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Official Journal of Australian Holistic Nurses Association
Editors-in-Chief: YF Hao, PhD. Prof. and CR Yuan, PhD. Prof.
ISSN 2522-6371
3TMR Integrative Nursing (TMRIN, ISSN 2522-637) is the official journal of Australian Holistic Nurses Association (AHNA) and a peer-reviewed bimonthly journal sponsored by TMR publishing group. It has been included in DOAJ, ScienceOpen, Ingenta Connect, CNKI Scholar, China Science and Technology Journal Database (CSTJ), Google Scholar and Superstar Journals Database. The journal publishes peer-reviewed original articles including reviews, commentaries, clinical and basic research, case report, conference announcement and letters to the editor about the integrative nursing research. TMR Integrative Nursing particularly welcomes integrative nursing literature research, clinical application innovation of integrative nursing, characteristics of nursing after traditional medicine treatment, and studies that aim to evaluate and compare health care between traditional and modern nursing. ... More

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Current Issue     25 October 2019, Volume 3 Issue 5 Previous Issue   
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Review
Effects of interventions with mindfulness-breathing-stretching components on physiological and mental function of lung cancer patients: a mata-analysis
Meng-Jie Lei, Ting-Ting Liu, Ya-Qian Liu, Hui-Ping Wang, Yan-Qiu Huang, Chang-De Ji
3TMR Integrative Nursing. 2019, 3 (5): 151-158.   https://doi.org/10.12032/TMRIN20181210
Abstract ( 123 )   HTML ( 1 )     PDF (631KB) ( 29 )  

Highlights

This review introduced the effect of mindfulness-breathing-stretching interventions on the physiological and psychological aspects of lung cancer patients. And the meta-analyses were executed to clarify the effect of mindfulness-breathing-stretching interventions in lung cancer patients.

Editor’s summary

Lung cancer was the main cause of cancer-related death in the world, which will cause several psychological issues. However, how to address it is still challenge. It is exciting that the findings from this study will promote the application of mindfulness-breathing-stretching intervention in lung cancer patients.

ABSTRACT

Objective: To systematically evaluate the effects of interventions with mindfulness-breathing-stretching components on lung neoplasms. Methods: Multiple electronic databases were used to search for research on the effects of interventions with mindfulness-breathing-stretching components on lung neoplasms. The randomized controlled trails and self-control trails were included. Electronic databases include: Cochrane library, Pub Med, EMBASE, Web of Science, China Biology Medicine disc (CBM), VIP, WANFANG and CNKI. Studies were selected according to certain inclusion and exclusion criteria, and data were analyzed by Rev Man 5.3. Results: 10 randomized controlled trials and 5 self-control trails were included. The results of meta-analysis were as follows: There was statistically significant difference between two groups in self-perceived burden, quality of life, sleep quality of patients and caregivers, medical coping modes and catecholamine; there was no statistically significant difference between two groups in psychological pressure, mental well-being, fatigue of patients and caregivers, cortisol, endorphins, immunological indexes and complement regulatory proteins. Conclusion: Compared with conventional treatment and nursing, interventions with mindfulness-breathing-stretching components can decrease improve the state of mind, quality of life, quality of sleep, medical coping style and some hormone indexes. However, because of the heterogeneity of indicators and inadequate included studies, larger sample size and high-quality studies are needed.

Influential factors and correlation analysis of hospital ethical climate and psychological empowerment of ICU nurses
Min Zhang, Zhi Guan, Ying Wang
3TMR Integrative Nursing. 2019, 3 (5): 159-165.   https://doi.org/10.12032/TMRIN20190828
Abstract ( 42 )   HTML ( 0 )     PDF (487KB) ( 32 )  

Highlights

The purpose of this study is to investigate the current situation of ICU nurses' hospital ethical climate. Taking psychological authorization as a key point, which provides a new idea for improving the ethical climate perception of ICU nurses, Making full use of hospital ethical climate in nursing management.

