The document summarizes a literature review on stress management for families of intensive care patients. The review found that families experience stress from factors like rapid decision making, costs of care, fear of the patient's condition, and uncertainty. Effective communication from nurses, providing information and support, and developing nurse skills can help reduce family stress. The literature review included 18 articles that addressed causes of family stress in the ICU and methods nurses use to help manage that stress.
This annotated bibliography examines the impact of perinatal loss and death on nurses and healthcare providers. It summarizes 10 sources that explore how witnessing perinatal death affects medical professionals psychologically and identifies coping strategies they employ. Common themes across the sources include the need for support systems, training, and debriefing for staff dealing with perinatal loss. Healthcare providers experience grief, stress, and trauma from perinatal deaths similar to family members, yet often do not receive adequate support themselves.
Perceived Stress, Ways of Coping and Care Giving Burden among Family Caregive...iosrjce
Addressing perceived stress, ways of coping and care giving burden among family caregivers are
highly relevant in the current scenario in terms of prevention of mental illness and promotion of mental health of
people engaged in the care of their family member with schizophrenia. A community prevalence study
conducted by the IMHANS, Kerala estimated that 3.2 lakh people in the State suffer from schizophrenia (THE
HINDU, May 25, 2006).
Nursing can be a stressful proffession Discussion.pdfbkbk37
This document discusses stress and trauma experienced by pediatric nurses. It summarizes previous research on this topic, which found that caring for sick children can cause secondary traumatic stress in nurses. The document then describes a qualitative study of pediatric nurses that identified six prevalent themes related to workplace stress: 1) feeling pressure to perform despite emotion, 2) feeling unprepared, 3) inability to separate work from personal life, 4) being consumed by traumatic experiences, 5) using positivity to cope, and 6) needing further research on this issue.
This document discusses a proposed randomized controlled trial to evaluate the impact of family presence during resuscitation (FPDR) on the psychological health of family members. The trial would divide families into two groups: one that can witness resuscitation and one that cannot. At eight months post-resuscitation, both groups will complete the Impact of Event Scale-Revised (IES-R) questionnaire by phone. The hypothesis is that families who witnessed resuscitation will report significantly lower IES-R scores, indicating better psychological health. Previous studies provide evidence that FPDR does not affect resuscitation outcomes but may improve family member mental health outcomes.
This lesson plan aims to help students understand family stress and how to help families cope with stressful situations. Key learning objectives include understanding sources of stress on families, recognizing families' perceptions of stress, and utilizing interventions to relieve stress. The plan involves students reading about family stress, discussing common stressful events, analyzing a case study using a family stress model, and exploring available family support resources. The goal is for students to apply a family-focused approach to caring for patients and families dealing with stress.
Tangible Needs and External Stressors Faced by Chinese Ameri.docxperryk1
Tangible Needs and External Stressors
Faced by Chinese American Families with
a Member Having Schizophrenia
Winnie Kung
This article examines the tangible needs and external stressors experienced by Chinese
American families with a member living with schizophrenia, in the context of a six-month
pilot study of family psychoeducation. Therapists’ notes from 117 family and group sessions
were analyzed. The families expressed concerns regarding housing, finance, work, study, and
the shortage of bilingual psychosocial services. Interacting with government offices and
social services agencies caused anxiety and frustration, partly due to the high stakes involved
given their low socioeconomic status, and partly due to the bureaucracy. As immigrants,
study participants had needs for language translation, knowledge about resources, and advo-
cacy by case managers. This study also highlights the importance of interventions beyond
the micro individual level to the mezzo and macro levels, where changes in organizations
and policies are necessary.
KEY WORDS: caregivers; Chinese Americans; environmental stressors; ethnic sensitivity;
schizophrenia
This study aims to address the knowledge gap in understanding the challenges faced by Chinese American families with a member
living with schizophrenia in relation to their tangible
needs and external stressors from the environment. I
conducted this research in the context of an interven-
tion study of family psychoeducation that I previously
developed and pilot-tested as an ethnic-sensitive pro-
gram for Chinese Americans ( Kung, Tseng, Wang,
Hsu, & Chen, 2012). Family psychoeducation has
been proven effective in reducing caregiver stress and
the relapse rate of individuals with schizophrenia
( Jewell, Downing, & McFarlane, 2009; Lefley, 2010;
McFarlane, Dixon, Lukens, & Lucksted, 2003). The
intervention protocols focus on educating the fami-
lies about the nature of the illness, promoting better
communication, and helping family members re-
solve conflicts ( Anderson, Reiss, & Hogarty, 1986;
McFarlane, 2002) to reduce “expressed emotions”
such as criticism and overinvolvement, which highly
predict relapses ( Butzlaff & Hooley, 1998; Hooley,
2007; Leff & Vaughn, 1985; Marom, Munitz, Jones,
Weizman, & Hermesh, 2005). Few studies had been
conducted with Chinese American families, many of
whom face unique challenges due to their immigrant
status and cultural values ( Kung, 2003).
To more thoroughly understand the stresses ex-
perienced by these families so as to better meet their
needs and to refine the family psychoeducation pro-
tocol, a qualitative inquiry was conducted using the
clinicians’ session notes from the intervention study.
Whereas the family psychoeducation model in its
original design focused on resolving the psycho-
logical and relational issues within the families, this
investigation noted that these families’ struggles were
closel.
Running Head MUNCHAUSEN SYNDROMEMunchausen SyndromeKr.docxglendar3
This document summarizes a research article about the role of relationships and families in healing from trauma. The article discusses how most trauma treatment focuses on the individual, but trauma is also a relational event that affects close relationships. It argues that systemic protocols addressing interpersonal difficulties in addition to intrapersonal issues are critical for healing. To illustrate, a graphic case study is presented of a family experiencing trauma due to a kidnapping, and how individual versus systemic treatment approaches would differ in addressing their needs.
Running Head MUNCHAUSEN SYNDROMEMunchausen SyndromeKr.docxtodd581
Running Head: MUNCHAUSEN SYNDROME
Munchausen Syndrome
Krystina Joseph
Columbia College
Munchausen Syndrome Article Review
Introduction
The Munchausen Syndrome Article explains about the Munchausen Syndrome, which is a rare fictitious disorder which involves the frequent hospitalization together with an intentional display of signs of sickness and pathological lying. In this regards, the management needs the security history taking with collaboration with the sound clinical processes which entails organicity exclusion in addressing the psychological problems. It is worth noting that a case which is presented having unusual symptoms of same dimensions are as well discussed. The case in this regards brings the finer nuances in the assessment of the entity (Prakash., et al 2014).
Research Question
Based on the abstract of the article, it can be denoted that the research question of the article is the need to understand more on the Munchausen Syndrome as well as the symptoms and therefore the need to ensure that such issues are solved by having a sound clinical process to handle the problem. The problem for the case as well was to find out what caused the 19-year-old housewife to vomit pink substance.
Findings
The findings depict that the 19-year-old housewife was suffering from a factitious disorder, also termed as the Munchausen syndrome. The psychometry performed also showed that there is an elevation of scales of anxiety together with hysteria. Consequently, being managed in an empathetic as well as non-confrontational manner, the psychotherapy was intended to improve the positive coping abilities while at the same time improving the interpersonal relationships which had been imparted (Prakash., et al 2014).
Research Methods Used
The methods used involved observations and clinical assessments. Observations were done by checking regularly the presence of the bloodstained vomits as well as the asthenia and any forms of skin allergy. This was carried out to ensure that the patient had no issues. The observations, as well as little conversation, showed that there were no cases of psychiatric illnesses for the patient in the past. Further, the assessment entails involves the systematic examinations which were performed within the normal limit. The psychiatric evaluation was performed together with ward observations which were intended at revealing the comfortability of the patient while in the hospital (Prakash., et al 2014).
The credibility of the Source of Information
To know the credibility of sources, the authors are scrutinized where their qualifications and their areas of experience assessed to understand whether the information provided is related to the topic at hand. For this article, it can be denoted that all the information provided is credible. This is because all the four authors who contributed to the article have sufficient skills and knowledge pertaining to health-related disorders, and thus, their pieces of information.
This annotated bibliography examines the impact of perinatal loss and death on nurses and healthcare providers. It summarizes 10 sources that explore how witnessing perinatal death affects medical professionals psychologically and identifies coping strategies they employ. Common themes across the sources include the need for support systems, training, and debriefing for staff dealing with perinatal loss. Healthcare providers experience grief, stress, and trauma from perinatal deaths similar to family members, yet often do not receive adequate support themselves.
