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Betty Newman's systematic model and its application in clinical nursing
Hui-Ping Wang, Yan-Qiu Huang, Chang-De Jin
3TMR Integrative Nursing    2019, 3 (4): 113-117.   https://doi.org/10.12032/TMRIN20190429
Abstract ( 782 HTML PDF (313KB) ( 833 )  

Highlights

This paper introduced the development background and basic content of Betty Newman's system model and the current application status of the theory at home and abroad.

Editor’s summary

Betty Newman's system model is a nursing model that uses the holistic and systematic view to explore the effects of stress on individuals, as well as the individual's ability to regulate and rebalance. Its main characteristics are reliability and integrity, which presents a comprehensive and integrated conceptual framework based on a systematic view of care.

ABSTRACT

Introducing the development background and essential aspects of Betty Newman's system model, and exploring the application status of the theory all over the worldwide. This review points out that combining the theoretical model with nursing practice can effectively improve patients' disease self-management ability and improve the quality of life. At the same time, the theory has certain similarities with traditional Chinese medicine nursing, and can provide reference for the development of Chinese medicine nursing theory.

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 ( 394 HTML PDF (539KB) ( 193 )  

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.

Disadvantages of using pacifier in infants: a systematic review
Ghareeba H. Ali, Shukir S. Hasan
3TMR Integrative Nursing    2019, 3 (4): 140-144.   https://doi.org/10.12032/TMRIN20190710
Abstract ( 285 HTML PDF (367KB) ( 158 )  

Highlights

This article systematic reviewed the disadvantages of the pacifier using on infants by using the texts studying and the writer experiences and the comments of the experts.

Editor’s summary

The satisfaction of this physiological necessity through excessive use of a pacifier and baby bottle in long time leads to multiple probable complications in children. This article showed that appropriate education, and informing the parents about the emotional needs of the child, as well as the emphasis on removing the pacifier at age of one.

ABSTRACT

Background and aim: Newborns with normal evolution have a biological inherited tendency for sucking. The satisfaction of this physiological necessity through excessive use of a pacifier and baby bottle in long time leads to multiple probable complications in children. Considering this important fact made the researchers to carry out the present study with the aim of systematic reviews of the disadvantages of the pacifier using on infants by using the texts studying and the writer experiences and the comments of the experts. Methods: All published studies in foreign databases during 2008-2018 were checked by using the key words of pacifier nutrition, non-exclusive nutrition, breastfeeding and human breast milk from Latin databases, such as CINHAL, PubMed, Web of Science and Scopus. Results: Fourteen studies were reviewed, aimed at analyzing the types of drawbacks to use of pacifier in infants. Finally, the types of drawbacks to using the pacifier were discussed in terms of the studies, frequency in the areas of oral and dental disorders, speech disorders, otitis media, sleep disorders, nutritional disorders and cognitive disorders. Conclusion: It seems that appropriate counseling about the way of breastfeeding should be used to replace the negative and false education of associates and informing the parents about the emotional needs of the child, as well as the emphasis on removing the pacifier from the age of one, is one of the things that can be effective in eliminating the factors involved in the aforementioned disorders.

Bibliometrics analysis of Jean Waston’s Human caring theory in China in the past 10 years
Wen-Jiao Li, Yun Ning, Yan Li, Lyu Cheng, Han Wang, Chang-De Jin
3TMR Integrative Nursing    2019, 3 (4): 107-112.   https://doi.org/10.12032/TMRIN20190718
Abstract ( 283 HTML PDF (496KB) ( 217 )  

Highlights

This paper introduced the research status and development trend of human caring theory in nursing science in recent 10 years. Chinese nursing researchers can carry out theoretical research on clinical research, nursing management and nursing education based on its theoretical connotation and combining clinical and teaching environment.

Editor’s summary

Dr. Jean Waston, a famous American contemporary nursing theorist, first combined human caring and nursing, and in 1979 officially founded the human caring science theory. With the development of the bio-psycho-social medical model, the position of humane caring in the field of nursing is becoming more and more important, and it is increasingly being used by clinical nurses, nursing educators, etc.

ABSTRACT

Aims: To analyze the research status and development trend of human caring theory in the field of nursing in China, and to provide better reference for theory and research. Methods: All articles related to human caring theory were searched in the China national knowledge infrastructure (CNKI), Wanfang Data and VIP database which were published in the past year was searched. NoteExpress document management software and Excel software were used to conduct bibliometrics analysis on the annual distribution, regional distribution, journal distribution, fund support and research content of the documents. The search time was from 1 January 2009 to 31 December 2009. Results: A total of 113 articles were included in the literature. The total number of published articles showed a slow and tortuous trend. After 2013, the volume of publications was relatively stable. The core journals accounted for 17.7% of the total number of articles, and most of them came from hospitals. The research covers clinical applications, nursing education, nursing management and other fields. Conclusion: Human caring theory is an important part of nursing theory, Nursing researchers in China can conduct clinical research, nursing management and nursing education research based on their theoretical connotation, combined with clinical and teaching environment.

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 ( 271 HTML PDF (631KB) ( 130 )  

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.

