scholarly journals Healthcare Facilities and Services: Correlates to the Clinical Nursing Care for Patients with Psycho-Behavioral Pathologies in Lanao Del Sur

2018 ◽  
Vol 33 (1) ◽  
Author(s):  
Omira Abdulbasit ◽  
 Ms. Anieraida H. Hassim ◽  
Randy Ian F. Gallego

Mental health, for some time has been a facet downplayed to be of lesser importance due to its very mystical nature causing it to be habitually ignored. Albeit the case, mental illness and its similar disturbances can become so significantly serious that it can encroach on and impair the day-to-day activities of its stricken victims. This study examined the extent of preliminary clinical care provided by nurses to clients with unique psychological needs. It used the descriptive-correlational design through a validated and reliability-tested instrument responded by 113 staff nurses from six hospitals around Lanao del Sur. It involved the statistical analysis of data using frequency, weighted mean, and Pearson correlation. In addition, a triangulation procedure was also employed to incorporate qualitative narrative comments of the respondents through follow-up informant interviews and journal writing.  The survey revealed that hospitals in the study locale do not have personnel with qualified specializations to attend to the needs of clients with psycho-behavioral manifestations. Moreover, the institutions did not have adequate physical facilities and equipment to aid in the appropriate diagnosis and management of mental conditions. It also showed that the availability of mental healthcare services, facilities, and personnel were significantly correlated to the extent of preliminary clinical nursing care. Hence, it can be regarded that these factors have a strong bearing and influence on the quality and extent of clinical care received by patients.

2017 ◽  
Vol 41 (S1) ◽  
pp. S616-S616
Author(s):  
A.R. Szczegielniak ◽  
J. Szczegielniak

Poor knowledge regarding mental health in general population in Poland, along with media coverage limited to repetition of harmful stereotypes towards patients treated at psychiatric wards and reinforcement of discriminative attitudes, results in an unfair evaluation and stigmatization of mental healthcare services. As a consequence, psychiatry, in comparison to many other medical fields, is unpopular among physiotherapy students, even though there is a compulsory subject in the university curriculum that covers, in theory, all the important knowledge that healthcare worker should possess in this regards. Young physical therapists are not taught about specific needs of the psychiatric patients. After graduation, they are lacking all basic skills on how to communicate with the patient. Being devoid of a direct contact with people suffering from mental disorders, physical therapists do not feel comfortable placed in the mental healthcare facilities. The aim of the study was to assess the extent of a basic psychiatric knowledge and general attitudes towards mentally ill of the physiotherapy students. The group consisted of 147 students. The pilot study has been limited to those studying physical therapy within borders of the Opole voivodship. Authors’ questionnaire has been developed in order to reach the aim and answers were gathered between January and June 2016. The results will be used to develop questionnaire suitable to share with physiotherapy students within the whole country and, consequently, formulate recommendations on necessary changes that must be introduced to the physical therapy curriculum in Poland by Polish Society of Physiotherapy (Psychiatry Section).Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Maria do Céu Mendes Pinto Marques ◽  
Francisca Tereza Galiza ◽  
Maria Célia Freitas ◽  
Maria Vilani Cavalcante Guedes

Evaluating the culture of drug safety, of certain services, and specific subjects, especially for the elderly population, makes it possible to identify gaps in clinical nursing care. The study aimed to analyze the social representations of nurses regarding the culture of drug safety in clinical care for the elderly people. This is a descriptive and exploratory research of qualitative nature, having the theoretical support of social representations. The chapter samples 38 nurses via interview and a non-participant observation. Analysis is done using Alceste software. This resulted in seven stable classes, and Class 3 had the largest representation, 23% of the corpus. Class 3 maintained hierarchical and semantic proximity to Class 2, which deals with technologies to ensure the safety of elderly patients in the use of medicines. For nurses, technologies help in the safety of elderly patients, but do not guarantee the extinction of adverse events. The chapter considered the need for patient safety to become an organizational culture favoring the quality of clinical nursing care in the handling of medicines.


2014 ◽  
Vol 23 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Keila Maria de Azevedo Ponte ◽  
Lúcia de Fátima da Silva ◽  
Antonia Eliana de Araújo Aragão ◽  
Maria Vilani Cavalcante Guedes ◽  
Ivete Palmira Sanson Zagonel

The objective of this article was to describe the contribution of clinical nursing care to the environmental comfort of women with Acute Myocardial Infarction, based on the Comfort Theory and mediated by the research-care approach. Data collection took place from April to June 2011 with nine women admitted with an infarction to the Heart Hospital of Sobral, Ceará, Brazil. Four meetings were held; the first being four starting at the admission to the hospital. The participants were informed about the study objectives and the proposed method, and following care was provided based both on method and theory. Data collection was performed using individual semi-structured interviews, field diary, participant observation and thematic category content analysis. The clinical care implemented in the environmental context aimed at promoting adaptation to the coronary care unit and also providing an enabling environment for comfort and relaxed atmosphere. Clinical care targeted at promoting environmental comfort contributes to the wellbeing of women with infarction.


