scholarly journals Experiences of Registered Nurses’ in Assessing Postoperative Pain among Children: Exploring the Challenges in Effia Nkwanta Regional Hospital, Ghana

2021 ◽  
Vol 7 (1) ◽  
pp. 5-12
Author(s):  
Sylvia Oger Ofosu Dwamena
Keyword(s):  
Registered Nurses ◽  
Initial Step ◽  
Regional Hospital ◽  
Evidence Based ◽  
Physiological Measures ◽  
Human Right ◽  
Descriptive Phenomenology ◽  
Post Operative Pain ◽  
Inadequate Knowledge ◽  
Depth Interview

Pain is a common occurrence in children after surgery, but it has been neglected over the years. Management of pain is a fundamental human right for everyone who undergoes any surgical procedure. Pain assessment is the initial step of pain management and involves subjective and objective (behavioural and physiological) measures. This study aimed to describe the challenges of registered nurses in assessing post-operative pain among children (0- 3 years)). Descriptive phenomenology was adopted. Purposive sampling was used to recruit nine registered nurses with experience in nursing children after surgery in Effia Nkwanta Regional Hospital (Ghana). The researchers conducted an in-depth interview which was audio-recorded, transcribed verbatim and qualitatively analysed following Colaizzi’s approach to descriptive phenomenology analysis. The study findings revealed that nurses have experienced several challenges in assessing post-operative pain, including inadequate knowledge, inadequate resources, structural challenges, time constraints, and child-imposed factors. Given these results, nurses should make opportunities to enhance their skills and utilize evidence-based approaches to formally assess paediatric post-operative pain.

scholarly journals Registered nurses’ experiences of providing respiratory care in relation to hospital- acquired pneumonia at in-patient stroke units: a qualitative descriptive study

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Gunilla Borglin ◽  
Miia Eriksson ◽  
Madeleine Rosén ◽  
Malin Axelsson
Keyword(s):  
Acute Stroke ◽  
Registered Nurses ◽  
Nursing Care ◽  
Descriptive Study ◽  
Respiratory Care ◽  
Evidence Based ◽  
Stroke Units ◽  
Qualitative Descriptive ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Abstract Objective This study aimed to describe registered nurses’ (RNs) experiences of providing respiratory care in relation to hospital acquired pneumonia (HAP), specifically among patients with acute stroke being cared for at in-patient stroke units. Background One of the most common and serious respiratory complications associated with acute stroke is HAP. Respiratory care is among the fundamentals of patient care, and thus competency in this field is expected as part of nursing training. However, there is a paucity of literature detailing RNs’ experiences with respiratory care in relation to HAP, specifically among patients with acute stroke, in the context of stroke units. As such, there is a need to expand the knowledge base relating to respiratory care focusing on HAP, to assist with evidence-based nursing. Design A qualitative descriptive study. Method Eleven RNs working in four different acute stroke units in Southern Sweden participated in the current study. The data were collected through semi-structured interviews, and the transcribed interviews were analysed using inductive content analysis. Results Three overarching categories were identified: (1), awareness of risk assessments and risk factors for HAP (2) targeting HAP through multiple nursing care actions, and (3) challenges in providing respiratory care to patients in risk of HAP. These reflected the similarities and differences in the experiences that RNs had with providing respiratory care in relation to HAP among in-patients with acute stroke. Conclusions The findings from this study suggest that the RNs experience organisational challenges in providing respiratory care for HAP among patients with acute stroke. Respiratory care plays a vital role in the identification and prevention of HAP, but our findings imply that RNs’ knowledge needs to be improved, the fundamentals of nursing care need to be prioritised, and evidence-based guidelines must be implemented. RNs would also benefit from further education and support, in order to lead point-of-care nursing in multidisciplinary stroke teams.

scholarly journals Are registered nurses ready to take care at the end-of-life: crossectional survey

2020 ◽  
Author(s):  
Aurelija Blazeviciene ◽  
Lina Laurs ◽  
Jamesetta A Newland
Keyword(s):  
Registered Nurses ◽  
End Of Life ◽  
End Of Life Care ◽  
Spiritual Needs ◽  
Life Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Healthcare Settings ◽  
Correlational Design ◽  
Inadequate Knowledge

Abstract Background: End-of-life care is provided in a variety of healthcare settings, not just palliative care hospitals. This is one reason it is very important to assess all the obstacles to end-of-life care and to provide safe and quality services to patients. The main purpose of this study was to examine attitudes faced by registered nurses in providing end-of-life care and to explore obstacles and supportive behaviors for nurses. Methods: A descriptive, correlational design was applied in this study. Cross‐sectional survey of 1320 registered nurses within 7 hospitals in Lithuania. Results: Registered nurses working in the three different profiles emphasized safe and effective care andthe importance of meeting the patient's spiritual needs at the end of life. The main obstacles assigned by nurses caring for patients at the end of life were angry family membersthe inadequate understanding of nursing care by the patient's relatives; family members' inadequate knowledge about the situation and lack of time to talk to patients about their wishes, lack of nursing knowledge to deal with the bereaved patient's family, lack of evaluation of nurses' opinions, and the evasion by physicians to talk about the diagnosis and their over-optimistic view of the situation. Conclusions: Spiritual needs were identified by nurses as the primary needs of patients at the end of life. Family-related obstacles remain one of the main obstacles to end-of-life care. Also, the behavior of physicians and their relationship with nurses remains one of the most sensitive issues in end-of-life care.

