The study aimed to determine senior nursing students' opinions about forensic nursing. Most students believed forensic nursing should be a specialization and nurses should receive related education. While over 40% wanted to become forensic nurses, most had little knowledge and training in this area. The findings suggest students' knowledge of forensic nursing was insufficient and they were largely untrained in this field.
Contents lists available at ScienceDirectNurse Education TAlleneMcclendon878
Contents lists available at ScienceDirect
Nurse Education Today
journal homepage: www.elsevier.com/locate/nedt
The transfer of theoretical knowledge to clinical practice by nursing students
and the difficulties they experience: A qualitative study
Ulviye Günaya,⁎, Gülsen Kılınçb
a Department of Pediatric Nursing, The Faculty of Health Sciences, Inonu University, Malatya 44280, Turkey
b Department of Psychiatric Nursing, Faculty of Health Sciences, Inonu University, Malatya 44280, Turkey
A R T I C L E I N F O
Keywords:
Nursing students
Theoretical knowledge
Clinical practice
Difficulties
Experience
Transfer
Qualitative study
A B S T R A C T
Background: Nursing education contains both theoretical and practical training processes. Clinical training is the
basis of nursing education. The quality of clinical training is closely related to the quality of the clinical learning
environment.
Objectives: This study aimed to determine the transfer of theoretical knowledge into clinical practice by nursing
students and the difficulties they experience during this process.
Methods: A qualitative research design was used in the study. The study was conducted in 2015 with 30 nursing
students in a university located in the east of Turkey, constituting three focus groups. The questions directed to
the students during the focus group interviews were as follows: What do you think about your clinical training?
How do you evaluate yourself in the process of putting your theoretical knowledge into clinical practice? What
kind of difficulties are you experiencing in clinical practices?
Results: The data were interpreted using the method of content analysis. Most of the students reported that
theoretical information they received was excessive, their ability to put most of this information into practice
was weak, and they lacked courage to touch patients for fear of implementing procedures incorrectly. As a result
of the analysis of the data, five main themes were determined: clinical training, guidance and communication,
hospital environment and expectations.
Conclusions: The results of this study showed that nursing students found their clinical knowledge and skills
insufficient and usually failed to transfer their theoretical knowledge into clinical practices. The study observed
that nursing students experienced various issues in clinical practices. In order to fix these issues and achieve an
effective clinical training environment, collaboration should be achieved among nursing instructors, nurses,
nursing school and hospital managements.
Additionally, the number of nursing educators should be increased and training programs should be provided
regarding effective clinical training methods.
1. Introduction
Nursing education involves theoretical and practical educational
processes. Students are taught how to provide care for people in dif-
ferent healthcare settings (Dinmohammadi et al., 2016), with education
occurring in classrooms, laboratories and cl ...
Contents lists available at science directnurse education tRAJU852744
This study aimed to determine how nursing students transfer theoretical knowledge to clinical practice and the difficulties they experience. The researchers conducted focus group interviews with 30 nursing students. The students reported that their theoretical knowledge was extensive but they struggled to apply it clinically. They lacked clinical skills and were afraid to touch patients from a fear of making mistakes. The students also reported not receiving adequate guidance from instructors in clinical settings. Some instructors were too distant or strict, making students hesitant to ask questions. Communication problems were also experienced with some nurses and clinical instructors who did not cooperate with students.
Evaluation of a tool for assessing clinical competence of msc nurse studentsAlexander Decker
The document reports on the first phase of a study which evaluated an existing clinical competence assessment tool used for MSc nurse students in Kenya. Twenty-seven nurse experts participated in the study and found that the existing tool had low content validity and needed revision. Specifically, the study found that only 7 of 34 items met the minimum content validity index threshold, and the tool had an average congruency percentage of only 60%. This indicates a need to revise the tool by adding and removing some competencies to better assess clinical competence.
This study assessed the level of first aid knowledge among 1,053 medical and non-medical undergraduate students in Karachi, Pakistan. Medical students showed significantly higher knowledge in 19 out of 20 first aid questions compared to non-medical students. Only 20.6% of students overall demonstrated good first aid knowledge. Previous attendance at a first aid seminar or workshop, which was more common among medical vs non-medical students, was found to significantly increase first aid knowledge. The study concluded that first aid knowledge among undergraduate students in Karachi needs improvement, especially among non-medical students, and recommended incorporating first aid training into university curricula.
Knowledge and attitudes towards complementary and alternative medicine among ...home
The document summarizes a study that examined medical students' knowledge and attitudes toward complementary and alternative medicine (CAM) in Turkey. The study found that the majority of the 943 medical students surveyed were familiar with common CAM methods like herbal treatment, acupuncture, and massage. Most students had positive attitudes toward CAM and expressed willingness to receive training in it. Attitudes declined as students progressed in their medical education. Overall, there was support for integrating CAM into the medical curriculum in Turkey.
Opinions of Nursing Students towards Simulation Efficiency in Nursing Educationinventionjournals
The students who are studying in Necmettin Erbakan University Nursing Department at nursing education was conducted to determine their views on the effectiveness of simulation. The sample of the study, department nursing studying in second class, who agreed to participate in the study and Medical Nursing participating in the simulation application forms in the course of 48 students. 29.2% of the students in the courses of visual materials, %56,2% visual materials, %89,6% that gives you the opportunity to practice in the course of theuse of materials can increase the success stated. Of the students who participated in the study89.9% of the simulation suggested that it is useful for the nursing profession. Simulation for affairt hat is useful for the nursing professionis safed, controlled environment simulation with the opinions of the technical andintellectual skills to teach the mthe questions on the activity, a significant relation betweens tatistical aspects. (x 2 = 20.43, p < 0.05). Have a positiveopinion of themajority of the students towards the use of simulation in nursing education and at the same time visual, auditory, and gives you the opportunity to practice the permanence of learning because it is a material that is expectedto increase.
Clinical Practicum CPCU at Tanner Medical Center Reflection Paper.pdfbkbk37
The document is a reflection paper from a nursing student about their clinical practicum experiences at an intensive care unit and emergency department. It discusses four key themes: 1) The experience involved intense emotions for students, both positive feelings from patient improvements and negative feelings from serious situations and death. 2) Attitudes are important over techniques in caring for critically ill patients. 3) Students identified with nurses who could manage complex environments and provide close care to patients. 4) Students reflected on how to improve care for critically ill patients and their families.
Contents lists available at ScienceDirectNurse Education TAlleneMcclendon878
Contents lists available at ScienceDirect
Nurse Education Today
journal homepage: www.elsevier.com/locate/nedt
The transfer of theoretical knowledge to clinical practice by nursing students
and the difficulties they experience: A qualitative study
Ulviye Günaya,⁎, Gülsen Kılınçb
a Department of Pediatric Nursing, The Faculty of Health Sciences, Inonu University, Malatya 44280, Turkey
b Department of Psychiatric Nursing, Faculty of Health Sciences, Inonu University, Malatya 44280, Turkey
A R T I C L E I N F O
Keywords:
Nursing students
Theoretical knowledge
Clinical practice
Difficulties
Experience
Transfer
Qualitative study
A B S T R A C T
Background: Nursing education contains both theoretical and practical training processes. Clinical training is the
basis of nursing education. The quality of clinical training is closely related to the quality of the clinical learning
environment.
Objectives: This study aimed to determine the transfer of theoretical knowledge into clinical practice by nursing
students and the difficulties they experience during this process.
Methods: A qualitative research design was used in the study. The study was conducted in 2015 with 30 nursing
students in a university located in the east of Turkey, constituting three focus groups. The questions directed to
the students during the focus group interviews were as follows: What do you think about your clinical training?
How do you evaluate yourself in the process of putting your theoretical knowledge into clinical practice? What
kind of difficulties are you experiencing in clinical practices?