Editor’s summary

Hospital ethical climate refers to the nurses perception of the problems to be dealt with in the workplace. Researches showed that harmonious hospital ethical climate has a positive impact on improving job satisfaction, nursing quality and stabilizing nursing team.

ABSTRACT

Background and aims: To investigate the current situation of ICU nurses' hospital ethical climate in China and analyze the correlation and influencing factors of hospital ethical climate. In order to provide a new direction and idea for creating the good hospital ethical climate, relieving the nurses' job burnout and stabilizing the nursing team. Methods: A total of 226 ICU nurses from 6 tertiary Tianjin hospitals were selected as subjects, and the Chinese version hospital ethical climate scale and psychological empowerment scale were used for investigation. Results: The gender and labor relationship of ICU nurses affected the perception of nurses' hospital ethical climate; hospital ethical climate and psychological empowerment were positively correlated; stepwise regression analysis showed that labor relationship and psychological empowerment can explain 58.5% variation rate of hospital ethical climate. Conclusion: We should pay attention to the current situation of the hospital ethical climate of ICU nurses. Managers should create a comfortable working environment not only to provide good material conditions for nurses and transfer of right, but also to pay attention to the nurses' mental state and negative impact of ethical issues. Hospital managers should reasonably allocate human resources, establish effective incentive and assessment standards, reasonable reward and punishment system and promotion mechanism. To provide comprehensive learning resources and channels. To improve nurses' awareness of their own professional value. Creating a harmonious and positive hospital ethical climate, reduce the impact of ethical issues on nurses, improve nurses' enthusiasm and satisfaction.

Introduction to cognitive assessment scales in screening for mild cognitive impairment after stroke: A review
Luo Yang, Hong Guo, Yan-Ling Shen, Li Li, Hai-Yan Wang, Shao-Hua Gong, You-Hua Liu, Xiao-Ping Yi, Dan Zhao, Hui Ju
3TMR Integrative Nursing. 2019, 3 (5): 166-172.   https://doi.org/10.12032/TMRIN20190725
Abstract ( 36 )   HTML ( 0 )     PDF (445KB) ( 19 )  

Highlights

The cognitive assessment scales play an important role in the screening of mild cognitive impairment after stroke. This article reviews the application of cognitive assessment scales at home and abroad in the screening of mild cognitive impairment after stroke, in order to aid with the care of stroke.

Editor’s summary

The impact of cognitive impairment on stroke patients even exceeds the impact of limb dysfunction on daily living activities in stroke patients. Cognitive dysfunction is a common complication after stroke and is closely related to the poor prognosis of stroke.

ABSTRACT

Objective: In order to improve the quality of life of patients more effectively, this paper introduces the types and usages of scales for screening mild cognitive dysfunction after stroke and provides a basis for early identification of mild cognitive impairment. Methods: Read, analyze, summarize, and sort out relevant literature. Results: The mild cognitive impairment assessment scales are broadly divided into two categories: the comprehensive rating scales and the special assessment scales. There are 7 comprehensive assessment scales for the comprehensive rating scales, among which the Mini-mental State of Examination and the Montreal Cognitive Assessment Scale are the most widely used. The special assessment scales are mainly evaluated by the symptoms of cognitive dysfunction and can be divided into five types. Conclusion: Early diagnosis and intervention in patients with cognitive dysfunction will help improve the prognosis of patients. Each assessment scale has its advantages and limitations in both sensitivity and discrimination. Effective use of appropriate scales to diagnose cognitive dysfunction and to screen early, to prevent early, to treat early can effectively improve the quality of life of elderly patients.

Orginal Article
Social demographic factors and leisure time physical activity influencing the self-rated health and happiness of Chinese people
Cheng-Xiang Liu, An-Ni Zhang, Hai-Yan Jiang, Ling Wang, Hui Xie
3TMR Integrative Nursing. 2019, 3 (5): 173-180.   https://doi.org/10.12032/TMRIN20190927
Abstract ( 27 )   HTML ( 0 )     PDF (538KB) ( 15 )  

Highlights

The current study indicates the existence of disparity in the subjective physical and psychological dimensions of health among the elderly in China.