Perceived Stress, Ways of Coping and Care Giving Burden among Family Caregive...iosrjce
Addressing perceived stress, ways of coping and care giving burden among family caregivers are
highly relevant in the current scenario in terms of prevention of mental illness and promotion of mental health of
people engaged in the care of their family member with schizophrenia. A community prevalence study
conducted by the IMHANS, Kerala estimated that 3.2 lakh people in the State suffer from schizophrenia (THE
HINDU, May 25, 2006).
Nursing can be a stressful proffession Discussion.pdfbkbk37
This document discusses stress and trauma experienced by pediatric nurses. It summarizes previous research on this topic, which found that caring for sick children can cause secondary traumatic stress in nurses. The document then describes a qualitative study of pediatric nurses that identified six prevalent themes related to workplace stress: 1) feeling pressure to perform despite emotion, 2) feeling unprepared, 3) inability to separate work from personal life, 4) being consumed by traumatic experiences, 5) using positivity to cope, and 6) needing further research on this issue.
This document discusses a proposed randomized controlled trial to evaluate the impact of family presence during resuscitation (FPDR) on the psychological health of family members. The trial would divide families into two groups: one that can witness resuscitation and one that cannot. At eight months post-resuscitation, both groups will complete the Impact of Event Scale-Revised (IES-R) questionnaire by phone. The hypothesis is that families who witnessed resuscitation will report significantly lower IES-R scores, indicating better psychological health. Previous studies provide evidence that FPDR does not affect resuscitation outcomes but may improve family member mental health outcomes.
This lesson plan aims to help students understand family stress and how to help families cope with stressful situations. Key learning objectives include understanding sources of stress on families, recognizing families' perceptions of stress, and utilizing interventions to relieve stress. The plan involves students reading about family stress, discussing common stressful events, analyzing a case study using a family stress model, and exploring available family support resources. The goal is for students to apply a family-focused approach to caring for patients and families dealing with stress.
Tangible Needs and External Stressors Faced by Chinese Ameri.docxperryk1
Tangible Needs and External Stressors
Faced by Chinese American Families with
a Member Having Schizophrenia
Winnie Kung
This article examines the tangible needs and external stressors experienced by Chinese
American families with a member living with schizophrenia, in the context of a six-month
pilot study of family psychoeducation. Therapists’ notes from 117 family and group sessions
were analyzed. The families expressed concerns regarding housing, finance, work, study, and
the shortage of bilingual psychosocial services. Interacting with government offices and
social services agencies caused anxiety and frustration, partly due to the high stakes involved
given their low socioeconomic status, and partly due to the bureaucracy. As immigrants,
study participants had needs for language translation, knowledge about resources, and advo-
cacy by case managers. This study also highlights the importance of interventions beyond
the micro individual level to the mezzo and macro levels, where changes in organizations
and policies are necessary.
KEY WORDS: caregivers; Chinese Americans; environmental stressors; ethnic sensitivity;
schizophrenia
This study aims to address the knowledge gap in understanding the challenges faced by Chinese American families with a member
living with schizophrenia in relation to their tangible
needs and external stressors from the environment. I
conducted this research in the context of an interven-
tion study of family psychoeducation that I previously
developed and pilot-tested as an ethnic-sensitive pro-
gram for Chinese Americans ( Kung, Tseng, Wang,
Hsu, & Chen, 2012). Family psychoeducation has
been proven effective in reducing caregiver stress and
the relapse rate of individuals with schizophrenia
( Jewell, Downing, & McFarlane, 2009; Lefley, 2010;
McFarlane, Dixon, Lukens, & Lucksted, 2003). The
intervention protocols focus on educating the fami-
lies about the nature of the illness, promoting better
communication, and helping family members re-
solve conflicts ( Anderson, Reiss, & Hogarty, 1986;
McFarlane, 2002) to reduce “expressed emotions”
such as criticism and overinvolvement, which highly
predict relapses ( Butzlaff & Hooley, 1998; Hooley,
2007; Leff & Vaughn, 1985; Marom, Munitz, Jones,
Weizman, & Hermesh, 2005). Few studies had been
conducted with Chinese American families, many of
whom face unique challenges due to their immigrant
status and cultural values ( Kung, 2003).
To more thoroughly understand the stresses ex-
perienced by these families so as to better meet their
needs and to refine the family psychoeducation pro-
tocol, a qualitative inquiry was conducted using the
clinicians’ session notes from the intervention study.
Whereas the family psychoeducation model in its
original design focused on resolving the psycho-
logical and relational issues within the families, this
investigation noted that these families’ struggles were
closel.
Running Head MUNCHAUSEN SYNDROMEMunchausen SyndromeKr.docxglendar3
This document summarizes a research article about the role of relationships and families in healing from trauma. The article discusses how most trauma treatment focuses on the individual, but trauma is also a relational event that affects close relationships. It argues that systemic protocols addressing interpersonal difficulties in addition to intrapersonal issues are critical for healing. To illustrate, a graphic case study is presented of a family experiencing trauma due to a kidnapping, and how individual versus systemic treatment approaches would differ in addressing their needs.
Running Head MUNCHAUSEN SYNDROMEMunchausen SyndromeKr.docxtodd581
Running Head: MUNCHAUSEN SYNDROME
Munchausen Syndrome
Krystina Joseph
Columbia College
Munchausen Syndrome Article Review
Introduction
The Munchausen Syndrome Article explains about the Munchausen Syndrome, which is a rare fictitious disorder which involves the frequent hospitalization together with an intentional display of signs of sickness and pathological lying. In this regards, the management needs the security history taking with collaboration with the sound clinical processes which entails organicity exclusion in addressing the psychological problems. It is worth noting that a case which is presented having unusual symptoms of same dimensions are as well discussed. The case in this regards brings the finer nuances in the assessment of the entity (Prakash., et al 2014).
Research Question
Based on the abstract of the article, it can be denoted that the research question of the article is the need to understand more on the Munchausen Syndrome as well as the symptoms and therefore the need to ensure that such issues are solved by having a sound clinical process to handle the problem. The problem for the case as well was to find out what caused the 19-year-old housewife to vomit pink substance.
Findings
The findings depict that the 19-year-old housewife was suffering from a factitious disorder, also termed as the Munchausen syndrome. The psychometry performed also showed that there is an elevation of scales of anxiety together with hysteria. Consequently, being managed in an empathetic as well as non-confrontational manner, the psychotherapy was intended to improve the positive coping abilities while at the same time improving the interpersonal relationships which had been imparted (Prakash., et al 2014).
Research Methods Used
The methods used involved observations and clinical assessments. Observations were done by checking regularly the presence of the bloodstained vomits as well as the asthenia and any forms of skin allergy. This was carried out to ensure that the patient had no issues. The observations, as well as little conversation, showed that there were no cases of psychiatric illnesses for the patient in the past. Further, the assessment entails involves the systematic examinations which were performed within the normal limit. The psychiatric evaluation was performed together with ward observations which were intended at revealing the comfortability of the patient while in the hospital (Prakash., et al 2014).
The credibility of the Source of Information
To know the credibility of sources, the authors are scrutinized where their qualifications and their areas of experience assessed to understand whether the information provided is related to the topic at hand. For this article, it can be denoted that all the information provided is credible. This is because all the four authors who contributed to the article have sufficient skills and knowledge pertaining to health-related disorders, and thus, their pieces of information.
methods health care providers can use to cope with the death of a client (1)Kimberly Williams
This document discusses palliative care for terminally ill patients and coping with patient death. Nurses play a key role in palliative care by providing relief from pain and other symptoms to improve patient quality of life. Witnessing patient death is challenging for nurses and can cause anxiety, fear and depression. It is important for nurses to help patients' families cope with loss while also taking care of their own mental health. Providing warm, supportive care to patients and families during end of life is critical.
Evidence Informed Practice Is A Critical Part Of Nursing CareMonica Carter
This article critically analyzes a qualitative nursing research article that studied critical care patients' experiences using helmet continuous positive airway pressure (hCPAP). The analysis uses a critiquing tool to examine the study's strengths and limitations. It was published in a peer-reviewed journal about critical care nursing. While the sample size was small, the study provided insights into patients' perspectives on a treatment that can improve critical care practice and outcomes. However, limitations included lack of discussion around researcher influence and ethics.
