Abstract: The purpose of this study was to study the practical
delivery room experience of nursing students. The respondents were
6 junior nursing students of Suranaree University of Technology who
had a direct experience from practicing in a delivery room between
January 9 and March 30, 2012 as part of Nursing Care of the Family
and Midwifery 3. The data was collected by using in-depth interview,
observation, and reflective report. The results of the study found that
the practical delivery room experience of nursing students consisted
of three issues: 1) stress and coping with stress during practical
exercise, 2) changes in daily routine, and 3) source during practical
exercise. The results of this study would lead to the understanding of
the meaning of the practical exercise of nursing students.
Abstract: Successful intelligence (SI) is the integrated set of the
ability needed to attain success in life, within individual-s sociocultural
context. People are successfully intelligent by recognizing
their strengths and weaknesses. They will find ways to strengthen
their weakness and maintain their strength or even improve it. SI
people can shape, select, and adapt to the environments by using
balance of higher-ordered thinking abilities including; critical,
creative, and applicative. Aims: The purposes of this study were to;
1) develop curriculum that promotes SI for nursing students, and 2)
study the effectiveness of the curriculum development. Method:
Research and Development was a method used for this study. The
design was divided into two phases; 1) the curriculum development
which composed of three steps (needs assessment, curriculum
development and curriculum field trail), and 2) the curriculum
implementation. In this phase, a pre-experimental research design
(one group pretest-posttest design) was conducted. The sample
composed of 49 sophomore nursing students of Boromarajonani
College of Nursing, Surin, Thailand who enrolled in Nursing care of
Health problem course I in 2011 academic year. Data were carefully
collected using 4 instruments; 1) Modified essay questions test
(MEQ) 2) Nursing Care Plan evaluation form 3) Group processing
observation form (α = 0.74) and 4) Satisfied evaluation form of
learning (α = 0.82). Data were analyzed using descriptive statistics
and content analysis. Results: The results revealed that the sample
had post-test average score of SI higher than pre-test average score
(mean difference was 5.03, S.D. = 2.84). Fifty seven percentages of
the sample passed the MEQ posttest at the criteria of 60 percentages.
Students demonstrated the strategies of how to develop nursing care
plan. Overall, students- satisfaction on teaching performance was at
high level (mean = 4.35, S.D. = 0.46). Conclusion: This curriculum
can promote the attribute of characteristic of SI person and was
highly required to be continued.
Abstract: Medical Surgical Nursing is one of the major subjects
in nursing. This study examined the validity and reliability of the
achievement examination utilizing the Classical Test Theory and
Item Response Theory. The study answered the following objectives
specifically : ( a) To establish the validity and reliability of the
achievement examination utilizing Classical Test Theory and Item
Response Theory ; ( b ) To determine the dimensionality measure of
items and ( c ) to compare the item difficulty and item discrimination
of the Medical Surgical Nursing Achievement examination using
Classical Test Theory ( CTT ) and Item Response Theory ( IRT ).
The developed instrument was administered to fourth year nursing
students (N= 136) of a private university in Manila. The findings
yielded the following results: The achievement examination is
reliable both using CTT and IRT. The findings indicate person and
item statistics from two frameworks are quite alike. The achievement
examination formed a unidimensional construct.
Abstract: The purpose of this study was to explore the correlation
between leisure participation and perceived wellness, with the students
of a nursing college in southern Taiwan as the subjects. One thousand
six hundred and ninety-six (1,696) surveys were sent, and 1,408
surveys were received for an 83.02% valid response rate. Using
canonical correlation analysis to analyze the data, the results showed
that the linear combination of the two sets of variable produces five
significant canonical variates. Out of the five canonical variates, only
the first has sufficient explanatory power. The canonical correlation
coefficient of first canonical variate is 0.660. This indicated that
leisure participation and perceived wellness are significantly
Abstract: The investigating and assessing the effects of
relaxation training on the levels of state anxiety concerning first year
female nursing students at their initial experience in clinical setting.
