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Official Journal of Australian Holistic Nurses Association
Editor-in-Chief: Professor Gui-Hua Xu PhD MD RN
ISSN 2522-6371
3TMR Integrative Nursing (TMRIN, ISSN 2522-6371) 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 December 2019, Volume 3 Issue 6 Previous Issue   
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Review
Effect of social media utilization in 21st century nursing practices in Nigeria: Analytical review
Omolola Adams Olatayo
3TMR Integrative Nursing. 2019, 3 (6): 189-198.   https://doi.org/10.12032/TMRIN20190912
Abstract ( 58 )   HTML ( 1 )     PDF (442KB) ( 38 )  

Highlights

This article 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.

Editor’s summary

The word social media is a compound term that involves social networking, content exposition, web publishing and wikis. Social media is an essential instrument that provides rooms sharing of thoughts and providing information to target audience. It encompasses information generation by user for end-users, divulging user opinion, reaction and counter-reactions by user and audience, and spreading information to a large audience at a point in time on the digital terrestrial.

ABSTRACT

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 impactful 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 media 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.

Interventional effect of cognitive behavioral therapy on cancer-related fatigue in breast cancer patients: A systematic review
Ying Zhang, Jia-Lei Ren, Yu-Hong Chen, Wan-Min Qiang
3TMR Integrative Nursing. 2019, 3 (6): 199-206.   https://doi.org/10.12032/TMRIN20191211
Abstract ( 28 )   HTML ( 0 )     PDF (710KB) ( 22 )  

Highlights

This article systematically evaluates the effect of cognitive behavioral therapy on cancer-related fatigue in breast cancer patients, and showed that cognitive behavioral therapy can alleviate the harm caused by cancer-related fatigue.

Editor’s summary

Cognitive behavioral therapy is a psychotherapy method which can change the cognitive orientation of patients. The results of this systematic review indicate that CBT can alleviate cancer-related fatigue in breast cancer patients to a certain extent.

ABSTRACT

Objective: To evaluate the effect of cognitive behavioral therapy on cancer-related fatigue in breast cancer patients. Methods: Computer search for CNKI, VIP, Wanfang database, CBM, PubMed, Embase, CINAHL, The Cochrane library as of 2019 randomized controlled trials on October 20 for cognitive behavioral therapy intervention for breast cancer due to fatigue. Results: A total of 6 RCTs were included, 472 patients. Cognitive Behavioral Therapy has a strong effect on cancer related fatigue compared with the usual care [SMD = -1.19, 95% CI (-1.86, -0.53), P = 0.0004]. Results: Available evidence suggests that CBT can alleviate cancer-related fatigue in breast cancer patients, and the above studies still need to continue to conduct relevant studies for validation.

Intervention effect of chewing sugar-free gum on xerostomia in hemodialysis patients: A meta-analysis
Yan-Qiu Huang, Si-Qi Xiong, Chang-De Jin
3TMR Integrative Nursing. 2019, 3 (6): 207-213.   https://doi.org/10.12032/TMRIN20190405
Abstract ( 116 )   HTML ( 1 )     PDF (569KB) ( 132 )  

Highlights

In this article meta-analysis was used to evaluate the effect of chewing sugar-free gum on xerostomia in hemodialysis patients. Chewing sugar-free gum can improve the dry mouth in hemodialysis patients, but it has no effect on thirst and weight gain during dialysis.

Editor’s summary

Xerostomia is one of the common complications in end-stage renal disease patients are treated by using hemodialysis. sugar-free gum has been widely used in hemodialysis patients due to its low economic cost and good taste, but its clinical effect is still controversial.

ABSTRACT

Objective: Meta-analysis was used to evaluate the effect of chewing sugar-free gum on xerostomia in hemodialysis patients. Methods: Randomized controlled trials or semi-randomized clinical trials on the effects of chewing sugarless gum on xerostomia in hemodialysis patients were retrieved from the databases of Chinese national knowledge infrastructure (CNKI), Wanfang, Chinese sci-tech periodical full text databases Whipple (VIP), Chinese biomedical (CBM), Pubmed, Embase, Cochance, Web of science, Ovid and CINAHL. After data extraction and quality evaluation, we used Review Manager 5.3 software to carry out meta-analysis of the outcome indicators. Results: Five studies enrolled 237 patients were included eventually. The results showed that chewing sugar-free gum improved the symptoms of dry mouth [MD = -2.12, 95%CI (-2.53, -1.71), P < 0.001, but had no effect on patients' thirst symptoms [MD = -1.57, 95%CI (-3.41, 0.27), P = 0.09] and weight gain [MD = -0.38, 95%CI (-1.02, 0.27), P = 0.25] during dialysis. Conclusion: Chewing sugar-free gum can improve the dry mouth of hemodialysis patients, but it has no effect on thirst and weight gain during dialysis. However, due to the small number and the low quality of included literatures, it is still necessary to carry out large sample, multi-center and high-quality randomized controlled trials to further explore the effect of chewing sugar-free gum on xerostomia in hemodialysis patients.

Orginal Article
Surgical Site Infection Prevention Practices and Associated Factors among Nurses Working in Government Hospitals of Harari Regional State and Dire Dawa City Administration, Eastern Ethiopia
Getaneh Desalew, Biftu Geda, Bezatu Mengistie, Asmamaw Demis, Solomon Demis
3TMR Integrative Nursing. 2019, 3 (6): 214-225.   https://doi.org/10.12032/TMRIN20191209
Abstract ( 30 )   HTML ( 0 )     PDF (661KB) ( 45 )  

Highlights

This study assessed surgical site infection prevention practices and associated factors among nurses working in government hospitals of Harari Regional State and Dire Dawa City Administration, Eastern Ethiopia from March 01 to 28, 2019.