1) The study examined factors that influence oncology nurses' perceived quality of work life and risk of compassion fatigue. It explored the relationship between nurse characteristics and quality of work life, the impact of personal life stress on quality of work life, and nurses' beliefs about their risk of compassion fatigue.
2) Personal life stressors were found to impact 30% of nurses' well-being, theoretically placing them at risk for compassion fatigue. However, qualitative data did not support this and 55% of nurses described their work as life-affirming and rewarding.
3) Nurses reported multiple sources of work-related stress, including issues with communication, their work environment, and factors related to patient care. However,
Coping Strategies Among Caregivers Of Patients With Schizophrenia: A Descript...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
This study examined factors that influence relapse in people with mental health disorders in Indonesia, specifically in West Sumatera Province. The study found that stress of caregivers was the strongest predictor of relapse, with caregivers experiencing high stress being over 8 times more likely to experience patient relapse than low-stress caregivers. The study also found that lack of home visits from healthcare workers was associated with a higher likelihood of relapse. Improving home visit programs and supporting caregivers to reduce their stress levels could help lower relapse rates. The study was a cross-sectional analysis of 313 caregivers in West Sumatera that examined how demographic characteristics, stigma, home visits and caregiver stress related to patient relapse.
This study examined the relationship between social support and coping strategies used by 88 family caregivers of persons with schizophrenia in West Java, Indonesia. The results found that caregivers perceived moderate levels of overall social support. The most commonly used coping strategies were optimistic coping, self-reliant coping, confrontative coping, and supportant coping. There were significant positive correlations between social support and confrontative coping, optimistic coping, and supportant coping. Specifically, higher levels of perceived social support were associated with greater use of these coping strategies. In contrast, social support was negatively correlated with evasive coping and fatalistic coping.
NUR2115 Module 2 Written Assignment – QSEN and Effective Managemsimisterchristen
NUR2115 Module 2 Written Assignment – QSEN and Effective Management of Care
Being able to understand how QSEN relates to care coordination and management of care is essential to quality and safety. Complete the template by explaining how each QSEN topic promotes safety and quality of care. Include a title page and in-text citations to support your explanations. Include an APA reference list at the end of the assignment.
QSEN Competencies
Patient-centered Care
Teamwork & Collaboration
Evidence-based Practice (EBP)
Quality Improvement (QI)
Safety
Informatics
References:
Module 02 Scoring Rubric: QSEN and Effective Management of Care
Criteria
Points
Identify how each QSEN topic has important implications for care coordination and care management. Provide at least 3 credible resources to support how you believe the QSEN competencies support care coordination and management.
4
Explain how each QSEN topic promotes safety and quality of care using supportive literature to back up your explanation.
3
Grammar, spelling, sentence structure and punctuation.
2
Appropriate use of APA format; correct citing of sources in essay body and references. Title page included.
1
Total
10
10/05/2022
image1.png
Notice to CNE enrollees:
A closed-book, multiple-choice examination
following this article tests your under standing of
the following objectives:
1. Identify common causes of moral distress in
critical care nurses who are caring for dying
patients.
2. Describe the concept of psychological empow-
erment and the 4 cognitions it encompasses.
3. Discuss the study findings as related to the
relationship between moral distress intensity
and frequency, psychological empowerment,
and participant demographics.
To read this article and take the CNE test online,
visit www.ajcconline.org and click “CNE Articles
in This Issue.” No CNE test fee for AACN members.
By Annette M. Browning, RN, PhD, CNS
Background Critical care nurses providing care for adults at
the end of life may encounter moral distress when they cannot
do what they believe is ethically correct. Psychological empow-
erment can decrease moral distress among critical care nurses.
Objectives To describe the relationships between moral dis-
tress, psychological empowerment, and demographics in criti-
cal care nurses caring for patients at the end of life.
Method A total of 277 critical care nurses were surveyed via
the Moral Distress Scale and the Psychological Empowerment
Instrument. Responses were scored on a Likert scale of 1 to 7.
Results Moral distress intensity was high (mean 5.34, SD 1.32)
and positively correlated with age (r = 0.179, P = .01). Moral
distress frequency was moderate (mean 2.51, SD 0.87) and
negatively correlated with nurses’ collaboration in end-of-life
patient care conferences (r = -0.191, P = .007). Psychological
empowerment scores (mean 5.31, SD 1.00) were high and
positively correlated with age (r = 0.139, P = .03), ...
This document outlines a proposed study to compare stress levels among nurses working in psychiatric versus multispecialty hospitals in Bangalore, India. It notes that nurses experience various workplace stressors and are at high risk for stress and burnout. The study aims to identify the sources and extent of stress in these settings to inform strategies for supporting nurses' health and reducing absenteeism. It will utilize validated scales to assess stress levels and correlates among nurses to determine if they differ between hospital types. The results could help hospitals acknowledge and address chronic workplace stress impacting nurses.
Nursing Perceptions After Experiencing a Patient Death.pdfbkbk37
- A survey of over 2,000 nursing students found that 41% had experienced a patient death.
- Of those who experienced a death, 64% did not receive any debriefing to help them process the experience.
- Most students felt unprepared to care for dying patients and their families. They wanted more education on end-of-life care.
Literature ReviewA search was conducted using electronic database.docxssuser47f0be
Literature Review:
A search was conducted using electronic databases in the fields of nursing, medicine, education, psychology, and sociology. Using ProQuest Direct and EBSCO search engines, the following databases were accessed: CINAHL (Cumulative Index to Nursing and Allied Health Literature), MEDLINE in PubMed, Ovid, and PsycINFO. The search terms were grouped in the following key concepts: (a) occupational stress in nursing, (b) stress perception in nursing, (c) occupational stressors in nursing, (d) nursing generational diversity, and (e) coping in nursing. In a commentary on patient safety in nursing practice from the Agency for Healthcare Research and Quality, Hughes and Clancy7 reported that complexity and bullying represent 2 clear examples of nurse stressors. Li and Lambert8 concluded that nurses who are more satisfied with their job are more likely to remain in the workforce and to be committed to delivering high-quality patient care. Hall9 found that healthcare professions have some unique characteristics leading to occupational stress including physical responsibility for people, potential catastrophic effects on the patient and the employee, frequent exposure to pain and suffering, and exposure to infectious diseases and potential hazardous substances. Hamaideh et al10 identified that death and dying were the strongest stressors perceived by Jordanian nurses. In this study, workload and guidance were found to be the most supportive behaviors provided to nurses facing stress followed by emotional support.10
Carver and Candela11 concluded that considering the global nursing shortage, managers should increase their knowledge of the generational diversity. It is suggested that understanding how to relate to multiple generations can lead to improved nursing work environments.11 Repar and Patton12 found that the combined effects of compassion fatigue, chronic grief, and emotional and physical exhaustion led to significant burnout and prolonged job dissatisfaction in the nursing profession. In this study, using guided sessions, a massage therapist gave 10-minute chair massages, and a visual, language, or musical artist engaged participants in imaginative and creative activities such as poetry reading, free writing, guided imagery, and listening to live music.12 The results suggest that the activities reduce some of the unpleasant, stressful, and tension-producing emotions that nurses typically experience at work, leaving them more peaceful and energized.12 Based on the findings of this review of the literature, it is recognized that stress is a major component of nursing and can be detrimental to nurse retention. In addition, most studies identified some differences that exist between the present generational nursing cohorts in terms of values and beliefs. No studies were identified reporting how work-related stress affects different generations of nurses, how the generations perceive stress, and what coping styles are used.
Study Des ...
Social support among the Caregivers of Persons Living with Cancerinventionjournals
:The social support emphasize as the support given to any person in a troublesome or burdensome situation by family members, relatives as well as resources exerted by social connections, is effective in promoting physical health and feeling oneself good. The present study consisted of 300 caregivers of persons with cancer was selected based on simple random sampling, and with inclusion and exclusion criteria. Those patients satisfying the inclusion and exclusion criteria and attending both outpatient and inpatient services of cancer specialty hospital in KIDWAI Bangalore, Karnataka were selected randomly. The data was collected from the patients & caregivers of persons living with cancer who fulfill the inclusion/exclusion criteria were taken up for the study after their consent. Multidimensional Scale of Perceived Social Support (Zimet et al, 1998) was administered to understand Perceived Social Support. The interviews and the instruments were administered by research experts.The Results suggest that there were poor social support found in caregivers of married, female, belong to rural domicile, illiterate, and,caregivers who were not heard about the treatment of cancer.