Results: The data were interpreted using the method of content analysis. Most of the students reported that
theoretical information they received was excessive, their ability to put most of this information into practice
was weak, and they lacked courage to touch patients for fear of implementing procedures incorrectly. As a result
of the analysis of the data, five main themes were determined: clinical training, guidance and communication,
hospital environment and expectations.
Conclusions: The results of this study showed that nursing students found their clinical knowledge and skills
insufficient and usually failed to transfer their theoretical knowledge into clinical practices. The study observed
that nursing students experienced various issues in clinical practices. In order to fix these issues and achieve an
effective clinical training environment, collaboration should be achieved among nursing instructors, nurses,
nursing school and hospital managements.
Additionally, the number of nursing educators should be increased and training programs should be provided
regarding effective clinical training methods.
1. Introduction
Nursing education involves theoretical and practical educational
processes. Students are taught how to provide care for people in dif-
ferent healthcare settings (Dinmohammadi et al., 2016), with education
occurring in classrooms, laboratories and cl ...
Contents lists available at science directnurse education tRAJU852744
This study aimed to determine how nursing students transfer theoretical knowledge to clinical practice and the difficulties they experience. The researchers conducted focus group interviews with 30 nursing students. The students reported that their theoretical knowledge was extensive but they struggled to apply it clinically. They lacked clinical skills and were afraid to touch patients from a fear of making mistakes. The students also reported not receiving adequate guidance from instructors in clinical settings. Some instructors were too distant or strict, making students hesitant to ask questions. Communication problems were also experienced with some nurses and clinical instructors who did not cooperate with students.
Evaluation of a tool for assessing clinical competence of msc nurse studentsAlexander Decker
The document reports on the first phase of a study which evaluated an existing clinical competence assessment tool used for MSc nurse students in Kenya. Twenty-seven nurse experts participated in the study and found that the existing tool had low content validity and needed revision. Specifically, the study found that only 7 of 34 items met the minimum content validity index threshold, and the tool had an average congruency percentage of only 60%. This indicates a need to revise the tool by adding and removing some competencies to better assess clinical competence.
This study assessed the level of first aid knowledge among 1,053 medical and non-medical undergraduate students in Karachi, Pakistan. Medical students showed significantly higher knowledge in 19 out of 20 first aid questions compared to non-medical students. Only 20.6% of students overall demonstrated good first aid knowledge. Previous attendance at a first aid seminar or workshop, which was more common among medical vs non-medical students, was found to significantly increase first aid knowledge. The study concluded that first aid knowledge among undergraduate students in Karachi needs improvement, especially among non-medical students, and recommended incorporating first aid training into university curricula.
Knowledge and attitudes towards complementary and alternative medicine among ...home
The document summarizes a study that examined medical students' knowledge and attitudes toward complementary and alternative medicine (CAM) in Turkey. The study found that the majority of the 943 medical students surveyed were familiar with common CAM methods like herbal treatment, acupuncture, and massage. Most students had positive attitudes toward CAM and expressed willingness to receive training in it. Attitudes declined as students progressed in their medical education. Overall, there was support for integrating CAM into the medical curriculum in Turkey.
Opinions of Nursing Students towards Simulation Efficiency in Nursing Educationinventionjournals
The students who are studying in Necmettin Erbakan University Nursing Department at nursing education was conducted to determine their views on the effectiveness of simulation. The sample of the study, department nursing studying in second class, who agreed to participate in the study and Medical Nursing participating in the simulation application forms in the course of 48 students. 29.2% of the students in the courses of visual materials, %56,2% visual materials, %89,6% that gives you the opportunity to practice in the course of theuse of materials can increase the success stated. Of the students who participated in the study89.9% of the simulation suggested that it is useful for the nursing profession. Simulation for affairt hat is useful for the nursing professionis safed, controlled environment simulation with the opinions of the technical andintellectual skills to teach the mthe questions on the activity, a significant relation betweens tatistical aspects. (x 2 = 20.43, p < 0.05). Have a positiveopinion of themajority of the students towards the use of simulation in nursing education and at the same time visual, auditory, and gives you the opportunity to practice the permanence of learning because it is a material that is expectedto increase.
Clinical Practicum CPCU at Tanner Medical Center Reflection Paper.pdfbkbk37
The document is a reflection paper from a nursing student about their clinical practicum experiences at an intensive care unit and emergency department. It discusses four key themes: 1) The experience involved intense emotions for students, both positive feelings from patient improvements and negative feelings from serious situations and death. 2) Attitudes are important over techniques in caring for critically ill patients. 3) Students identified with nurses who could manage complex environments and provide close care to patients. 4) Students reflected on how to improve care for critically ill patients and their families.
Knowledge and Practice of Documentation among Nurses in Ahmadu Bello Universi...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
The Cardiac Progressive Care Unit Essay.pdfsdfghj21
The document discusses a study that analyzed nursing students' reflective learning journals from their clinical placements in emergency departments and intensive care units. The study sought to explore the experiences of final-year nursing students during these placements and examine differences between female and male students. Four key themes emerged from analyzing 28 journals: 1) an intense emotional experience, 2) the importance of attitudes over techniques, 3) identifying with nurses who dominate complex environments and prioritize patient care, and 4) improving care for critically ill patients and their families. Female students' reflections were more emotional and focused on patient care, while males identified more with learning aspects and unit organization/quality. Both genders experienced strong emotions and learned to humanize care in complex settings.
Mentoring, Nursing Students’ Opinions; a Pilot Studyinventionjournals
This study was conducted in order to receive the opinions of the nursing students that their clinical training carried out using one-to-one mentoring model. The sample of this descriptive study consisted of 43 first-grade students of the nursing department of a university. The opinions of the students about mentoring were asked by applying a form consisting of 37 questions developed by the researchers at the end of the spring semester of 2014. Age average of the students participating in the study was :19.2±1.1. When students were asked about their opinions on mentoring model, it was determined that the practice of mentoring positively changed the perspectives of the students concerning the profession of nursing after they started receiving education (90.7 %), they wanted mentor nurses and instructors to work together in the clinic (53.3 %) and they preferred one-to-one mentoring model (55.8 %). Opinions of the students were received on the problems they encounter in clinical practices, the sources of these problems and how to increase the efficiency of clinical training. Results of our study reveal that one-to-one mentoring model has a positive impact on learning experiences of the students. Increasing the efficiency of mentoring system will increase the success of the clinical training.
The Perception of Emergency Medical Staff on the Use of Electronic Patient Cl...ijtsrd
Background The electronic recording of patient information in ambulance services has provided healthcare professionals with the ability to send patient data to their GP or other relevant services electronically. It is critical to comprehend how paramedics view and adjust to electronic platforms as technology continues to advance. Objective To identify the facilitators and barriers EMS staff encounter when using e PCR. To explore the overall perception of EMS staff towards the utilization of e PCR in EMS settings. Method Four databases were searched including PubMed, Scopus, Medline and Science Direct. Result All 11 publications were evaluated for qualitative data and the publication was found to be of fair or good quality. Studies investigating the perception of staff found mixed perceptions. The search generated a total of 1365 potential articles. After the initial screening process, 229 duplicate records were removed Out of the remaining 1136 papers, 1079 were excluded as they did not meet the selection criteria the title, abstract, and keywords. Of the remaining 57 papers, a full text screening eliminated 46 for the study design quantitative studies n=22 , no perception of staff documented n=19 and no full text available n=5 . Thus, 11 papers that met the inclusion criteria were selected for final analysis. The risk of bias was quantified using CASP. A qualitative synthesis was conducted and three major themes emerged Facilitators, Barriers and overall perception of staff. Conclusion This systematic review found that EMS staff hold complex and diverse views on e PCR systems. While several facilitators and barriers impact e PCR adoption, it has been found that e PCR has the potential to enhance documentation, communication, data driven decision making and finally the ability to improve overall patient care quality. To ensure successful adoption, addressing technical issues, data security and training requirements and organisational barriers is important. Reshma Joe | Jomin George "The Perception of Emergency Medical Staff on the Use of Electronic Patient Clinical Records Systems in Emergency Medical Service: A Systematic Review" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd62365.pdf Paper Url: https://www.ijtsrd.com/medicine/other/62365/the-perception-of-emergency-medical-staff-on-the-use-of-electronic-patient-clinical-records-systems-in-emergency-medical-service-a-systematic-review/reshma-joe
final project (nursing major) najah universitymahdyvika
The knowledge of nursing toward the role of them in End of life care in Intensive care units and oncology units in Nablus hospitals- Cross sectional study.
