The study aimed to assess the effectiveness of intradialytic exercises in reducing muscle cramps and improving quality of life among patients undergoing hemodialysis. 80 patients were randomly assigned to experimental and control groups. The experimental group performed intradialytic exercises for 2 weeks, while the control group received usual care. Results found significant reductions in muscle cramps and improvements in quality of life in the experimental group compared to the control group. The study demonstrated that intradialytic exercises are an effective non-pharmacological approach for reducing muscle cramps and improving quality of life in hemodialysis patients.
This journal club presentation summarizes a research article that examined factors associated with depression among elderly people living in old aged homes in Pokhara, Nepal. The study found that the majority (59.6%) of elderly respondents had mild depression, while 21.1% had severe depression. Female elderly and those who were widowed/single had higher rates of depression. While some factors like age, marital status and previous occupation were associated with depression, the study found no significant association between depression and individual characteristics. The presentation provides a concise but informative summary of the objectives, methods, results and conclusions of the original research article.
This document summarizes a journal club presentation on a study assessing the knowledge and practices of intensive care nurses regarding the prevention of ventilator-associated pneumonia. The study found that the nurses had average knowledge but unsatisfactory practices in preventing VAP. It concluded that additional in-service education and training programs are needed to improve nurses' knowledge and practices and reduce infections among patients. The presentation reviewed the objectives, methods, findings and conclusions of the descriptive study conducted with 50 nurses in India. It also discussed relevant literature supporting the average knowledge levels found and the need for preventative protocols and guidelines.
This document summarizes a randomized controlled trial that investigated whether stable patients with infective endocarditis could be safely treated with oral antibiotics rather than continued intravenous antibiotics. The trial involved 400 patients across multiple centers in Denmark who had infective endocarditis of the left heart caused by common bacterial species. Patients received either continued intravenous antibiotics according to guidelines or a partial oral antibiotic treatment regimen. The primary outcome was to show non-inferiority of oral treatment. Results showed that oral antibiotic treatment was found to be non-inferior to continued intravenous treatment for stable patients.
Evidence based practice by Tanoj Patidar MSc Nursing (MSN)Tanoj Patidar
This document discusses evidence-based practice (EBP) in nursing. It provides background on EBP, noting that EBP integrates the best research evidence with clinical expertise and patient preferences. The document reviews the history of EBP and its importance for improving patient outcomes. It defines EBP in nursing as locating, appraising, and applying the best medical and nursing research evidence to improve clinical practice. The document also outlines models of EBP, barriers to implementing EBP, and strategies for overcoming those barriers.
Journal Club presentation in Nursing ResearchDhara Vyas
Journal presentation in Nursing Research,
Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic
Covid-19
Abstract
Introduction
Methodology
samples
Analysis
This document provides guidelines for correctly formatting references in a thesis according to prescribed standards. It discusses the two main methods of citing references - superscript and bracket formats - and provides examples. Guidelines are provided for citing different publication types such as books, book chapters, journal articles, websites, and more. Reference list formatting is also covered, including ordering and structure of entries.
Anamika Tiwari presented a journal club on the article "Utilization of maternal health care services in post-conflict Nepal". The article used data from Nepal's Demographic and Health Survey to examine factors associated with antenatal care, institutional delivery, and postnatal care among 13,485 women in Nepal. The results found that 85% of women received antenatal care, 62% from skilled providers, and 60% started in the first trimester. Utilization of services was lower in rural areas but higher in conflict-affected areas compared to 2006. The discussion compared findings to other studies and limitations. The conclusion was that maternal health care utilization was low in rural Nepal but increased remarkably in conflict areas from 2006 to
This journal club presentation summarizes a research article that studied sleep problems among Chinese adolescents and young adults during the COVID-19 pandemic. An online survey assessed insomnia, depression, anxiety, and social support in 11,835 participants aged 12-29. The results found that 23.2% of participants experienced insomnia symptoms during the pandemic period. Female sex, residing in cities, depression, and anxiety were risk factors for insomnia, while social support was a protective factor. The discussion concludes that the COVID-19 pandemic significantly impacted sleep and was a risk factor for insomnia in this population.
This journal club presentation summarizes a research article that examined factors associated with depression among elderly people living in old aged homes in Pokhara, Nepal. The study found that the majority (59.6%) of elderly respondents had mild depression, while 21.1% had severe depression. Female elderly and those who were widowed/single had higher rates of depression. While some factors like age, marital status and previous occupation were associated with depression, the study found no significant association between depression and individual characteristics. The presentation provides a concise but informative summary of the objectives, methods, results and conclusions of the original research article.
This document summarizes a journal club presentation on a study assessing the knowledge and practices of intensive care nurses regarding the prevention of ventilator-associated pneumonia. The study found that the nurses had average knowledge but unsatisfactory practices in preventing VAP. It concluded that additional in-service education and training programs are needed to improve nurses' knowledge and practices and reduce infections among patients. The presentation reviewed the objectives, methods, findings and conclusions of the descriptive study conducted with 50 nurses in India. It also discussed relevant literature supporting the average knowledge levels found and the need for preventative protocols and guidelines.
This document summarizes a randomized controlled trial that investigated whether stable patients with infective endocarditis could be safely treated with oral antibiotics rather than continued intravenous antibiotics. The trial involved 400 patients across multiple centers in Denmark who had infective endocarditis of the left heart caused by common bacterial species. Patients received either continued intravenous antibiotics according to guidelines or a partial oral antibiotic treatment regimen. The primary outcome was to show non-inferiority of oral treatment. Results showed that oral antibiotic treatment was found to be non-inferior to continued intravenous treatment for stable patients.
Evidence based practice by Tanoj Patidar MSc Nursing (MSN)Tanoj Patidar
This document discusses evidence-based practice (EBP) in nursing. It provides background on EBP, noting that EBP integrates the best research evidence with clinical expertise and patient preferences. The document reviews the history of EBP and its importance for improving patient outcomes. It defines EBP in nursing as locating, appraising, and applying the best medical and nursing research evidence to improve clinical practice. The document also outlines models of EBP, barriers to implementing EBP, and strategies for overcoming those barriers.
Journal Club presentation in Nursing ResearchDhara Vyas
Journal presentation in Nursing Research,
Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic
Covid-19
Abstract
Introduction
Methodology
samples
Analysis
This document provides guidelines for correctly formatting references in a thesis according to prescribed standards. It discusses the two main methods of citing references - superscript and bracket formats - and provides examples. Guidelines are provided for citing different publication types such as books, book chapters, journal articles, websites, and more. Reference list formatting is also covered, including ordering and structure of entries.