Editor’s summary

Nurses play a major comprehensive role and spans the continuum of care in preventing Surgical site infections. nurses should adhere to evidence based practice towards SSI prevention but, according to literatures there is paucity of information regarding to nurses surgical site infections prevention practices.

ABSTRACT

Background: Surgical site infections are the most frequent type of preventable hospital acquired infections with a serious and undesirable outcome of surgery associated with increase morbidity, mortality rate, hospital stay, readmission and excess cost. Surgical site infection prevention is one of the most important challenge in delivering optimal nursing care. Studies suggest that the nurses’ practices of surgical site infection prevention is not well addressed. Moreover, there is clearly paucity of information, in Africa including the study area. Objective: The aim of this study was to assess surgical site infection prevention practices and associated factors among nurses working in government hospitals of Harari Regional State and Dire Dawa City Administration, Eastern Ethiopia from March 01 to 28, 2019. Method and Materials: An institutional based cross-sectional study design was employed for a total of 515 nurses. Simple random sampling method was used to select study participants. Data were collected using pretested structured self-administered questionnaire supplemented by observation. Data were checked, coded, entered and cleaned using Epi-data version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariate analysis were undertaken and P values less than 0.05 at 95% confidence interval were considered as statistically significant. Result: The overall self-reported level of SSI prevention practice was found to be 40.8% (95% CI: 36.9%, 45.4%). Nurses with BSc and above [Adjusted odds ratio (AOR) = 2.52, 95% CI (1.14, 5.54)], trained on infection prevention [AOR = 2.22, 95% CI (1.29, 3.82)], good knowledge [AOR = 2.21, 95% CI (1.32, 3.71)], good attitude [AOR = 5.11, 95%CI (3.05, 8.57)], got supply of personal protective equipment [AOR = 2.57, 95% CI (1.46, 4.49)], had management support [AOR = 3.41, 95% CI (1.90, 6.12)], experience of 5 to 10 years [AOR = 5.38, 95%CI (2.82, 10.27)] and ≥ 11 years [AOR = 3.48, 95% CI (1.47, 8.25), were found to be statistically and positively associated with nurses SSI prevention practice. Conclusion: In this study, the level of surgical site infection prevention practice was poor. Being BSc and above, being knowledgeable and good attitude, got personal protective equipment, had management support, serving for ≥ 5 years and trained on infection prevention were found to be significantly associated with surgical site infection prevention practice. Updating knowledge and practice of nurses through in-service education and training on latest evidence-based practice, regularly supplying of personal protective equipment, developing hospital policy and procedures for surgical site infection prevention practice is recommended.

Protocol
Role of progressive muscle relaxation in preventing and alleviating of nausea and vomiting caused by chemotherapy among cancer patients: A protocol of systematic review
Xu Tian, Ling-Li Xu, Rong-Ying Tang, Hui Chen, Wei Xie, Wei-Qing Chen
3TMR Integrative Nursing. 2019, 3 (6): 226-231.   https://doi.org/10.12032/TMRIN20191213
Abstract ( 24 )   HTML ( 0 )     PDF (357KB) ( 9 )  

Highlights

This article designed updated systematic review to comprehensively establish the efficacy of progressive muscle relaxation for the prevention and alleviation of chemotherapy-induced nausea and vomiting among cancer patients.

Editor’s summary

Progressive muscle relaxation reduces anxiety and fatigue, and progressive muscle relaxation exercise has been widely applied to prevent and alleviate the toxic resulted from chemotherapy.

ABSTRACT

Background and aim: Progressive muscle relaxation (PMR) is one of the most common complementary and alternative therapies. Published systematic review unfolded that PMR has a positive impact on chemotherapy-induced nausea and vomiting among adult cancer patients. However, the pooled findings were not reliable and valid because included trials have poor quality. It must be noted is that additional studies with good quality have been published recently. So, we design this updated systematic review to comprehensively establish the efficacy of PMR for the of chemotherapy-induced nausea and vomiting among cancer patients.Methods: We will search PubMed, Cochrane Controlled Register of Trial (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), China Biomedical Literature database (CBM), China National Knowledge Infrastructure (CNKI), and Wanfang data to capture all potential items. Data extraction sheet will be used to extract all essential information, the Cochrane risk of bias assessment tool will be utilized to appraise the risk of bias of eligible studies. Finally, a quantitative analysis will be performed if sufficient data were obtained. In contrast, a qualitative analysis will be used to summarize the results of all included studies. Ethics and dissemination: Ethics approval and patient written informed consent will not be required because all of the analyses in the present study will be performed based on data from published studies. We will submit our systematic review and network meta-analysis to a peer reviewed scientific journal for publication.

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  • Cross-cultural nursing's systematic model and its application in minority patients in China 
    ...
    Ethnic diversity and cultural diversity have become a prominent feature of today's society. Patients from different cultural backgrounds have brought new challenges to the nursing career, and it has become an inevitable trend to carry out cross-cultural nursing. This review summarizes the concept, advantages, application in teaching and clinic of cross-cultural nursing theory and the special nursing needs of Tibetan and hui patients. This review aims to sort out the application status of cross-cultural nursing theory in ethnic minorities and provide reference for carrying out standardized cross-cultural nursing in ethnic minority patients....
    Lyu Cheng, Wen-Jiao Li, Yun Ning, Han Wang, Chang-De Jin
  • 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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