Family care intervention for children with epilepsy: A literature review
Ming Sang, Si-Qi Xiong, Hui-Ping Wang, Yan-Qiu Huang, Chang-De Jin
3TMR Integrative Nursing    2019, 3 (4): 145-150.   https://doi.org/10.12032/TMRIN20181002
Abstract ( 251 HTML PDF (456KB) ( 167 )  

Highlights

This article introduced the concept of family care intervention, Main methods of family nursing intervention, effects of family intervention on children with epilepsy and their families in order to provide references for further study.

Editor’s summary

Epilepsy is the most common neurological disease in childhood. Effective family care intervention can improve the prognosis of children with epilepsy and improve their quality of life and negative emotions.

ABSTRACT

Family care plays an important role in the health maintenance of children with epilepsy. In this paper, the relevant literatures of family nursing intervention were collected and summarized. There are two main methods of family care intervention for children with epilepsy: Family-managed care interventions and family-centered care interventions. It is not only spread the knowledge of epilepsy, but more importantly, improve the ability of family caregivers to manage the disease, and improve family function and reduce the behavior of children with epilepsy effectively.

Application of FICare mode in premature infants of NICU: A meta-analysis
Min Zhang, Ya-Nan Leng, Zhi Guan, Ying Wang
3TMR Integrative Nursing    2019, 3 (4): 125-132.   https://doi.org/10.12032/TMRIN20190328
Abstract ( 242 HTML PDF (1157KB) ( 134 )  

Highlights

This article systematically evaluated the effect of FICare mode on the growth and development of premature infants in NICU. Meta-analysis showed that FICare mode can effectively promote the growth and development of premature infants and alleviate the harm caused by the separation of mother and infants.

Editor’s summary

FICare is the philosophy that guides how we provide care for infants in the NICU, which effectively integrates the parents of premature infants to care for the newborn with the medical staff, and shifts the focus from focusing on the treatment of premature infants to establishing effective kinship with the family.

ABSTRACT

Objective: To systematically review the effect of Family Integrated Care (FICare) mode on the growth and development of premature infants. Methods: Systematic searches in PubMed, EMBASE, The Cochrane Library, Web of Science, Chinese biomedical literature database, China National Knowledge Infrastructure, Wanfang medical and VIP database were performed for randomized controlled trials (RCTs) or quasi-RCTs which explored the effects of FICare mode on growth and development of premature infants in neonatal intensive care unit. Then, meta-analysis was performed by RevMan 5.3 after two independent investigators screened the literature, extracted the data and evaluated the risk of bias of all included studies. Results: A total of 14 articles were included, including 3120 preterm infants and their families. Meta-analysis showed that compared with the traditional management mode, FICare mode can effectively improve the growth rate of premature infants' weight [Weight mean difference (WMD) = 4.02, 95%CI (2.47, 5.56), P < 0.001], increase sleep time [WMD = 3.25, 95%CI (2.05, 4.44), P < 0.001], improve breastfeeding rate [RR = 1.38, 95%CI (1.15, 1.64), P < 0.001], reduce readmission rate [Relative risk (RR) = 0.49, 95%CI (0.33, 0.71), P < 0.001], promote the development of the nervous system [WMD = 3.96, 95%CI (3.18, 4.74), P < 0.001], improve nursing skills of Premature infants' parents [WMD = 17.40, 95%CI (13.64, 21.1), P < 0.001], reduce the influence of maternal and infant separation on parents' emotions. Conclusion: FICare mode can effectively promote the growth and development of premature infants and alleviate the harm caused by the separation of mother and infants. Limited by the quality and region of the included studies, the appeal conclusion still needs to be tested by more high-quality studies.

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 ( 217 HTML PDF (661KB) ( 182 )  

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.

Bibliometric analysis of researches of empowerment theory applied to nursing in China
Si-Yuan Yang, Li-Min Guo, Yuan Jia, Qian Wu, Fan-Jie Meng
3TMR Integrative Nursing    2019, 3 (4): 118-124.   https://doi.org/10.12032/TMRIN20190701
Abstract ( 199 HTML PDF (439KB) ( 157 )  

Highlights

This article made the visualized analysis to analyze the development trend and research focus of empowerment theory applied to nursing in China.

Editor’s summary

The theory of empowerment originated from the theory of management abroad, and firstly utilized in the field of health care by Freire in 1980.

ABSTRACT

Objective: To analysis the development trend and research focus of empowerment theory applied to Nursing in China. Methods: Literatures related to the objective were searched and collected from CNKI, WangFang, VIP and CBM, then Excel 2003 was used to setup the database and co-word matrix, SPSS 21.0 was utilized to make the visualized analysis by way of multivariate statistics analysis, cluster analysis and multidimensional scaling analysis. Results: Literatures with the number of 486 were selected out and 18 high frequency keywords were retrieved from 140 journals. Among the literatures, the first one was published in 2002, then a tremendous rising started since 2009, and reached the peak in 2017, mainly from the southern part of China, such as the province of Jiangsu, Guangdong, and Zhejiang. Regarding the content of the literatures, the research of intervention accounted for 61.32%, then the research of description came to the second at the ratio of 24.49%. What’s more, 378 (77.78%) were cited, 154 (31.69%) were funded. Conclusion: Nowadays, empowerment applied in the therapy of chronic disease is the focus and trend of the research of empowerment theory, and the psychological empowerment to nursing staff, as well as the constructed empowerment is going mature. In the future, more attention should be paid to the study and practice of empowerment theory, in order to vary the direction of research and enrich the theory.

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 ( 187 HTML PDF (487KB) ( 128 )  

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.

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