Anamika Tiwari presented a journal club on the article "Utilization of maternal health care services in post-conflict Nepal". The article used data from Nepal's Demographic and Health Survey to examine factors associated with antenatal care, institutional delivery, and postnatal care among 13,485 women in Nepal. The results found that 85% of women received antenatal care, 62% from skilled providers, and 60% started in the first trimester. Utilization of services was lower in rural areas but higher in conflict-affected areas compared to 2006. The discussion compared findings to other studies and limitations. The conclusion was that maternal health care utilization was low in rural Nepal but increased remarkably in conflict areas from 2006 to
This journal club presentation summarizes a research article that studied sleep problems among Chinese adolescents and young adults during the COVID-19 pandemic. An online survey assessed insomnia, depression, anxiety, and social support in 11,835 participants aged 12-29. The results found that 23.2% of participants experienced insomnia symptoms during the pandemic period. Female sex, residing in cities, depression, and anxiety were risk factors for insomnia, while social support was a protective factor. The discussion concludes that the COVID-19 pandemic significantly impacted sleep and was a risk factor for insomnia in this population.
journal club, journal club presentation, public health, medicine, health care, epidemiology, health system, health policy, health management, health economics, critical appraisal, online journal club, article appraisal, bachelor of public health, nursing, allied health sciences
This document provides a summary of a journal club presentation by Alisha Bhandari. The presentation summarizes an article titled "Factors and Pattern of Injuries Associated with Road Traffic Accidents in Hilly District of Nepal" published in the Journal of Biosciences and Medicines in 2017. The presentation includes details about the authors, journal, article, methods used in the study, and a critical appraisal. It aims to fulfill the requirements for a public health course at Pokhara University.
This journal club presentation summarizes a study that evaluated the effect of structured nursing care strategies on the home-based care of patients with Parkinson's disease. The study found that after receiving the nursing intervention, patients had significantly higher post-test scores for knowledge, attitude, and practice regarding home-based care compared to their pre-test scores. While the study demonstrated effectiveness of the intervention, it did not thoroughly address limitations or ways to improve generalizability. The presentation determined that further research using video-assisted learning for caregivers could build upon this study.
The document summarizes a journal club presentation by Aditi Shrestha on an article about the association between television watching, physical activity, and obesity in children. The presentation includes summaries of the selected article, journal information, critical appraisal of the article and journal, and summaries of the article's introduction, methods, results, discussion and conclusion sections.
Evidence-based practice (EBP) uses scientific evidence to determine the best practices. EBP emerged in the 1980s and started in England in the early 1990s. EBP involves using the best current evidence from research, clinical expertise, and patient preferences to make decisions about patient care. Implementing EBP requires finding and applying effective interventions through a systematic process. Barriers to EBP include lack of time, support, and research knowledge, but EBP can improve outcomes, consistency of care, and decision-making. Common models for EBP include the John Hopkins, Iowa, and Stetler models.
This document discusses trends and issues in nursing. It outlines how nursing will shift from hospitals to homes and communities, with a focus on prevention and patient outcomes. Nurses will be primary care providers for diverse services. There will also be challenges relating to ethics, costs, access, and quality of care. Globalization will bring opportunities and challenges as the work environment emphasizes cost-effectiveness and quality. The roles and responsibilities of nurses are changing as health care transitions to more community-based, evidence-based, and interdisciplinary models of care.
Aakriti Lamsal presented a journal club presentation summarizing an article on workplace violence among nurses. The presentation included an overview of the selected article, journal information, critical appraisal of the article components, and results. The article assessed the prevalence and factors associated with workplace violence among nurses in Pokhara, Nepal. It found that 64% of nurses reported some type of violence, with verbal violence being most common. Certain factors like age, marital status, work unit and shift were found to be associated with increased risk of violence.
This document summarizes a journal club presentation by Asmita Gautam on an article about knowledge, attitudes, and preventative practices related to COVID-19 among university populations in Pakistan. The presentation provides details on the selected article, journal, authors, methods, results, and conclusions. It evaluates an article published in Drugs & Therapy Perspectives that studied COVID-19 knowledge, attitudes, and practices using a cross-sectional survey of 417 students and employees at two universities in Lahore, Pakistan. The presentation concludes that while knowledge and attitudes regarding COVID-19 were satisfactory, preventative practices were inadequate among the university populations studied.
Health economics is the study of how limited resources are used in the health care industry and how they affect health care systems. It aims to provide the best quality health care to as many people as possible given financial constraints. Key aspects of health economics include cost accounting, cost-benefit analysis, cost-effectiveness analysis, and analyzing the effects of factors like technology, population changes, and policies on health care systems. Resources in health care may be evaluated using quantitative techniques like cost minimization and cost-effectiveness analysis.
This document provides an overview of Objective Structured Clinical Examination (OSCE) and Objective Structured Practical Examination (OSPE). It discusses the background, purposes, methodology, advantages and disadvantages of OSCE/OSPE. Key points include that OSCE/OSPE aims to objectively and reliably evaluate clinical skills through structured stations using checklists. Stations typically last 3-10 minutes and assess skills like history taking, physical exams, procedures. OSCE/OSPE provides a standardized way to assess students and has been found to improve evaluation objectivity and student satisfaction compared to traditional exams. Challenges include the significant planning and resources required to implement OSCE/OSPE effectively.
This document summarizes Samikshya Gairhe's journal club presentation on a study assessing mothers' health care seeking behavior for common childhood illnesses in Northwest Ethiopia. The presentation includes an overview of the selected article, journal information, authors, abstract, introduction, methods, results, discussion, conclusion, and references. The study found that less than half of mothers sought health care during their child's illness, with most seeking care from local health posts and centers. Factors associated with increased health care seeking included the child's age being under 24 months and the perception that early treatment is important.
COLLABORATION, ISSUES IN NURSING AND MODELS Arifa T N
This document discusses various models and issues related to collaboration within and outside of nursing. It begins by defining collaboration and explaining its importance for addressing complex health issues. Several models of collaboration are described, including the clinical school of nursing model from 1995, the dedicated education unit clinical teaching model from 1999, and the research joint appointment model from 2000. The document also covers collaborative issues that can arise within nursing between different roles, and outside nursing with other healthcare professionals. Overall, the document provides an overview of the meaning, need for, and approaches to collaboration in nursing.
Nursing research has grown rapidly in the 21st century with increased funding. Funding for nursing research from the National Institute of Nursing Research has grown from $70 million in 1999 to over $140 million in 2014. Nursing research is important for developing evidence-based practices, improving nursing education and care, and expanding the body of nursing knowledge. Future trends in nursing research will include a continued focus on evidence-based practice, stronger research designs, more emphasis on systematic reviews, innovation, expanded local research, increased collaboration, greater focus on culture and health disparities, and ensuring clinical significance and patient input.
COLLABORATION MODELS & COLLABORATIVE ISSUES
Ms. Sucheta Panchal
OBJECTIVES
To understand the concept of collaboration in nursing.
To know about the existing models of collaboration.
To identify the benefits of collaboration in nursing academics and practice.
To encounter with the collaborative issues.
To understand their own role in collaboration
COLLABORATION
"Collaboration is the most formal inter organizational relationship involving shared authority and responsibility for planning, implementation, and evaluation of a joint effort”
Hord, 1986
COLLABORATION
" Collaboration is as a mutually beneficial and well-defined relationship entered into by two or more organizations to achieve common goals”.