Scaling up ems under universal health insurance scheme in thailandThira Woratanarat
This document summarizes the scaling up of emergency medical services (EMS) in Thailand under the universal health insurance scheme. It describes how Thailand addressed obstacles to developing effective EMS through incremental initiatives focused on trauma care since the 1990s. Universal health insurance and health system reforms created opportunities to develop sustainable EMS. Key initiatives included establishing standardized EMS training programs, an emergency call number, and integrated trauma care systems in provinces like Khon Kaen that served as models for EMS development in Thailand.
The document summarizes a study that explored whether patient satisfaction is increased when a web application is used to inform patients about a surgical colon resection procedure compared to standard oral information provided by a nurse practitioner. 32 patients undergoing elective colon resection for colon cancer were randomly assigned to receive pre-operative information via either a web application (experimental group) or standard oral information (control group). Patient satisfaction was measured before and after surgery using validated questionnaires. The results indicated that patients who received information via the web application reported higher satisfaction scores than those who received standard oral information. The study suggests that using multimedia technologies like web applications to provide tailored, individualized information to patients can improve satisfaction with the healthcare experience.
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docxtodd271
Running head: CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
5
CRITIQUE OF QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
Critiquing Quantitative, Qualitative, or Mixed Methods Studies
Adenike George
Walden University
NURS 6052: Essentials of Evidence-Based Practice
April 11, 2019
Critique of Quantitative, Qualitative, or Mixed Method Design
Both quantitative and qualitative methods play a pivotal role in nursing research. Qualitative research helps nurses and other healthcare workers to understand the experiences of the patients on health and illness. Quantitative data allows researchers to use an accurate approach in data collection and analysis. When using quantitative techniques, data can be analyzed using either descriptive statistics or inferential statistics which allows the researchers to derive important facts like demographics, preference trends, and differences between the groups. The paper comprehensively critiques quantitative and quantitative techniques of research. Furthermore, the author will also give reasons as to why qualitative methods should be regarded as scientific.
The overall value of quantitative and Qualitative Research
Quantitative studies allow the researchers to present data in terms of numbers. Since data is in numeric form, researchers can apply statistical techniques in analyzing it. These include descriptive statistics like mean, mode, median, standard deviation and inferential statistics such as ANOVA, t-tests, correlation and regression analysis. Statistical analysis allows us to derive important facts from data such as preference trends, demographics, and differences between groups. For instance, by conducting a mixed methods study to determine the feeding experiences of infants among teen mothers in North Carolina, Tucker and colleagues were able to compare breastfeeding trends among various population groups. The multiple groups compared were likely to initiate breastfeeding as follows: Hispanic teens 89%, Black American teens 41%, and White teens 52% (Tucker et al., 2011).
The high strength of quantitative analysis lies in providing data that is descriptive. The descriptive statistics helps us to capture a snapshot of the population. When analyzed appropriate, the descriptive data enables us to make general conclusions concerning the population. For instance, through detailed data analysis, Tucker and co-researchers were able to observe that there were a large number of adolescents who ceased breastfeeding within the first month drawing the need for nurses to conduct individualized follow-ups the early days after hospital discharge. These follow-ups would significantly assist in addressing the conventional technical problems and offer support in managing back to school transition (Tucker et al., 2011).
Qualitative research allows researchers to determine the client’s perspective on healthcare. It enables researchers to observe certain behaviors and experiences amo.
Health Behavior of Undergraduates and Service Utilization of University Healt...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 chapter provides a summary of each chapter of the thesis. It summarizes that clinical practice guidelines are developed to standardize care but adherence is often suboptimal. The studies in this thesis examine adherence to guidelines by emergency professionals and factors influencing adherence. A tailored e-learning program was also tested but did not improve adherence to a handover guideline between ambulance and the emergency department. The thesis provides insight into guideline adherence and factors influencing it to help guide future implementation strategies.
Evidence-Based Medicine Process in ThailandDMS Library
Information Use Behavior of Clinicians in
Evidence-Based Medicine Process in Thailand
Somrux Sahapong MA*, Lampang Manmart PhD*,
Dusadee Ayuvat PhD*, Somkiat Potisat MD**
Part of a thesis entitle: Role and competencies of medical information professionals in evidence-based medicine.
PhD in Information Studies Program, Khon Kaen University, Thailand.
* Department of Humanities & Social Sciences, Khon Kaen University, Khon Kaen, Thailand
** Department of Medical Service, Ministry of Public Health, Nonthaburi, Thailand
This study assessed the perception of decision-making among nurse interns at Umm Al Qura University in Saudi Arabia. A questionnaire was administered to 30 nursing interns to measure their clinical decision-making skills. The findings showed that clinical quality was perceived as the highest attribute, while management received the lowest score. Most interns agreed that clinical settings caused stress. There was no significant correlation found between decision-making and competence based on gender. The knowledge gained from this study can help nursing staff, interns, administrators, and the university to identify skill gaps and improve internship training programs.
The study assessed the perception of decision-making among nurse interns at Umm Al Qura University in Saudi Arabia. A questionnaire was administered to 30 nursing interns to evaluate their decision-making skills across various dimensions. The results found that clinical quality was perceived as the highest attribute, while clinical instructions were the lowest. Most interns agreed they felt stress in clinical settings and there was no significant correlation between decision-making and competence based on gender. The knowledge gained from the study can help nursing staff, interns, administrators, and the university to identify skill gaps and improve internship training programs.
Relationships of Providers’ Accountability of Nursing Documentations in the C...IJEAB
Documentation demonstrates the unique contribution of nursing to the care of clients. This study investigated the relationships of Providers accountability of nursing documentations in the clinical settings. Judgmental and simple random sampling techniques were used to select documented nursing actions for 264 clients. One research question and four null hypotheses guided the study. The instrument used for data collection was checklist on Nursing documentation in the clinical setting. Descriptive statistics of frequency, means and standard deviation (SD) were used to summarize the variables. Pearson Product Moment correlation was used to answer the research question, while analyses of variance (ANOVA) was adopted in testing the null hypotheses at 0.05 level of significance. The result indicated that significant correlation existed between legal implications of nursing documentation and the core principles of nursing documentation. Significant differences were also observed among providers’ accountability of nursing documentations with regard to promotion of interdisciplinary communication, legal implications of documentation, impacts on quality assurance and nursing science.
- Nurses from the UK and Japan reported similar experiences caring for older people, with both challenges and rewards.
- Key challenges included balancing individual patient needs within a complex work environment, and resolving ethical conflicts when caring for aggressive patients.
- Rewards stemmed from establishing meaningful relationships with patients through trust and dignity, and providing excellence in individualized care such as end-of-life support.
- While caring for older adults poses difficulties, the study found nurses found satisfaction through positive patient interactions and delivering high-quality care.
This document contains literature reviews for 5 potential research titles related to health issues in Lumbini Province, Nepal. It summarizes previous studies on:
1) The negative effects of mobile phone use on psychological health of undergraduate students. Studies found increased issues like difficulty sleeping and concentrating with greater mobile phone use.
