Global Journal of Nursing


Review Article of Global Journal of Nursing NURSING RECOMMENDATIONS TO REDUCE THE RISK OF PREECLAMPSIA DURING PRENATAL CARE Elsy Guadalupe Vega-Morales1, María de los Ángeles Torres-Lagunas2, Karla Monserrat Cano-Zamora2 1Servicios de Salud de Yucatán, Centro de Atención Temporal Siglo XXI, Coordinación Estatal de Enfermería, Mérida Yucatán, México; 2Escuela Nacional de Enfermería y Obstetricia, Universidad Nacional Autónoma de México. Ciudad de México, México. Aim: Develop nursing recommendations based on scientific evidence, aimed at reducing the probability of developing pre-eclampsia during prenatal care. Material and methods: A bibliographic search was carried out on the web: Medline, BVS, Cinahl and Google Scholar with the descriptors: pre-eclampsia, prenatal care, nursing with the conjunction AND and the disjunction OR. The documents with the referred descriptors were included. Two reviewers selected the articles. Conflicts were resolved by another reviewer. The methodological quality of each article was evaluated. The evidence was ranked and the recommendation was made. The Shekelle and Galvez Toro model was used for grading. Results: 4 aspects were evidenced: risk factors, timely detection, nursing care, protective factors and recommendations. Conclusions: Prenatal care continues to be a source of protection and control for pregnant women. Blood pressure measurement continues to be the gold standard for early detection. Nursing is a primary protective factor. Keywords: Preeclampsia, Obstetric nursing, Prenatal care ...


Research Article of Global Journal of Nursing SAFETY SNACKS: IMPROVING QUALITY IN LONG-TERM CARE 1Leona Konieczny, DNP, MPH, RN-BC, CNE, 2Ashley Soyka, BSN, RN, LNHA 1Central Connecticut State University, 2Bristol Health Falls among residents in the long-term care setting adversely affect resident health with potential for serious injury and quality of care provided. Nurses at the long-term care facility recognize the need to reduce falls. The nurses propose the intervention and name the initiative Safety Snacks. The research questions are: in a long-term care facility, does the practice of additional rounding while providing snacks twice daily, decrease the incidence of falls and falls with serious injury as compared to not providing Safety Snacks over a three-month period? Will unintended weight loss change by additional rounding during which nourishment and fluids are given to residents twice daily over a three-month period? The study examines the number of falls, falls with serious injury, and unintended weight loss before and after the Safety Snacks intervention. Poissons Means Test and odds ratio are used for fall data analysis. A two-proportion z-test is used for weight loss data. The results demonstrate a reduction in falls and falls with serious injury. The odds ratio demonstrates a medium effect in falls with serious injury. The two-proportion test on unintended weight loss yields a significant difference of 0.09 with a 95% confidence interval of (0.015, 0.17). One implication is the increase in rounding while providing nutrition and hydration may reduce falls and falls with serious injury. The second implication is the more significant effect on unintended weight loss with providing Safety Snacks. The third implication is the empowerment of nurses to recommend and execute a change in practice to improve quality. Keywords: falls, long-term care, quality improvement, unintended weight loss ...


Research Article of Global Journal of Nursing CHALLENGES TO BREASTFEEDING DURING THE FIRST FOUR WEEKS POSTPARTUM AMONG MOTHERS AGED 18 – 29 YEARS, WHO ATTEND SELECTED CLINICS IN ELEUTHERA, THE BAHAMAS Bianca Edwards The present study seeks to investigate the breastfeeding challenges mothers on the Bahamian island of Eleuthera face, and propose strategies to improve the situation. Purposive sampling was utilized to recruit mothers from selected health centers in Eleuthera, the Bahamas (N=51). The study utilized a cross-sectional, quantitative research design wherein a forced choice, closeended survey questionnaire using Likert Type scale to elicit data from the research participants. Demographic data was analyzed using descriptive analysis, while ANOVA (Analysis of Variance) was used to determine the relationship between demographic variables (independent variable) and breastfeeding knowledge, attitudes and practices (dependent variables) using the Statistical Package for the Social Sciences (SPSS) Version 26. The findings demonstrated that the relationship between breastfeeding knowledge, attitudes and practices and demographic variables such as educational level, marital status, maternal parity and religion was not statistically significant. The implications of the finding are that health centers can enable mothers to overcome breastfeeding challenges, by improving breastfeeding knowledge through advocacy, education and awareness. Important recommendations pertaining to nursing interventions and social support programs for initiating and continuing breastfeeding among Bahamian mothers and focusing on erasing the social stigma associated with breastfeeding to improve breastfeeding rates were also made. Keywords: attitude, knowledge, breastfeeding challenges, Theory of Planned Behavior ...


Review Article of Global Journal of Nursing THE NURSE IN THE ASSISTANCE OF BASIC LIFE SUPPORT AT CARDIORESPIRATORY STOP Júlio César Pereira da Silva1*, André Luiz Fidelis Lima2, Vanessa Vieira da Silva3, Tamara Karine da Silva4, Mickaelly Gláucia de Oliveira Santos da Silva5 1UNIP; 2UNIP; 3UNIP;4SEUNE;5SEUNE INTRODUCTION: In Brazil, cardiovascular diseases are the major causes of death among adults and the elderly. Cardiopulmonary arrest (CPA) consists of the cessation of activities of the heart, circulation and breathing, recognized by the absence of a pulse or signs of circulation, with the patient unconscious OBJECTIVE: To analyze the nurse’s contribution in the assistance of Basic Life Support in Stoppage Cardiorespiratory. METHODS: The present study is a literature review about the assistance of nurses in cardiorespiratory arrest. The search for literary sources took place in October 2018, using only the online version in the database; SCIELO (Scientific Electronic Librany Online); MEDLINE / BVS (Medical Literature Analysis and Retrieval System Online / Virtual Health Library) and LILACS (Latin American and Caribbean Literature in Health Sciences). RESULTS: The study showed that nurses, through their care, are an essential and trained professional to diagnose and attend a PCR. CONCLUSION: It is possible to observe that PCR is a serious situation that requires from the nursing team scientific knowledge that can be used quickly and systematically, as well as defined protocols and teamwork so that the assistance provided is as qualified as possible, since its recognition until post-PCR care; since nursing is responsible for the continuous care of the individual, therefore, this professional category is responsible for a significant part of all assistance provided to the PCR victim. Keywords: Basic Support. Nurse. Cardiac Arrest ...

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Global Journal of Nursing