scholarly journals Experience and social support needs of becoming a mother in adolescence in Yogyakarta City

2018 ◽  
Vol 34 (2) ◽  
pp. 80
Author(s):  
Cut Oktaviyana ◽  
Intansari Nurjannah ◽  
Wenny Artanty Nisman
Keyword(s):  
Social Support ◽  
Data Analysis ◽  
Adolescent Mothers ◽  
Health Centers ◽  
Support Needs ◽  
Significant Other ◽  
Descriptive Phenomenology ◽  
Interview Method ◽  
Depth Interview ◽  
Becoming A Mother

PurposeThis study aimed to determine the experience and social support needs of becoming a mother in adolescence.MethodsThis study was a qualitative research with a descriptive phenomenology approach. Data collection was performed by in-depth interview method and using a semi-structured study guide. Research was conducted at health centers of Jetis, Gedong Tengen and Umbulharjo 1 in May - June 2017. The participants were 7 adolescent (18-19 years old) mothers who had a 2 weeks - 12 months baby. The sampling was conducted by purposive sampling and recorded by a tape recorder. Data analysis was done manually by using Colaizzi method.ResultsFive themes emerged from the results of data analysis: 1) variation of feelings experienced from pregnancy up to delivering the baby, 2) freedom from routine of baby care, 3) early experience of baby care, 4) social support from significant other and midwives, and 5) improved confidence in baby care.ConclusionThe variety of experiences by adolescent mothers is accompanied by social support providing increased confidence in caring for their baby.

scholarly journals Perdagangan Orang (Trafficking) sebagai Pelanggaran Hak Asasi Manusia

2015 ◽  
Vol 8 (1) ◽  
pp. 184
Author(s):  
Riswan Munthe
Keyword(s):  
Human Rights ◽  
Human Trafficking ◽  
Physical Violence ◽  
Initial Step ◽  
Lower Class ◽  
Psychological Violence ◽  
Human Right ◽  
International Network ◽  
Common Enemy ◽  
Economy And Education

Human trafficking is garbage of civilization which is hard to be fought. This sentence provide an invasion for all that human trafficking is a common enemy. Human trafficking is often done by agent who has national even international network, has power, strong physically and arrogance. Due to the victim of human trafficking is the group in the lower class of economy and education. Generally the victim of human trafficking is everyone without exception. Since Indonesian independence, it is considered as the initial step for enforcing human rights nationally to break free from violation of human rights and violence, either physical violence, sexual, or psychological violence. This writing will deal with on the human trafficking as form of human right violation.

scholarly journals SP7.1.8 Routine use of opioids for post-operative pain in opioid naïve patient can risk long term dependence

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Talal Majeed ◽  
Simon Mcgurk ◽  
Jeremy Wilson ◽  
Conor Magee
Keyword(s):  
Opioid Dependence ◽  
Evidence Based ◽  
Opioid Use ◽  
Naive Patient ◽  
Opioid Prescription ◽  
Post Operative Pain ◽  
One Year ◽  
The Uk

Abstract Aims and Objectives Aim of our study was to evaluate the current practices of prescribing opioids for post-operative pain in opioid-naive patients in our region and the risk of prolonged opioid use among them. Methods A retrospective cohort study was performed where cohort consisted of patients who had surgery in 2018 with at least one year follow up. Endpoints were the proportion of all patients and opioid naïve patients, discharged on opioid prescription and proportion of opioid naïve patients who developed opioid dependence after one year. Results During 2018, 17524 patients underwent a total of 20526 surgical procedures by pan surgical specialties in our hospitals. 8772 patients (50%) were discharged with opioid prescription. 673 (7.70%) of those required further opiate prescriptions after discharge, of those requiring opiates, 331 had no opiate exposure before surgery (342 had previous opiate exposure). In opioid naïve patients, at 1 year follow up 151 (45%) had no further opiate prescriptions, but 180 (55%) required ongoing opiate prescriptions after one year follow up. The risk of opioid dependence after surgery is significant in opioid naïve patients. Conclusion Results are alarming and evidence-based strategies, national and local guidelines are needed to prevent the opioid crisis in the UK. There is a need for a national campaign to minimize the dependence on opioids and to find, better alternatives to opioids.

scholarly journals ‘I would have stayed home if I could manage it alone’; testimony of an Ethiopian mother abandoned by care providers during facility based childbirth: a case report

