scholarly journals The attitude of providing good death from intensive care nurses: A meta-synthesis of the literature

2019 ◽  
Vol 7 (3) ◽  
pp. 18
Author(s):  
Siyu Liu ◽  
Makiko Kondo
Keyword(s):  
Intensive Care ◽  
English Language ◽  
Research Question ◽  
Good Death ◽  
Eligibility Criteria ◽  
Intensive Care Nurses ◽  
Dying Patients ◽  
Quality Of Death ◽  
Different Cultures

The purpose of this article is to explore the attitude of Intensive Care Unit (ICU) nurses of good death and to improve the quality of death of dying patients in ICU. The authors conducted a literature search from databases for published, English-language, peer-reviewed reports of qualitative studies that focused on attitude of ICU nurses of providing good death from different cultures during 2009-2018. 13 studies met eligibility criteria with the following two questions: A. “What are the obstacles to realize good death in ICU?” B. “How to help ICU dying patients to get good death?”. According to these questions, we grouped all results. Finally, 5 categories each answered Research Question A(RQ-A), and 5 indicated RQ-B. The following four factors that can promote the good death of ICU dying patients: 1) Legalizing and standardizing “good death” in ICU by providing education, physical and mental support for nurses; 2) Gaining trust of family and seeking consistency of important decisions; 3) Creating a physical and cooperative environment of ICU that benefits dying patients; 4) Giving priority to satisfy physical and mental needs of dying patients and their families, leaving no regrets.

Unbefriended, Uninvited: How End-of-Life Doulas Can Address Ethical and Procedural Gaps for Unrepresented Patients and Ensure Equal Access to the “Good Death”

2021 ◽  
pp. 147775092110572
Author(s):  
Adele Flaherty ◽  
Anna Meurer
Keyword(s):  
End Of Life ◽  
Good Death ◽  
Healthcare Team ◽  
Treatment Delays ◽  
The Public ◽  
Decision Making Capacity ◽  
Inappropriate Treatment ◽  
Quality Of Death

In response to a global population with increasingly complex issues at the end of life, a movement in the U.S. has emerged incorporating doulas into end-of-life care. These end-of-life (EOL) doulas are not just focused on the quality of life, but also the quality of death. Like birth doulas, who provide support for pregnant patients and their families, EOL doulas help alleviate physical and mental discomfort in those who are dying. In this paper, we explore the role of EOL doulas in improving the care of unrepresented patients, who lack decision-making capacity and have no surrogates or documents to guide their healthcare decisions. We argue that EOL doulas may help this traditionally underserved population experience a “good death” by answering several ethical and procedural challenges. As quasi-independent, non-medical members of the healthcare team, they provide a balancing, advocating voice on behalf of the patient, and may also help reduce inappropriate treatment, delays in care, and the overburdening of the public guardianship system. As such, attention should be given to formally defining their place within the healthcare infrastructure. Ultimately, we contend that EOL doulas are key to ensuring optimal, ethical care for unrepresented patient populations.

scholarly journals COVID-19 prevention and treatment information on the internet: a systematic analysis and quality assessment

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e040487 ◽  
Author(s):  
Ka Siu Fan ◽  
Shahi Abdul Ghani ◽  
Nikolaos Machairas ◽  
Lorenzo Lenti ◽  
Ka Hay Fan ◽  
...  
Keyword(s):  
General Public ◽  
English Language ◽  
Search Term ◽  
Sources Of Information ◽  
Isolated Populations ◽  
Quality Of Information ◽  
Eligibility Criteria ◽  
Systematic Analysis ◽  
Prevention And Treatment