Mattessich, Murray & Monsey (2001)
COLLABORATIVE TEACHING
When two or more educators take responsibility for planning, teaching, and monitoring the success of learners in a class
TYPES OF COLLABORATION
InterdisciplinaryMultidisciplinaryTransdisciplinaryInterprofessional
NEED FOR COLLABORATION BETWEEN EDUCATION & SERVICE
NURSING SCHOOLS RUN BY HOSPITALS
BRIDGING GAP BY SIMULATION LABORATORIES, SUPERVISED CLINICAL EXPERIENCES IN THE HOSPITAL, AND SUMMER INTERNSHIPS.
COLLABORATIVE CATALYSTS
It is critical in collaboration that all existing and potential members of the collaborating group share the common vision and purpose.
A problem
A shared vision
A desired outcome
OBJECTIVES
Promotion of quality nursing care
Improved patient outcomes
Reduced length of stay
Cost savings
Increased nursing job satisfaction and retention
OBJECTIVES
Improved teamwork
Enhancement of learning climate
Promotion of spirit in enquiry & research in nursing
Well prepared & efficient nursing students
Develop interdependence of schools of nursing & organization
COLLABORATIVE MODELS
CLINICAL SCHOOL OF NURSING MODEL (1995)
Initiative: Nurses from both La Trobe and The Alfred Clinical School of Nursing University.
Establishment of the Clinical School in February, 1995.
VISION: The close and continuing link between the theory and practice of nursing at all levels
BENEFITS:
Brings academic staff to the hospital
Opportunities for exchange of ideas with clinical nurses
Increased opportunities for clinical nursing research.
Many educational openings for expert clinical nurses to involve with the university's academic program
The document discusses the history and role of nurse practitioners. It notes that nurse practitioners began emerging as primary care providers in the mid-20th century in the United States. Nurse practitioners are educated at the master's or doctoral level and provide primary, acute, chronic, and specialty healthcare services. They can diagnose illnesses, treat conditions, and provide health education to patients. There are several specializations of nurse practitioners, including those focused on women's health, adult/geriatric care, pediatrics, family care, neonatology, psychiatry, emergency care, and acute care.
Different models of collaboration between nursing service andTHANUJA MATHEW
This document discusses different models of collaboration between nursing education and service. It describes several models including:
1) The clinical school of nursing model which brings academic staff into hospitals to foster exchange between clinical and academic nursing.
2) The dedicated education unit which uses staff nurses as clinical instructors for students on designated hospital units.
3) Research joint appointments where researchers have roles in both educational and clinical settings to improve nursing practice through research.
The document provides details on several other models and discusses the benefits of collaborative partnerships between nursing education and healthcare services.
The document discusses curriculum research and development. It defines curriculum research as a systematic attempt to better understand all components of curriculum. It identifies key elements of curriculum including the teacher, subject matter, learners, and environment. The document also outlines various approaches that can be used in curriculum research, such as observational methods, surveys, interviews, and critical reflective techniques. Finally, it emphasizes that curriculum research should involve depth in planning, implementation, and evaluation stages.
A STUDY TO ASSESS THE EFFECTIVENESS OF INTRADIALYTIC EXERCISE ON MUSCLE CRAMPS AND QUALITY OF LIFE AMONG PATIENTS UNDERGOING HEMODIALYSIS IN SELECTED HOSPITAL,CHENNAI
DEVELOPMENT OF A PREFERENCE-BASED, CONDITION SPECIFIC PATIENT REPORTED OUTCOM...ScHARR HEDS
The SPVU-5D is a new patient-reported outcome measure developed specifically for assessing health-related quality of life in patients with venous leg ulcers. It was developed using a bottom-up approach including qualitative interviews with patients and clinical staff to identify relevant health domains. The final measure includes 5 dimensions (pain, mobility, mood, smell, and social isolation) shown to have good validity and practicality. Health state valuations from the UK general public were used to assign preference weights and create a scoring algorithm for the SPVU-5D.
journal club, journal club presentation, public health, medicine, health care, epidemiology, health system, health policy, health management, health economics, critical appraisal, online journal club, article appraisal, bachelor of public health, nursing, allied health sciences
This document provides a summary of a journal club presentation by Alisha Bhandari. The presentation summarizes an article titled "Factors and Pattern of Injuries Associated with Road Traffic Accidents in Hilly District of Nepal" published in the Journal of Biosciences and Medicines in 2017. The presentation includes details about the authors, journal, article, methods used in the study, and a critical appraisal. It aims to fulfill the requirements for a public health course at Pokhara University.
This journal club presentation summarizes a study that evaluated the effect of structured nursing care strategies on the home-based care of patients with Parkinson's disease. The study found that after receiving the nursing intervention, patients had significantly higher post-test scores for knowledge, attitude, and practice regarding home-based care compared to their pre-test scores. While the study demonstrated effectiveness of the intervention, it did not thoroughly address limitations or ways to improve generalizability. The presentation determined that further research using video-assisted learning for caregivers could build upon this study.
The document summarizes a journal club presentation by Aditi Shrestha on an article about the association between television watching, physical activity, and obesity in children. The presentation includes summaries of the selected article, journal information, critical appraisal of the article and journal, and summaries of the article's introduction, methods, results, discussion and conclusion sections.
Evidence-based practice (EBP) uses scientific evidence to determine the best practices. EBP emerged in the 1980s and started in England in the early 1990s. EBP involves using the best current evidence from research, clinical expertise, and patient preferences to make decisions about patient care. Implementing EBP requires finding and applying effective interventions through a systematic process. Barriers to EBP include lack of time, support, and research knowledge, but EBP can improve outcomes, consistency of care, and decision-making. Common models for EBP include the John Hopkins, Iowa, and Stetler models.
This document discusses trends and issues in nursing. It outlines how nursing will shift from hospitals to homes and communities, with a focus on prevention and patient outcomes. Nurses will be primary care providers for diverse services. There will also be challenges relating to ethics, costs, access, and quality of care. Globalization will bring opportunities and challenges as the work environment emphasizes cost-effectiveness and quality. The roles and responsibilities of nurses are changing as health care transitions to more community-based, evidence-based, and interdisciplinary models of care.
Aakriti Lamsal presented a journal club presentation summarizing an article on workplace violence among nurses. The presentation included an overview of the selected article, journal information, critical appraisal of the article components, and results. The article assessed the prevalence and factors associated with workplace violence among nurses in Pokhara, Nepal. It found that 64% of nurses reported some type of violence, with verbal violence being most common. Certain factors like age, marital status, work unit and shift were found to be associated with increased risk of violence.
This document summarizes a journal club presentation by Asmita Gautam on an article about knowledge, attitudes, and preventative practices related to COVID-19 among university populations in Pakistan. The presentation provides details on the selected article, journal, authors, methods, results, and conclusions. It evaluates an article published in Drugs & Therapy Perspectives that studied COVID-19 knowledge, attitudes, and practices using a cross-sectional survey of 417 students and employees at two universities in Lahore, Pakistan. The presentation concludes that while knowledge and attitudes regarding COVID-19 were satisfactory, preventative practices were inadequate among the university populations studied.
