family nurse

  • 文章类型: Journal Article
    在COVID-19大流行期间,约旦产后抑郁症的严重程度没有得到充分记录,人们对它潜在的社交能力知之甚少,人口统计学,和临床相关因素。本研究旨在探讨有COVID-19病史的约旦母亲在孕期或产后产后抑郁症的患病率及相关因素。
    这项横断面描述性研究于2021年3月至6月在109名怀孕期间或分娩后有COVID-19病史的女性中进行,他们在北约旦一家配备治疗COVID-19病例的领先医院。使用爱丁堡产后抑郁量表(EPDS)进行的一项在线调查用于收集有COVID-19阳性检测史的母亲的信息。
    在参与研究的妇女总数中(n=109),73名妇女患有产后抑郁症。在本研究中,产后抑郁症的患病率为67%。此外,研究发现,EPDS评分与吸烟者之间存在统计学上的正相关,交货方式,出现严重的COVID-19症状,住院。
    在COVID-19大流行期间,女性产后抑郁症程度较高.有必要进一步跟踪确诊的COVID-19病例,母亲应在怀孕期间筛查抑郁症状,并随访产前和产后护理。
    UNASSIGNED: The magnitude of postpartum depression in Jordan during the COVID-19 pandemic is under-documented, and little is known about its potential social, demographic, and clinical correlates. This study aimed to explore the prevalence and related factors of postpartum depression among Jordanian mothers with a history of COVID-19 during pregnancy or after childbirth.
    UNASSIGNED: This cross-sectional descriptive study was carried out in March-June 2021 among a convenient sample of 109 women with a history of COVID-19 during pregnancy or after childbirth, who were at a leading hospital equipped to care for COVID-19 cases in North Jordan. An online survey using the Edinburgh Postnatal Depression Scale (EPDS) was used to collect information from mothers with a history of COVID-19-positive tests.
    UNASSIGNED: Among the total number of women who participated in the study (n = 109), 73 women had postpartum depression. The prevalence of postpartum depression in the present study was 67%. In addition, the study found a positive statistically significant correlation between EPDS scores and being a smoker, delivery method, experiencing severe COVID-19 symptoms, and being hospitalized.
    UNASSIGNED: During the COVID-19 pandemic, women had a high level of postpartum depression. It would be necessary to follow further the confirmed cases of COVID-19, and mothers should be screened for depressive symptoms during pregnancy and followed up for antenatal and postnatal care.
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  • 文章类型: Journal Article
    大约25年前,世界卫生组织首次提出了家庭和社区健康护理(FCHN)模型,以应对导致人口健康需求发生重大变化的流行病学转变。迄今为止,没有研究全面探讨FCHN当前应用是否符合WHO原始框架.我们对PubMed进行了范围审查,Scopus和CINAHL的目的是将国际一级开发的FCHN模型的主要特征与WHO的框架进行比较。我们确定了23项研究:12个模型,六个服务/程序描述,四个陈述和一个理论模型。FCHN模型似乎主要关注病人及其家庭,主要提供直接护理和依靠互动,发展与系统理论。虽然这些特征符合世卫组织的框架,原始模型的其他元素代表性不佳:FCHN在预防活动中的参与很少,特别是在一级和二级预防中,很少关注整个人口的健康需求。总之,FCHN的当前应用表明部分遵守WHO框架:在当前的FCHN模型中,应加强人口方法,护士更多地参与一级和二级预防。
    A Family and Community Health Nursing (FCHN) model was first conceptualized by the WHO approximately 25 years ago in response to the epidemiological transition leading to major changes in the population health needs. To date, no study has comprehensively explored the adherence of current applications of FCHN to the WHO original framework. We carried out a scoping review on PubMed, Scopus and CINAHL with the aim to compare the main features of FCHN models developed at the international level with the WHO\'s framework. We identified 23 studies: 12 models, six service/program descriptions, four statements and one theoretical model. The FCHN models appear to focus primarily on sick individuals and their family, mainly providing direct care and relying on Interaction, Developmental and Systems Theories. While these features fit the WHO framework, others elements of the original model are poorly represented: the involvement of FCHN in prevention activities is scarce, especially in primary and secondary prevention, and little attention is paid to the health needs of the whole population. In conclusion, current applications of FCHN show a partial adherence to the WHO framework: population approaches should be strengthened in current FCHN models, with a stronger involvement of nurses in primary and secondary prevention.