This poster presentation summarizes research on stress among hospital nurses and methods for reducing stress. It finds that nurses experience high levels of work-related stress due to factors like workload, staffing shortages, and interpersonal relationships. Prolonged stress can negatively impact nurses' health, work performance, and personal lives. The presentation then outlines a six-step approach to stress management, which involves identifying sources of stress, evaluating their impacts, designing appropriate coping strategies, implementing strategies, and evaluating their effectiveness in reducing stress. It provides examples of coping mechanisms for nurses to use at work and in their personal lives.
This document discusses a study that examined differences in illness representations between injured patients and their caregivers. The study found that both patients and caregivers had negative perceptions of the injury several months later. Patients perceived more physical symptoms than caregivers. Caregivers of more severely injured patients or those admitted to the ICU had more negative perceptions, as did caregivers who did not share care responsibilities with others. Understanding differences in patient and caregiver illness perceptions can help clinicians provide individualized care and design interventions to meet their needs.
This study investigated the needs of relatives of surgical patients according to relatives themselves and hospital staff. Both groups ranked assurance and anxiety reduction as the most important needs. While their overall rankings were similar, some differences emerged in the importance assigned to specific needs like information and proximity. Assurance of quality care for patients was seen as the top need by relatives, whereas staff prioritized being informed of patient progress details. Both groups agreed on the least important needs.
NURSING STREE JHGJHS JBJHS JHBFJSH JHBHJ JHBFFHJ HJJHHBJHHDFJH JHFHJDS FGSDF GDFGDFG DFGDSFG DFGDFSG DFGDSFG DSFG DFG DFG DFG DFG DSG SDFG DFG D FGD SG DFG DG ETS GFDF GDSF G SDGFDF GD FG G SDG SD FGH DFG SD GDSF G DFS GDS G DFGTHYTR ERT ER Y ERT ER T EY ERT WERWE Y ERR Y ERR T ERY ET Y ETY ERT ETY RT Y TY TR RTY E RTER T E TE RT ETY R T ER T ER TR ER RT T TY YT RT Y TY EY YT T ERY T Y RTY ER Y ER
NURS 4435 TUTA Critically Read and Critique Nursing Research Articles.docxstirlingvwriters
This study examined differences in illness perceptions between injured patients and their caregivers 3-6 months after hospital discharge. A total of 127 patient-caregiver pairs completed questionnaires assessing their perceptions of the patient's injury. The study found that both patients and caregivers held negative views of the injury. Patients perceived more physical symptoms than caregivers. Caregivers of more severely injured patients or those admitted to the ICU had more negative perceptions than other caregivers. Caregivers who did not share care responsibilities also had more negative views than those who did share responsibilities. The results suggest clinicians should explore perceptions to better meet the individual needs of patients and caregivers after injury.
Dignity therapy is a novel psychotherapeutic intervention designed to address psychosocial and existential distress in terminally ill patients. It involves conducting a recorded interview where patients discuss what matters most to them or what they want remembered. The recording is then edited into a "generativity document" that is given to the patient to share with loved ones. This study examined the feasibility and impact of dignity therapy on measures of distress in terminally ill patients.
The document provides instructions for a healthcare assignment involving assessing a client family presenting for psychotherapy and developing a genogram. Students are asked to select a family they have counseled, create a comprehensive assessment addressing demographic and clinical information, and develop a multi-generational genogram extending back at least three generations. An example client family presenting with relationship issues between parents and an identified patient son is provided. Experiential and narrative family therapies are introduced as potential approaches.
This document provides strategies for helping 9th grade math students effectively manage their time. It recommends incorporating daily review activities at the start of class to minimize wasted time. Students should be taught self-monitoring skills to stay on-task during independent work periods. Establishing routines and providing a syllabus can help students prioritize assignments. Frequent praise and rewards can also encourage students to meet deadlines. Overall, these time management strategies are aimed at enhancing learning for 14-year-old students.
The document discusses the primary steps and process for requesting and obtaining writing assistance through the HelpWriting.net website. It outlines 5 main steps: 1) Creating an account with valid email and password. 2) Completing a 10-minute order form providing instructions, sources, and deadline. 3) Reviewing bids from writers and choosing one based on qualifications. 4) Receiving the paper and authorizing payment if pleased. 5) Having the option to request revisions to ensure satisfaction, with a refund offered for plagiarized work. The document promotes the website's writing assistance services.
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methods health care providers can use to cope with the death of a client (1)Kimberly Williams
This document discusses palliative care for terminally ill patients and coping with patient death. Nurses play a key role in palliative care by providing relief from pain and other symptoms to improve patient quality of life. Witnessing patient death is challenging for nurses and can cause anxiety, fear and depression. It is important for nurses to help patients' families cope with loss while also taking care of their own mental health. Providing warm, supportive care to patients and families during end of life is critical.
Evidence Informed Practice Is A Critical Part Of Nursing CareMonica Carter
This article critically analyzes a qualitative nursing research article that studied critical care patients' experiences using helmet continuous positive airway pressure (hCPAP). The analysis uses a critiquing tool to examine the study's strengths and limitations. It was published in a peer-reviewed journal about critical care nursing. While the sample size was small, the study provided insights into patients' perspectives on a treatment that can improve critical care practice and outcomes. However, limitations included lack of discussion around researcher influence and ethics.
1) The study examined factors that influence oncology nurses' perceived quality of work life and risk of compassion fatigue. It explored the relationship between nurse characteristics and quality of work life, the impact of personal life stress on quality of work life, and nurses' beliefs about their risk of compassion fatigue.
2) Personal life stressors were found to impact 30% of nurses' well-being, theoretically placing them at risk for compassion fatigue. However, qualitative data did not support this and 55% of nurses described their work as life-affirming and rewarding.
3) Nurses reported multiple sources of work-related stress, including issues with communication, their work environment, and factors related to patient care. However,
Coping Strategies Among Caregivers Of Patients With Schizophrenia: A Descript...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
This study examined factors that influence relapse in people with mental health disorders in Indonesia, specifically in West Sumatera Province. The study found that stress of caregivers was the strongest predictor of relapse, with caregivers experiencing high stress being over 8 times more likely to experience patient relapse than low-stress caregivers. The study also found that lack of home visits from healthcare workers was associated with a higher likelihood of relapse. Improving home visit programs and supporting caregivers to reduce their stress levels could help lower relapse rates. The study was a cross-sectional analysis of 313 caregivers in West Sumatera that examined how demographic characteristics, stigma, home visits and caregiver stress related to patient relapse.
This study examined the relationship between social support and coping strategies used by 88 family caregivers of persons with schizophrenia in West Java, Indonesia. The results found that caregivers perceived moderate levels of overall social support. The most commonly used coping strategies were optimistic coping, self-reliant coping, confrontative coping, and supportant coping. There were significant positive correlations between social support and confrontative coping, optimistic coping, and supportant coping. Specifically, higher levels of perceived social support were associated with greater use of these coping strategies. In contrast, social support was negatively correlated with evasive coping and fatalistic coping.
NUR2115 Module 2 Written Assignment – QSEN and Effective Managemsimisterchristen
NUR2115 Module 2 Written Assignment – QSEN and Effective Management of Care
Being able to understand how QSEN relates to care coordination and management of care is essential to quality and safety. Complete the template by explaining how each QSEN topic promotes safety and quality of care. Include a title page and in-text citations to support your explanations. Include an APA reference list at the end of the assignment.
QSEN Competencies
Patient-centered Care
Teamwork & Collaboration
Evidence-based Practice (EBP)
Quality Improvement (QI)
Safety
Informatics
References:
Module 02 Scoring Rubric: QSEN and Effective Management of Care
Criteria
Points
Identify how each QSEN topic has important implications for care coordination and care management. Provide at least 3 credible resources to support how you believe the QSEN competencies support care coordination and management.
4
Explain how each QSEN topic promotes safety and quality of care using supportive literature to back up your explanation.
3
Grammar, spelling, sentence structure and punctuation.
2
Appropriate use of APA format; correct citing of sources in essay body and references. Title page included.
1
Total
10
10/05/2022
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Notice to CNE enrollees:
A closed-book, multiple-choice examination
following this article tests your under standing of
the following objectives:
1. Identify common causes of moral distress in
critical care nurses who are caring for dying
patients.