Health economics is the study of how limited resources are used in the health care industry and how they affect health care systems. It aims to provide the best quality health care to as many people as possible given financial constraints. Key aspects of health economics include cost accounting, cost-benefit analysis, cost-effectiveness analysis, and analyzing the effects of factors like technology, population changes, and policies on health care systems. Resources in health care may be evaluated using quantitative techniques like cost minimization and cost-effectiveness analysis.
This document provides an overview of Objective Structured Clinical Examination (OSCE) and Objective Structured Practical Examination (OSPE). It discusses the background, purposes, methodology, advantages and disadvantages of OSCE/OSPE. Key points include that OSCE/OSPE aims to objectively and reliably evaluate clinical skills through structured stations using checklists. Stations typically last 3-10 minutes and assess skills like history taking, physical exams, procedures. OSCE/OSPE provides a standardized way to assess students and has been found to improve evaluation objectivity and student satisfaction compared to traditional exams. Challenges include the significant planning and resources required to implement OSCE/OSPE effectively.
This document summarizes Samikshya Gairhe's journal club presentation on a study assessing mothers' health care seeking behavior for common childhood illnesses in Northwest Ethiopia. The presentation includes an overview of the selected article, journal information, authors, abstract, introduction, methods, results, discussion, conclusion, and references. The study found that less than half of mothers sought health care during their child's illness, with most seeking care from local health posts and centers. Factors associated with increased health care seeking included the child's age being under 24 months and the perception that early treatment is important.
COLLABORATION, ISSUES IN NURSING AND MODELS Arifa T N
This document discusses various models and issues related to collaboration within and outside of nursing. It begins by defining collaboration and explaining its importance for addressing complex health issues. Several models of collaboration are described, including the clinical school of nursing model from 1995, the dedicated education unit clinical teaching model from 1999, and the research joint appointment model from 2000. The document also covers collaborative issues that can arise within nursing between different roles, and outside nursing with other healthcare professionals. Overall, the document provides an overview of the meaning, need for, and approaches to collaboration in nursing.
Nursing research has grown rapidly in the 21st century with increased funding. Funding for nursing research from the National Institute of Nursing Research has grown from $70 million in 1999 to over $140 million in 2014. Nursing research is important for developing evidence-based practices, improving nursing education and care, and expanding the body of nursing knowledge. Future trends in nursing research will include a continued focus on evidence-based practice, stronger research designs, more emphasis on systematic reviews, innovation, expanded local research, increased collaboration, greater focus on culture and health disparities, and ensuring clinical significance and patient input.
COLLABORATION MODELS & COLLABORATIVE ISSUES
Ms. Sucheta Panchal
OBJECTIVES
To understand the concept of collaboration in nursing.
To know about the existing models of collaboration.
To identify the benefits of collaboration in nursing academics and practice.
To encounter with the collaborative issues.
To understand their own role in collaboration
COLLABORATION
"Collaboration is the most formal inter organizational relationship involving shared authority and responsibility for planning, implementation, and evaluation of a joint effort”
Hord, 1986
COLLABORATION
" Collaboration is as a mutually beneficial and well-defined relationship entered into by two or more organizations to achieve common goals”.
Mattessich, Murray & Monsey (2001)
COLLABORATIVE TEACHING
When two or more educators take responsibility for planning, teaching, and monitoring the success of learners in a class
TYPES OF COLLABORATION
InterdisciplinaryMultidisciplinaryTransdisciplinaryInterprofessional
NEED FOR COLLABORATION BETWEEN EDUCATION & SERVICE
NURSING SCHOOLS RUN BY HOSPITALS
BRIDGING GAP BY SIMULATION LABORATORIES, SUPERVISED CLINICAL EXPERIENCES IN THE HOSPITAL, AND SUMMER INTERNSHIPS.
COLLABORATIVE CATALYSTS
It is critical in collaboration that all existing and potential members of the collaborating group share the common vision and purpose.
A problem
A shared vision
A desired outcome
OBJECTIVES
Promotion of quality nursing care
Improved patient outcomes
Reduced length of stay
Cost savings
Increased nursing job satisfaction and retention
OBJECTIVES
Improved teamwork
Enhancement of learning climate
Promotion of spirit in enquiry & research in nursing
Well prepared & efficient nursing students
Develop interdependence of schools of nursing & organization
COLLABORATIVE MODELS
CLINICAL SCHOOL OF NURSING MODEL (1995)
Initiative: Nurses from both La Trobe and The Alfred Clinical School of Nursing University.
Establishment of the Clinical School in February, 1995.
VISION: The close and continuing link between the theory and practice of nursing at all levels
BENEFITS:
Brings academic staff to the hospital
Opportunities for exchange of ideas with clinical nurses
Increased opportunities for clinical nursing research.
Many educational openings for expert clinical nurses to involve with the university's academic program
The document discusses the history and role of nurse practitioners. It notes that nurse practitioners began emerging as primary care providers in the mid-20th century in the United States. Nurse practitioners are educated at the master's or doctoral level and provide primary, acute, chronic, and specialty healthcare services. They can diagnose illnesses, treat conditions, and provide health education to patients. There are several specializations of nurse practitioners, including those focused on women's health, adult/geriatric care, pediatrics, family care, neonatology, psychiatry, emergency care, and acute care.
Different models of collaboration between nursing service andTHANUJA MATHEW
This document discusses different models of collaboration between nursing education and service. It describes several models including:
1) The clinical school of nursing model which brings academic staff into hospitals to foster exchange between clinical and academic nursing.
2) The dedicated education unit which uses staff nurses as clinical instructors for students on designated hospital units.
3) Research joint appointments where researchers have roles in both educational and clinical settings to improve nursing practice through research.
The document provides details on several other models and discusses the benefits of collaborative partnerships between nursing education and healthcare services.
The document discusses curriculum research and development. It defines curriculum research as a systematic attempt to better understand all components of curriculum. It identifies key elements of curriculum including the teacher, subject matter, learners, and environment. The document also outlines various approaches that can be used in curriculum research, such as observational methods, surveys, interviews, and critical reflective techniques. Finally, it emphasizes that curriculum research should involve depth in planning, implementation, and evaluation stages.
A STUDY TO ASSESS THE EFFECTIVENESS OF INTRADIALYTIC EXERCISE ON MUSCLE CRAMPS AND QUALITY OF LIFE AMONG PATIENTS UNDERGOING HEMODIALYSIS IN SELECTED HOSPITAL,CHENNAI
DEVELOPMENT OF A PREFERENCE-BASED, CONDITION SPECIFIC PATIENT REPORTED OUTCOM...ScHARR HEDS
The SPVU-5D is a new patient-reported outcome measure developed specifically for assessing health-related quality of life in patients with venous leg ulcers. It was developed using a bottom-up approach including qualitative interviews with patients and clinical staff to identify relevant health domains. The final measure includes 5 dimensions (pain, mobility, mood, smell, and social isolation) shown to have good validity and practicality. Health state valuations from the UK general public were used to assign preference weights and create a scoring algorithm for the SPVU-5D.