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  • 文章类型: Journal Article
    慢性退行性疾病的增加对医疗保健系统的有效性和可持续性提出了许多挑战,建立家庭和社区护士(FCN)作为战略角色提供初级保健。FCN,的确,可以接受当前医疗保健需求的复杂性,维持人口老龄化,注重疾病预防和健康促进,确保医院和初级保健服务之间的持续和协调整合。关于FCN的文献丰富但多样。本研究旨在批判性地总结有关FCN的文献,提供对最近证据的总体看法。
    对PubMed进行了最先进的系统评价,CINAHL,还有Scopus,采用系统审查和荟萃分析(PRISMA)声明和清单的首选报告项目来指导搜索和报告。
    从90篇文章中出现了五个解释性主题:临床实践,核心能力,结果,组织和教育模式,和高级培训计划。
    FCN可以为人们的健康做出重大贡献,在理解和响应患者需求方面发挥关键作用。即使对预防的投资不能保证决策者立即采取必要的战略和远见,必须加大政治投资,机构,和经济资源,以支持和确保FCN的能力及其专业自主权。
    The increase in chronic degenerative diseases poses many challenges to the efficacy and sustainability of healthcare systems, establishing the family and community nurse (FCN) who delivers primary care as a strategic role. FCNs, indeed, can embrace the complexity of the current healthcare demand, sustain the ageing of the population, and focus on illness prevention and health promotion, ensuring a continuous and coordinated integration between hospitals and primary care ser. The literature on FCNs is rich but diverse. This study aimed to critically summarise the literature about the FCN, providing an overall view of the recent evidence.
    A state-of-art systematic review was performed on PubMed, CINAHL, and Scopus, employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and checklist to guide the search and reporting.
    Five interpretative themes emerged from the 90 included articles: clinical practice, core competencies, outcomes, Organisational and educational models, and advanced training program.
    FCNs can make a major contribution to a population\'s health, playing a key role in understanding and responding to patients\' needs. Even if the investment in prevention does not guarantee immediate required strategies and foresight on the part of decisionmakers, it is imperative to invest more political, institutional, and economic resources to support and ensure the FCNs\' competencies and their professional autonomy.
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  • 文章类型: Journal Article
    To improve the quality of care, patients\' needs and expectations must be understood, and this can be achieved through learning their attitudes and expectations connected with using health services. The main aim of this study was to describe and analyse Białystok residents\' expectations of family nurses. This cohort study was carried out in association with the ongoing project \"Bialystok PLUS\" in Poland. The respondents (n = 412) were administered a multiple-choice questionnaire concerning family nurses and the responses were analysed in association with the respondents\' socio-demographic data and health self-evaluation results. Data were collected between September 2017 and September 2019. Our research found that the respondents\' socioeconomic status was associated with their expectations concerning the use of prevention services offered by family nurses. A statistically significant association was found between marital status and knowledge of their family nurses. The demand for medical counselling from family nurses (concerning diet, coping with stress, physical activity) was significantly negatively correlated with age, with younger persons expecting that service more often than older persons. A significant association was also observed between respondents\' age group and their opinions concerning the need for home visits by family nurses. The respondents who expected home visits by family nurses declared lower self-evaluated health compared to the other respondents. Findings suggest that services by family nurses should include an assessment of each patient\'s situation, including their health self-evaluation and socioeconomic status. The fact that younger persons expect family nurses to provide counselling on health matters obliges nurses to learn how to provide health information tailored to patient needs.
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  • 文章类型: Journal Article
    探讨“好家庭护士”一词对老年患者的含义。
    采用描述性定性研究设计,并采用目的抽样方法。
    对在Bialystok(波兰)接受初级护理的21名65岁及以上患者进行了半结构化访谈。访谈被记录下来,然后逐字转录。使用内容分析法对数据进行分析。数据收集时间为2017年2月至2018年12月。
    我们确定了定义“好家庭护士”的六类主要素质。这些如下:(a)个人特征和属性(与护理没有直接关系的性别和个人特征和行为);(b)提供护理(关怀态度和患者支持);(c)与患者沟通(倾听和告知患者的能力);(d)专业能力(知识,专业经验和良好的技术技能);(e)道德态度(尊重,耐心和职业);和(F)可用性(家访的频率和持续时间,医生预约的组织)。
    To explore what the term \"good family nurse\" means to older patients.
    A descriptive qualitative study design was used, and a purposive sampling method was adopted.
    Semi-structured interviews were conducted with 21 patients aged 65 years and older who were receiving primary care in Bialystok (Poland). The interviews were recorded and then transcribed in verbatim. The data were analysed using content analysis. Data were collected between February 2017 and December 2018.
