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Issue 2 - 25 January 2012


Journal: International Journal of Nursing Terminologies & Classifications

1. Concept Analysis of Similarity Applied to Nursing Diagnoses: Implications for Educators Concept Analysis of Similarity Applied to Nursing Diagnoses: Implications for Educators
By Falan, Sharie. International Journal of Nursing Terminologies & Classifications, Oct-Dec2010, Vol. 21 Issue 4: p144-155.
This philosophical inquiry examined similarity using the concept analysis methodology by ). Data were obtained from Google, CINAHL, PsychINFO, and PubMed using keywords 'similarity,''concept analysis,' and 'similarity concept analysis.' Various definitions, uses, and defining attributes of similarity were identified; model cases were presented along with antecedents, consequences, and empirical referents. The concept analysis of similarity identified five defining attributes, antecedents, consequences, and different ways to measure the concept. Representing nursing care involves similarity and when applied can promote or enhance shared understanding. [ABSTRACT FROM AUTHOR].

2. Decreased Cardiac Output: Clinical Validation in Patients With Decompensated Heart Failure Decreased Cardiac Output: Clinical Validation in Patients With Decompensated Heart Failure
By Martins, Quenia Camille Soares et al. International Journal of Nursing Terminologies & Classifications, Oct-Dec2010, Vol. 21 Issue 4: p156-165
Clinically validate (using Fehring's model) characteristics of the nursing diagnosis (ND) of decreased cardiac output (DCO) in 29 patients with decompensated heart failure. Cross-sectional study conducted in a Brazilian university hospital. According to the reliability rate (R) between the experts, the major characteristics (R = 0.80) were fatigue, dyspnea, edema, orthopnea, paroxysmal nocturnal dyspnea, and elevated central venous pressure, and the secondary characteristics were weight gain, hepatomegaly, jugular vein distension, palpitations, crackles, oliguria, coughing, clammy skin, and skin color changes. Characteristics with R > 0.50 and =1 were valid in the ND of DCO. Implications for the nursing practice: Clinical validation studies are necessary to determine the adequacy of this diagnosis and its determining characteristics with Taxonomy

3. Core Elements of U.S. Nurse Practice Acts and Incorporation of Nursing Diagnosis Language Core Elements of U.S. Nurse Practice Acts and Incorporation of Nursing Diagnosis Language
By Jarrín, By Olga F. International Journal of Nursing Terminologies & Classifications, Oct-Dec2010, Vol. 21 Issue 4: p166-176
This paper describes the core elements of U.S. nurse practice acts and provides an update of Lavin, Meyer, and Carlson (1999) Review of the Use of Nursing Diagnosis in U.S. Nurse Practice Acts. Nurse practice acts from all states and the District of Columbia were collected and analyzed using qualitative content analysis with the software NVivo8. Major themes identified were nursing 'care,' nursing process, supervision/delegation, executing the medical regimen, health maintenance/prevention, and teaching nursing. The concept 'diagnosis' was a subtheme in 86% of practice acts; however, only 63% utilized 'diagnosis' language. The number of practice acts utilizing nursing 'diagnosis' language has remained nearly constant over the past decade. Consensus on the use of nursing diagnosis language may be facilitated through linkages with nursing theory and revision of the model Nurse Practice Act. [ABSTRACT FROM AUTHOR].

4. My First Patient as a Nurse Practitioner: A Man With Low Literacy My First Patient as a Nurse Practitioner: A Man With Low Literacy.
By Reyes, Darcel. International Journal of Nursing Terminologies & Classifications, Oct-Dec2010, Vol. 21 Issue 4: p177-181
The purpose of this case study is to demonstrate the use of the nursing process and the standardized nursing languages of NANDA-I, the Nursing Outcomes Classification (NOC), and the Nursing Interventions Classification (NIC) to assist a man with low literacy to self-manage his medication regimen. The data sources for this article are clinical nursing practice, research evidence related to helping people with low literacy, and the books that explain NANDA-I, NOC, and NIC. This case study demonstrates nurses' clinical decision making in providing care for a person with low health literacy. Low health literacy should be considered when nurses identify the nursing diagnosis of Ineffective Self-Health Management. After trust is established, a screening tool should be used to evaluate the person's literacy level. Active partnership of the nurse and the person supports interventions to assist the person implement the medication regimen. Inadequate evaluation of health literacy may result in mislabeling a person as 'nonadherent' or 'noncompliant' to a medication or treatment regimen. Low literacy is often an unrecognized barrier to effective self-health management. [ABSTRACT FROM AUTHOR].

Journal: Hospital Topics

5. Correlates to Long-Term-Care Nurse Turnover: Survey Results from the State of West Virginia
By Hodgin, Robert al. Hospital Topics, Oct-Dec2010, Vol. 88 Issue 4: p91-97
The authors sought statistical correlates to long-term-care nurse turnover using surveys from 253 practicing nurses across 54 of 55 counties in West Virginia. A chi-square test for homogeneity showed significant relationships between select demographic variables and job-related dimensions categorized either as benefits (pay, schedule flexibility and growth opportunity, travel time to work, patient behavior, facility conditions, supervisor relations) or job-related dimensions categorized as costs (travel time to work, patient behavior, facility conditions, supervisor relations, and family needs). Five demographic characteristics: gender, education level, job title, county in West Virginia region, and facility size bore no relationship to any job-related dimension listed. [ABSTRACT FROM AUTHOR].