This research is a quasi experimental study that was carried out in
nursing and midwifery faculty of Tehran university of medical
sciences .The sample of research consists 60 first term female
nursing students were selected through convenience and random
sampling. 30 of them were the experimental group and 30 of them
were in control group. The Instruments of data-collection has been a
questionnaire which consists of 3 parts. The first part includes 10
questions about demographic characteristics .the second part includes
20 question about anxiety (test 'Spielberg' ). The 3rd part includes
physiological indicators of anxiety (BP, P, R, body temperature). The
statistical tests included t-test and and fisher test, Data were
analyzed by SPSS software.
Abstract: Legionella pneumophila is involved in more than 95%
cases of severe atypical pneumonia. Infection is mainly by
inhalation the indoor aerosols through the water-coolant systems.
Because some Legionella strains may be viable but not culturable,
therefore, Taq polymerase, DNA amplification and semi-nested-PCR
were carried out to detect Legionella-specific 16S-rDNA sequence.
For this purpose, 1.5 litter of water samples from 77 water-coolant
system were collected from four different hospitals, two nursing
homes and one student hostel in Kerman city of Iran, each in a brand
new plastic bottle during summer season of 2006 (from April to
August). The samples were filtered in the sterile condition through
the Millipore Membrane Filter. DNA was extracted from membrane
and used for PCR to detect Legionella spp. The PCR product was
then subjected to semi-nested PCR for detection of L. pneumophila.
Out of 77 water samples that were tested by PCR, 30 (39%) were
positive for most species of Legionella. However, L. pneumophila
was detected from 14 (18.2%) water samples by semi-nested PCR.
From the above results it can be concluded that water coolant
systems of different hospitals and nursing homes in Kerman city of
Iran are highly contaminated with L. pneumophila spp. and pose
serious concern. So, we recommend avoiding such type of coolant
system in the hospitals and nursing homes.
Abstract: Regular physical activity contributes positively to physiological and psychological health. This study aimed to identify exercise behavior changes, self efficacy and decisional balance in nursing and midwifery students. This was a cross-sectional study carried out in Iran.300undergraduate nursing and midwifery students participated in this study. Data were collected using a questionnaire including demographic information, exercise stages of change, exercise self efficacy and pros and cons exercise decisional balance. The analysis was performed using the SPSS.A p-value of less than 0.05 was considered as statistically significant.
Abstract: The only relevant basis for the design of an educational application are objectives of learning for the content area. This study analyses the process in which the real – not only the formal – objectives could work as the starting point for the construction of an educational game. The application context is the education of perioperative nursing. The process is based on the panel discussions of nursing teachers. In the panels, the teachers elaborated the objectives. The transcribed discussions were analysed in terms of the conceptions of learning and teaching of perioperative nursing. The outcome of the study is first the elaborated objectives, which will be used in the implementation of an educational game for the needs of pre-, intra and post-operative nursing skills learning. Second, the study shows that different views of learning are necessary to be understood in order to design an appropriate educational application.
Abstract: Information and Communication Technologies (ICT) has changed our life and learn. ICT bares doors to new innovative methods to deliver education. E-learning is a part of ICT and has been endorsed as a tool for developing “21st century skills” in higher education. The aim of this review is to establish the impacts of e-learning in undergraduate nursing education. A systematic literature review was conducted to assess the impacts of e-learning in nursing education by using Akdeniz University electronic databases. According to results, we can decelerate that the nursing faculties cannot treat e-learning methods as a single tool. E-learning should be used with a good understanding of learners’ needs.
Abstract: Nurses are responsible for the care and treatment of individuals, as well as health maintenance and education. Medication administration is an important part of health promotion. The administration of a medicine is a common but important clinical procedure for nurses because of its complex structure. Therefore, medication errors are inevitable for nurses or nursing students. Medication errors can cause ineffective treatment, patient’s prolonged hospital stay, disablement or death. Additionally, medication errors affect the global economy adversely by increasing health costs. Hence, preventing or decreasing of medication errors is a critical and essential issue in nursing. Nurse educators are in pursuit of new teaching methods to teach students significance of medication application. In the light of technological developments of this age, e-learning has started to be accepted as an important teaching method. E-learning is the use of electronic media and information and communication technologies in education. It has advantages such as flexibility of time and place, lower costs, faster delivery and lower environmental impact. Students can make their own schedule and decide the learning method. This study is conducted to determine the impact of e-learning on medication administration of nursing students.