2) Awareness of organ donation among college students in Nepal. Most students had poor awareness of organ donation procedures and laws.
3) Knowledge of snakebite first aid among medical students in Nepal. Clinical students displayed better knowledge than preclinical students.
4) Knowledge of water sanitation among community members. Most had moderate knowledge and health education was deemed necessary.
5) A
The effect of Nurse Staffing on Quality of Care and Patient Satisfaction in t...AJHSSR Journal
ABSTRACT:Nurse staffing is an important component in determining patient care quality and satisfaction.
This study was aimed at assessing the effect of nurse staffing on quality of care and patient satisfaction in the
medical and surgical wards in the public hospitals in Fako.This retrospective and analytic cross-sectional study
used the hospital administrative data to gather staffing information (the number of nurses, the nursing staff
constitution) and data was collected from patients in the medical and surgical wards in public hospitals in Fako
using an adapted “Karen-patient instrument for measuring quality of care” and the “Patient Satisfaction with
Nursing Care Quality Questionnaire” over a period of 2 months. The probability proportionate to size sampling
was applied to get the appropriate sample size. Data collected was analysed using SPSS version 25.The overall
nurse to patient ratio was 1:9.2.Based on the mean score, 47.1% of patients had good quality of nursing care
while 52.9% had poor quality of nursing care. Half of the participants (50.4%) were satisfied with the overall
nursing services while 49.6% were not satisfied. There was a significant relationship between mean patient to
nurse ratio and quality of care as well as patient satisfaction (p<0.001 and p=0.02 respectively).The overall
nurse to patient ratio was 1:9.2. The overall quality of nursing care was poor and patient satisfaction was
moderate. The study found a relationship between staffing and quality of care as well as patient satisfaction.
Keywords:Nurse Staffing, Patients, Patient’s Satisfaction, Quality of Care
Attitudes toward interprofessional education and collaborative practices in M...SubmissionResearchpa
From the perspective of activity theory, it can be argued that the major challenge in relation to implementing interprofessional education (IPE) could be embraced as contradictions that may lead to change. Patients have complex health needs and typically require insight from more than one discipline to address issues regarding their health status (Lumague et al. 2006). The World Health Organization (WHO) recommends that institutions engaged in health professional education and training consider implementing IPE in both undergraduate and postgraduate programs (WHO, 2010). The purpose of this study was to identify the needs of IPECP for health care professionals, faculty members, and students. Methods: The survey instrument contained four scales to evaluate faculty attitudes toward IPE and teamwork, adapted from the methods of Curran et al. (2007). Each scale asked respondents to rate their attitudes toward statements on a 5-point Likert scale (1=strongly disagree; 2=disagree; 3=neutral; 4=agree; 5=strongly agree). The initial factor extractions were performed by means of principal components analysis. To define the model structure more clearly, an exploratory factor analysis using varimax rotation was conducted. The level of significance was p<.0001 for all tests. Results: As shown in Table 2, the Kaiser–Meyer-Olkin index was 0.902, indicating sampling adequacy, and the Bartlett Sphericity Chi-Square index was 2246.5 (p <0.0001). Cronbach’s alpha for the 14 items was 0.731, revealing a high rate of internal consistency. The modified Attitude toward health care team scores (ATHCTS) questionnaire was categorized into four factors: “Quality of care,” “Team efficiency,” “Patient-centered care,” and “Negative factors.” Conclusion: Findings suggest that the positive attitude of health care professionals, faculty members and students towards IPE indicates the need for IPE training by Azjargal Baatar, Sumberzul Nyamjav and Oyuntsetseg Sandag 2020. Attitudes toward interprofessional education and collaborative practices in Mongolia. International Journal on Integrated Education. 3, 8 (Aug. 2020), 48-52. DOI:https://doi.org/10.31149/ijie.v3i8.536 https://journals.researchparks.org/index.php/IJIE/article/view/536/512 https://journals.researchparks.org/index.php/IJIE/article/view/536
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
Knowledge and Practice of Documentation among Nurses in Ahmadu Bello Universi...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
The Cardiac Progressive Care Unit Essay.pdfsdfghj21
The document discusses a study that analyzed nursing students' reflective learning journals from their clinical placements in emergency departments and intensive care units. The study sought to explore the experiences of final-year nursing students during these placements and examine differences between female and male students. Four key themes emerged from analyzing 28 journals: 1) an intense emotional experience, 2) the importance of attitudes over techniques, 3) identifying with nurses who dominate complex environments and prioritize patient care, and 4) improving care for critically ill patients and their families. Female students' reflections were more emotional and focused on patient care, while males identified more with learning aspects and unit organization/quality. Both genders experienced strong emotions and learned to humanize care in complex settings.
Mentoring, Nursing Students’ Opinions; a Pilot Studyinventionjournals
This study was conducted in order to receive the opinions of the nursing students that their clinical training carried out using one-to-one mentoring model. The sample of this descriptive study consisted of 43 first-grade students of the nursing department of a university. The opinions of the students about mentoring were asked by applying a form consisting of 37 questions developed by the researchers at the end of the spring semester of 2014. Age average of the students participating in the study was :19.2±1.1. When students were asked about their opinions on mentoring model, it was determined that the practice of mentoring positively changed the perspectives of the students concerning the profession of nursing after they started receiving education (90.7 %), they wanted mentor nurses and instructors to work together in the clinic (53.3 %) and they preferred one-to-one mentoring model (55.8 %). Opinions of the students were received on the problems they encounter in clinical practices, the sources of these problems and how to increase the efficiency of clinical training. Results of our study reveal that one-to-one mentoring model has a positive impact on learning experiences of the students. Increasing the efficiency of mentoring system will increase the success of the clinical training.
The Perception of Emergency Medical Staff on the Use of Electronic Patient Cl...ijtsrd
Background The electronic recording of patient information in ambulance services has provided healthcare professionals with the ability to send patient data to their GP or other relevant services electronically. It is critical to comprehend how paramedics view and adjust to electronic platforms as technology continues to advance. Objective To identify the facilitators and barriers EMS staff encounter when using e PCR. To explore the overall perception of EMS staff towards the utilization of e PCR in EMS settings. Method Four databases were searched including PubMed, Scopus, Medline and Science Direct. Result All 11 publications were evaluated for qualitative data and the publication was found to be of fair or good quality. Studies investigating the perception of staff found mixed perceptions. The search generated a total of 1365 potential articles. After the initial screening process, 229 duplicate records were removed Out of the remaining 1136 papers, 1079 were excluded as they did not meet the selection criteria the title, abstract, and keywords. Of the remaining 57 papers, a full text screening eliminated 46 for the study design quantitative studies n=22 , no perception of staff documented n=19 and no full text available n=5 . Thus, 11 papers that met the inclusion criteria were selected for final analysis. The risk of bias was quantified using CASP. A qualitative synthesis was conducted and three major themes emerged Facilitators, Barriers and overall perception of staff. Conclusion This systematic review found that EMS staff hold complex and diverse views on e PCR systems. While several facilitators and barriers impact e PCR adoption, it has been found that e PCR has the potential to enhance documentation, communication, data driven decision making and finally the ability to improve overall patient care quality. To ensure successful adoption, addressing technical issues, data security and training requirements and organisational barriers is important. Reshma Joe | Jomin George "The Perception of Emergency Medical Staff on the Use of Electronic Patient Clinical Records Systems in Emergency Medical Service: A Systematic Review" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-8 | Issue-1 , February 2024, URL: https://www.ijtsrd.com/papers/ijtsrd62365.pdf Paper Url: https://www.ijtsrd.com/medicine/other/62365/the-perception-of-emergency-medical-staff-on-the-use-of-electronic-patient-clinical-records-systems-in-emergency-medical-service-a-systematic-review/reshma-joe
final project (nursing major) najah universitymahdyvika
The knowledge of nursing toward the role of them in End of life care in Intensive care units and oncology units in Nablus hospitals- Cross sectional study.