    We identified six main categories of qualities that define a \"good family nurse\". These are as follows: (a) personal traits and attributes (sex and individual characteristics and behaviours not directly related to nursing); (b) providing care (caring attitude and patient support); (c) communicating with the patient (the ability to listen and inform the patient); (d) professional competence (knowledge, professional experience and good technical skills); (e) ethical attitude (respect, patience and vocation); and (f) availability (the frequency and duration of home visits, organization of the doctor\'s appointments).
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  • 文章类型: Journal Article
    这项研究探索了挪威公共卫生护士(PHN)使用公共卫生干预轮(PHIW)干预措施的经验。
    研究人员使用定量和定性措施来探索挪威PHN如何在实践中使用PHIW干预措施。数据来自挪威与15名学校和16名家庭保健护士举行的6次焦点小组会议。
    工具包括:(a)人口统计数据表格,(b)研究人员编制的公共卫生干预问卷,和(c)焦点小组问题。
    在焦点小组中讨论PHIW干预措施后,PHNs报告说,他们对每种干预措施都有更清晰的了解,并且他们在实践中进行了与每种Wheel干预措施一致的活动。
    车轮干预的描述为PHN提供了术语和语言,以识别和解释他们在公共卫生护理实践中的工作。尽管美国和挪威在公共卫生护理实践的结构上存在一些差异,PHIW是一个适用于挪威PHN工作的框架。
    This study explored experiences Norwegian public health nurses (PHNs) have with using interventions from the Public Health Intervention Wheel (PHIW).
    The researchers used both quantitative and qualitative measures to explore how Norwegian PHNs use PHIW interventions in their practice. Data were gathered from six focus group meetings with 15 school and 16 family health nurses in Norway.
    Instruments included: (a) demographic data form, (b) the Public Health Intervention Questionnaire developed by the researchers, and (c) focus group questions.
    Following discussion of PHIW interventions in focus groups, PHNs reported they had a clearer understanding of each intervention and they had performed activities in their practice consistent with each of the Wheel interventions.
    Descriptions of the Wheel interventions provided the PHNs with the terminology and language to identify and explain their work in public health nursing practice. Although there are some differences between the United States and Norway in the structure of public health nursing practice, the PHIW is a framework that is applicable to the work of PHNs in Norway.
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  • 文章类型: Journal Article
    本研究的目的是评估护士在初级保健环境中的潜在作用的知识,并分析意大利地区护士和全科医生(GP)对护士的利用态度。
    如今,在意大利,护士在初级保健中的作用仍未得到充分认可,大多数初级保健医疗机构由医生单独管理.
    该研究包括在皮埃蒙特进行的基于问卷调查的横断面调查,意大利,2015年2月至9月。调查结果我们包括105名参与者,57名护士和48名医生。54.4%的护士将与全科医生一起工作的护士的存在定义为“有用”(60.4%的医生),被45.6%的护士视为“必不可少”(而医生为25.0%),没有护士作为“边缘”(相对于14.6%的医生),没有护士作为“不重要”(P=0.002)。因此,医生似乎不太喜欢与护士充分合作和分享权力。此外,全科医生和护士对护士在初级保健中的作用表现出不同的态度:虽然护士强调了他们的临床价值,医生倾向于承认他们的“支持”角色。此外,只有20.8%的受访医师表示他们与护士合作。在多变量分析中,年龄分类是一个显著的预测因素,表明有一名与全科医生一起工作的护士是必不可少的:50岁以上的参与者的OR为0.03(P=0.028).尽管初级保健组织似乎仍主要基于传统的以医生为中心的护理模式,护士和年轻全科医生对初级保健合作模式的积极态度可能是一个有希望的起点.
    AimAim of the present study was to assess the knowledge of the potential role of nurses in the primary care setting and to analyse the attitudes towards their utilization by nurses and General Practitioners (GPs) in a region of Italy.
    Nowadays, in Italy, the role of the nurse in primary care is still under-recognized and most primary care medical offices are managed individually by a physician.
    The study consists of a questionnaire-based cross-sectional survey carried out in Piedmont, Italy, between February and September 2015.FindingsWe included 105 participants, 57 nurses and 48 physicians. The presence of a nurse working together with the GP was defined as \'useful\' by 54.4% of nurses (versus 60.4% of physicians), as \'essential\' by 45.6% of nurses (versus 25.0% of physicians), as \'marginal\' by no nurses (versus 14.6% of physicians) and as \'unimportant\' by none (P=0.002). Thus, physicians seemed to be less favorable towards a full collaboration and power-sharing with nurses. Furthermore, GPs and nurses showed a different attitude towards the role of nurses in primary care: while nurses highlighted their clinical value, physicians tended rather to recognize them a \'supportive\' role. Moreover, only 20.8% of the physicians interviewed stated that they worked with a nurse. At the multivariate analysis, the age class resulted to be a significant predictor of the perception that the presence of a nurse working with the GP is essential: participants >50 years had an OR of 0.03 (P=0.028). Although the primary care organization appears still largely based on a traditional physician-centric care model, the positive attitude of nurses and young GPs towards a more collaborative model of primary care might represent a promising starting point.