ObjectiveTo evaluate the quality of information regarding the prevention and treatment of COVID-19 available to the general public from all countries.DesignSystematic analysis using the ‘Ensuring Quality Information for Patients’ (EQIP) Tool (score 0–36), Journal of American Medical Association (JAMA) benchmark (score 0–4) and the DISCERN Tool (score 16–80) to analyse websites containing information targeted at the general public.Data sourcesTwelve popular search terms, including ‘Coronavirus’, ‘COVID-19 19’, ‘Wuhan virus’, ‘How to treat coronavirus’ and ‘COVID-19 19 Prevention’ were identified by ‘Google AdWords’ and ‘Google Trends’. Unique links from the first 10 pages for each search term were identified and evaluated on its quality of information.Eligibility criteria for selecting studiesAll websites written in the English language, and provides information on prevention or treatment of COVID-19 intended for the general public were considered eligible. Any websites intended for professionals, or specific isolated populations, such as students from one particular school, were excluded, as well as websites with only video content, marketing content, daily caseload update or news dashboard pages with no health information.ResultsOf the 1275 identified websites, 321 (25%) were eligible for analysis. The overall EQIP, JAMA and DISCERN scores were 17.8, 2.7 and 38.0, respectively. Websites originated from 34 countries, with the majority from the USA (55%). News Services (50%) and Government/Health Departments (27%) were the most common sources of information and their information quality varied significantly. Majority of websites discuss prevention alone despite popular search trends of COVID-19 treatment. Websites discussing both prevention and treatment (n=73, 23%) score significantly higher across all tools (p<0.001).ConclusionThis comprehensive assessment of online COVID-19 information using EQIP, JAMA and DISCERN Tools indicate that most websites were inadequate. This necessitates improvements in online resources to facilitate public health measures during the pandemic.

Restoring Speech to Tracheostomy Patients

2015 ◽  
Vol 35 (6) ◽  
pp. 13-28 ◽  
Author(s):  
Linda L. Morris ◽  
Ana M. Bedon ◽  
Erik McIntosh ◽  
Andrea Whitmer
Keyword(s):  
Quality Of Life ◽  
Mechanical Ventilation ◽  
Intensive Care ◽  
Patient Satisfaction ◽  
Chronic Illness ◽  
Vocal Communication ◽  
Active Role ◽  
Intensive Care Nurses ◽  
Spontaneously Breathing

Tracheostomies may be established as part of an acute or chronic illness, and intensive care nurses can take an active role in helping restore speech in patients with tracheostomies, with focused nursing assessments and interventions. Several different methods are used to restore speech, whether a patient is spontaneously breathing, ventilator dependent, or using intermittent mechanical ventilation. Restoring vocal communication allows patients to fully express themselves and their needs, enhancing patient satisfaction and quality of life.

scholarly journals Urinary Incontinence and Quality of Death in the Intensive Care Unit

2017 ◽  
Vol 20 (10) ◽  
pp. 1054-1055 ◽  
Author(s):  
Bilal Chughtai ◽  
Li Westman ◽  
Paul K. Maciejewski ◽  
Amanda Su ◽  
Lindsay Lief ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Urinary Incontinence ◽  
Intensive Care ◽  
Quality Of Death

scholarly journals Olfactory and gustatory dysfunction in 2019 novel coronavirus: An updated systematic review and meta-analysis

2020 ◽  
Author(s):  
Marzieh Esmaeili ◽  
Fatemeh Abdi ◽  
Gita Shafiee ◽  
Hadis Rastad ◽  
Hamid Asayesh ◽  
...  
Keyword(s):  
Systematic Review ◽  
English Language ◽  
Meta Analysis ◽  
Random Effect ◽  
Eligibility Criteria ◽  
Language Studies ◽  
Pooled Prevalence ◽  
Comprehensive Search ◽  
Novel Coronavirus

Abstract BackgroundEvidence showed that partial or complete loss of smell and taste might be a possible primary symptom of the 2019 novel coronavirus (COVID-19). This study aimed to systematically review and pool all available evidence on the olfactory and gustatory dysfunction in COVID-19 patients. MethodsIn this systematic review, a comprehensive search was carried out systematically through e-databases including PubMed, EMBASE, Scopus, and Web of Science (WoS); that was limited to English-language studies published from 2019 up to 6th May 2020. Afterward, all studies reported the taste and smell dysfunction in the COVID-19 patients were included. The quality of the studies was assessed by the Mixed Methods Appraisal Tool (MMAT). The pooled prevalence of olfactory and gustatory dysfunction was estimated using the random effects meta-analysis method.ResultsAmong 28 eligible included studies in this systematic review, finally, 22 studies met the eligibility criteria and were included in the meta-analysis. According to the random effect meta-analysis, the global pooled prevalence (95% confidence interval) of any olfactory dysfunction, anosmia, and hyposmia was 55% (40%-70%), 40% (22%-57%), and 40% (20%-61%) respectively. The pooled estimated prevalence of any gustatory dysfunction, ageusia, and dysgeusia was 41% (23%-59%), 31% (3%-59%), and 34% (19%-48%) respectively. ConclusionOlfactory and gustatory dysfunction is prevalent among COVID-19 patients. Therefore, olfactory and gustatory dysfunction seems to be part of important symptoms and notify for the diagnosis of COVID-19, especially in the early phase of the infection.