Scaling up ems under universal health insurance scheme in thailandThira Woratanarat
This document summarizes the scaling up of emergency medical services (EMS) in Thailand under the universal health insurance scheme. It describes how Thailand addressed obstacles to developing effective EMS through incremental initiatives focused on trauma care since the 1990s. Universal health insurance and health system reforms created opportunities to develop sustainable EMS. Key initiatives included establishing standardized EMS training programs, an emergency call number, and integrated trauma care systems in provinces like Khon Kaen that served as models for EMS development in Thailand.
The document summarizes a study that explored whether patient satisfaction is increased when a web application is used to inform patients about a surgical colon resection procedure compared to standard oral information provided by a nurse practitioner. 32 patients undergoing elective colon resection for colon cancer were randomly assigned to receive pre-operative information via either a web application (experimental group) or standard oral information (control group). Patient satisfaction was measured before and after surgery using validated questionnaires. The results indicated that patients who received information via the web application reported higher satisfaction scores than those who received standard oral information. The study suggests that using multimedia technologies like web applications to provide tailored, individualized information to patients can improve satisfaction with the healthcare experience.
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docxtodd271
Running head: CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
5
CRITIQUE OF QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
Critiquing Quantitative, Qualitative, or Mixed Methods Studies
Adenike George
Walden University
NURS 6052: Essentials of Evidence-Based Practice
April 11, 2019
Critique of Quantitative, Qualitative, or Mixed Method Design
Both quantitative and qualitative methods play a pivotal role in nursing research. Qualitative research helps nurses and other healthcare workers to understand the experiences of the patients on health and illness. Quantitative data allows researchers to use an accurate approach in data collection and analysis. When using quantitative techniques, data can be analyzed using either descriptive statistics or inferential statistics which allows the researchers to derive important facts like demographics, preference trends, and differences between the groups. The paper comprehensively critiques quantitative and quantitative techniques of research. Furthermore, the author will also give reasons as to why qualitative methods should be regarded as scientific.
The overall value of quantitative and Qualitative Research
Quantitative studies allow the researchers to present data in terms of numbers. Since data is in numeric form, researchers can apply statistical techniques in analyzing it. These include descriptive statistics like mean, mode, median, standard deviation and inferential statistics such as ANOVA, t-tests, correlation and regression analysis. Statistical analysis allows us to derive important facts from data such as preference trends, demographics, and differences between groups. For instance, by conducting a mixed methods study to determine the feeding experiences of infants among teen mothers in North Carolina, Tucker and colleagues were able to compare breastfeeding trends among various population groups. The multiple groups compared were likely to initiate breastfeeding as follows: Hispanic teens 89%, Black American teens 41%, and White teens 52% (Tucker et al., 2011).
The high strength of quantitative analysis lies in providing data that is descriptive. The descriptive statistics helps us to capture a snapshot of the population. When analyzed appropriate, the descriptive data enables us to make general conclusions concerning the population. For instance, through detailed data analysis, Tucker and co-researchers were able to observe that there were a large number of adolescents who ceased breastfeeding within the first month drawing the need for nurses to conduct individualized follow-ups the early days after hospital discharge. These follow-ups would significantly assist in addressing the conventional technical problems and offer support in managing back to school transition (Tucker et al., 2011).
Qualitative research allows researchers to determine the client’s perspective on healthcare. It enables researchers to observe certain behaviors and experiences amo.
Health Behavior of Undergraduates and Service Utilization of University Healt...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 chapter provides a summary of each chapter of the thesis. It summarizes that clinical practice guidelines are developed to standardize care but adherence is often suboptimal. The studies in this thesis examine adherence to guidelines by emergency professionals and factors influencing adherence. A tailored e-learning program was also tested but did not improve adherence to a handover guideline between ambulance and the emergency department. The thesis provides insight into guideline adherence and factors influencing it to help guide future implementation strategies.
Evidence-Based Medicine Process in ThailandDMS Library
Information Use Behavior of Clinicians in
Evidence-Based Medicine Process in Thailand
Somrux Sahapong MA*, Lampang Manmart PhD*,
Dusadee Ayuvat PhD*, Somkiat Potisat MD**
Part of a thesis entitle: Role and competencies of medical information professionals in evidence-based medicine.
PhD in Information Studies Program, Khon Kaen University, Thailand.
* Department of Humanities & Social Sciences, Khon Kaen University, Khon Kaen, Thailand
** Department of Medical Service, Ministry of Public Health, Nonthaburi, Thailand
This study assessed the perception of decision-making among nurse interns at Umm Al Qura University in Saudi Arabia. A questionnaire was administered to 30 nursing interns to measure their clinical decision-making skills. The findings showed that clinical quality was perceived as the highest attribute, while management received the lowest score. Most interns agreed that clinical settings caused stress. There was no significant correlation found between decision-making and competence based on gender. The knowledge gained from this study can help nursing staff, interns, administrators, and the university to identify skill gaps and improve internship training programs.
The study assessed the perception of decision-making among nurse interns at Umm Al Qura University in Saudi Arabia. A questionnaire was administered to 30 nursing interns to evaluate their decision-making skills across various dimensions. The results found that clinical quality was perceived as the highest attribute, while clinical instructions were the lowest. Most interns agreed they felt stress in clinical settings and there was no significant correlation between decision-making and competence based on gender. The knowledge gained from the study can help nursing staff, interns, administrators, and the university to identify skill gaps and improve internship training programs.
Relationships of Providers’ Accountability of Nursing Documentations in the C...IJEAB
Documentation demonstrates the unique contribution of nursing to the care of clients. This study investigated the relationships of Providers accountability of nursing documentations in the clinical settings. Judgmental and simple random sampling techniques were used to select documented nursing actions for 264 clients. One research question and four null hypotheses guided the study. The instrument used for data collection was checklist on Nursing documentation in the clinical setting. Descriptive statistics of frequency, means and standard deviation (SD) were used to summarize the variables. Pearson Product Moment correlation was used to answer the research question, while analyses of variance (ANOVA) was adopted in testing the null hypotheses at 0.05 level of significance. The result indicated that significant correlation existed between legal implications of nursing documentation and the core principles of nursing documentation. Significant differences were also observed among providers’ accountability of nursing documentations with regard to promotion of interdisciplinary communication, legal implications of documentation, impacts on quality assurance and nursing science.
- Nurses from the UK and Japan reported similar experiences caring for older people, with both challenges and rewards.
- Key challenges included balancing individual patient needs within a complex work environment, and resolving ethical conflicts when caring for aggressive patients.
- Rewards stemmed from establishing meaningful relationships with patients through trust and dignity, and providing excellence in individualized care such as end-of-life support.
- While caring for older adults poses difficulties, the study found nurses found satisfaction through positive patient interactions and delivering high-quality care.
This document contains literature reviews for 5 potential research titles related to health issues in Lumbini Province, Nepal. It summarizes previous studies on:
1) The negative effects of mobile phone use on psychological health of undergraduate students. Studies found increased issues like difficulty sleeping and concentrating with greater mobile phone use.
2) Awareness of organ donation among college students in Nepal. Most students had poor awareness of organ donation procedures and laws.
3) Knowledge of snakebite first aid among medical students in Nepal. Clinical students displayed better knowledge than preclinical students.
4) Knowledge of water sanitation among community members. Most had moderate knowledge and health education was deemed necessary.
5) A
The effect of Nurse Staffing on Quality of Care and Patient Satisfaction in t...AJHSSR Journal
ABSTRACT:Nurse staffing is an important component in determining patient care quality and satisfaction.
