ◽  
Nursing Diagnosis ◽  
Proper Definition ◽  
Definition Of ◽  
Probabilistic Sample ◽  
Nurses Knowledge

ABSTRACTObjective: to evaluate the nurses’ knowledge about the systematization of nursing assistance. Method: this is about a descriptive cross-sectional study, from quantitative approach. No probabilistic sample of 18 nurses who worked in hospital answered a semi-structured questionnaire with 10 questions about the knowledge the SNA. Accuracy and errors were computed. Descriptive analysis was performed. Research approved by the Ethics Committee of Anhanguera Educacional number 196/2009. Results: the most know the meaning of the abbreviation SNA, the number of stages the nursing process but don't know what the satges of the nursing process. They able to answer the types of diagnostic existing, knew that the law of COFEN establishes the implementation in all health institutions public and private, didn't know the proper definition of nursing diagnosis and claim to use a theory to support the nursing care. Showed the advantage the possibility of a holistic assessment of the patient and the disadvantage of lack time to perform the SNA. Conclusion: the knowledge is undoubtedly of great importance for the nurses, accordingly, this research showed some weakness about the knowlegde of systematization of nursing assistance and is necessary to learny to apply in pratice. Descriptors: nurses; knowledge; nursing diagnosis; nursing process; nursing care.RESUMOObjetivo: avaliar o conhecimento dos enfermeiros sobre a Sistematização da Assistência de Enfermagem. Método: pesquisa de abordagem quantitativa, do tipo descritiva, com delineamento transversal. Amostra não-probabilística de 18 enfermeiros que trabalhavam no hospital e que responderam um questionário semi-estruturado com 10 perguntas sobre o conhecimento acerca da SAE. Acertos e erros foram computados e análise descritiva foi realizada. Pesquisa aprovada pelo Comitê de Ética da Anhanguera Educacional nº 196/2009. Resultados: a maioria soube o significado da abreviação SAE, o número de fases do Processo de Enfermagem, porém não souberam quais as fases do PE. Souberam responder os tipos de diagnóstico existentes, sabiam que a lei do COFEN estabelece a implantação da SAE em todas as instituições de saúde pública ou privada, não conheciam a definição adequada de diagnóstico de enfermagem e afirmam utilizar uma teoria de enfermagem para fundamentar o cuidado. Mencionaram como vantagem a possibilidade de uma avaliação holística do paciente e desvantagem a falta de tempo para a realização da SAE. Conclusão: o conhecimento é sem dúvida de grande importância para o enfermeiro, nesse sentido, o estudo mostrou certa fragilidade sobre o conhecimento que envolve SAE, sendo necessário aprender mais para poder aplicá-la na prática. Descritores: enfermeiros; conhecimento; diagnóstico de enfermagem; processos de enfermagem; cuidados de enfermagem.RESUMENObjetivo: evaluar el conocimiento de las enfermeras de un hospital de referencia em la sistematización de la asistencia de enfermería (SAE). Metodo: o enfoque de la investigación cuantitativa com un descriptivo de corte transversal. Muestra es no probabilistica con 18 enfermeras que trabajan em el hospital y respondieron a un cuestionario semi-estructurado con 10 preguntas sobre SAE. Exactitud y de errores se calcularon y el análisis descriptivo se realizó. De investigación aprobado por el Comité de Ética de la Anhanguera Educacional número 196/2009. Resultados: la mayoría de saber el significado de la abreviatura SAE, el número de fases del proceso de enfermería, pero no sabía lo que las fases del proceso de enfermeria. Sabía de responder al tipo de diagnóstico, que sabían que la ley de COFEN por la implementación de la SAE em todas las instituciones públicas y privadas, no sabía la definición correcta de lo diagnóstico de enfermería y confirmarse mediante uma teoría para apoyar la atención de enfermería. Mostraron la ventaja de la posibilidad de uma evaluación integral del paciente y la desventaja de la falta de tiempo para lograr la SAE. Conclusión: el conocimiento es, sin duda, de gran importancia para la enfermera y por lo tanto, el estudio mostró alguna debilidad em el conocimiento de la SAE, y para aprender más para poder aplicar em la práctica. Descriptores: enfermeros; conocimiento; diagnóstico de enfermeria; procesos de enfermería; atención de enfermería. 

scholarly journals Indications and Clinical Profile of Neonatal Admissions: A Cross-Sectional Descriptive Analysis from a Single Academic Center in Jordan