2020 ◽  
Vol 25 (7) ◽  
pp. 340-344
Author(s):  
Sarah Jane Palmer

This article explores nursing care for stoma patients, with a focus on colostomies, while providing some broader information covering a multitude of topics that relate to any type of stoma. Nurses must be aware of various factors when caring for stoma patients, as the latter will not always be in touch with their specialist stoma nurse. Therefore, if a community nurse visits more often, they can make a difference with their knowledge and care. Complications are not uncommon, and it is important the correct advice is given on diet, exercise, avoiding complications such as parastomal hernia through certain techniques, medications and aids and appliances. SecuriCare and the Royal College of Nursing have produced clinical nursing standards for the stoma nurse, and these are also relevant to community nurses. A pharmacist can give more specialist advice on medications, a GP can prescribe for infections, and a stoma nurse can provide specialist expertise to the nurse and patient alike, but the community nurse is at the frontline with a community patient. Therefore, they should be equipped with the knowledge and care expertise, so they can know when to act by referral to the appropriate professional, or give the appropriate care and advice. The patient will also have psychological needs to consider, which may require referral if these are beyond the specialist stoma nurse's or community nurse's abilities.


Author(s):  
Dalena Van Rooyen ◽  
Kegan Topper ◽  
Nontembeko Grycelda Shasha ◽  
Juanita Strümpher

The mental healthcare needs of individuals suffering from mental illness, especially those with severe and persistent mental illness, are neglected and often misunderstood in South African rural communities. The purpose of the study was to explore and describe experiences of persons living with severe and persistent mental illness and those of their families in respect of mental health services provided by primary healthcare facilities in rural Eastern Cape, South Africa. A qualitative, descriptive, exploratory research design was utilised. Convenience sampling was used to select primary healthcare facilities in the rural Emalahleni sub-district of the Chris Hani Health District in the Eastern Cape. Purposive sampling was used to recruit persons living with severe and persistent mental illness (n = 18) and their family members (n = 11). A total of 29 in-depth, unstructured individual interviews were conducted using an audio recorder. Tesch’s thematic analysis was used to identify themes from the data. Two central themes emerged from the data, namely the challenges in accessing primary healthcare services, and the inadequate provision of mental healthcare. Primary healthcare in rural South Africa needs to be better prioritised by national government to deal with mental healthcare. Improvements in infrastructural and staff capacity are needed to improve access and availability of mental healthcare services in rural communities. Nursing education programmes should better integrate mental healthcare into curricula, especially rural mental healthcare. Cost-effective, evidence-based, culturally-sensitive mental health innovations focusing on the mental health needs throughout the person’s life course should be implemented.


2018 ◽  
Vol 1 (1) ◽  
pp. 94-98
Author(s):  
Resi Ayu Harianti Harahap ◽  
Setiawan Setiawan

Puskesmas adalah salah satu fasilitas pelayanan kesehatan yang menyelenggarakan upaya kesehatan masyarakat tingkat pertama diwilayah kerjanya. Keperawatan merupakan salah satu bagian integral penting dari pelayanan kesehatan yang ada di puskesmas, diharapkan mampu memberikan pelayanan kesehatan yang meliputi aspek promotif dan preventif secara berkesinambungan tanpa mengabaikan pelayanan kuratif dan rehabilitaif secara menyeluruh dan terpadu kepada individu, keluarga, kelompok dan masyarakat. Penelitian ini bertujuan untuk mengeksplorasi pengalaman masyarakat tentang pelayanan perawat diPuskesmas Sering Kecamatan Medan Tembung. Penelitian ini menggunakan desain fenomenologi. Teknik pengambilan sampel yang digunakan adalah purposive sampling dengan jumlah partisipan sebanyak sepuluh orang. Data dianalisis menggunakan Content Analysis. Hasil penelitian didapatkan empat tema terkait pengalaman masyarakat yang menerima pelayanan perawat puskesmas Sering di Medan yaitu (1) menerima pelayanan kesehatan dari perawat puskesmas (2) menerima perilaku caring dan non-caring dari setiap pelayanan yang diberikan (3) mendapat penjelasan dan dimintai persetujuan sebelum tindakan diberikan (4) berpartisipasi dalam kegiatan pokok puskesmas. Penelitian ini merekomendasikan kepada puskesmas untuk mengevaluasi dan meningkatkan pelayanan kesehatan/keperawatan dengan mengetahui kelebihan dan kelemahan dalam pelayanan yang diberikan kepada masyarakat. Puskesmas (Community Health Center) is one of the healthcare facilities that organizes first-level of public healthcare service in its working area. Nursing is one of the important integral parts of healthcare services in puskesmas, which is expected to be able to provide healthcare services including sustainablity of promotive and preventive aspects without neglecting curative and rehabilitative services to individuals, families, groups and communities comprehensively and integratedly. This study aimed to explore the experiences of community who received  nursing care at SeringPuskesmas in Medan Tembung sub-district. This study used phenomenological design. The sampling technique used was purposive sampling. The participant composed of ten people. Data were analyzed using content analysis. The results showed that there were 4 themes related to the experiences of the community who received nursing care at SeringPuskesmas in Medan, i.e.(1) receiving healthcare services from nurses at puskesmas (2) receiving caring and non-caring behavior from each service provided (3) getting explanation and being asked for approval before having an action (4) participating in the main program of the puskesmas. It is recommended that puskesmas evaluate itself to identify strengths and weaknesses in the services provided to community and improve health or nursing care.