2. Describe the concept of psychological empow-
erment and the 4 cognitions it encompasses.
3. Discuss the study findings as related to the
relationship between moral distress intensity
and frequency, psychological empowerment,
and participant demographics.
To read this article and take the CNE test online,
visit www.ajcconline.org and click “CNE Articles
in This Issue.” No CNE test fee for AACN members.
By Annette M. Browning, RN, PhD, CNS
Background Critical care nurses providing care for adults at
the end of life may encounter moral distress when they cannot
do what they believe is ethically correct. Psychological empow-
erment can decrease moral distress among critical care nurses.
Objectives To describe the relationships between moral dis-
tress, psychological empowerment, and demographics in criti-
cal care nurses caring for patients at the end of life.
Method A total of 277 critical care nurses were surveyed via
the Moral Distress Scale and the Psychological Empowerment
Instrument. Responses were scored on a Likert scale of 1 to 7.
Results Moral distress intensity was high (mean 5.34, SD 1.32)
and positively correlated with age (r = 0.179, P = .01). Moral
distress frequency was moderate (mean 2.51, SD 0.87) and
negatively correlated with nurses’ collaboration in end-of-life
patient care conferences (r = -0.191, P = .007). Psychological
empowerment scores (mean 5.31, SD 1.00) were high and
positively correlated with age (r = 0.139, P = .03), ...
This document outlines a proposed study to compare stress levels among nurses working in psychiatric versus multispecialty hospitals in Bangalore, India. It notes that nurses experience various workplace stressors and are at high risk for stress and burnout. The study aims to identify the sources and extent of stress in these settings to inform strategies for supporting nurses' health and reducing absenteeism. It will utilize validated scales to assess stress levels and correlates among nurses to determine if they differ between hospital types. The results could help hospitals acknowledge and address chronic workplace stress impacting nurses.
Nursing Perceptions After Experiencing a Patient Death.pdfbkbk37
- A survey of over 2,000 nursing students found that 41% had experienced a patient death.
- Of those who experienced a death, 64% did not receive any debriefing to help them process the experience.
- Most students felt unprepared to care for dying patients and their families. They wanted more education on end-of-life care.
Literature ReviewA search was conducted using electronic database.docxssuser47f0be
Literature Review:
A search was conducted using electronic databases in the fields of nursing, medicine, education, psychology, and sociology. Using ProQuest Direct and EBSCO search engines, the following databases were accessed: CINAHL (Cumulative Index to Nursing and Allied Health Literature), MEDLINE in PubMed, Ovid, and PsycINFO. The search terms were grouped in the following key concepts: (a) occupational stress in nursing, (b) stress perception in nursing, (c) occupational stressors in nursing, (d) nursing generational diversity, and (e) coping in nursing. In a commentary on patient safety in nursing practice from the Agency for Healthcare Research and Quality, Hughes and Clancy7 reported that complexity and bullying represent 2 clear examples of nurse stressors. Li and Lambert8 concluded that nurses who are more satisfied with their job are more likely to remain in the workforce and to be committed to delivering high-quality patient care. Hall9 found that healthcare professions have some unique characteristics leading to occupational stress including physical responsibility for people, potential catastrophic effects on the patient and the employee, frequent exposure to pain and suffering, and exposure to infectious diseases and potential hazardous substances. Hamaideh et al10 identified that death and dying were the strongest stressors perceived by Jordanian nurses. In this study, workload and guidance were found to be the most supportive behaviors provided to nurses facing stress followed by emotional support.10
Carver and Candela11 concluded that considering the global nursing shortage, managers should increase their knowledge of the generational diversity. It is suggested that understanding how to relate to multiple generations can lead to improved nursing work environments.11 Repar and Patton12 found that the combined effects of compassion fatigue, chronic grief, and emotional and physical exhaustion led to significant burnout and prolonged job dissatisfaction in the nursing profession. In this study, using guided sessions, a massage therapist gave 10-minute chair massages, and a visual, language, or musical artist engaged participants in imaginative and creative activities such as poetry reading, free writing, guided imagery, and listening to live music.12 The results suggest that the activities reduce some of the unpleasant, stressful, and tension-producing emotions that nurses typically experience at work, leaving them more peaceful and energized.12 Based on the findings of this review of the literature, it is recognized that stress is a major component of nursing and can be detrimental to nurse retention. In addition, most studies identified some differences that exist between the present generational nursing cohorts in terms of values and beliefs. No studies were identified reporting how work-related stress affects different generations of nurses, how the generations perceive stress, and what coping styles are used.
Study Des ...
Social support among the Caregivers of Persons Living with Cancerinventionjournals
:The social support emphasize as the support given to any person in a troublesome or burdensome situation by family members, relatives as well as resources exerted by social connections, is effective in promoting physical health and feeling oneself good. The present study consisted of 300 caregivers of persons with cancer was selected based on simple random sampling, and with inclusion and exclusion criteria. Those patients satisfying the inclusion and exclusion criteria and attending both outpatient and inpatient services of cancer specialty hospital in KIDWAI Bangalore, Karnataka were selected randomly. The data was collected from the patients & caregivers of persons living with cancer who fulfill the inclusion/exclusion criteria were taken up for the study after their consent. Multidimensional Scale of Perceived Social Support (Zimet et al, 1998) was administered to understand Perceived Social Support. The interviews and the instruments were administered by research experts.The Results suggest that there were poor social support found in caregivers of married, female, belong to rural domicile, illiterate, and,caregivers who were not heard about the treatment of cancer.
This poster presentation summarizes research on stress among hospital nurses and methods for reducing stress. It finds that nurses experience high levels of work-related stress due to factors like workload, staffing shortages, and interpersonal relationships. Prolonged stress can negatively impact nurses' health, work performance, and personal lives. The presentation then outlines a six-step approach to stress management, which involves identifying sources of stress, evaluating their impacts, designing appropriate coping strategies, implementing strategies, and evaluating their effectiveness in reducing stress. It provides examples of coping mechanisms for nurses to use at work and in their personal lives.
This document discusses a study that examined differences in illness representations between injured patients and their caregivers. The study found that both patients and caregivers had negative perceptions of the injury several months later. Patients perceived more physical symptoms than caregivers. Caregivers of more severely injured patients or those admitted to the ICU had more negative perceptions, as did caregivers who did not share care responsibilities with others. Understanding differences in patient and caregiver illness perceptions can help clinicians provide individualized care and design interventions to meet their needs.
This study investigated the needs of relatives of surgical patients according to relatives themselves and hospital staff. Both groups ranked assurance and anxiety reduction as the most important needs. While their overall rankings were similar, some differences emerged in the importance assigned to specific needs like information and proximity. Assurance of quality care for patients was seen as the top need by relatives, whereas staff prioritized being informed of patient progress details. Both groups agreed on the least important needs.
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NURS 4435 TUTA Critically Read and Critique Nursing Research Articles.docxstirlingvwriters
This study examined differences in illness perceptions between injured patients and their caregivers 3-6 months after hospital discharge. A total of 127 patient-caregiver pairs completed questionnaires assessing their perceptions of the patient's injury. The study found that both patients and caregivers held negative views of the injury. Patients perceived more physical symptoms than caregivers. Caregivers of more severely injured patients or those admitted to the ICU had more negative perceptions than other caregivers. Caregivers who did not share care responsibilities also had more negative views than those who did share responsibilities. The results suggest clinicians should explore perceptions to better meet the individual needs of patients and caregivers after injury.
Dignity therapy is a novel psychotherapeutic intervention designed to address psychosocial and existential distress in terminally ill patients. It involves conducting a recorded interview where patients discuss what matters most to them or what they want remembered. The recording is then edited into a "generativity document" that is given to the patient to share with loved ones. This study examined the feasibility and impact of dignity therapy on measures of distress in terminally ill patients.
The document provides instructions for a healthcare assignment involving assessing a client family presenting for psychotherapy and developing a genogram. Students are asked to select a family they have counseled, create a comprehensive assessment addressing demographic and clinical information, and develop a multi-generational genogram extending back at least three generations. An example client family presenting with relationship issues between parents and an identified patient son is provided. Experiential and narrative family therapies are introduced as potential approaches.
