CHALLENGES IN PURSUING NURSING EDUCATION AT THE GRADUATE LEVEL: MOTIVATORS, BARRIERS, AND PERSISTENCE
As the United States [U.S.] nursing shortage continues, the need for a highly educated work force grows. Although, the Carnegie Report  advocated for a Bachelor of Science in Nursing [BSN] degree as entry into practice with a required Master of Science in Nursing [MSN] earned within 10 years, the necessity to pursue a graduate degree in nursing has not been as widely encouraged as the baccalaureate degree. Master’s prepared nurses are essential across a variety of health care settings to serve in leadership, management, and advanced primary provider positions, as well as in academic settings as faculty members and researchers. In 2017, approximately 17% of the nursing workforce held a master’s degree. This was up from 13.8% in 2013 . While the percentage of nurses earning a master’s degree has risen gradually, the need for additional highly educated nurses persists as rapid advancements in health care technology, including telehealth and informatics, occur. During 2016 and 2017, the nursing program at the authors’ institution tasked the recruitment and retention committee with increasing enrollment in the graduate nursing program. The committees stated goal was increasing enrollment in all role specializations (nurse practitioner, education, and management). The committee identified two areas of particular concern: the need for family nurse practitioners in the nearby rural communities and a shortage of nursing faculty in the area as these areas had become challenging. Although the nursing program had been successful at retaining a majority of its students, recruitment of new students was challenging and thus became the key focus.
Introduction: Regular exercise helps manage side effects of cancer treatment, however, less than 30% of survivors participate in regular exercise. Exercise-related barriers, facilitators, and needs of general populations of cancer survivors are described in the literature. No information exists describing this information for hard to reach populations. Purpose: To determine the barriers, facilitators, and exercise needs of hard to reach cancer survivors. Materials and Methods: Research design: Descriptive qualitative study. Population: Hard to reach cancer survivors, including young adults (18-39 years), those living in rural communities, and those living in areas of low socioeconomic status. Data collection: Semi-structured interviews were conducted with participants. Interviews were audio recorded and transcribed verbatim. Transcripts were coded independently by two researchers. Coded data was aggregated into nodes and grouped into themes. Results: Five themes were identified that influence exercise participation in hard to reach survivors: accessibility of exercise programs, appropriateness of exercise programs, social support, personal factors, and exercise information. Young adults described a lack of appropriate exercise programs for their age group, those in rural settings described availability issues, and those in areas of low SES described cost and social support as barriers to exercise. Conclusion: This project identified unique exercise-related barriers, facilitators, and needs of hard to reach cancer survivors. Results can be used by researchers and clinicians when creating exercise interventions for cancer survivors. Interventions must be tailored to the specific needs of each individual in order to facilitate accessible participation in regular exercise and facilitate sustained behaviour change.
EFFECTS OF FACTORS OF INFORMAL CARE ON THE UTILIZATION OF SOCIAL CARE INSURANCE BENEFITS: A CROSS-SECTIONAL STUDY
Background: Presently in Germany, as there is a shortage of nursing staff, informal caregivers have become highly relevant. Because they often deal with care related burden, legislation was passed to improve caregivers’ situations by offering more supports. Nonetheless, a considerable percentage of caregivers do not utilize it. Methods: Data was collected in Saxony (Germany) from November 2019 to December 2019 by using an online survey and a postal survey (cross-sectional study design; n= 1,716). For analysis bivariate logistic regression (forward method LR, α≤0.05) was performed. Results: The average age of the sample was 61.9 years, 52.9% were female and 45.7% male. Results indicate a medium utilization of care insurance services. Considerable associations were time spent on care and utilization of care allowance (OR: 1.77), such as duration of care degree and utilization of residential care services (OR: 1.88) and substitute care (OR: 1.81). Conclusions: Informal caregivers putting intensive effort into care do tend to utilize services. The resulting questions of why newer informal caregivers do not tend to utilize services and why there is a medium utilization among all caregivers implies that people need to gain better access to services independently of care factors.
SPIRITUALITY IN THE PERSPECTIVE OF THE PROFESSIONALS OF PEDIATRIC ONCOLOGY IN RESPECT OF PALLIATIVE CARE
Introduction: Spirituality in the context of illness is used as a coping mechanism by patients, family members and health professionals; allowing the creation of meanings and assisting in the subjectivation of individuals from contents transcendent to life. Objectives: Understand how spirituality is expressed as a coping mechanism in the face of the routine of health professionals working in the pediatric oncology context in the care setting palliative. Methodology: Qualitative study performed in a hospital-school in the city of Recife, a reference in the pediatric oncology treatment. Data collection was performed with 12 health professionals between August and October 2017. Data were collected through sociodemographic questionnaires and individual semi-structured interviews, recorded in audio and subsequently submitted to the Content Analysis technique. Results and Discussion: Spirituality was the coping mechanism most reported by health professionals. Participants meant working in pediatric oncology from the will of God, as chosen people for that mission, relating to the understanding of having a purpose for it. Regarding the practice of the profession before the patients in the process of treatment and palliation, spirituality is understood as the way to deal with the innumerable losses and deaths in the hospital setting. Conclusions/considerations: The presence of spirituality promotes quality of life and helps professionals to make the environment less difficult and endowed with transcendental meanings, showing that they also need the means to give meaning to the suffering present in their daily work.