2020 ◽  
Author(s):  
Yohannes Adinew ◽  
Helen Hall ◽  
Amy Marshall ◽  
Janet Kelly
Keyword(s):  
Care Providers ◽  
Human Right ◽  
Case Presentation ◽  
Pregnancy And Childbirth ◽  
Depth Interview ◽  
The Common ◽  
Voice Recorder ◽  
Sick Baby ◽  
Respectful Care

Abstract Background: Every woman is entitled to respectful care during pregnancy and childbirth as a basic human right. However, not all women are being treated equally well. Case presentation: This case study highlights some of the common disrespectful practices that women face. This is a testimony of a 28-year-old mother of two, narrated in her own words. The data were collected during an in-depth interview in November 2019. The interview was conducted in her house and her name has been changed to protect her identity. The interview was audio-taped by a digital voice recorder, later transcribed and translated verbatim from the local language, Amharic, to English.Conclusion: This woman’s story highlights the unfortunate reality for some women. Five themes emerged from her narrative: denial of care, non-consented care, non-dignified care, taking a sick baby home with resentment, and loss of trust of care providers.

scholarly journals Analisis Fenomenologi Tantang Pengalaman Perawat Dalam Memberikan Asuhan Keperawatan Pada Pasien dengan Avian Influenza

2008 ◽  
Vol 12 (1) ◽  
pp. 1-6
Author(s):  
Sri Yona ◽  
Astuti Yuni Nursasi
Keyword(s):  
Avian Influenza ◽  
Nursing Care ◽  
Team Member ◽  
Care Patient ◽  
Nurse Perception ◽  
Health Team ◽  
Inadequate Knowledge ◽  
Depth Interview ◽  
Care Approach ◽  
Taking Care

AbstrakPerawat adalah tenaga kesehatan yang paling sering kontak dengan pasien. Ketakutan akan tertular penyakit dalam merawat pasien dengan penyakit yang mudah menular, dapat melahirkan sikap dan perilaku perawat yang tidak profesional dalam memberikan asuhan keperawatan kepada pasien. Penelitian fenomenologi ini bertujuan mengidentifikasi pengalaman perawat selama merawat pasien dengan Avian Influenza. Data kualitatif yang diperoleh melalui wawancara mendalam pada tujuh perawat di sebuah rumah sakit di Jakarta. Hasil penelitian menemukan empat tema utama yaitu pengetahuan tentang AI yang minimal, profesionalisme yang tinggi, perasaan merawat pasien, serta upaya mencegah penularan. Hasil penelitian ini menyimpulkan bahwa perlunya pelatihan mengenai Avian Influenza dengan menggunakan pendekatan keperawatan. AbstractNurse is the only health team member in the hospital who always contact intensively with the patient. Fear of getting infection from patient can create negative perception and attitude which will influence the way nurse perform nursing care to the patient. This is important to assess what nurse perception in caring for infectious patiens, such as Avian Influenza (AI) patients. A Phenomenology study was carried out to identify the experience of nurses in taking care patient with Avian Influenza. The purpose of the study was to identify the experience of nurses in taking care patients with Avian Influenza. The participants were seven nurses who work at a hospital in Jakarta. Data was collected by the in-depth interview. The major themes revealed in this study were: inadequate knowledge about Avian Influeza, highly prefessional nurses, feeling when caring for patient, way in preventing AI transmission. In conclusion, there is a need to conduct additional training about Avian Influenza in the context of nursing care approach.

scholarly journals Exploring the Experience of Nurses on Nursing Process Implementation in Northwest Ethiopia

2021 ◽  
Author(s):  
Habtamu Abera Areri ◽  
Hana Getie ◽  
Alemu Guta ◽  
Bekele Simegn
Keyword(s):  
Care Delivery ◽  
Northwest Ethiopia ◽  
Nursing Process ◽  
Qualitative Research Design ◽  
Process Implementation ◽  
Inadequate Knowledge ◽  
Depth Interview ◽  
Referral Hospitals ◽  
Areas Of Concern ◽  
Delivery Approach

Abstract BackgroundThe nursing process is a set of actions that help nurses to solve the nursing problems identified for a particular patient. Besides, it is possible to say it is an instrument for nurses in their daily activities, and at the same time, it requires the knowledge, skills, and attitude of its nurses. The study aimed to explore the nursing process implementation among nurses in selected referral hospitals of the Amhara Region. Ida Jean Orlando’s Theory of the nursing process guided the study. MethodsThe study employed a descriptive qualitative research design. After obtaining permission from respective referral hospitals and informed written consent from nurses, a semi-structured in-depth interview with sixteen nurses were carried out to gather data. NVivo 10 software was used for analysis and the findings were thematised under different headings. ResultsThree main themes were emerged from the data and stated as care delivery approach, challenges in the nursing process implementation and nurses’ preparation during training for implementing the nursing process.ConclusionThe finding showed different degrees of nursing process implementation with a huge gap in the quality. Inadequate knowledge, attitude towards the nursing process, and skill were considered a major areas of concern. The study recommends the need for coordinated efforts of all stakeholders for improving the implementation of the nursing process, as identified by this study.

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