This document provides strategies for helping 9th grade math students effectively manage their time. It recommends incorporating daily review activities at the start of class to minimize wasted time. Students should be taught self-monitoring skills to stay on-task during independent work periods. Establishing routines and providing a syllabus can help students prioritize assignments. Frequent praise and rewards can also encourage students to meet deadlines. Overall, these time management strategies are aimed at enhancing learning for 14-year-old students.
The document discusses the primary steps and process for requesting and obtaining writing assistance through the HelpWriting.net website. It outlines 5 main steps: 1) Creating an account with valid email and password. 2) Completing a 10-minute order form providing instructions, sources, and deadline. 3) Reviewing bids from writers and choosing one based on qualifications. 4) Receiving the paper and authorizing payment if pleased. 5) Having the option to request revisions to ensure satisfaction, with a refund offered for plagiarized work. The document promotes the website's writing assistance services.
Thesis Statement Structure. Thesis And Purpose StateBecky Gilbert
The document provides instructions for creating an account on HelpWriting.net in order to request writing assistance. It outlines a 5-step process: 1) Create an account with a password and email. 2) Complete an order form with instructions, sources, and deadline. 3) Review bids from writers and choose one. 4) Receive the paper and authorize payment if satisfied. 5) Request revisions until fully satisfied, with a refund option for plagiarized work. The goal is to ensure students receive original, high-quality content through a simple online process.
How To Write A Good Personal Essay For Scholarships - SoBecky Gilbert
This document provides instructions for creating an account and submitting assignment requests on the HelpWriting.net website. It outlines a 5-step process:
1. Create an account by providing a password and email.
2. Complete an order form with instructions, sources, and deadline to request a "Write My Paper For Me" assignment.
3. Review bids from writers and select one based on qualifications and reviews.
4. Review the completed paper and authorize payment if satisfied. Free revisions are allowed.
5. Request multiple revisions to ensure satisfaction. Plagiarized work will be refunded.
The document discusses artificial neural networks (ANN) as a type of machine learning where systems are trained to infer patterns from data through supervised learning by being given input-output examples to learn a mapping between inputs and outputs to approximate functions. ANNs are inspired by biological neural networks and are designed to mimic their learning abilities through a network of interconnected nodes that can learn relationships and patterns in data through experience.
Critical Lens Essay Writing Guide By EssayHub ExpertsBecky Gilbert
The document provides guidance on using the writing service HelpWriting.net. It outlines a 5-step process: 1) Create an account with a password and email. 2) Complete a 10-minute order form providing instructions, sources, and deadline. 3) Review bids from writers and choose one based on qualifications. 4) Review the completed paper and authorize payment if satisfied. 5) Request revisions until fully satisfied, with a refund option for plagiarized work. The service aims to provide original, high-quality content meeting customers' needs.
How To Write An Analytical Essay - How To Write An ABecky Gilbert
The document provides instructions for creating an account and submitting a request for an assignment writing service on the HelpWriting.net website. It outlines a 5-step process: 1) Create an account with an email and password. 2) Complete an order form with instructions, sources, and deadline. 3) Review bids from writers and select one. 4) Review the completed paper and authorize payment. 5) Request revisions until satisfied with the work. The document promises original, high-quality content and refunds for plagiarized work.
Halloween Ghost Writing Paper By LisaS Learning SBecky Gilbert
This document discusses the Chernobyl nuclear disaster that occurred in 1986 at a nuclear power plant in Ukraine. It provides background details on the disaster, noting that it was caused by flawed Soviet reactor design, severe mistakes made by plant operators, and a lack of safety culture. The accident resulted in a steam explosion and fires that emitted radioactive reactor core material into the atmosphere. The Chernobyl disaster was unique as it is the only nuclear power accident that caused radiation-related deaths and illnesses.
The document provides instructions for completing an assignment request on the HelpWriting.net website. It outlines a 5-step process: 1) Create an account with a password and email. 2) Complete a 10-minute order form providing instructions, sources, and deadline. 3) Review bids from writers and select one based on qualifications. 4) Review the completed paper and authorize payment if satisfied. 5) Request revisions until fully satisfied, with the option of a refund for plagiarized work. The process aims to match clients with qualified writers to complete assignments through a bidding system while ensuring client satisfaction.
The document discusses the information processing theory of cognitive development. It states that this theory views the mind as operating similar to a computer, which processes information from the environment. The key components of the mind according to this theory are attention mechanisms which bring in information, working memory which temporarily stores and manipulates information, and long-term memory which archives information that can be recalled later. Memory is responsible for encoding, storing, and recalling information and allows for learning and adaptation through experiences.
010 Spongebob Writing Essay Humour And Squarepants Slap Happy Larry PaBecky Gilbert
This document provides instructions for requesting writing assistance from HelpWriting.net. It outlines a 5-step process: 1) Create an account with a password and email. 2) Complete a 10-minute order form providing instructions, sources, and deadline. 3) Review bids from writers and choose one based on qualifications. 4) Review the completed paper and authorize payment if satisfied. 5) Request revisions until fully satisfied, with a refund option for plagiarized content.
Cheap Essay Writing Services Australia AssBecky Gilbert
The document discusses a website called HelpWriting.net that provides essay writing services, with a 5 step process for students to request papers: registering an account, completing an order form, choosing a writer through competitive bidding, reviewing and authorizing payment for completed papers, and requesting revisions if needed. The site promises original, high-quality papers and refunds for any cases of plagiarism.
How To Write A Proposal Letter Business Proposal EBecky Gilbert
1. The document analyzes demographic and socioeconomic data from 203 US Metropolitan Statistical Areas between 2006 and 2012, focusing on population changes, family structures, age distribution, and economic conditions.
2. It finds that as more women enter the workforce and medical advances increase lifespans, populations are aging overall while family structures shift away from stay-at-home spouses.
3. New businesses and industries moving to cities can boost local economies by attracting working populations, though demographic changes may pose challenges that require policy responses to help areas maintain their populations.
How Do I Write An Introduction For An EssBecky Gilbert
The document discusses the film Casablanca, praising its Academy Award wins but also critiquing aspects of its production. It notes the film went through multiple writers and title changes before release. While the final film was well-received, the critique argues parts of the scriptwriting process were disorganized as writers were replaced. Overall, the document provides historical context about the film's development while also raising points of criticism around its writing.
The document provides instructions for creating an account and requesting essay writing help on the HelpWriting.net website. It outlines a 5-step process: 1) Create an account with an email and password. 2) Complete a 10-minute order form providing instructions, sources, and deadline. 3) Writers will bid on the request and the customer can choose a writer. 4) The customer will receive the paper and can request revisions if needed. 5) HelpWriting.net promises original, high-quality content and refunds for plagiarized work.
How To Become A Good Writer 21 Awesome TipsBecky Gilbert
The document provides tips for using the HelpWriting.net service to have papers written. It outlines the 5 main steps: 1) Create an account; 2) Submit a request with instructions and deadline; 3) Review bids from writers and select one; 4) Review the paper and authorize payment; 5) Request revisions until satisfied. The service uses a bidding system for requests and promises original, high-quality work or a full refund.
001 Essay Plan Template Intro And Body ParagraBecky Gilbert
This document provides instructions for requesting assignment writing help from HelpWriting.net in 5 steps: 1) Create an account, 2) Complete a order form providing instructions, sources, and deadline, 3) Review bids from writers and choose one, 4) Review the completed paper and authorize payment, 5) Request revisions to ensure satisfaction and receive a refund for plagiarized work. The process aims to match clients with qualified writers and provide original, high-quality content through revisions.
How To Write A Character Analysis Essay Outline, TiBecky Gilbert
The document provides instructions for requesting writing assistance from HelpWriting.net. It outlines a 5-step process: 1) Create an account with a password and email. 2) Complete a 10-minute order form providing instructions, sources, and deadline. 3) Review bids from writers and choose one. 4) Review the completed paper and authorize payment. 5) Request revisions until satisfied, with a refund option for plagiarized content.
The passage discusses the impact of modern property development on people. It notes that modernity is characterized by a break from tradition and the rise of tall buildings, skyscrapers, and large constructions. This is partly due to increasing world population and land shortage in urban areas. While modern developments provide needed housing, they can have negative environmental impacts like pollution and limiting access to fresh air and sunlight for local residents. The passage examines these issues and debates the tradeoffs of modern property development.