This study aimed to assess the quality of life and coping strategies of dialysis patients in Mangalore, India. The objectives were to examine patients' quality of life, identify coping strategies, and determine relationships between quality of life, coping strategies, and demographic variables. The researcher hypothesized significant relationships between quality of life and coping strategies, and between quality of life and demographics. Data was collected from 60 patients using quality of life and coping scales. Results found most patients had average quality of life and satisfactory coping, with a significant relationship between the two. The conclusion was that better coping strategies were linked to higher quality of life.
class GERONTOLOGICAL NURSINGJournal Article Summary AssignmentT.pdflanuszickefoosebr429
class GERONTOLOGICAL NURSING
Journal Article Summary Assignment:
The purpose of the journal article summary assignment is for students to improve their
knowledge of evidence-based geriatric nursing practice and evidence-based protocols.
Students will review evidence-based literature and reflect on how the literature impacts
their professional nursing practice. Students will summarize two articles published in a
peer-reviewed journal within the last 10 years. The journal articles must address the
geriatric population. Topics will be chosen from the provided list (unless prior approval is
given), and the topic may not be repeated on the two journal article summaries. The
student should summarize each article and discuss how the findings are significant to
clinical practice. Article summaries should use APA format (double spaced, but no cover
page) and should be no more than 3 pages. The two article summaries are 10% of the total
class grade (2 x 5%).
Journal summaries should use the following format:
• Purpose: Describe the purpose of the article/study.
• Strength of Evidence: Identify the type of evidence used to support the findings, and
the strength of the evidence. If the article is based on research, describe the study
design, setting, subjects, and sample size.
• Results: Summarize the findings of the study.
• Limitations: Identify study limitations that may weaken evidence or limit
generalizability.
• Significance: Describe how the findings are significant to geriatric nursing practice.
Do the findings represent a change in practice and how do the findings inform your
nursing practice (what did you learn)?
Topics for journal article summaries and class presentations choose one of those topic and APA
styles
• Pain
• Heart Failure
• Stroke
• Substance/Alcohol Abuse
• Urinary Incontinence
• Sexuality Issues
• Frailty/Fall Risk
• Iatrogenesis
• Sleep Disturbances
• Nutrition
• Hydration
• Orthostatic Hypotension
• Dementia
• Vision
• Hearing
• Polypharmacy
• Cultural Considerations
• Elder Communities
Solution
Ques-1: Purpose:
The purpose of the article is to examine the evidence-based practice of geriatric patients who
have been suffering from “urinary tract infection induced- urinary incontinence”. So that
catheterization of urinary tract have reduce urinary incontinence in geriatric patients thereby it is
essential implement to procedures to reduce urinary infection induced incontinence using
catheters for overflow incontinence
Ques-2:
Catheterization regimen:
\"RCT\" (simple randomized control design) and randomized trial: These two methods used
synonymously. However, it has illustrated that RCT is pertaining to trail design that include
control groups. In this design, patient groups who are receiving experimental treatment compared
with control groups (placebo groups).
In the above design it has clearly can be seen a randomized RCT was performed in two intensive
units of respiratory care of total 2990 bedded tertiary referral medical ce.
This document outlines a study protocol to evaluate the feasibility of implementing grip strength measurement into routine clinical practice for hospitalized older patients. The study will take place in five acute medical wards for older people in one hospital. It will have three phases: 1) Define current practices for identifying at-risk patients and their nutrition/mobility care through interviews and record reviews. 2) Develop and implement staff training on grip strength measurement using Normalization Process Theory. 3) Evaluate the acceptability, adoption, coverage, and basic costs of routine grip strength measurement through interviews, record reviews, and focus groups with staff and patients. The results will inform how grip strength can be translated from a research tool into clinical practice to improve identification of at-
Effectiveness of Olive Oil Massage on Fatigue among the Patients Undergoing H...ijtsrd
AIM The present study aim is to assess the Effectiveness of olive oil massage on fatigue among the patients undergoing Haemodialysis at SMCH. METHODS AND MATERIALS A Quantitative with experimental one group pre test post test was used in present study. A Total 30 samples were collected using convenience sampling technique. The demographic variable Assessment of level of fatigue among patients undergoing haemodialysis, Effectiveness of olive oil massage on level of fatigue among patients undergoing haemodialysis was assessed using structured questioner, followed by that data was gathered and analysed. RESULTS The results the study revealed that there is a significant of Effectiveness of olive oil massage on level of fatigue among patients undergoing haemodialysis at the level of p 0.001. CONCLUSION Thus, the present despites that there is a difference in effectiveness of olive oil massage between the pre test and post test which clearly interferes that effectiveness of olive oil massage on fatigue among the patients undergoing haemodialysis was found effective in reducing the fatigue in haemodialysis patients in the post test. Dr. S. Tamilselvi | Ms. S. Pooja "Effectiveness of Olive Oil Massage on Fatigue among the Patients Undergoing Haemodialysis" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-5 , October 2023, URL: https://www.ijtsrd.com/papers/ijtsrd60055.pdf Paper Url: https://www.ijtsrd.com/medicine/other/60055/effectiveness-of-olive-oil-massage-on-fatigue-among-the-patients-undergoing-haemodialysis/dr-s-tamilselvi
- This study evaluated 120 elderly patients with intertrochanteric hip fractures who were randomized to receive either zoledronic acid or a placebo after surgical treatment.
- Outcome measures including functional scores and bone mineral density were higher in the treatment group who received zoledronic acid compared to the placebo group.
- Mortality rates at 12 months were lower in the treatment group at 24.5% compared to the placebo group.
- The study concluded that the use of zoledronic acid after surgical treatment of intertrochanteric hip fractures in osteoporotic elderly patients over 65 years old is a safe treatment modality.
RP_ L. SUNEETHA CHEST PHYSIOTHERAPY.pptxLankeSuneetha
This document provides details of a research proposal on assessing the effectiveness of a structured teaching program on knowledge of chest physiotherapy among clients with respiratory problems. The objectives are to assess knowledge through pre- and post-tests, evaluate the effectiveness of the teaching program, examine associations between knowledge and demographic variables, and develop an information module. A literature review discusses previous studies that evaluated chest physiotherapy techniques. The methodology will use a quasi-experimental design, collecting data from 100 clients with respiratory problems using purposive sampling and analyzing it using descriptive and inferential statistics.
G112 Ito & Shiromaru (2009). Patients’ coping strategies before and after ab...Takehiko Ito
G112 Ito & Shiromaru (2009). Patients’ coping strategies before and after abdominal surgery: A questionnaire survey. The 1st International Nursing Research Conference of World Academy of Nursing Science, Kobe: Program & Abstracts, 235.
This document discusses surgical audit and research. It defines audit as the systematic analysis of surgical care quality, including procedures, treatments, complications, outcomes and resource use. Research is defined as investigations that aim to increase medical knowledge. The document outlines different types of studies including observational, case-control, cross-sectional, longitudinal, experimental and randomized controlled trials. It discusses important aspects of research like sample size calculations, eliminating bias, confidence intervals, p-values and levels of evidence. The importance of evidence-based surgery and organizations like the Cochrane Collaboration are also mentioned.