Abstract: Pain management is a question of quality of life and
an indicator for nursing quality. Chronic pain which is predominant
in oncology and palliative nursing situations is perceived today as a
multifactorial, individual emotional experience with specific
characteristics including the sociocultural dimension when dealing
with migrant patients. This dimension of chronic pain is of major
importance in professional nursing of migrant patients in hospices or
palliative care units. Objectives of the study are: 1. To find out more
about the sociocultural views on pain and nursing care, on customs
and nursing practices connected with pain of both Turkish Muslim
and German Christian women, 2. To improve individual and family
oriented nursing practice with view to sociocultural needs of patients
in severe pain in palliative care. In a qualitative-explorative comparative study 4 groups of women,
Turkish Muslims immigrants (4 from the first generation, 5 from the
second generation) and German Christian women of two generations
(5 of each age group) of the same age groups as the Turkish women
and with similar educational backgrounds were interviewed (semistructured
ethnographic interviews using Spradley, 1979) on their
perceptions and experiences of pain and nursing care within their
families. For both target groups the presentation will demonstrate the
following results in detail: Utterance of pain as well as “private” and
“public” pain vary within different societies and cultures. Permitted
forms of pain utterance are learned in childhood and determine
attitudes and expectations in adulthood. Language, especially when
metaphors and symbols are used, plays a major role for
misunderstandings. The sociocultural context of illness may include
specific beliefs that are important to the patients and yet seem more
than far-fetched from a biomedical perspective. Pain can be an
influential factor in family relationships where respect or hierarchies
do not allow the direct utterance of individual needs. Specific
resources are often, although not exclusively, linked to religious
convictions and are significantly helpful in reducing pain. The discussion will evaluate the results of the study with view to
the relevant literature and present nursing interventions and
instruments beyond medication that are helpful when dealing with
patients from various socio-cultural backgrounds in painful end-oflife
Abstract: Critical thinking and creativity are prerequisite skills for working professionals in the 21st century. A survey conducted in 2014 at the Boromarajonani College of Nursing, Chon Buri, Thailand, revealed that these skills within students across all academic years was at a low to moderate level. An action research study was conducted to develop the EREC IF Model, a framework which includes the concepts of experience, reflection, engagement, culture and language, ICT, and flexibility and fun, to guide pedagogic activities for 75 sophomores of the undergraduate nursing science program at the college. The model was applied to all professional nursing courses. Prior to implementation, workshops were held to prepare lecturers and students. Both lecturers and students initially expressed their discomfort and pointed to the difficulties with the model. However, later they felt more comfortable, and by the end of the project they expressed their understanding and appreciation of the model. A survey conducted four and eight months after implementation found that the critical thinking and creativity skills of the sophomores were significantly higher than those recorded in the pretest. It could be concluded that the EREC IF model is efficient for fostering critical thinking and creativity skills in the undergraduate nursing science program. This model should be used for other levels of students.
Abstract: The aim of this descriptive study was to determine the perception of 21st century skills among nursing professors and nursing students at Boromarajonani College of Nursing, Chonburi. A total of 38 nursing professors and 75 second year nursing students took part in the study. Data were collected by 21st century skills questionnaires comprised of 63 items. Descriptive statistics were used to describe the findings. The results have shown that the overall mean scores of the perception of nursing professors on 21st century skills were at a high level. The highest mean scores were recorded for computing and ICT literacy, and career and leaning skills. The lowest mean scores were recorded for reading and writing and mathematics. The overall mean scores on perception of nursing students on 21st century skills were at a high level. The highest mean scores were recorded for computer and ICT literacy, for which the highest item mean scores were recorded for competency on computer programs. The lowest mean scores were recorded for the reading, writing, and mathematics components, in which the highest item mean score was reading Thai correctly, and the lowest item mean score was English reading and translate to other correctly. The findings from this study have shown that the perceptions of nursing professors were consistent with those of nursing students. Moreover, any activities aiming to raise capacity on English reading and translate information to others should be taken into the consideration.