6. Real Healthcare Reform: Focus on Primary Care Access
By Stephens, James H. & Ledlow, Gerald R. Hospital Topics, Oct-Dec2010, Vol. 88 Issue 4: p98-106
: Primary care coverage for the uninsured is the first necessary step to reform and can be more cost effective and tolerable than a major system reform. By providing foundational care to the uninsured, more care resources are targeted to those that most need the services, while providing benefits such as increased productivity and reduced inappropriate emergency department utilization. The authors aimed to design a primary care coverage system in the United States for the uninsured using established reimbursement, budgeting, and compliance methods. Providing four primary care visits for acute care, four associated ancillary and four fulfilled pharmaceutical-treatment prescriptions, and one preventive primary care visit per year for nearly 48,000,000 uninsured would cost $36 per month for every working American and legal alien resident. Theoretical and empirical literature was reviewed and the authors applied practical knowledge based on their experience in healthcare systems to develop the Access America Program. [ABSTRACT FROM AUTHOR].

7. Performance of State Medical Boards: Implications For Hospitals and Health Systems
By Leibert, Michael. Hospital Topics, Oct-Dec2010, Vol. 88 Issue 4: p107-115
The accountabilities and operations of state medical boards can have significant implications for hospitals and health systems in terms of their efforts to ensure quality care and patient safety. This study examined the performance of state medical boards and the reasons for variability in board performance by identifying factors impacting the performance of state medical boards in terms of physician discipline and those variables most critical to medical board performance. The findings suggested that increasing staff support and appointing lay board members would lessen the degree of variability in the performance of state boards although there remained a significant amount of variance to be explained. [ABSTRACT FROM AUTHOR].

Journal:  Nursing & Health Sciences

8. Discovering the value of research supervision
By Severinsson, Elisabeth. Nursing & Health Sciences, Dec2010, Vol. 12 Issue 4: p400-401
The aim of this editorial was to discover the value of research supervision by reflecting on many years of researching the phenomenon. The main benefits of research supervision are improvements in the quality of academic education, the quality of practice, and nursing and midwifery disciplines. Hence, these values must be acknowledged and more resources, both at universities and in clinical practice, are required. The advantages of research supervision are inherent in all its aspects. More education in research supervision is required in order to implement strategies that improve the level of quality in practice, as well as further research in this area. From an ethical perspective, one of the research questions that needs to be addressed is: Which different responsibilities and rights are important in the supervisory process? This question can be answered by using a multidisciplinary perspective for the purpose of enhancing the quality of education and patient care. [ABSTRACT FROM AUTHOR].

9. Thai men becoming a first-time father
By Sansiriphun, Nantaporn et al. Nursing & Health Sciences, Dec 2010, Vol. 12 Issue 4: p403-409
The purpose of this study was to understand the process of Thai men becoming a first-time father. Twenty expectant fathers were voluntarily recruited from the antenatal clinics of three hospitals in Chiang Mai, northern Thailand. The data were collected by in-depth interviews and analyzed on the basis of grounded theory methodology. The findings demonstrated that 'protecting the unborn baby' was the basic social process that emerged as the core category. This process was divided into three phases: confirming and accepting, perceiving the unborn baby as a human being, and ensuring the health of the mother and baby. Throughout this process, the Thai expectant fathers applied many strategies to manage their concerns, needs, and emotions and to develop themselves into fathers. The process of protecting the unborn baby provides insight into the expectant fathers' experiences, which will enable nurses and midwives to assist and care for men as they become fathers. [ABSTRACT FROM AUTHOR].

10. Factors contributing to neonatal mortality rates in Macao: Evidence from 1957-2006 data
By Chan, Moon Fai et al. Nursing & Health Sciences, Dec 2010, Vol. 12 Issue 4: p410-414
The aim of this study was to examine the relationship between the neonatal mortality rate (NMR) and demographic changes, economic instability, and health resource availability in Macao. A retrospective design was used, where yearly data from Macao were collected for the period of 1957-2006. The NMR was the dependent variable and the demographic factors, socioeconomic status, and health resources were the three main explanatory variables. The results showed that higher unemployment rates, higher levels of educated women, and a greater supply of nurses are associated with a lower NMR. The results also indicated that socioeconomically disadvantaged groups are at a significantly higher risk of neonatal mortality. In contrast, increasing the number of nurses in health care significantly reduces the risk of neonatal mortality. Further international evidence suggested that greater efforts should be directed towards removing the barriers that impede access to health-care services and increasing preventive care for disadvantaged populations, particularly during economic downturns. [ABSTRACT FROM AUTHOR].