This document discusses surgical audit and research. It defines audit as the systematic analysis of surgical care quality including procedures, treatments, complications, and patient outcomes and quality of life. Research is defined as determining the safety and effectiveness of medical treatments and technologies. The key differences between audit and research are that research can involve experiments while audit only reviews existing care, and research aims to increase medical knowledge while audit aims to identify opportunities to improve care quality. The document also outlines types of studies, sample sizes, biases, statistical analysis methods, levels of evidence, and the Cochrane Collaboration.
Clinical trials involve experimental studies performed on people to evaluate medical or behavioral interventions. There are various phases of clinical trials, from initial microdosing and Phase I safety studies involving a small number of participants, to larger Phase II and III studies evaluating effectiveness. Phase IV studies monitor safety and additional uses after approval. Experimental studies can be randomized controlled trials, which are the gold standard, or non-randomized designs. Randomized controlled trials involve a treatment and control group, while other designs may lack a control or randomization.
- The researchers modified a validated Patient Reported Experience Measure (PREM) tool originally developed for rheumatoid arthritis (RA) patients to be used for patients with other rheumatic conditions. [1]
- They administered the modified PREM across 11 UK sites to 110 patients with various rheumatic conditions other than RA. The modified PREM demonstrated good construct validity and reliably captured patient experiences across different rheumatic conditions. [2]
- Some domains like needs/preferences and emotional support had higher agreement with patients' overall experience ratings. Both the original RA PREM and modified versions are valid tools for measuring patient experience in rheumatology. [3]
Random control trial RCT community medicine .pptxAkshayRaj781072
The document discusses randomized controlled trials (RCTs), which are considered the gold standard for evaluating the effectiveness of medical interventions. It provides definitions of key RCT concepts like randomization, blinding, and intention-to-treat analysis. RCTs follow a strict protocol and involve randomly assigning participants to experimental and control groups, intervening, following up, and assessing outcomes while limiting bias. Well-conducted RCTs can establish whether medical treatments, devices, or services are efficacious compared to alternatives.
Medical Conferences, Pharma Conferences, Engineering Conferences, Science Conferences, Manufacturing Conferences, Social Science Conferences, Business Conferences, Scientific Conferences Malaysia, Thailand, Singapore, Hong Kong, Dubai, Turkey 2014 2015 2016
Global Research & Development Services (GRDS) is a leading academic event organizer, publishing Open Access Journals and conducting several professionally organized international conferences all over the globe annually. GRDS aims to disseminate knowledge and innovation with the help of its International Conferences and open access publications. GRDS International conferences are world-class events which provide a meaningful platform for researchers, students, academicians, institutions, entrepreneurs, industries and practitioners to create, share and disseminate knowledge and innovation and to develop long-lasting network and collaboration.
GRDS is a blend of Open Access Publications and world-wide International Conferences and Academic events. The prime mission of GRDS is to make continuous efforts in transforming the lives of people around the world through education, application of research and innovative ideas.
Global Research & Development Services (GRDS) is also active in the field of Research Funding, Research Consultancy, Training and Workshops along with International Conferences and Open Access Publications.
International Conferences 2014 – 2015
Malaysia Conferences, Thailand Conferences, Singapore Conferences, Hong Kong Conferences, Dubai Conferences, Turkey Conferences, Conference Listing, Conference Alerts
EARLY ENTERAL FEEDING IN CASES OF GASTROINTESTINAL ANASTOMOSISAishwaryaMohanraj1
Bowel anastomosis and perforation suturing are commonly performed procedures by general surgeons worldwide both as emergency and elective procedures(1).
The traditional practice after major gastrointestinal surgeries is to keep the patient nil by mouth to prevent postoperative nausea and vomiting and protect the anastomotic site till return of bowel function.
Recently emphasis has been given to initiating early enteral feeding within 6 to 24 hours in the postoperative period.
Early enteral feeding is believed to reduce stress response, improve immunological response and promotes wound healing while significantly reducing septic complications after major abdominal procedures(2) chiefly due to enterocyte growth stimulation which results in an improved mucosal barrier function and decreased bacterial translocation 3.
Ruma rssp qi in resource poor settings 050211nyayahealth
A 6-month-old boy presented to a hospital in Nepal with severe respiratory distress. Despite his poor condition, supportive treatment was delayed. That evening, a power outage caused equipment failures and the inability to provide oxygen. The child was found unresponsive hours later and died after unsuccessful resuscitation efforts. Quality improvement tools that can be used in resource-poor settings include quality committees, standards/checklists, clinical audits, patient interviews, and morbidity/mortality conferences to systematically analyze care quality and identify areas for improvement.
This document summarizes a longitudinal study that assessed the long-term health-related quality of life (HRQoL) of liver transplant recipients in Southwest China using the Medical Outcomes Study Short Form 36 (MOS SF-36) questionnaire. The study found that while liver transplant recipients initially had significantly worse HRQoL scores than the general population, their scores improved in subsequent years after transplantation. Patients who lived more than 10 years after transplantation demonstrated significant improvements in health status and high mental health scores, indicating improved psychological conditions over time.
Discover the benefits of outsourcing SEO to Indiadavidjhones387
"Discover the benefits of outsourcing SEO to India! From cost-effective services and expert professionals to round-the-clock work advantages, learn how your business can achieve digital success with Indian SEO solutions.
Ready to Unlock the Power of Blockchain!Toptal Tech
Imagine a world where data flows freely, yet remains secure. A world where trust is built into the fabric of every transaction. This is the promise of blockchain, a revolutionary technology poised to reshape our digital landscape.
Toptal Tech is at the forefront of this innovation, connecting you with the brightest minds in blockchain development. Together, we can unlock the potential of this transformative technology, building a future of transparency, security, and endless possibilities.
Meet up Milano 14 _ Axpo Italia_ Migration from Mule3 (On-prem) to.pdfFlorence Consulting
Quattordicesimo Meetup di Milano, tenutosi a Milano il 23 Maggio 2024 dalle ore 17:00 alle ore 18:30 in presenza e da remoto.
Abbiamo parlato di come Axpo Italia S.p.A. ha ridotto il technical debt migrando le proprie APIs da Mule 3.9 a Mule 4.4 passando anche da on-premises a CloudHub 1.0.
Understanding User Behavior with Google Analytics.pdfSEO Article Boost
Unlocking the full potential of Google Analytics is crucial for understanding and optimizing your website’s performance. This guide dives deep into the essential aspects of Google Analytics, from analyzing traffic sources to understanding user demographics and tracking user engagement.
Traffic Sources Analysis:
Discover where your website traffic originates. By examining the Acquisition section, you can identify whether visitors come from organic search, paid campaigns, direct visits, social media, or referral links. This knowledge helps in refining marketing strategies and optimizing resource allocation.
User Demographics Insights:
Gain a comprehensive view of your audience by exploring demographic data in the Audience section. Understand age, gender, and interests to tailor your marketing strategies effectively. Leverage this information to create personalized content and improve user engagement and conversion rates.
Tracking User Engagement:
Learn how to measure user interaction with your site through key metrics like bounce rate, average session duration, and pages per session. Enhance user experience by analyzing engagement metrics and implementing strategies to keep visitors engaged.