This study was aimed at assessing the effect of nurse staffing on quality of care and patient satisfaction in the
medical and surgical wards in the public hospitals in Fako.This retrospective and analytic cross-sectional study
used the hospital administrative data to gather staffing information (the number of nurses, the nursing staff
constitution) and data was collected from patients in the medical and surgical wards in public hospitals in Fako
using an adapted “Karen-patient instrument for measuring quality of care” and the “Patient Satisfaction with
Nursing Care Quality Questionnaire” over a period of 2 months. The probability proportionate to size sampling
was applied to get the appropriate sample size. Data collected was analysed using SPSS version 25.The overall
nurse to patient ratio was 1:9.2.Based on the mean score, 47.1% of patients had good quality of nursing care
while 52.9% had poor quality of nursing care. Half of the participants (50.4%) were satisfied with the overall
nursing services while 49.6% were not satisfied. There was a significant relationship between mean patient to
nurse ratio and quality of care as well as patient satisfaction (p<0.001 and p=0.02 respectively).The overall
nurse to patient ratio was 1:9.2. The overall quality of nursing care was poor and patient satisfaction was
moderate. The study found a relationship between staffing and quality of care as well as patient satisfaction.
Keywords:Nurse Staffing, Patients, Patient’s Satisfaction, Quality of Care
Attitudes toward interprofessional education and collaborative practices in M...SubmissionResearchpa
From the perspective of activity theory, it can be argued that the major challenge in relation to implementing interprofessional education (IPE) could be embraced as contradictions that may lead to change. Patients have complex health needs and typically require insight from more than one discipline to address issues regarding their health status (Lumague et al. 2006). The World Health Organization (WHO) recommends that institutions engaged in health professional education and training consider implementing IPE in both undergraduate and postgraduate programs (WHO, 2010). The purpose of this study was to identify the needs of IPECP for health care professionals, faculty members, and students. Methods: The survey instrument contained four scales to evaluate faculty attitudes toward IPE and teamwork, adapted from the methods of Curran et al. (2007). Each scale asked respondents to rate their attitudes toward statements on a 5-point Likert scale (1=strongly disagree; 2=disagree; 3=neutral; 4=agree; 5=strongly agree). The initial factor extractions were performed by means of principal components analysis. To define the model structure more clearly, an exploratory factor analysis using varimax rotation was conducted. The level of significance was p<.0001 for all tests. Results: As shown in Table 2, the Kaiser–Meyer-Olkin index was 0.902, indicating sampling adequacy, and the Bartlett Sphericity Chi-Square index was 2246.5 (p <0.0001). Cronbach’s alpha for the 14 items was 0.731, revealing a high rate of internal consistency. The modified Attitude toward health care team scores (ATHCTS) questionnaire was categorized into four factors: “Quality of care,” “Team efficiency,” “Patient-centered care,” and “Negative factors.” Conclusion: Findings suggest that the positive attitude of health care professionals, faculty members and students towards IPE indicates the need for IPE training by Azjargal Baatar, Sumberzul Nyamjav and Oyuntsetseg Sandag 2020. Attitudes toward interprofessional education and collaborative practices in Mongolia. International Journal on Integrated Education. 3, 8 (Aug. 2020), 48-52. DOI:https://doi.org/10.31149/ijie.v3i8.536 https://journals.researchparks.org/index.php/IJIE/article/view/536/512 https://journals.researchparks.org/index.php/IJIE/article/view/536
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
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Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
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Simple Steps to Make Her Choose You Every DayLucas Smith
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Cyclothymia Test: Diagnosing, Symptoms, Treatment, and Impact | The Lifescien...The Lifesciences Magazine
The cyclothymia test is a pivotal tool in the diagnostic process. It helps clinicians assess the presence and severity of symptoms associated with cyclothymia.
Solution manual for managerial accounting 18th edition by ray garrison eric n...rightmanforbloodline
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Dr. Sherman Lai, MD — Guelph's Dedicated Medical ProfessionalSherman Lai Guelph
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VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdfVedanta A
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Sectional dentures for microstomia patients.pptxSatvikaPrasad
Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
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2. Studies on forensic nursing in Turkey started in 1995.
In recent years, forensic nursing is offered as an elective
course at the undergraduate level in few universities.
These universities are only about 10% of the total
nursing departments in Turkey. In Turkey, there are two
universities have forensic nursing postgraduate program
as well. Forensic nursing related sertificate courses are
organized by Association of Forensic Scientists and
some universities. Forensic nursing course; Definition of
forensic medicine, history, definition of forensic nursing,
duties and responsibilities, legal responsibilities of
nurses, forensic case types, case study, autopsy concept,
changes after death. The fact that the forensic nursing
course takes place at a very small number of universities,
yet it is not clear that the awareness of forensic nursing
in Turkey has not been developed yet, that adequate
training is not given and that sufficient work has not
been done in this area. Forensic nursing should be given
and spread throughout all nursing degree programs.
Even though studies on forensic nursing have accelerated
in our country in recent years, unfortunately forensic
nursing is not defined legally yet. However, despite this
fact, emergency nurses work as forensic nurses in forensic
cases. Therefore, forensic cases are mostly assessed by
emergency nurses who have not received special education
(Yelken et al. 2004). Studies (Gökdoğan 2008; İlçe et al.
2010; Topçu 2015) show that the vast majority of nurses
encounter forensic cases, their knowledge and practice of
forensic cases is inadequate and they have educational
needs that are related to forensic nursing. It is very import-
ant to start this education at the undergraduate level.
In the literature, there are few studies which examined
the knowledge and opinions of nursing students about
forensic nursing. In Turkey, only two studies (Şentürk
and Büyükaslan 2013; Kalayci et al. 2014) have reported
that students’ knowledge of forensic nursing is
inadequate. In these studies conducted in the field of
forensic nursing, the knowledge of students about
forensic cases and forensic nursing was carried out in
different cities with different questions and with fewer
sample groups. In a city with a high population, students
are more likely to encounter forensic cases. During the
training process, students are exposed to many forensic
incidents by practicing in various hospitals. Therefore, it
is thought that the study will be carried out in a city
with more population and population, which will
contribute to reveal the current situation. For this
purpose, our study was conducted with Ankara as the
capital of Turkey and with more sample groups.
This study was conducted to determine the informa-
tion needs and opinions of students related to forensic
nursing, which is a new field of specialization in our
country, to determine the educational needs related to
the subject, and to draw attention to the topic.
Methods
Design
The research was carried out as a descriptive study.
Participants
The study sample was 104 students who were in the
final year of the 2015–2016 academic year during the
spring semester at the Department of Nursing, the
Faculty of Health Sciences of a state university in
Ankara, Turkey. In total, 95 students who were accepted
to participate in the survey were included.
Data collection
Data was collected via two questionnaire form that was
developed by researchers parallel to the literature (Sunmaz
et al. 2008; Sharma 2003; Pinar and Bahar 2011; Yelken
et al. 2004). Totally it consisted of 21 questions. One of
the data collection tools was a questionnaire (Form 1) (9
questions) developed to determine the sociodemographic
characteristics of the nursing senior students, and a
questionnaire (Form 2) (12 questions) to evaluate the
opinions of the students about the forensic nursing. Form
1 is included the six question that were related to age,
gender, mothers’ and fathers’ education level, mothers’ and
fathers’ job the students’ socio-demographic variables
consisted of multiple-choice questions about students’
sociodemographic characteristics, two questions were yes/
no questions about the presence of someone interested in
forensics in their family and sought to determine whether
they followed forensic medicine cases in the media, the
other one questions about publications you follow in the
media. Form 2 is included six questions were aimed at the
tasks of forensic nurses, the fields in which they worked,
forensic nursing subjects, examples of forensic cases and
the education of forensic nursing, which were designed so
that students could mark multiple choices. One open-
ended question that was included was about the definition
of forensic nursing. The five questions regarding students’
opinions about forensic nursing. One of them knowledge
of forensic nursing, one question want to be a forensic
nursing, the other one forensic nursing should be proffe-
sion, forensic nursing education is need and the last one
the cases in which they had encountered forensic cases
were designed as yes/no questions.