Abstract: The researchers’ experience of student affairs in 2011-2013, we found that few undergraduate nursing students become student association members who participated in co-curricular activities, they have limited skill of self-directed-learning and leadership. We developed “A Leadership Promoting Program” using Self-Directed Learning concept. The program included six activities: 1) Breaking the ice, Decoding time, Creative SMO, Know me-Understand you, Positive thinking, and Creative dialogue, which include four aspects of these activities: decision-making, implementation, benefits, and evaluation. The one-group, pretest-posttest quasi-experimental research was designed to examine the effects of the program on participation in co-curricular activities. Thirty five students participated in the program. All were members of the board of undergraduate nursing student association of Boromarajonani College of Nursing, Chonburi. All subjects completed the questionnaire about participation in the activities at beginning and at the end of the program. Data were analyzed using descriptive statistics and dependent t-test. The results showed that the posttest scores of all four aspects mean were significantly higher than the pretest scores (t=3.30, p
Abstract: This qualitative study aimed to describe the opinions in relation to humanized care emerging from the volunteer activities of nursing students at Boromarajonani College of Nursing, Chonburi, Thailand. One hundred and twenty-seven second-year nursing students participated in this study. The volunteer activity model was composed of preparation, implementation, and evaluation through a learning log, in which students were encouraged to write their daily activities after completing practical training at the healthcare center. The preparation content included three main categories: service minded, analytical thinking, and client participation. The preparation process took over three days that accumulates up to 20 hours only. The implementation process was held over 10 days, but with a total of 70 hours only, with participants taking part in volunteer work activities at a healthcare center. A learning log was used for evaluation and data were analyzed using content analysis. The findings were as follows. With service minded, there were two subcategories that emerged from volunteer activities, which were service minded towards patients and within themselves. There were three categories under service minded towards patients, which were rapport, compassion, and empathy service behaviors, and there were four categories under service minded within themselves, which were self-esteem, self-value, management potential, and preparedness in providing good healthcare services. In line with analytical thinking, there were two components of analytical thinking, which were analytical skill for their works and analytical thinking for themselves. There were four subcategories under analytical thinking for their works, which were evidence based thinking, real situational thinking, cause analysis thinking, and systematic thinking, respectively. There were four subcategories under analytical thinking for themselves, which were comparative between themselves, towards their clients that leads to the changing of their service behaviors, open-minded thinking, modernized thinking, and verifying both verbal and non-verbal cues. Lastly, there were three categories under participation, which were mutual rapport relationship; reconsidering client’s needs services and providing useful health care information.
Abstract: Background: Competency of nurses is vital to safe nursing practice as well as essential component to drive quality of nursing services. There exists little up to date information concerning actual competency among Vietnamese nurses. Purposes: The purpose of this study is to identify the actual nursing competency among nurses in clinical settings in Vietnam. Methods: A qualitative study, ethnographic method, comprised of the participant-observation, in-depth interview, and focus group discussion with multidisciplinary groups of nurses employing in Cho Ray hospital, Vietnam, managers/administrators, nurse teachers, medical doctors, other health care providers, patients and family members which derived from purposeful sampling technique. Content analysis was used for data analysis. Results: Five essential themes of nursing competencies among nurses were identified include (1) knowledge, (2) skills, (3) attitude and value-based nursing practice, (4) legal and ethical competencies, and (5) transcultural competencies. Basic and advanced knowledge were identified as further two dimensions of knowledge. There were five sub themes identified as further dimensions of skills include technical skills, communication skills, organizing and management skills, teamwork and interrelationship, and critical thinking skills. Conclusions: The findings from this study provide valuable information and understanding of the actual competency among nurses in clinical settings in Vietnam. It is expected that this understanding would assist in developing a guide to nursing education and training, nursing practice and relevant policy regulation used for promoting nursing competency among nurses.