Writing Concept Papers. Coursework And Essay WBecky Gilbert
Elie Wiesel survived the concentration camps for several reasons: he had a reason to live which kept him fighting to survive; he was afraid of death and fought to avoid it; and he was physically able to pass the selection processes. Other Jews survived for similar reasons, having qualities, views, and traits that allowed them to endure the extreme conditions. It was remarkable that anyone was able to survive such cruel camps. A major factor for Elie was his family, especially his father, who he struggled to care for and protect.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
A Literature Review Stress Management In The Family Of Intensive Care Patients
1. 44
A Literature Review: Stress Management in The Family of Intensive Care Patients
Gusti Pandi Liputo, Nissa Aruming Silla, Zulfainda Eka PU, Zaenal Abidin, Alwan Revai, Ah Yusuf
Fakultas Keperawatan
Universitas Airlangga
Email*: gusti@ung.ac.id
ABSTRACT
Introduction: Intensive care unit is a unit with a complex case and a stressor strainer. When patients enter
intensive care families have a variety of stressors such as rapid decision making and costs are not small. The
role of nurse as educator is very important in reducing family anxiety with patients treated in intesive units.
Mothers of intensive care babies feel a great deal of anxiety over their child's condition, so there needs to be a
good system support for the healing of her and her baby. Various ways nurses do in reducing stress experienced
by the patient's family such as good communication between nurses and families of patients with intensive care.
This review aims to get a picture of stress management that can be done on the family of intensive care patients.
Methods: A literature review was conducted in the fields of ebscho, sience direct, elseiver, sage journals,
scopus, and proquest, limited the range of the last 10 years from 2007-2017. The final sample included 18
articles. Results: The literature found that the causes of family stressors include rapid decision-making, fear of
family emergency conditions, maintenance costs and length of care. Good communication and good information
and skill support can decrease the stress experienced by intensive care patients' families. Conclussions:
Intensive care is a unit with high complexity, unstable conditions and sophisticated technology. Conditions that
require rigorous monitoring not only cause stressors for the patient, but become a stressor for the patient's
family.
Keyword: Intensive Care, Stress Management, Family Nursing.
INTRODUCTION
Intensive care is a core component of
comprehensive care for patients facing critical
illness, regardless of age, diagnosis, or
prognosis. The main domains of the intensive
care unit include relieving perceived
symptoms, effective communication of care
goals, patient or family-focused decision-
making, nearest outreach support, and
continuity of care (Noome et al., 2016).
Entrance ICU may be abrupt and unexpected,
ICU complex environment is foreign and
frightening, and can be considered as inhuman
or burdensome. The sad psychological
symptoms among the families of ICU patients
are most common during critical illness and
decline over time (Wintermannet al., 2016).
Fifty percent of US hospital deaths occur
during or after living in an intensive care unit
(ICU), family members must make this
difficult decision on behalf of their loved ones.
While doing so, they may worry that one of
their loved ones has suffered or that they have
given up too soon, and two thirds of ICU death
(Bloomer et al., 2013).
Intensive patient-family stress has
been the main theme of numerous studies in
the field of health psychology in recent years,
the family stress incidence from various
studies of the world varies considerably
between 25% and 87% (Jongerden et al.,
2013). This is reinforced by research
conducted by (Turner et al., 2015) as many as
54.3% of families without direct blood relation
stress and 75.7% of families with blood
relations experience anxiety.
Various ways have been done to
reduce anxiety in families of ICU patients and
nurses have an important role in the process
(Mitchell and Courtney, 2004). The nurse is
the health worker who has the most interaction
time with the patient's family, the nurse knows
with certainty the stress experienced by the
2. A Literature Review: Stress Management... (Gusti, et.al)
45
patient's family so that the nurse can also
provide support to the patient's family
(Jongerden et al., 2013).
The purpose of this study is to conduct
a literature review on stress management in the
family of intensive care patients. In this study,
the authors identified the stress management
publication journal on intensive care family
families. The results of this review literature
are expected to be applied to health services
especially nursing.
METHODS
A literature search was conducted in
the fields of ebscho, science direct, elsevier,
sage journal, scopus and proquest. The term
care was searched in combination with
following key words: "Stress Management"
AND Family AND Intensive Care.The search
resulted in 183 citations. During this process,
129citation were excluded due to the title not
being relevant. The 54 citation which were
found relevant were retrieved for detailed
evaluation. The titles and/or abstracts of these
26 article were read again by the authors. This
process resulted in 21 articles, a further 3 were
excluded because they did not discuss family
stress in icu. The final sample included 18
articles.
RESULTS
The review literature process of 18
journals obtained by the authors found 16
variable factors that influence the occurrence
of stress in the family of intensive care
patients. There are four dominant factors that
influence the stress on the family of intensive
care patients, namely rapid decision making,
cost and length of care, risk of death
threatening, and sudden change of condition.
Several methods have been
undertaken to deal with stress that occurs in
the patient's family such as good
communication, support and empathy, as well
as providing good information as a basis for
decision making. Good nurse skills also affect
the patient's family stress level.
Total citations identified: 183
Not relevant: 129
Citation for evaluation: 26
Included articles: 21
Included articles: 18
Excluded: 3
Figure1: Literature identification process
3. Jurnal INJEC Vol. 3 No. 1 June 2018: 44-51
46
Table 1: Mapping research
Title and author Variable Design Results
Care and caring in the
intensive care unit:
Family members'
distress and
perceptions about staff
skills, communication,
and emotional support
(Carlson et al., 2015)
Family members'
distress and
Perceptions
cross-sectional
descriptive survey
The competency and skills of staff
are much higher than the value of
communication frequency,
information needs, and support.
The frequency of communication
and the information needs met are
strongly related to the support value
(rs = 0.75 to 0.77) and the staff
skills (rs = .77-.85), and the
satisfaction and communication
aspects show a negative
relationship with gejaladepression
(rs = .31 to -55) and PTSD (rs = -17
to -43)
Nursing strategies to
support family
members of ICU
patients at high
risk of dying (Adams
et al., 2014)
Nursing strategies to
support family
members
a prospective,
qualitative descriptive
study
Family members describe five
nursing approaches: Showing
concern, building rapport, showing
professionalism, providing factual
information, and supporting
decision making. This study
provides evidence that when using
this approach, nurses help family
members to address the problem; to
have hope, confidence, and trust; to
prepare and receive the coming
death; and to make decisions
Supporting families in
the ICU: A descriptive
correlational study of
informational support,
anxiety, and
satisfaction with care
(Bailey et al., 2010).
anxiety, and
satisfaction with care
cross-sectional
descriptive
correlational
The mean information support,
judged by the modified version of
CCFNI (Molter and Leske, 1983),
is 55.41 (SD = 13.28; the
theoretical range 20-80). The mean
anxiety, judged by State Anxiety
Scale (Spielberger et al., 1983) was
45.41 (SD = 15.27, the theoretical
range 20-80). The mean satisfaction
with treatment, assessed using
AndrofactTM (Version 4.0, 2001),
was 83.09
(SD = 15.49; the theoretical range
24-96). A significant positive
correlation was found between
information support and
satisfaction with care (r = 0.741, p
<.001). There is no significant
relationship between information
support and anxiety or between
satisfaction with care and anxiety
Symptoms of anxiety
and depression in
family members of
intensive care unit
patients before
discharge or death
(Pochard et al., 2005)
Anxiety
Depression
A prospective
multicenter study
Symptoms of anxiety and
depression were found in 73.4%
and 35.3% of family members;
75.5% of family members and
82.7% of couples had symptoms of
anxiety or depression (P = 0.007).
Symptoms of depression were more
common in non-survivor family
members (48.2%) than survivors
(32.7%) (P = 0.008).
4. A Literature Review: Stress Management... (Gusti, et.al)
47
Factors associated with symptoms
of anxiety and depression:
1. Relationship with patient:
severity
2. Family relationship
3. Neighborhood room with more
than 1 bed
Passive decision-
making preference is
associated with
anxiety and
depression in relatives
of patients in the
intensive care unit
(Anderson, Arnold
and Angus, 2009)
Anxiety
Depression
observational pilot
study
12 (25%) preferred active roles, 28
(58%) preferred to share
responsibility with physicians, and
8 (17%) preferred passive roles. Of
the 50 relatives, 21 (42%) had
anxiety symptoms, and 8 (16%)
had symptoms of depression. In
groups that favored the active role,
joint role, and passive role,
respectively, anxiety levels were
42%, 25%, and 88% (P = 0.007),
and depression rates were 8%,
11%, and 50% (P = .026).