11. Psychometric properties of the Turkish version of the Depression Coping Self-efficacy Scale
By Albal, Esra; Kutlu, Yasemin & Bilgin, Hulya. Nursing & Health Sciences, Dec 2010, Vol. 12 Issue 4: p415-420
Reliable and valid instruments are needed to assess and deal with the problems that are encountered by depressed patients in psychiatric nursing practice. The aim of this study was to assess the reliability and validity of the Turkish version of the Depression Coping Self-efficacy Scale. A descriptive and correlation design was used to determine the psychometric properties of the Scale. The study population was 105 depressed inpatients from acute psychiatry services. The study confirmed that the Scale is reliable and valid for assessing depression coping self-efficacy of depressed patients in acute psychiatric wards in Turkey. [ABSTRACT FROM AUTHOR].

12. Fatigue in Japanese people with multiple sclerosis
By Moriya, Rika & Kutsumi, Masami. Nursing & Health Sciences, Dec 2010, Vol. 12 Issue 4: p421-428
The aim of this study was to obtain descriptions of the experiences of fatigue of people with multiple sclerosis, including experiences related to their interpersonal relations and social life. We used a qualitative, exploratory, and descriptive design and conducted semistructured interviews with nine participants. Seven concepts emerged from the data analysis: 'fatigue as an individualized and novel sensation', 'self-analysis of the factors that are associated with fatigue', 'effects of fatigue on living and the self', 'unique measures for handling fatigue', 'insufficient coping', 'living with fatigue', and 'the assumption of a lack of common understanding of fatigue.' Based on these findings, fatigue was found to affect the lifestyle of people with MS and their ability to be true to themself. As a result, the participants devised their own way of coping with fatigue. However, the coping measures also created other dilemmas, which led to isolation. Nevertheless, the participants made efforts to live with fatigue on their own terms. [ABSTRACT FROM AUTHOR].

Journals - Table of Contents

13. From Registered Nurse Journal, September/October 2011
Executive Director's Dispatch with Doris Grinspun
. Pursuing healthy public policy: The next four years
RN Profile 
. Meet Ontario's new provincial chief nursing officer [Nurse-led research will transform patient care says Debra Bournes]
Cover Story
What constitutes elder abuse? [With meaningful education, RNs can begin to understand abuse fully and completely]
Legal Column
The complexities of workplace bullying [A look at two labour arbitrations that reveal the role of employers when RNs say enough is enough]
13E. Joan Lesmond, 1951–2011 [celebrating the life of a strong and inspirational leader]
13F. RNs put health care on the election agenda
13G. At death’s door [A near drowning gives nurse researcher a glimpse of health care in the developing world]

News - National

14. MoH NUEIP Final project report November 2011
The original Nurses Utilisation of evidence to Inform Practice project, funded by the Ministry of Health is now complete.
To access the final report on the project: (PDF)

15. What are you drinking? Chateaux Cordial
Non-drinkers are going to extreme lengths to make it look like they are consuming alcohol, as they face increasing social pressure because of what some have called our "sick" drinking culture. Even a senior doctor in Christchurch has admitted to becoming "tired" of trying to explain why he is not drinking in social situations, and so instead hides the fact by making soft drinks look like alcohol.

16. Flu shots at more pharmacies this year
More pharmacies are expected to do some flu vaccinations this year. The Ministry of Health has decided to let approved chemists administer the vaccine to those not eligible to have them subsidised, but doctors are wary of the move.

17. Beer prices up but alcoholism unlikely to fall
Bay of Plenty Times - 19 January 2012
Beer price rises are unlikely to cut alcohol dependency, a Tauranga expert says. DB Breweries announced this week its packaged beer and cider would go up in price by 3 per cent on average from March 5, with tap beer rising 1 per cent.

18. Whakatane Hospital Service Widens
Bay of Plenty Times - 19 January 2012
Whakatane for hospital treatment and to avoid longer waiting times.Bay of Plenty District Health Board chief operating officer Phillip Balmer said Western Bay patients were now attending specialist outpatient appointments and undergoing elective surgery in the specialties of dental, general surgery, orthopaedics and gynaecology at Whakatane Hospital.

News - International

19. Open for Business: Australia’s First National Mental Health Commission
The Minister for Mental Health and Ageing, Mark Butler, launched Australia’s first National Mental Health Commission on 23 January 2012. The Commission is led by the Chair, Professor Allan Fels and eight Commissioners, and will formally meet for the first time tomorrow to begin work on Australia’s first National Report Card on Mental Health and Suicide Prevention.

20. Allan Fels pledges to call the shots in mental health
The Australian January 24, 2012
THE head of the federal government's National Mental Health Commission has promised the new body will be independent enough to "call the shots" in the timing and substance of its reports on progress in the sector. Former Australian Competition and Consumer Commission head Allan Fels, who chairs the new commission, yesterday declared its findings would not be delayed or suppressed to suit a political agenda, and also expressed optimism it would achieve concrete results despite being an advisory body with few specific powers.

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