Editor’s summary

Elderly in China are growing rapidly, but also a scarcity of studies on covariation in health and happiness in older people in this region. People from different racial and ethnic backgrounds might vary in the conceptualizations and evaluations of their own physical and mental health status, and they may exhibit cultural differences in health perceptions and belief.

Abstract

Background and aims: The holistic definition of health is not merely the absence of disease or infirmity, but a state of complete physical, mental, and social well-being. However, related research on the influencing factor of self-rated health and happiness have generally remained separate. Therefore, this study aimed to 1) find individual level determinants of the two facets of health; and 2) investigate the covariance of the two facets of health within individual levels. Methods: Multivariate multilevel analysis of self-rated health and happiness at level 1, were nested within 10,968 people at level 2. Data were obtained from the 2015 Chinese General Social Survey. Results: Lower happiness and self-rated health were found in 1) females; 2) the elderly; 3) people with a lower educational level; 4) people who were presently single; 5) people with a lower self-rated economic status; 6) people who resided in urban areas; and 7) people with sedentary lifestyles as compared to those in other categories of the same variable. After adjusting the related individual level determinants, the correlation coefficient of two facets of health at the individual level is 0.19, which indicates that no robust covariance was observed. Conclusions: The current study indicates the existence of disparity in the subjective physical and psychological dimensions of health among the elderly in China. Our findings emphasize the importance of paying attention to different aspects of health simultaneously in investigations and the benefits of leisure time activities.

Universal precaution practice and barriers to compliance among nurses in Aseer public Hospitals, Saudi Arabia
Manal Banaser, Abdulah Alshehari, Abdulrahman Albukhodaah, Sami Alqahtani
3TMR Integrative Nursing. 2019, 3 (5): 181-188.   https://doi.org/10.12032/TMRIN20190729
Abstract ( 244 )   HTML ( 0 )     PDF (539KB) ( 90 )  

Highlights

This article showed that perception of nurses toward compliance with universal precautions in Aseer region hospitals, Sau-di Arabia and factors that may hinder the nurses from complying with those standards. Despite the availability of custom provisions, it is widely recommended that nurses should take precautions, regardless of whether there is a risk of infection or not.

Editor’s summary

Blood borne pathogens are considered as an important occupational risk for nurses. Nursing staff must take a multiplicity of factors, including training on how to prevent and control infections, and how to protect themselves through the use protective clothing.

Abstract

Background: Studies have shown that for every 100 hospitalized patients at any given time, 10 in developing, and 7 in the developed countries would eventually develop at least one episode of healthcare associated infections. This highlights the imperativeness of adherence to Universal Precautions (Ups) for prevention of infections. Proper compliance with standard would lead to a decrease in rate of HAI. Aim: The aim of the study is to determine the perception of nurses toward compliance with universal precautions in Aseer region hospitals, Saudi Arabia and factors that may hinder the nurses from complying with those standards. Methods: A cross sectional study was performed. Data collected using validated questionnaire of universal precautions from convenience sample of 302 respondents’ nurses across four public hospitals in Aseer region. Analysis was performed through descriptive statistics and chi square tests of association. Results: The overall compliance toward universal precautions among nurses was high at 88%. The results reveal that all constructs that define the actions of the nurses to have a statistically significant association at 99% with the extent to which nurses utilized the universal precautions. Discussion: The results indicate that nursing staff adhere to the universal precautions for prevention of infection. However, the hospitals should solve the main barriers including lack of personal protective clothing, challenges during emergencies, and lack of training on how to use.