Procedures
During the study’s implementation phase, information
was first given to students about the research’s scope,
and their written approvals were obtained. Then, a ques-
tionnaire was distributed to the students who had agreed
to participate. After they completed the questionnaire
form, these were collected by the researchers. Filling in
the form took approximately 20 min.
Topçu and Kazan Egyptian Journal of Forensic Sciences (2018) 8:16 Page 2 of 7
3. Ethical considerations
The Research Ethics Committee’s approval was required
for the work to be done; this was taken from Ankara
Yildirim Beyazit Ethics Committee of Social Sciences
and Humanities. Written permission was obtained from
the institution at which the study was carried out.
Students who agreed to participate in the study were
notified of the study and then their written approval was
obtained.
Data analyses
The data were transferred to the computer program by
researchers using Statistical Package for the Social
Sciences (SPSS) 16.0. Number percentages and
chi-square tests were used to evaluate the data.
Results
In the study, it was determined that the average age of
the students was 22.2 ± 0.79, 84.2% were female, 55.8%
of their mothers had only graduated from primary
school, 35.8% of their fathers had only graduated from
high school, 81.1% of their mothers were housewives,
and 30.6% of their fathers were retired.
It was determined that nearly all of the students (94.7%)
had no family members interested in forensic medicine,
27.4% followed forensic science, forensic nursing publica-
tions/programs in the media, and it was determined that
most of them who did so used the Internet (80.8%) for
this. The majority of the students stated that they had no
information about forensic nursing (77.9%) and almost all
of them (98.9%) were untrained in forensic nursing.
The students were asked about the definition of forensic
nursing in the study; half of them (50.4%) stated that they
did not know what the forensic nursing was, while 17.9%
defined forensic nursing as “nurses working and investi-
gating in forensic cases” (Table 1). The students who
participated in the study were asked about the duties of
forensic nurses; 42.1% stated that they did not know what
the duties of the forensic nurses were and the others
stated “recording evidence” among the duties of forensic
nurses (40.0%). Students selected “Forensic Science”
(74.7%) among the subjects that the forensic nurses
should know, 82.1% stated that forensic nurses should
work in “forensic medicine institutions.” It was
determined that 93.7% of the students had not previously
encountered forensic cases, and they mostly selected
“sexual offenses” as forensic cases (81.1%) (Table 1).
Of the students, 94.7% stated that both forensic
nursing should be an area of specialization and that
nurses should receive forensic nursing education, 42.1%
stated that this education should be given as elective
course at school, and 40% stated that they wanted to be
forensic nurses when they graduated (Table 2).
It was determined that the differences between the
groups was not significant when the socio-demographic
characteristics of the students were age, gender, parents’
educational level, parents’ jobs, presence of a person in-
terested in forensic medicine in the family, independent
follow-up on forensics in the media, and knowledge and
views on forensic nursing (p > 0.05).
Discussion
Upon examining the educational status and jobs of the
students’ parents, they were moderate in terms of the
sociocultural level. In our study, very few students stated
that they had someone interested in forensic medicine
among their family. However, it was determined that this
did not affect students’ knowledge level with regard to
forensic nursing (p > 0.05). Similar to our study, in the
study by Şentürk and Büyükaslan (2013) that sought to
determine the knowledge and opinions of senior nursing
students about forensic nursing, only 12% of them had a
family member who was interested in forensic medicine.
Most of the students had no one who was interested in
forensics in their family, and it was thought that this
situation might affect the level of knowledge and aware-
ness about forensic cases.
Nurses are responsible for evaluating patients in a
comprehensive manner, identifying problems interven-
tion to solve problems and recording when the patients
come to the emergency services due to health problems.
These duties of nurses are also applicable in forensics
cases. In addition, it is expected in forensic cases that
nurses will collect forensic evidence and keep and give
them to competent authorities (Green 1993). In our
study, nearly half of the students stated that they did not
know what forensic nurses’ duties would be, and they
chose the furthest “recording of evidences” among the
duties of forensic nurses (Table 1). This finding suggests
that the most important thing that students perceive as
the duties of forensic nurses is limited to the recording
of evidence.
Very few of the students defined forensic nursing as
“nurses who work and study in judicial cases” (Table 1). In
a study conducted by Kalayci et al. (2014) in which the
knowledge levels of nursing students with regard to foren-
sic nursing was evaluated, nearly half of the students who
participated understood the true definition of forensic
medicine. They defined forensic nurses as people who
collect, keep, and send evidence to relevant units.
Health personnel are often confronted with forensic
cases. Therefore, the lack of information about forensic
cases prevents the recognition of such cases. Forensic
nurses who encounter forensic cases should be able to
diagnose them (Lynch 2011). The ratio of forensic cases
encountered was very low for the students who partici-
pated in our study (Table 1). Similarly, in the study of
Topçu and Kazan Egyptian Journal of Forensic Sciences (2018) 8:16 Page 3 of 7
4. Table 1 Students’ knowledge about forensic nursing (N = 95)
Knowledge on forensic nursing Number Percent
Knowledge on forensic nursing
Present 21 22.1
None 74 77.9
Any training in forensic nursing
Taking 1 1.1
Not taking 94 98.9
Definition of forensic nursing according to students
S/He is the person who identifies, collects, stores, examines, records, provides the evidence delivery
chain, and analyzes the evidence.
6 6.3
It is about crime, justice and criminal nursing. 5 5.3
They are nurses who work in judicial cases, conduct research and follow up. 17 17.9
Nurses working with the police in criminals and courts. 4 4.2
S/He is the person who identifies and reports suspicious deaths and dangerous situations. 3 3.2
It is the department that helps the nurse to defend her/his rights in problems s/he is experiencing. 1 1.1
S/He is the person who took part in the autopsy examination. 8 8.4
S/He is the person who helps in the resolution of the forensic cases. 3 3.2
I do not know 48 50.4
Duties of forensic nurses according to students (N = 95)b
Collecting evidences 30 31.6
Conserving evidences 25 26.3
Identifying evidences 35 36.8
Recording of the evidences 38 40.0
Provision of evidence delivery chain 32 33.7
I do not know 40 42.1
Subjects that forensic nurses should know according to the students (N = 95)b
Basic Health Sciences 67 70.5
Law 56 58.9
Forensic science 71 74.7
I do not know 22 23.2
Areas where the judicial nurses take part according to the students (N = 95)b
Hospitals 52 54.7
Jails 14 14.7
Prisons 24 25.3
Forensic medicine institutes 78 82.1
Courts 33 34.7
Crime scene investigation 39 41.1
I do not know 12 12.6
The Case of encountering a forensic event before.
Encountering 6 6.3
Not encountering 89 93.7
Forensic events according to students (N = 95)b
Traffic accidents 43 45.3
Malpractice 36 37.9
Poisoning 52 54.7
Topçu and Kazan Egyptian Journal of Forensic Sciences (2018) 8:16 Page 4 of 7
5. Şentürk and Büyükaslan (2013), it was determined that
very few of the students had met forensic cases. It is
thought that the students’ inability to identify legal cases,
their lack of education in the school, and the fact that
they had not seen enough of such cases in their clinical
practice are effective.