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  • 文章类型: Journal Article
    背景:照顾者的负担威胁到心理,情感,护理人员的功能甚至身体健康。这项研究的目的是确定照顾者的负担和家庭痛苦以及它们之间的关系,还在伊朗癌症患者家庭照顾者样本中探索照顾者负担的预测因素。
    方法:这是一项具有相关设计的横断面研究。共有104名癌症患者的家庭护理人员被要求对护理人员负担清单(CBI)和家庭困扰指数(FDI)以及社会人口统计问卷做出回应。为了评估CBI和FDI得分之间的关系,使用了皮尔逊的乘积矩相关性。此外,采用多元线性回归分析探讨照顾者负担的预测因素.
    结果:几乎一半的照顾者(48.1%)经历了高负担。FDI平均得分为9.76±5.40,范围从0到24。在照顾者负担与家庭困扰之间发现了很强的正相关(r=0.76)。多元线性回归结果显示FDI得分的预测作用(β=0.71,P=0.001),患者性别(β=-0.25,P=0.001),照顾者负担与早期癌症诊断(β=0.13,P=0.027)。他们可以解释家庭照顾者负担水平差异的65%。
    结论:家庭护士应考虑癌症患者家庭的照顾者负担和脆弱性,特别是如果患者是男性或有新的诊断。他们还应该为整个家庭设计特殊的方案,作为一个家庭可以适应新形势的系统。
    BACKGROUND: Caregiver burden threatens the psychological, emotional, functional and even physical health of caregivers. The aims of this study were to determine caregiver burden and family distress and the relationship between them, also to explore predictors of caregiver burden in a sample of Iranian family caregivers of cancer patients.
    METHODS: This is a cross-sectional study with correlational design. A total of 104 family caregivers of cancer patients were asked to respond to the Caregiver Burden Inventory (CBI) and the Family Distress Index (FDI) together with a sociodemographic questionnaire. For evaluating the relationship between CBI and FDI scores, the Pearson\'s product-moment correlation was used. In addition, multiple linear regression analysis was applied to explore the predictive factors of caregiver burden.
    RESULTS: A high burden was experienced by almost half of the caregivers (48.1%). The FDI mean score was 9.76 ± 5.40 ranged from 0 to 24. A strong positive correlation was found between the caregiver burden and family distress (r = 0.76). Multiple linear regression results showed the predictive role of FDI score (β = 0.71, P = 0.001), patient\'s gender (β = -0.25, P = 0.001), and early cancer diagnosis (β =0.13, P = 0.027) in caregiver burden. They could explain 65% of variance in the level of burden in family caregivers.
    CONCLUSIONS: Family nurses should consider the caregivers burden and vulnerability of families with cancer patient, especially if the patient is a male or has a new diagnosis. They should also design special programs for the whole family as a system that family can adapt to the new situation.
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  • 文章类型: Comparative Study
    OBJECTIVE: This study describes a comparison of the values and beliefs foundational to community nursing practice in Norway with the Cornerstones of Public Health Nursing based on public health nursing practice in the United States.
    METHODS: Methods included a review of the literature and focus groups to determine primary beliefs and values foundational to nursing practice in family, school, and home care settings in Norway.
    METHODS: Authors reviewed documents written in English and Norwegian for content on values and beliefs represented in public health nursing. Data were gathered from two focus group meetings each with school, home care, and family health nurses in Norway (n = 19; n = 11).
    METHODS: Focus group questions addressed aspects of the values and beliefs of public health that are foundational to public health nursing. The researchers synthesized content themes of literature and focus groups.
    RESULTS: Nine Norwegian cornerstones emerged from literature and focus groups. Six of the cornerstones were the same as the cornerstones from the United States, two were modified, and one new cornerstone emerged from the data.
    CONCLUSIONS: The values and beliefs represented in the different modified cornerstones based on Norwegian community nursing practice capture the essence of public health nursing in Norway. The similarities between the two countries show that nurses have much in common, despite different health and governmental systems and laws.
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