- Experiences from Southeast Asia on nursing education, practice, mobility and influencing policy. [Journal Article]Int Nurs Rev 2019IN
- In this report from the field, we describe the challenges and opportunities for nursing practice and education, and ways to improve nurse mobility across Asia. We also explain the collaboration within the Southeast and East Asian Nursing Education and Research Network to influence policy development and review. The collaborative process was supported by evidence drawn from discussions at Network …
In this report from the field, we describe the challenges and opportunities for nursing practice and education, and ways to improve nurse mobility across Asia. We also explain the collaboration within the Southeast and East Asian Nursing Education and Research Network to influence policy development and review. The collaborative process was supported by evidence drawn from discussions at Network meetings, and with nursing and other leaders, an examination of literature and policy documents, and member surveys. We reviewed the region's regulatory statutes which all support diversity in the nursing workforce. The Southeast Asian Nursing Education and Research Network was established in 2015 to support policy development around the upgrading of nurse education, clinical competencies and research capacity, in hospital and primary health care; and facilitating the movement of nurses across national boundaries. Most countries have tried to address policy gaps and their efforts to implement changes are seen in policy expansion and development at the national level. We focus on two policies from the Association of Southeast Asian Nations from 2006 and 2012, that cover nurse mobility, information exchange, nurse capacity building and education and mutual professional recognition of nurses' credentials. However, we found significant variances in education, regulatory policies and clinical competencies that have restricted, and continue to restrict policy implementation. Nursing in South-East Asia has made significant progress in upgrading standards for education by increasing bachelor degree bridging programs, master and doctoral degrees. Participating countries have passed legislation on licensure, competencies and credentialing of internationally qualified nurses wishing to practice in various contexts. However, much work remains to be done. IMPLICATIONS FOR NURSING POLICY, EDUCATION AND PRACTICE: Governing bodies determine entry into practice law which requires dialogue to enhance policies for domestic and international practitioners for mutual exchange and recognition. Nursing practice and education are under government regulatory bodies but require new policies and laws to ensure adequate educational requirements for safe quality practice.
- Daily stress as link between disadvantage and smoking: an ecological momentary assessment study. [Journal Article]BMC Public Health 2019; 19(1):1284BP
- CONCLUSIONS: These findings highlight the potential for future studies investigating behavioral mechanisms underlying smoking disparities. Such information would aid in the development and improvement of interventions to reduce social inequality in smoking rates and smoking rates in general.
- Perspectives on the HIV continuum of care among adult opioid users in New York City: a qualitative study. [Journal Article]Harm Reduct J 2019; 16(1):58HR
- CONCLUSIONS: These findings suggest expanding clinical and administrative support in primary care for PWUDs with patient navigators, case managers, mobile health interventions, and peer support networks to promote linkage and retention in care.
- Reducing inappropriate psychotropic drug use in nursing home residents with dementia: protocol for participatory action research in a stepped-wedge cluster randomized trial. [Journal Article]BMC Psychiatry 2019; 19(1):298BP
- CONCLUSIONS: We anticipate that the proposed tailored intervention with coaching will reduce inappropriate psychotropic drug prescribing for nursing home residents with neuropsychiatric symptoms. This study should also provide insights into the barriers to, and facilitators of, implementation.
- Women's successful transition to motherhood during the early postnatal period: A qualitative systematic review of postnatal and midwifery home care literature. [Review]Midwifery 2019; 79:102552M
- CONCLUSIONS: The ability of women to connect with midwives during the early postnatal period assisted them overcome barriers and to successfully transitioning to motherhood. Although all four themes were determined to be key to effective postnatal transition, overwhelmingly the findings showed postnatal midwifery home care to be important in women's successful transition to motherhood in the early postnatal period.Strategies are needed ensure women have access to midwives in the early postnatal period.