Objective: In order to provide an effective method for the comprehensive and scientific evaluation of respiratory rehabilitation nursing, a nursing quality evaluation index system for respiratory rehabilitation was constructed. Methods: Based on the theory of structure-process-outcome three-dimensional quality model, indexes and weights of respiratory rehabilitation nursing quality evaluation at all levels were determined by using literature review, semi-structured interviews, Delphi method, and Analytic Hierarchy Process. Results: The response rates of the two rounds consultation were 100% and 93% respectively, and the authority coefficients of experts are 0.872 and 0.922. The coordination coefficients of expert opinions were 0.583, 0.498, 0.407 for the first, second and third-level respectively. The significance test value P was less than 0.01. The final indicator system is constructed with 3 first-level indicators, 9 second-level indicators, and 46 third-level indicators. Conclusion: The constructed respiratory rehabilitation nursing quality evaluation index system is not only reliable, scientific, comprehensive, and but also with outstanding specialty characteristics. It provides an effective strategy to improve respiratory rehabilitation nursing quality.
Malaria is an infectious disease that spread by the female Anopheles mosquito. The degree of malaria case in Indonesia, particularly in Papua shows that malaria is still the highest disease which even kills the patient. Patient’s knowledge and attitude are two factors of obstacles for malaria elimination program which one of the SDGs goal. The purpose of this research was to identify the correlation between patient knowledge and attitude with adherence level of malaria treatment in one of the private hospital in Papua. This research used the quantitative approach with the Cross Sectional design. The samples were 169 respondents determined by purposive sampling. The data collection had been used by questionnaire. The data analysis used Kendal’s Tau B formula. The univariate analysis result showed 63,9% of the respondent’s knowledge were in a low level, 71,8 % respondent’s had a negative attitude and 55,3% of the respondents were not obedient to their malaria medical treatment. The bivariate analysis showed, there was a significant relationship between the knowledge and adherence level of patients to malaria treatment (P value 0,000; α
SUPPORT NETWORK FOR FAMILIES WITH MENTAL DISORDERS IN PRIMARY HEALTH CARE: AN INTEGRATIVE LITERATURE REVIEW
Introduction: With the Psychiatric Reform and the closure of some psychiatric hospitals, many patients who had been living in an asylum regime for a long time return to family life. The family then assumes a peculiar role in the monitoring and social reintegration of the mentally ill outside the hospital units. For this, it is necessary that health services in primary care are trained to provide adequate support to these families. Objective: to verify the support practices developed by primary health care focused on the family of the person with mental disorders. Methods: Integrative literature review of the last 10 years (2008-2018) using the database of the Virtual Health Library (VHL). Results: The study sample was composed of 11 articles. In the analyzed articles, it was identified that families still face difficulties in dealing with the person with mental disorders, requiring the support of the replacement network services in this process. Conclusion: It is necessary to invest more in these replacement services and better prepare their professionals so that they know how to deal with the family of the mental health patient.
NURSE’S PERSPECTIVE ON THE RECEPTION AND COPING WITH MENTAL DISORDERS: AN INTEGRATIVE LITERATURE REVIEW
INTRODUCTION: The inclusion of Mental Health in primary care refers to actions in the Family Health Program (PSF), currently called Family Health Strategy (FHS), which has been consolidated as a strategy for reorganizing the health care system in Brazil. Its work is based on promotion, prevention and health education, working in a multidisciplinary and integrated approach to the community (2). OBJECTIVE: To identify what is the perspective that nurses have on welcoming and coping with mental disorders according to the literature. METHODOLOGY: This is a study that uses the integrative literature review as its method, which aims to contribute to the knowledge of Nursing in the area of Mental Health. RESULTS: A total of 7 articles were found, 3 of which were listed to compose this study. LILACS and BDENF were used as the basis for this study, as they were more feasible, as well as Brazilian technical-scientific references in nursing that include renowned journals in the health area. CONCLUSION: However, it can be identified that the nurse has a very important role in the care of these people with mental disorders who are treated in Primary Health Care. He also highlighted that there are still many professionals in their practices, which are based on welcoming, humanizing and dispensing medication. In addition, it is necessary for nurses to work together with the other professionals in order to exchange information in order to improve the patient.
Objective: To explore the demand of long-term care in China. Methods: First, based on the data collected from multiple channels, the number of disabled elderly in China and the long-term care demand were predicted by the macro simulation demand model and markovdo state transition model. The second is to compare and analyze the implementation plan of the long-term care insurance system in China’s pilot areas, discuss the existing problems, and put forward Suggestions. Results: From 2020 to 2050, the number of disabled elders in China will rise from 33813 700 to 60 535 700, and the total long-term care costs will rise from 6.73 billion yuan to 29.12 billion yuan. Conclusion: In the future, China should build a multi-level long-term care guarantee system, actively explore the long-term care insurance system, and improve the long-term care service supply system.
Oral mucositis is a sequel of cytoreductive treatment induced by radiotherapy and / or chemotherapy, with signs and symptoms ranging from pain, swelling and burning sensation, to ulcerations in the oral mucosa. The nursing staff should be able to offer therapies that give the patient better quality of life, once because the professionals develops closer contact with the patient and family. To analyze the scientific evidences about nursing assistant in the management of oral mucositis in oncology patients. Integrative Review in databases LILACS, Scopus, SciELO, LILACS and BDENF with complete articles published in the last 10 years, in Portuguese, English and Spanish. It was demonstrated that nurses can provide treatments such as oral hygiene, administration of analgesics, cryotherapy, treatment of xerostomia, chlorhexidine rinses, sodium bicarbonate and other substances that promotes pain control in patients with consequent increase of quality of life. The impact of nurses’ actions in improving the patient, control of oral mucositis, as well as studies that generate strong evidence for the development and / or enhancement of new nursing care are aspects to consider this issue.