2020 ◽  
Vol Volume 13 ◽  
pp. 997-1006
Author(s):  
Wasim Khasawneh ◽  
Amer Sindiani ◽  
Saif Aldeen Rawabdeh ◽  
Abdelwahhab Aleshawi ◽  
Dana Kanaan
Keyword(s):  
Descriptive Analysis ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Academic Center

scholarly journals Diagnostic labels of NANDA-I in a southern region of Spain

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Rafael González-Rodríguez ◽  
María de los Ángeles Martelo-Baro ◽  
Pilar Bas-Sarmiento
Keyword(s):  
Epidemiological Study ◽  
Incidence Rates ◽  
Aggregate Data ◽  
Southern Region ◽  
Ecological Design ◽  
Risk Of Infection ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Diagnostic Labels ◽  
Age And Sex

ABSTRACT Objective: to determine the incidence of NANDA-I diagnostic labels (North American Nursing Diagnosis Association-International) and to establish the distribution of cases of assistance and the associated labels, according to sociodemographic variables (age and sex). Method: descriptive, cross-sectional epidemiological study of labels of NANDA-I, under ecological design. The distribution of labels was analyzed according to sex and age; the corresponding frequencies were calculated and for each label the incidence were calculated rates with aggregate data from the attended cases. Results: the total number of cases of care under study was 9,928 (41.65% men and 58.35% women). The identified labels were 16,456 (7,084 men and 9,372 women); average of 1.7 labels per case of care; Out of 216 labels proposed by NANDA-I, in its 2012-14 classification, 152 were used, representing 70.4%. The labels with the highest incidence rates per thousand inhabitants were: Anxiety, Willingness to Improve Knowledge and Risk of Infection. Conclusions: the study allowed detecting, through NANDA-I, the answers to the health problems of greater incidence in the users attended.

scholarly journals Assessing Implementation of Managerial Accounting Practices: Perspective of Pakistani SMEs

2019 ◽  
Vol 9 (1) ◽  
pp. 119-132
Author(s):  
Iffat Zehra ◽  
Farhan Ahmed
Keyword(s):  
Decision Making ◽  
Management Practices ◽  
Cost Management ◽  
Small And Medium Enterprises ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Managerial Accounting ◽  
Cross Sectional ◽  
Product Costing ◽  
Medium Enterprises

With increasing production cost and growing local and international competition, accountants within Small and Medium Enterprises (SMEs) are largely encumbered with the onus of cost control. Through this paper, we empirically examine use and perceived importance of cost management accounting practices within Pakistani manufacturing SMEs. The cross-sectional study is conducted under descriptive research design. Findings from survey questionnaire of 44 manufacturing SMEs indicate that process costing method is widely used and complexity in production process is main difficulty faced by SMEs in product costing. Descriptive analysis indicates that SMEs mainly use product costing information to make pricing decisions of products, profitability calculation and in decision making for new products. SMEs prefer to employ conventional tools like planning and control, budgeting and strategic planning for decision making purposes. Limited sample size under descriptive analysis restricts applicability and generalizability. Our study makes novel contribution in the domain of cost management practices in SMEs since majority of literature is available on cost management practices adopted by only large corporates within Pakistan.

scholarly journals Tuberculosis and diabetes mellitus: sociodemographic and clinical profile in Brazilian municipalities

2021 ◽  
Vol 42 ◽  
Author(s):  
Aline Ale Beraldo ◽  
Rubia Laine de Paula Andrade ◽  
Érika Simone Galvão Pinto ◽  
Reinaldo Antônio da Silva-Sobrinho ◽  
Nanci Michele Saita ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Treatment Time ◽  
Multiple Correspondence Analysis ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Female Population ◽  
Analysis Techniques ◽  
Secondary Sources

ABSTRACT Objective To analyze the sociodemographic and clinical profile of tuberculosis cases with Diabetes Mellitus in Brazilian municipalities in the states of São Paulo, Paraná and Rio Grande do Norte. Method This is a cross-sectional study, whose population consisted of tuberculosis cases notified between 2010 and 2014. Data were collected from secondary sources. In the data analysis, descriptive analysis and multiple correspondence analysis techniques were used. Results The prevalence of diabetes among tuberculosis cases ranged from 4.5% to 13.4% in the municipalities. Evidence of an association was observed between tuberculosis/diabetes comorbidity and female population, age of 61 years or more, low schooling, negative HIV/AIDS, longer treatment time, self-administered treatment and cure. Conclusion The study showed a greater cure outcome in the profile of people with tuberculosis/diabetes comorbidity, even among those on a self-administered regime, which could favor the development of specific guidelines for the management of tuberculosis in these people.

scholarly journals Nursing Diagnosis Risk for falls: prevalence and clinical profile of hospitalized patients

2014 ◽  
Vol 22 (2) ◽  
pp. 262-268 ◽  
Author(s):  
Melissa de Freitas Luzia ◽  
Marco Antonio de Goes Victor ◽  
Amália de Fátima Lucena
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Surgical Units ◽  
On Line ◽  
Neurological Illnesses ◽  
Neurological Alterations ◽  
Cardio Vascular