scholarly journals Unpacking Reflective Practice in the Praxis of English Language Teaching in Indonesia

2021 ◽  
Author(s):  
Muhamad Ahsanu ◽  
Tuti Purwati ◽  
Erna Wardani
Keyword(s):  
Reflective Practice ◽  
Classroom Practice ◽  
English Language ◽  
Language Teaching ◽  
Research Question ◽  
English Language Teaching ◽  
Reflection In Action ◽  
New Ideas ◽  
Reflection On Action

This paper portrays the ways Indonesian English Language Teaching (ELT) practitioners review and reflect on their practice, seek to expand new ideas and techniques they can apply in their classrooms. This study aims to enhance our understanding of what it is actually that Indonesian ELT practitioners are doing, understanding, and what they are trying to achieve in their classroom activities. This study investigates explanative answers to a single research question: In what ways are Indonesian ELT practitioners reflective in their classroom practice? This study conducted at secondary schools and universities uses a qualitative approach, utilizing observation, interviews, and documents as data collection methods, and content analysis as a means of data analysis. This research involved four participants selected purposively and voluntarily. Its findings, analysis, and interpretation are presented descriptively. The major finding of this study suggests that Indonesian ELT practitioners are reflective in three ways: being reflective within the process of their teaching, known as “reflection-in-action, being reflective in their post-teaching referred to as “reflection-on-action, ” and being reflective in their future improvement planning known as “reflection-for-action.” The practitioners’ reflexivity aims to improve the quality of their teaching, which can potentially affect the quality of their students’ learning. Thus, arguably Indonesian ELT practitioners have performed the praxis in their language teaching through reflective practice.

scholarly journals CUPPING THERAPY: A PRUDENT APPROACH IN PAIN MANAGEMENT-A SYSTEMATIC REVIEW

2021 ◽  
Vol 10 (1) ◽  
pp. 5-13
Author(s):  
Hafiza Javeria ◽  
Yusra Obaid ◽  
Ismail Naseem
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
English Language ◽  
Experimental Studies ◽  
Spinal Pain ◽  
Cupping Therapy ◽  
Cochrane Library ◽  
Group Differences ◽  
Eligibility Criteria

BACKGROUND AND AIMS Cupping Therapy is an ancient form of alternative medicine for treating variety of musculoskeletal disorders. Number of studies indicated the efficacy of various cupping methods in decreasing neck or back pain intensity within short duration and improves quality of life. DATABASES AND ELIGIBILITY CRITERIA The experimental studies were searched on the electronic databases including Google Scholar, PEDro, PubMed and Cochrane Library from June 2015 to December 2019. It was ensured that all articles were full-text in English language whereas screening was executed on relevant titles and abstracts, evaluated on the basis of cupping therapy and its effects on musculoskeletal pain. RESULTS A total of eight out of ten experimental studies showed significant decrease (p<0.05) in spinal pain in result of cupping therapy except for the two studies that demonstrated no significant pre-post group differences (p>0.05).

scholarly journals INFLUENCE OF INTERNATIONAL STUDENTS ON THE LOCAL STUDENTS’ LIFE EXPERIENCES

2021 ◽  
Vol 3 (9) ◽  
pp. 09-23
Author(s):  
Siti Maziha Mustapha ◽  
Faridah Ibrahim ◽  
Suhida Hani Suid ◽  
Karthiyaini Devarajoo ◽  
Suraya Amirrudin ◽  
...  
Keyword(s):  
International Students ◽  
Time Management ◽  
English Language ◽  
Life Experiences ◽  
Willingness To Participate ◽  
Language Abilities ◽  
Private And Public ◽  
Local Students ◽  
Different Cultures

This research explored the local students’ interaction with their international peers and investigated whether they consider the inclusion of international students has positively or negatively affected their education experiences. This study found that the local students were somewhat comfortable as they did not mind having international students on campus. They value the interactions that they had with the international students as they got to learn about different cultures and broaden their worldview. The local students revealed that they do face challenges in working in group activities or assignments with international students due to differences in English language abilities and attitudes towards the quality of work and time management. They also expressed interest and willingness to participate in university events or programmes that would enable them to socialise with the international students. They believe that universities should organize more events that would encourage interaction between local and international so they could form a stronger bond. It is recommended that strategies be put into place by both private and public universities to organize meaningful events or programmes that would foster greater understanding and appreciation of diversity on campus and promote a harmonious environment for a conducive multinational campus.

Sign in / Sign up

Export Citation Format

Share Document