Author(s):  
Maria do Céu Mendes Pinto Marques ◽  
Francisca Tereza Galiza ◽  
Maria Célia Freitas ◽  
Maria Vilani Cavalcante Guedes

Evaluating the culture of drug safety, of certain services, and specific subjects, especially for the elderly population, makes it possible to identify gaps in clinical nursing care. The study aimed to analyze the social representations of nurses regarding the culture of drug safety in clinical care for the elderly people. This is a descriptive and exploratory research of qualitative nature, having the theoretical support of social representations. The chapter samples 38 nurses via interview and a non-participant observation. Analysis is done using Alceste software. This resulted in seven stable classes, and Class 3 had the largest representation, 23% of the corpus. Class 3 maintained hierarchical and semantic proximity to Class 2, which deals with technologies to ensure the safety of elderly patients in the use of medicines. For nurses, technologies help in the safety of elderly patients, but do not guarantee the extinction of adverse events. The chapter considered the need for patient safety to become an organizational culture favoring the quality of clinical nursing care in the handling of medicines.


2019 ◽  
Vol 11 (2) ◽  
pp. 496
Author(s):  
Monika dos Santos ◽  
David Howard ◽  
Pieter Kruger ◽  
Arnaud Banos ◽  
Saul Kornik

As low-income communities are most vulnerable to climate-associated health concerns, access to healthcare will increase in importance as a key priority in South Africa. This study explores healthcare sustainability in the Agincourt sub-district, Kruger to Canyons Biosphere Region in Mpumalanga, South Africa. A rapid assessment and response methodology (RAR) was implemented, which includes the examination of previous studies conducted in the sub-district, the mapping of healthcare facilities in the area, and the implementation of a facility infrastructure and workforce capacity investigation by means of key informant (KI) interviews at eight healthcare facilities. Findings indicate that the greatest need across the facilities relate to access to medical doctors and pharmacists. None of the facilities factored climate associations with health into their clinical care strategies. The necessity to train healthcare facility staff on aspects related to climate change, health, and sustainability is highlighted. Environmental health practitioners should also be incorporated in grassroots community climate adaptation strategies. Outcomes further indicate the need for the advancement of integrated healthcare and climate adaptation strategies that focus on strengthening healthcare systems, which may include novel technological approaches such as telemedicine. Policy makers need to be proactive and pre-emptive in finding and improving processes and models to render healthcare services prepared for climate change.


2021 ◽  
Vol 10 (10) ◽  
pp. 2112
Author(s):  
Tullika Garg ◽  
Courtney A. Polenick ◽  
Nancy Schoenborn ◽  
Jane Jih ◽  
Alexandra Hajduk ◽  
...  

Multiple chronic conditions (MCC) are one of today’s most pressing healthcare concerns, affecting 25% of all Americans and 75% of older Americans. Clinical care for individuals with MCC is often complex, condition-centric, and poorly coordinated across multiple specialties and healthcare services. There is an urgent need for innovative patient-centered research and intervention development to address the unique needs of the growing population of individuals with MCC. In this commentary, we describe innovative methods and strategies to conduct patient-centered MCC research guided by the goals and objectives in the Department of Health and Human Services MCC Strategic Framework. We describe methods to (1) increase the external validity of trials for individuals with MCC; (2) study MCC epidemiology; (3) engage clinicians, communities, and patients into MCC research; and (4) address health equity to eliminate disparities.


Sign in / Sign up

Export Citation Format

Share Document