OBJECTIVES: to identify the prevalence of the Nursing Diagnosis (ND) Risk for falls in the hospitalizations of adult patients in clinical and surgical units, to characterize the clinical profile and to identify the risk factors of the patients with this ND.METHOD: a cross-sectional study with 174 patients. The data was collected from the computerized nursing care prescriptions system and on-line hospital records, and analyzed statistically.RESULTS: the prevalence of the ND Risk for falls was 4%. The patients' profile indicated older adults, males (57%), those hospitalized in the clinical units (63.2%), with a median length of hospitalization of 20 (10-24) days, with neurological illnesses (26%), cardio-vascular illnesses (74.1%) and various co-morbidities (3±1.8). The prevalent risk factors were neurological alterations (43.1%), impaired mobility (35.6%) and extremes of age (10.3%).CONCLUSION: the findings contributed to evidencing the profile of the patients with a risk of falling hospitalized in clinical and surgical wards, which favors the planning of interventions for preventing this adverse event.

scholarly journals Gastrostomy uptake in motor neurone disease: a mixed-methods study of patients’ decision making

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034751
Author(s):  
Julie Labra ◽  
Anne Hogden ◽  
Emma Power ◽  
Natalie James ◽  
Victoria M Flood
Keyword(s):  
Decision Making ◽  
Mixed Methods ◽  
Secondary Outcome ◽  
Future Research ◽  
Symptom Duration ◽  
Semistructured Interview ◽  
Medical Specialist ◽  
Nutrition Survey ◽  
Related Factors ◽  
Cross Sectional

ObjectivesGastrostomy decision making is a complicated, multifaceted process for people with motor neuron disease (MND). This study explored demographic and disease-related factors that may impact on gastrostomy uptake; and reasons why people with MND accepted or declined gastrostomy, with a focus on how perceptions of swallowing and nutrition may influence decision making.DesignProspective, cross sectional, mixed methods.SettingAn Australian multidisciplinary, specialty MND Service.Participants33 patients were recommended gastrostomy by the treating medical specialist. 16 of 33 were invited to participate in the prospective decision making study; of whom 10 provided informed consent.Primary and secondary outcome measuresDemographic and disease-related factors contributing to uptake are described. A stepped approach was applied to gain a comprehensive understanding of why people with MND accept or decline gastrostomy. Instruments included standardised assessments, nutrition survey and semistructured interview. Data were collected at three separate appointments, spanning a 3-week period.ResultsGastrostomy uptake was 73% following medical specialist recommendation. Participants took days, weeks or months to consider their preferences, with lengthy hospital waiting times for the procedure. Gender, site of onset and rate of disease progression were observed to contribute to uptake. Age and symptom duration did not. Integration of quantitative and qualitative data suggests that patient perceptions of swallowing and nutrition contribute to gastrostomy acceptance; however, the decision making process is heterogeneous and these factors may not be the sole or primary reasons for acceptance. Other reported factors included: reducing carer burden, improving quality of life, increasing independence, continuing participation in social outings and gaining control.ConclusionsFuture research may give greater insight into how healthcare organisations can better facilitate gastrostomy decision making, to meet the needs of people living with MND. Larger, prospective, multisite studies may build on these findings to better inform clinical guidelines and minimise the impacts of delayed gastrostomy insertion.

The Influence of Occupational Status and Sex of Decision Maker on Media Representations in Intercollegiate Sports

2007 ◽  
Vol 16 (2) ◽  
pp. 31-45 ◽  
Author(s):  
Nicole LaVoi ◽  
Jo Ann Buysse ◽  
Heather Maxwell ◽  
Mary Jo Kane
Keyword(s):  
Decision Making ◽  
Decision Maker ◽  
Descriptive Analysis ◽  
Occupational Status ◽  
Media Representations ◽  
Future Research ◽  
Women's Sports ◽  
Occupational Position ◽  
Women’S Sports ◽  
Homologous Reproduction

This study employed a decision making corollary to Kanter’s homologous reproduction theory (1977ab) to examine the intersections of occupational position of decision maker, sex of decision maker and media representations within intercollegiate men’s and women’s sports. Data were gathered from Bowl Championship Series schools across 12 selected sports that published a media guide for the 2003-04 season. Data included two components: 1) 528 total media guides (252 for men; 276 for women) and; 2) corresponding data (n = 528) pertaining to who made the decision regarding how athletes were portrayed on the media guide covers. Descriptive analysis revealed two trends: 1) women were under represented (i.e., “tokens”) as sole decision makers within men’s sports, but not for women’s sports and; 2) a majority of decisions were not made alone, but by a decision-making dyad with both men’s and women’s sports. Logistic regression analysis revealed which factors significantly influenced media portrayals in men’s and women’s sports. Results are framed using mechanisms of gendered social control exercised in sport organisations–homophobia, homologous reproduction, and hegemony. Implications for application and future research are suggested.

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