- Strain-rate dependence of viscous properties of the plantar soft tissue identified by a spherical indentation test. [Journal Article]J Mech Behav Biomed Mater 2019; 102:103470JM
- The mechanical properties of the plantar soft tissue are known to vary in diabetic patients, indicating that parameter identification of the mechanical properties of the foot tissue using an indentation test is clinically important for possible early diagnosis and interventions of diabetic foot. However, accurate mechanical characterization of the viscous properties of the plantar soft tissue has…
The mechanical properties of the plantar soft tissue are known to vary in diabetic patients, indicating that parameter identification of the mechanical properties of the foot tissue using an indentation test is clinically important for possible early diagnosis and interventions of diabetic foot. However, accurate mechanical characterization of the viscous properties of the plantar soft tissue has been difficult, as measured force-relaxation curves of the same soft tissue differ depending on how the material is loaded. In the present study, we attempted to clarify how the indentation rate of the plantar soft tissue affects the measured force-relaxation curves, which is necessary in order to identify the viscoelastic properties. The force-relaxation curves of the heel pads were obtained from the indentation experiment in vivo at indentation rates of 15, 25, 50, 75, and 100 mm/s. The curves were fit to an analytical contact model of spherical indentation incorporating a five-element Maxwell model. The results of the present study demonstrated that, although experimentally obtained force-relaxation curves were actually variable depending on the indentation rate, similar viscous parameters could be identified for the same heel if the effects of (1) the underestimation of the peak force due to the energy dissipation occurring during indentation and (2) the deceleration of the indenter at the target position were incorporated in the parameter identification process. The indentation-rate-independent viscous properties could therefore be estimated using the proposed method.
- Exploring contributing factors to psychological traumatic childbirth from the perspective of midwives: a qualitative study. [Journal Article]Asian Nurs Res (Korean Soc Nurs Sci) 2019AN
- CONCLUSIONS: Medical staff should pay attention to psychological traumatic childbirth and its effects, and emphasis on the screening and assessment of birthing woman with negative feelings, so that their psychological traumatic childbirth can be prevented and decreased.
- The Caregiver Burden of Delirium in Older Adults With Alzheimer Disease and Related Disorders. [Journal Article]J Am Geriatr Soc 2019JA
- CONCLUSIONS: Delirium resulted in the same degree of increased caregiver burden regardless of whether a patient had ADRD, signifying delirium is equally stressful to caregivers, even among those with experience caring for someone with a chronic cognitive disorder. Delirium burden is only modestly associated with degree of cognitive impairment, suggesting that other aspects of delirium contribute to burden.
- Perspectives of health professionals towards deprescribing practice in Asian nursing homes: a qualitative interview study. [Journal Article]BMJ Open 2019; 9(10):e030106BO
- CONCLUSIONS: In conclusion, this study highlighted that deprescribing in the nursing homes is perceived by health professionals to be challenging and future research could assess how routine case studies, mentoring and better multidisciplinary communication could improve deprescribing knowledge and process in the nursing homes.
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- Recovery-Oriented Reflective Practice Groups: Conceptual Framework and Group Structure. [Journal Article]Issues Ment Health Nurs 2019; :1-6IM
- The recovery-oriented reflective practice group (RORPG) is a staff-directed intervention aimed at achieving the recovery-focused transformation of mental health settings. This discussion paper aims to outline and reflect on the conceptual framework and group structure of recovery-oriented reflective practice groups. RORPGs build on conceptualizations of reflective practice, personal recovery, men…
The recovery-oriented reflective practice group (RORPG) is a staff-directed intervention aimed at achieving the recovery-focused transformation of mental health settings. This discussion paper aims to outline and reflect on the conceptual framework and group structure of recovery-oriented reflective practice groups. RORPGs build on conceptualizations of reflective practice, personal recovery, mental health nursing as a relational and reflective practice, and abductive reasoning. Dewey's phases of reflection, together with an understanding of nursing practice as a dynamic process of care, provide a structure for group sessions in which abductive reasoning can be considered a core activity. This paper outlines a sound theoretical foundation and suggests that RORPGs might prove useful for providing a space for learning in practice, informed by both theoretical and practical knowledge.