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  • Effect of social media utilization in 21st century nursing practices in Nigeria: Analytical review 
    ...
    Background and aim: Social Media is a global tool where information is disseminated and accessed within twinkle of an eye, it reaches the target audience within seconds locally, continentally or cross-continentally. Social Media usage in nursing practices across globe is a burning issue in contemporary 21st century, as its negativity is widely spreading unprofessional code of conducts. Therefore, the study is to examine the effect of social media usage among 21st century nurses in Nigeria. Methodology: This analytical study was carried out using previous studies on related subject matters, and review the outcomes of the subjects. Nurses in Federal Republic of Nigeria were used as the sample via WhatsApp group and Facebook closed group, hence, it was conducted on examining how im-pactful is the usage of social media among Nigerian nurses. Results: Findings revealed that social media has come to stay in nursing, and the potential should be harnessed and integrated into nursing practices and curriculum, which will translate into professional care. Nurses should be educated on its negative usage as it delineates from professional conduct. There is a need for Nursing and Midwifery Council of Nigeria (NMCN) as matter of urgency upgrade the code of professional conduct to accommodate the current trend of social media usage. Conclusion: It was concluded that Nurses in Nigeria should uphold professional code of practice while using social me-dia as it’s a good source of litigation. It was recommended that nursing training curriculum should reflect current trend of social media and NMCN should review its code of professional practices highlighting the usage of social media....
    Omolola Adams Olatayo
  • Research progress on professional identity assessment tools for nursing students in China 
    ...
    This paper introduced the concept of nursing students' professional identity and described the development process. At the same time this paper introduced the assessment content, applicable population and scoring methods. Reliability and validity of the scales and the application status of commonly used assessment tools of professional identity of nursing students were introduced. This study aims to provide guidance for clinical staff and nursing educators to select targeted professional identity assessment tools for nursing students....
    Hui-Ping Wang, Lv Cheng, Yan-Qiu Huang, Chang-De Jin
  • The competence of nursing students to prevent pressure injury - a scoping review 
    ...
    Objective: The purpose of the present study is to review the existing literatures to understand the competency of nursing students to prevent the pressure injury (PI). Methods: Arksey and O'Malley's scoping review framework have been applied to understand the competency of nursing students on pressure injury prevention (PIP). A variety of databases have been searched in this study, including PubMed, EMBASE, Web of Science, Cochrane Library, CNKI, Wanfang databases. Results: A total of 17 articles were selected and three main themes were summarized: “Knowledge and Attitude”, “Preparation” and “Educational situation and needs”. Conclusion: Although the attitudes towards pressure injuries were positive, the knowledge of nursing students on preventing PI was insufficient and their consciousness was weak. The controversy of the readiness of nursing students to prevent pressure injuries has existed for a long time. Nursing students were severely lacking in pressure sore education courses and needed better education methods and more clinical practice opportuni-ties....
    Si-Qi Xiong, Ming Sang, Yan-Qiu Huang, Hui-Ping Wang, Chang-De Jin
  • Current situation and influencing factors of classroom situation deviant behavior of undergraduate nursing students in colleges of traditional Chinese medicine 
    ...
    Objective: To investigate the current situation and influencing factors of classroom situation deviant behavior of undergraduate nursing students in colleges of traditional Chinese medicine. Methods: Three hundred and eighty-two undergraduate nursing students in Tianjin University of Traditional Chinese Medicine were investigated by general situation questionnaire, Classroom Situation Deviation Behavior questionnaire, Utrecht Work Engagement Scale-Student and Mobile phone addiction index scale. Results: The scores of the Classroom Situation Deviation Behavior questionnaire of nursing students were (46.04 ± 14.94). The results of multiple linear regression analysis showed that gender, academic ranking, family income (RMB/month), learning involvement and mobile phone dependence were the influ-encing factors, accounting for 32.9% of the total variation. Conclusion: The classroom situation deviant behavior of undergraduate nurs-ing students in colleges of traditional Chinese medicine is moderately upper-level. It is suggested that the management departments of colleges should strictly enforce the classroom management system, improve the teaching level of teachers, guide students to develop good learning habits, and constantly stimulate students' learning enthusiasm in order to reduce the occurrence of classroom situational deviation behavior....
    Yan-Qiu Huang, Chang-De Jin
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