Conversion Rate Optimization:
Understand the importance of conversion rates and how to track them using Google Analytics. Set up Goals, analyze conversion funnels, segment your audience, and employ A/B testing to optimize your website for higher conversions. Utilize ecommerce tracking and multi-channel funnels for a detailed view of your sales performance and marketing channel contributions.
Custom Reports and Dashboards:
Create custom reports and dashboards to visualize and interpret data relevant to your business goals. Use advanced filters, segments, and visualization options to gain deeper insights. Incorporate custom dimensions and metrics for tailored data analysis. Integrate external data sources to enrich your analytics and make well-informed decisions.
This guide is designed to help you harness the power of Google Analytics for making data-driven decisions that enhance website performance and achieve your digital marketing objectives. Whether you are looking to improve SEO, refine your social media strategy, or boost conversion rates, understanding and utilizing Google Analytics is essential for your success.
Gen Z and the marketplaces - let's translate their needsLaura Szabó
The product workshop focused on exploring the requirements of Generation Z in relation to marketplace dynamics. We delved into their specific needs, examined the specifics in their shopping preferences, and analyzed their preferred methods for accessing information and making purchases within a marketplace. Through the study of real-life cases , we tried to gain valuable insights into enhancing the marketplace experience for Generation Z.
The workshop was held on the DMA Conference in Vienna June 2024.
2. SDM Institute of Nursing Sciences
Dharwad
A constituent unit
of
PRESENTED BY :
Mr. VEERESH KADEMANI
1st YEAR M.Sc NURSING
3. WHAT IS JOURNAL ?
- It is a newspaper or magazines that deals with
a particular subject or professional activity
1) ACADEMIC JOURNAL
2) TRADE JOURNAL
3) CURRENT AFFAIR MAGAZINES
4)POPULAR MAGAZINES
5) NEWS PAPER
TYPES
5. Name of the journal :- Research & Review :
Management of Emergency
And Trauma Nursing
Publisher Name :- MAT Publications.
Online ISSN :- 2582-0494
Editor in chief :- Ms. Yamini Devi.V
Volume :- 02
Issue :- 02 [ March - August, 2020 ]
Publication Place :- Ghaziabad, U.P, India.
6. • Address :- MAT JOURNALS
Office No-301, second floor,
Plot No: CS-4, Gyan Khand-2,
Indirapuram, Ghaziabad, U.P, 201014.
• Website :- www.matjournals.com
• Periodicity
[Frequency of Publication] :- Twice Annually
• Month(s) of Publication :- March – August
• Cost of journal for subscriptions :- Annual subscription rates for
individuals (2 copies per year)
: Rs. 2000/-
7. Description of the Journal :
INTRODUCTION
RRMETN is a peer reviewed Journal
which provides platform to researcher, Academicians,
Scholars, Professionals in the field of Nursing Science to
promulgate their Research/ Review/Case studies in the
field of Emergency and Trauma Nursing
JOURNAL FOCUSES ON
This journal focuses on Medical
and Surgical emergencies, their major issues and gives
high priority for advanced intensive care relating to the
emergencies.
8. CONTENTS : FEATURE ARTICLES
1] Principles and Concepts of Emergency Nursing
Sheeba Chellappan
2] COVID 19: Myths and Facts
Gurmeet Singh Sarla
3] A Case Of Ricocheted Gun Shot Injury
Gurmeet Singh Sarla
4] Factors Associated With Non Adherence To HAART Amongst
Adolescent Aged Between 18 And 25 Years Attending
Parirenyatwa Opportunistic Infection Clinic, Zimbabwe.
Sandra Makore,
9. 5] A Quasi Experimental Study To Evaluate The Effectiveness
Of Selected Nursing Interventions( Steam Inhalation, Deep
Breathing Exercise And Ambulation ) In Terms Of
Physiological Parameters And Selected Post- Operative
Outcomes Among Patient Undergoing Abdominal Surgery In
Selected Hospital Of Delhi, India.
Bharti
6] Effectiveness Of Intradialytic Exercises On
Muscle Cramps And Quality Of Life Among
Patients Undergoing Hemodialysis In
Selected Hospital Chennai.
P . Subitha, Deepa M
11. “A Study To Assess The Effectiveness
Of Intradialytic Exercises On Muscle
Cramps And Quality Of Life Among
Patients Undergoing Hemodialysis In
Selected Hospital, Chennai”.
P. SUBITHA [ PRIMARY RESEARCHER ]
DEEPA. M [ RESERCH GUIDE ]
12. Chronic or irreversible renal failure is a progressive
reduction of functioning renal tissue such that the
remaining kidney mass can no longer maintain the
body’s internal environment. The prevalence of muscle
cramps is 33 to 86% among hemodialysis patients.
Intradialytic exercises helps to reduce
muscle cramps, improve physical function and quality of
life of patients undergoing hemodialysis. It is simple and
feasible. Hence the study was conducted to assess the
effectiveness of intrdialytic exercises on muscle cramps
and quality of life among patients undergoing
hemodialysis.
13. 1) To assess the muscle cramps and quality of life among patients
undergoing hemodialysis before and after intervention.
2) To assess the effectiveness of intradialytic exercises on muscle
cramps and quality of life among patients undergoing
hemodialysis.
3) To associate the post interventional level of muscle cramps and
quality of life with selected demographic variables and clinical
variables among patients undergoing hemodialysis.
4) To correlate the post interventional level of muscle cramps and
quality of life among patients undergoing hemodialysis.
14. H1: There is a significant difference between pre
and post interventional score of muscle cramps
and quality of life among patients undergoing
hemodialysis.
H2: There is a significant association between
post interventional score of muscle cramps and
quality of life with demographic and clinical
variables of patients undergoing hemodialysis.
15. Research Approach :- Quantitative Research Approach.
Research Design :- Quasi Experimental Two Group
Pre And Post Test Design.
Sample :- Patients undergoing Haemodialysis with
Muscle Cramps.
Sample size :- 80 (experimental group = 40)
(control group = 40)
Sampling Technique :- Non probability Purposive Sampling.
Duration of study :- 2 weeks.
16. The patients who
are undergoing Haemodialysis with
Muscle Cramps.
were in the age group of 21 to 70 years.
are alert and cooperative.
were both male and female.
17. - Emergency hemodialysis patients
- Patient with femoral dialysis
- Catheter & Internal Jugular Vein catheter
- Patients with any lower limb pathology
- Patient with ventilator support
18. Demographic Variables
Clinical Variables
Intra Dialytic Muscle Cramps Assessment
Tool
Modified Kidney Disease Quality Of Life
Short Form Scale.
19. The study was approved by the Institutional Review Boards at
the University and the clinical site.
The study were conducted among 80 samples undergoing
hemodialysis (Experimental group = 40; Control group = 40) in
selected hospital.
After obtaining informed consent from samples , using self
report interview schedule the investigator collected the
demographic and clinical data.
And assessed the pre interventional level of muscle cramps
using Intra Dialytic Muscle Cramps Assessment Tool and quality
of life by Modified Kidney Disease Quality Of Life Short Form
Scale.