When we examine the frequency of forensic cases in
Turkey in order of prevalence, traffic accidents is first,
followed by penetrating-cutting tool injuries, falls, firearm
injuries, and sexual crimes (Türkiye İstatistik Kurumu
2006-2015). However, most of the students in our study
reported “sexual offenses” as primary forensic cases (Table
1). In the study conducted by Kalayci et al. (2014), 32.2%
of students described “malpractice” cases as primary fo-
rensic cases. It is thought that the students being more
likely to encounter such stories in the media is effective in
this situation. While trying to determine the knowledge
levels of healthcare staff working in emergency services
with regard to common approaches to forensic cases, al-
most all healthcare personnel described “firearm injuries”
and “sexual assault” cases as forensic cases. It is thought
that the reason for the different definitions between stu-
dents and nurses with regard to forensic cases is that stu-
dents will identify forensic cases mostly from the media
and nurses will correctly identified them based on the
most frequently encountered pathways in clinics.
It is crucial that healthcare staff receive training in
forensic cases in terms of crime and criminal findings, the
elimination of victimization of the victim, and contribu-
tion to justice (Lynch 2006; Stevens 2004). The majority of
students stated that they had no information about foren-
sic nursing and that they were not trained in forensic
nursing (Table 1). Today, the Crime Scene Investigation
(CSI) TV series seems effective at creating social aware-
ness of forensic science (Yakupoğlu et al. 2016). Thus, the
duties and expectations of such professionals are increas-
ing. In our study, very few of the students stated that they
followed publications/programs related to forensic medi-
cine/forensic nursing in the media and that they mostly
used the Internet for this purpose. It was also determined
Table 1 Students’ knowledge about forensic nursing (N = 95) (Continued)
Knowledge on forensic nursing Number Percent
Suicide 75 78.9
Sex crime 77 81.1
Domestic violence 66 69.5
Gunshot injuries 75 78.9
Drill-cut tool injuries 67 70.5
A student stated that s/he took it as a course at school
b
N has been multiplied because it has been answered more than once
Table 2 Students’ views on forensic nursing (N = 95)
Students’ views on forensic nursing Number Percent
According to the students, nurses receive forensic nursing education
Necessary 90 94.7
Not necessary 5 5.3
Level of forensic nursing education (N = 95)a
Must be given as a few hours of lessons in vocational courses at school 19 20.0
Must be given as a compulsory course in school 25 26.3
Must be given as elective course in school 40 42.1
Must be certified education after graduation 29 30.5
Must be given as post-graduate education after graduation 16 16.8
Should forensic nursing be an area of specialization?
Yes 90 94.7
No 5 5.3
Do you want to be a forensic nurse when you graduate?
Yes 38 40.0
No 13 13.7
Not sure 44 46.3
a
N has been multiplied because it has been answered more than once
Topçu and Kazan Egyptian Journal of Forensic Sciences (2018) 8:16 Page 5 of 7
6. in our study that students following publications/pro-
grams related to nursing in the media had no effect on in-
formation about forensic nursing (p > 0.05). Similar results
were obtained when we examined studies conducted with
the students related to the subject. In the study of Şentürk
and Büyükaslan (2013), it was determined that most of the
students had no knowledge about forensic nursing; the
very few who did had obtained information from semi-
nars, magazines, and the Internet. When we examined the
studies conducted with nurses related to the subject, İlçe
et al. (2010) investigated the knowledge and applications
of healthcare personnel working in emergency depart-
ments for the protection and preservation of evidence in
forensic cases; they stated that more than half of the 44
healthcare staff who participated in the study had not
received any training with regard to forensic nursing.
Caliskan and Ozden (2012) conducted a study with 233
people to determine the level of knowledge of healthcare
personnel in Turkey with regard to forensic evidence; they
found that 73% of the personnel had not received training
on forensic cases, and 17.5% of participants who had
received training in this area reported that such training
had been insufficient. It is believed that the reason for this
lack of information is not to include forensic nursing as a
course in our country’s undergraduate curriculum.
It was determined that the difference between the socio-
demographic characteristics of the students, whether their
family members were interested in forensic medicine, and
the opinions of students with regard to forensic nursing
was not significant (p > 0.05). In the study by Şentürk and
Büyükaslan (2013), the socio-demographic characteristics
of the participating students, whether their family mem-
bers were interested in forensic medicine, and their know-
ledge level regarding forensic nursing were compared, and
no statistically significant difference was found between
the groups (p > 0.05).
Strengthening forensic nursing education increases
patient care quality, patient safety, access to services, the
confidence and skill levels of nurses, and patient satisfac-
tion, while reducing the burden on the health system
(Simmons and Grandfield 2013). In our study, almost all
students stated that training on forensic nursing should
be taken and nearly half reported that there should be
elective courses while at school (Table 2). In the study of
Şentürk and Büyükaslan (2013), all participating students
indicated that training related to forensic nursing should
be given and more than half reported that this training
was taken during basic vocational training. From here,
we can see that students are aware of their lack of know-
ledge and want this to be remedied.
Forensic nursing is a collaborative field of medicine
and law that requires both general health sciences and
legal knowledge (Lynch 2006; Kent-Wilkinson 1999;
Lynch 2011). In our study, students stated that forensic
nurses often needed knowledge of forensic science and
basic health sciences, and very few students chose the
law option. In the study by Şentürk and Büyükaslan
(2013), most students (28.0%) stated that forensic nurses
should have knowledge of basic health sciences (Table
1). It is believed that students often see forensic nursing
related to health sciences, as they do not fully under-
stand the definition of forensic nursing.
Forensic nurses have many areas of study such as
hospitals, prisons, forensic medical institutions, judicial
offices, detention centers and crime scene investigations
(Kent-Wilkinson 1999; Lynch 2011). Most of the students
who participated in our study stated that the working
areas of judicial nurses were forensic medicine institu-
tions. In the study by Şentürk and Büyükaslan (2013), ap-
proximately half of the students stated that the working
areas of the forensic nurses were hospitals and very few
students reported that their working areas were forensic
medical institutions (Table 1). In the study conducted by
Kalayci et al. (2014), the students stated that the forensic
case studies were not only done by forensic medicine-
trained colleagues. Many participants saw forensic nurses
as working in forensic medicine or hospitals, suggesting
that forensic nursing was only associated with the field of
healthcare according to students’ opinions.
Conclusions
In our study, senior nursing students’ knowledge of foren-
sic nursing was insufficient and they were not trained in
this area. The data we have obtained in this study aiming
to reveal the knowledge levels of nursing students about
forensic phenomena show a general agreement with the
results of similar studies.
In addition, most of the students stated that forensic nurs-
ing education should be suggested as an elective course at
the undergraduate level and should be specialized. There-
fore, addition of courses related to forensic nursing to the
undergraduate curriculum in all universities, opening post-
graduate training programs related to the subject, and in-
creasing scientific activities such as congresses, seminars,
and courses are recommended. Both a tendency towards the
advancement of forensic nursing in the nursing profession
and basic principles in undergraduate education should be
acquired. Therefore, it is important to evaluate the students’
perspectives on forensic nursing (Additional file: 1).
Additional file
Additional file 1: The Questionnare form related to descriptive
characteristics of the Nursing Students and the views of Senior Students
in Nursing about Forensic Nursing. (DOCX 15 kb)
Abbreviations
CSI: Crime scene investigation
Topçu and Kazan Egyptian Journal of Forensic Sciences (2018) 8:16 Page 6 of 7
7. Acknowledegments
We thank our students who participated in our work for their contribution.
Funding
Not applicable.
Availability of data and materials
The dataset supporting the conclusions of this article is included within the
article.
Authors’ contributions
Study design: ETT, EEK; data collection: ETT, data analysis: ETT; preparation of
the article: ETT, EEK. Both authors read and approved the final manuscript.
Ethics approval and consent to participate
Necessary ethical approval was obtained from the Turgut Özal University
ethics committee. The committee’s reference number 355. Written
permission has been obtained from the students.
Consent for publication
Not applicable
Competing interests
The authors declare that they have no competing interests.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in
published maps and institutional affiliations.
Received: 30 May 2017 Accepted: 23 January 2018
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