Abstract: This study has been conducted as a supplementary and relationship seeking study with the purpose of measuring the tendency and success of support among peers amid nursing students studying at university in solving interpersonal problems. The population of the study (N:279) is comprised of nursing students who are studying at one state and one private university in the province of Konya, while its sample is comprised of 231 nursing students who agreed to take part in the study voluntarily. As a result of this study, it has been determined that the peer support and interpersonal problem solving characteristics among students were at medium levels and that the interpersonal problem solving skills of students studying in the third year were higher than those of first and second year students. While the interpersonal problem solving characteristics of students who are aged 20 and over were found to be higher, no difference could be determined in terms of the interpersonal problem solving skills and tendencies among students, based on their gender and where they reside. A positive – to a medium degree – and significant relationship was determined between peer support and interpersonal problem solving skills, and it is possible to say that as peer support increases, so do the skills and tendencies to solve problems.
Abstract: Enzymatic modification of rice flour can produce highly functional derivatives use in food industries. This study aimed to evaluate the physical properties and resistant starch content of rice flour residues hydrolyzed by α-amylase. Rice flour hydrolyzed by α-amylase (60 and 300 u/g) for 1, 24 and 48 hours were investigated. Increasing enzyme concentration and hydrolysis time resulted in decreased rice flour residue’s lightness (L*) but increased redness (a*) and yellowness (b*) of rice flour residues. The resistant starch content and peak viscosity increased when hydrolysis time increased. Pasting temperature, trough viscosity, breakdown, final viscosity, setback and peak time of the hydrolyzed flours were not significantly different (p>0.05). The morphology of native flour was smooth without observable pores and polygonal with sharp angles and edges. However, after hydrolysis, granules with a slightly rough and porous surface were observed and a rough and porous surface was increased with increasing hydrolyzed time. The X-ray diffraction patterns of native flour showed A-type configuration, which hydrolyzed flour showed almost 0% crystallinity indicated that both amorphous and crystalline structures of starch were simultaneously hydrolyzed by α-amylase.
Abstract: Chronic Kidney Disease is considered a serious public health problem. The exploitation of resilience has been guided by studies conducted in various contexts, especially in hemodialysis, since the impact of diagnosis and restrictions produced during the treatment process because, despite advances in treatment, remains the stigma of the disease and the feeling of pain, hopelessness, low self-esteem and disability. The objective was to evaluate the level of resilience of patients in chronic renal dialysis. This is a descriptive, correlational, cross and quantitative research. The sample consisted of 100 patients from a Renal Replacement Therapy Unit in the countryside of São Paulo. For data collection were used the characterization instrument of Participants and the Resilience Scale. There was a predominance of males (70.0%) were Caucasian (45.0%) and had completed elementary education (34.0%). The average score obtained through the Resilience Scale was 131.3 (± 20.06) points. The resiliency level submitted may be considered satisfactory. It is expected that this study will assist in the preparation of programs and actions in order to avoid possible situations of crises faced by chronic renal patients.
Abstract: This research explored ward nurses’ views about the characteristics of effective nurse leaders in the context of Iraq as a developing country, where the delivery of health care continues to face disruption and change. It is well established that the provision of modern health care requires effective nurse leaders, but in countries such as Iraq the lack of effective nurse leaders is noted as a major challenge. In a descriptive quantitative study, a survey questionnaire was administered to 210 ward nurses working in two public hospitals in a major city in the north of Iraq. The participating nurses were of the opinion that the effectiveness of their nurse leaders was evident in their ability to demonstrate: good clinical knowledge, effective communication and managerial skills. They also viewed their leaders as needing to hold high-level nursing qualifications, though this was not necessarily the case in practice. Additionally, they viewed nurse leaders’ personal qualities as important, which included politeness, ethical behaviour, and trustworthiness. When considered against the issues raised in interviews with a smaller group (20) of senior nurse leaders, representative of the various occupational levels, implications identify the need for professional development that focuses on how the underpinning competencies relate to leadership and how transformational leadership is evidenced in practice.