After, for the experimental group, the investigator demonstrated
20. Bilateral straight legged raise
& knee flexion
Neck
stretch
Shoulder shrug
&
rotation
Triceps extension
Elbow flexion
Supine hip flexion
Supine hip abduction
Supine hip adduction
Leg stretch
21. Before the initiation of hemodialysis and reinforced
the patients to continue the same for 30 minutes
during second and fourth hour from the initiation of
hemodialysis procedure.
The intradialytic exercises were continued for a
period of 2 weeks (6 hemodialysis sitting).
On day 12, post interventional level of muscle
cramps and quality of life was assessed by using the
same scale.
The patients in control group received hospital
treatment regimen.
22. Frequency and percentage distribution was
used to analyze the demographic variables and
clinical variables of the samples undergoing
hemodialysis.
Mean and standard deviation was used to
assess
the pre and post interventional level of muscle
DATA MANAGEMENT AND ANALYSIS
Descriptive and inferential statistics were used for data anal
23. Student independent ‘t’ test and paired ‘t’ test
was used to compare the level of muscle cramps
and quality of life of patients in experimental and
control group.
Chi square test was used to associate the post
interventional muscle cramps and quality of life
with selected demographic and clinical variables
in experimental and control group.
Correlation coefficient was used to correlate the
post test level of muscle cramps and quality of
life among patient undergoing hemodialysis
24. DEMOGRAPHICS
1) Age :- majority (37.5%) of the patients in experimental and
control group were in age group of 51- 60 years.
2) Gender :- 75% of the patients in the experimental group &
80% patients in the control group were male.
3) Educational status :- 35% of the patients in experimental and
control group had secondary education.
4) Occupational status :- 62.5% of the patients in experimental
group & 67.5% in control group were employed.
25. DEMOGRAPHICS,
5) Marital status :- 100% of the patients were married in
both experimental and control groups.
6) Income :- in the experimental group, 55% of the patients
and in the control group 57.5% patients monthly income
Rs 10,000 - <15,000.
7) Type of family :- 75% & 70% of the patients in the
experimental and control group were from the nuclear family.
8) Dietary pattern :- 82.5% of the patients in both
experimental control group were non-vegetarian.
26. CLINICAL VARIABLES,
In the experimental group, 47.5% of the patients had
hypertension, 22.5% of the patients had diabetic mellitus
and hypertension as associated illness,
Whereas in the control group, 50% of the patients had
hypertension, 22.5% of the patients had diabetic mellitus
as associated illness.
In the experimental group, 65% of patients were
undergoing hemodialysis for 1- < 3years duration and in
the control group 57.5% of the patients were undergoing
hemodialysis for 1- < 3years duration.
27. CLINICAL VARIABLES,
In the experimental and control group,100% of patients
were undergoing hemodialysis for 4 hours per sitting.
In relation to intake medications, 100% of patients in the
experimental and control group were taking calcium
supplements.
Regarding awareness about exercise during dialysis,
87.5% of the patients in experimental group and 100% of
the patients in control group were unaware of exercises
28. In relation to current creatinine level, 50% of patients creatinine level
between 8 mg/dl and above, 40% of the patients creatinine level between
5-<8 mg/dl in the experimental group. Where as in the control group, 45%
of patients creatinine level between 5-<8mg/dl, 40% of patients creatinine
level between 8mg/dl and above.
In the experimental group, 45% of patients were prescribed fluid intake
range between 251-250 ml. 35% of patients were prescribed fluid intake
range between 501-1000 ml. where as in control group, 55% of patients
were prescribed fluid intake range upto 250 ml, 30% of patients were
prescribed fluid intake range between 251-500 ml.
In relation to occurrence of muscle cramps during non dialysis days, 45%
of patients had muscle cramps in the experimental group and in the
control group 50% of patients had muscle cramps during non dialysis days
particularly at night.
CLINICAL VARIABLES,
29. 1) The first objective was to assess the muscle cramps and
quality of life among patients undergoing hemodialysis before
and after intervention.
In pre test, all patients in the experimental & control group had
severe muscle cramps. In post test, experimental group, majority of
the patients (82.5%) had no muscle cramps, whereas in control
group, majority of the patients (92.5% ) had severe muscle cramps.
In pre test majority of the patients (92.5%) had poor quality of life in
the experimental group, whereas in the control group, all patients
had poor quality of life , in post test, majority of the patients (57.5%)
had moderate quality of life and 70 patients (42.5%) had good
quality of life in the experimental group, whereas in the control
group, majority of the patients (92.5%) had poor quality of life.
30. 2) second objective was to assess the effectiveness of
intradialytic exercises on muscle cramps and quality of life
among patients undergoing hemodialysis.
In the experimental group, pre test mean muscle cramps score
was higher than the post test mean score and pre test quality of
life mean score was lower than the post test score, whereas in the
control group, pre and post test mean score was almost same.
There was a statistically significant difference in pre and post test
mean score at p< 0.001level in experimental group. Hence we
can infer that the intradialytic exercises were effective in
reducing muscle cramps and improving in the quality of life
among patients undergoing hemodialysis.
31. 3) The third objective was to associate the post interventional level of muscle
cramps and quality of life with selected demographic variables and clinical
variables among patients undergoing hemodialysis.
There was a statistically significant association found between ,
- the post interventional levels of muscle cramps with demographic
variables such as age, educational qualification at 5% level.
- the post interventional levels of muscle cramps with clinical variables
such as duration of undergoing hemodialysis, awareness regarding
exercises during hemodialysis at 5% level.
- the post interventional quality of life of the patients undergoing
hemodialysis with dietary pattern at 5% level.
- post interventional quality of life of the patients undergoing
hemodialysis with clinical variables such as awareness regarding
exercise during hemodialysis at 5% level.
32. H1: There is a significant difference between pre
and post interventional score of muscle cramps
and quality of life among patients undergoing
hemodialysis.
H2: There is a significant association between
post interventional score of muscle cramps and
quality of life with demographic and clinical
variables of patients undergoing hemodialysis.
33. 4) The fourth objective was to correlate the
post interventional level of muscle cramps
and quality of life among patients
undergoing hemodialysis.
There was a low negative correlation
between muscle cramps and quality of life
in the experimental and control group
among patients undergoing hemodialysis.
34. H1: There is a significant difference between pre
and post interventional score of muscle cramps
and quality of life among patients undergoing
hemodialysis.
H2: There is a significant association between
post interventional score of muscle cramps and
quality of life with demographic and clinical
variables of patients undergoing hemodialysis.
35. The study findings showed
that intradialytic exercise were effective in
reducing muscle cramps and improving the
quality of life among patients undergoing
hemodialysis intradialytic exercises can be
used as A non pharmacological measure in
reducing muscle cramps and improving
quality of life of patients undergoing
hemodialysis.
36. Intradialytic exercises can be incorporated as one of the
routine nursing interventions in reducing muscle cramps
and improving quality of life among patients undergoing
hemodialysis.
The same study can be conducted among larger samples
to generalize the findings.
A comparative study can be conducted to assess the
effectiveness of intradialytic resistance exercises and
intradialytic stretching exercises in reducing muscle
cramps and improving quality of life among patients
receiving hemodialysis and peritoneal dialysis.