Relatives who prefer the role of
passive decision making are the
most likely to be anxious and
depressed.
Supporting families in
the ICU: A descriptive
correlational study of
informational support,
anxiety, and
satisfaction with care.
(Bailey et al., 2010)
informational support
anxiety
satisfaction with care
cross-sectional
descriptive
correlational pilot
study
A significant positive relationship
was found between information
support and satisfaction with care (r
= 0.741, p <.001). No significant
relationship was recorded between
information support and anxiety or
between satisfaction and treatment
Anxiety
Effectiveness of
nursing interventions
based on family needs
on family satisfaction
in the neurosurgery
intensive care unit
(Yousefi et al., 2012)
Nursing interventions
based on family
needs.
randomized
controlled trial
1. There was no significant
difference in mean satisfaction
scores between the test group
and the control group prior to
the intervention.
2. The average satisfaction score
increased significantly after the
intervention compared with the
control group.
3. Nursing orders based on family
needs of inpatients in ICU
improve their satisfaction.
Attention to family nursing
should be planned especially in
ICU.
Development and
usability testing of a
Web-based decision
aid for families of
patients receiving
prolonged mechanical
ventilation
(Cox et al., 2015)
Surrogate decision A Pilot Study 1. Provide a framework for
sharing decision-making,
generating relevant values and
preferences
2. Incorporating clinical data to
personalize prognostic
estimates
3. Produce printable documents
that encapsulate user interaction
with decision help, and can
digitally archive individual user
sessions.
4. The usefulness is very good
5. Jurnal INJEC Vol. 3 No. 1 June 2018: 44-51
48
(mean SUS, 80 ± 10) overall,
but lower among those aged 56
years and over (73 ± 7) than
those younger (84 ± 9); p =
0.03.
5. It is a strategy that can improve
patient-clinic collaboration and
quality decision-making in
intensive care
The Assesment of
Parental stress and
support in the
neonatal intensive
care unit using the
parent stress scale –
Neonatal Intensive
Care Unit (Turner et
al., 2015)
Parental stress and
support in the
neonatal intensive
care unit
Case Study Assessment of the strees needs to
be done to provide emotional
support to the patient's family, in
addition to providing accurate and
accurate information to minimize
stress in the family. P value: 0.001
Does time of transfer
from critical care to he
general wards affect
anxiety ? A pragmatic
Prospective cohort
study (McCairn and
Jones, 2014)
time of transfer from
critical care to he
general wards affect
anxiety
Cohort Study Displacement of patients from
intensive care to common room
care performed at night can
increase anxiety and stressors in the
family.
The effect of a family
support intervention
on family satisfaction,
length-of-stay, and
cost of care in the
intensive care unit
(Shelton et al., 2010)
a family support
intervention
Quasy Experiments Provision of education information
about the patient's condition,
financing and estimation of the
length of care done by the experts
in the field of psychology can
increase patient family satisfaction
and can reduce the level of stress
experienced by the family.
Reducing family
members’ anxiety and
uncertainty in illness
around transfer from
intensive care: an
intervention study
(Mitchell and
Courtney, 2004)
Reducing family
members’ anxiety
Pre test – Post
testgrup design
There was a decrease in the level of
strees and anxiety of the family,
with a decrease in the number of
families waiting / escorting from
the ICU chamber to the general
treatment room with P: 0.002
Nursing Interventions
to Reduce Stress in
Parents of
Hospitalized Preterm
Infants (Guo, East and
Arthur, 2012)
Nursing Interventions
to Reduce Stress
Quasy Experiments The nurse provides educational
information to the family about the
state of the patient, the role of the
family in preterm infant care, the
information is given whenever shift
change can decrease the natural
anxiety and stress8 family.
A family nursing
educational
intervention supports
nurses and families in
an adult intensive care
unit (Eggenberger and
Sanders, 2016)
nursing educational
intervention supports
nurses and families
Pilot study From the results of this study found
that education by nurses to the
family impact on the family coping
of patients who are disturbed due to
treatment experienced by patients.
So the need for education by nurses
is needed by the family to
overcome the problem coping
experienced
Patient, family-
centered care
interventions within
family-centered care Systematic review PPFC involves interprofesional (all
health workers). PPFC itself can be
used by patients and families
6. A Literature Review: Stress Management... (Gusti, et.al)
49
the adult ICU setting:
An integrative review
(Mitchell et al., 2016)
related problems facing patients. Of
the 48 articles discussed in this
journal found that PFCC can
improve patient cure and is
recommended to be applicable in
ICU
Nursing care of the
family before and
after a death in the
ICU—An exploratory
pilot study (Bloomer
et al., 2013)
Nursing care Pilot study Discovering that involves the
family in the healing process of the
patient. The nurse provides patient-
related information that can help
the family to make decisions well
and appropriately. And nurses can
help meet emotional support and
comfort for the family.
Exploring family
experiences of nursing
aspects of end-of-life
care in the ICU: A
qualitative study
(Noome et al., 2016)
family experiences Phenomenology It found that most families have
contributed to the end-of-life care
of the patient, especially supportive
care. Families express care support
is very important, especially they
are willing to answer questions
from family and invite family to
participate in care
A family intervention
to reduce delirium in
hospitalised ICU
patients: A feasibility
randomised controlled
trial (Mitchell et al.,
2017)
Family intervention RCT Family members can play an
important role in preventing and
reducing the development of
delirium in Intensive Care Unit
(ICU) patients. Family members
are seen as important partners of
care, and their involvement gives
many positive results for ICU
patients and for themselves.
However, doctors should note that
the family is also the focus of care,
in addition to the patient, and any
involvement should occur at the
level / frequency most appropriate
for family members and, moreover,
have no adverse impact on them or
their relationship to the patient.
DISCUSSIONS
In the results of the above review
found 4 dominant factors that affect the
occurrence of stress in the family of intensive
care patients are fast decision-making, cost
and length of care, the risk of death that
threatens, and changes in sudden conditions.
Decision-making at risk and within a
short time is a separate stressor for the
patient's family, improper decision-making can
lead to deterioration of the patient's condition
(Azoulay, Chaize and Kentish-Barnes, 2014).
Families are sometimes confronted with
difficult choices related to the condition of the
patient, the intensive patient decision-making
is in the family due to the inability of the
patient to make a choice (Noome et al., 2016).
Intensive unit is a service with high
technology and complicated procedures, the
cost of the patient is not in small amounts.
Special actions and equipment make costly
expenses expensive (Shelton et al., 2010).
Intensive care requires extra
monitoring because the patient's condition is
unstable and may change in worse conditions
over a short period of time, it also becomes a
stress for the patient's family due to fear of
death or worse conditions (Creutzfeldt et al.,
2017 ). Limited family access to patient
7. Jurnal INJEC Vol. 3 No. 1 June 2018: 44-51
50
conditions and poor communication from
healthcare providers add stressors to families
(Edwards, Voigt and Nelson, 2017)
Nurses as holistic service providers in
patients including family, family stressor is a
separate problem that must be overcome, from
the literature review conducted got some
methods that can be used in stress
management family of intensive patients.
Skill of the nurse is one of the things
that can increase or decrease patient's family's
anxiety (Anderson, Arnold and Angus, 2009).
A qualified, well-nurtured nurse will foster
family trust in the nurse and assure the family
that the patient is in the right hands.
Good communication by means of
correct delivery will make a better family
response and reduce anxiety in the patient's
condition (Schubart et al., 2015). The patient's
family wants as much information as possible
about the condition and treatment process that
is given to the patient, whereas in the intensive
care the access to information is not very good
due to the needs of the patients who require
very strict monitoring (Azoulay, Chaize and
Kentish-Barnes, 2014).
Support and empathy provided by the
nurse can increase optimism and tranquility
for the patient's family, the family feels that
the patient will be carried out well because the
nurse knows exactly what the patient needs
(Wetzig and Mitchell, 2017).
CONCLUSSIONS
Intensive care is a unit with high
complexity, unstable conditions and
sophisticated technology. Conditions that
require rigorous monitoring not only cause
stressors for the patient, but become a stressor
for the patient's family. Through this Review
Literature, the author tries to identify the
appropriate stress management and can be
applied to intensive patient families. After
knowing stress management for family of
intensive care patient is expected to be a
reference in handling stress that happened to
family and can be applied in health service.
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