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  • ISSN: 2379-9501
    Volume 3 Issue 3
    Research Article
    Yurdanur Dikmen and Dilek Yılmaz*
    To conduct a study for examining the patient's perception of nursing care and the variables that affect this perception. This study was conducted between February and May 2014 with inpatients in internal disease and surgery clinics (except psychiatric and pediatric clinics) of a public hospital in Turkey. The sample of the study consisted of 160 patients who stayed hospital at least three days, voluntarily participated in research and decided to be discharged. In the collection of research data, “Patient Information Form” which includes socio-demographic features of the patients and "Patients' Perception of Nursing Care Scale" (PPNCS) were used. The statistical evaluation of data was conducted by Kruskall-Wallis Variance Analysis of Variance and Mann-Whitney U test.
    Total PPNCS score of patients was found to be 61.2±9.43. While there was a statistically significant difference between patients' level of education, presence of chronic diseases, companion possession status and hospitalization durations (p<0.05); there was no statistically significant difference between gender, age and previous hospitalization experiences with average PPNCS score. As a result of this study, it was found that the patients enrolled in the study perceived nursing services in positive way, so their satisfaction status with the care they received was found to be at a good level.
    Havva Gökdere Çinar, Burcu Arkan*, Elif Ünsal Avdal, Elif Aksu, Huriye Vatansever and Gülseren Adıgüzel
    This descriptive study was conducted in an attempt to determine the caregiving burden of caregivers taking care of patients with cancer. The study was performed with 80 patient relatives taking care of patients with cancer at Ali Osman Sönmez Oncology Hospital. Regarding the study participants, 87.5% stated that they volunteered in caregiving, 73.75% had an interrupted sleep, 80% were affected in terms of family life, 56.25% business life and 80% emotional life. Comparing the care giving burden of women, as well as those who were older than 51 and were married according to their gender, age and marital status, we determined significant differences. There was a significant difference in caregiving burden in those living with their patients for 5 years and those taking care of their partners according to the variables of caregiving. The study results show that the caregiving burden is mainly put on partners. In order to decrease the personal burden, it is required to share the care in the entire family, emphasize the necessity for caregivers to allocate time for their social activities and enable them to receive trainings regarding patient care.
    Review Article
    Sue Jordan*, Mojtaba Vaismoradi and Pauline Griffiths
    Abstract: Medicines' management is a priority in healthcare delivery, but weaknesses in the monitoring and management of Adverse Drug Reactions (ADRs) cause unplanned hospital admissions, financial burdens on healthcare systems, patient discomfort, morbidity, and mortality. This paper suggests policies and strategies that would help nurses minimise and manage ADRs to prescription medicines. The literature was searched for strategies to promote nurses' engagement with monitoring patients for potential ADRs. This narrative review opens the discussion by exploring the potential for nurse policy makers to address this hiatus in care. Recognition, amelioration and reporting of ADRs are important components of safe care, areas where nurses could make important contributions through collaboration in policy development, healthcare reform and enhanced nursing practice. Minimising ADRs necessitates paying sufficient attention to their recognition and prevention. Healthcare providers, particularly nurse leaders, need to commit to strategies to identify and address any adverse consequences of treatments, including ADRs: the axiom primum non nocere (first, do no harm) should be applied to all healthcare delivery. The application of structured nurse-led medicines' monitoring in practice depends on the collaboration of all healthcare professionals, co-ordinated by nurses. Incorporation of strategies to identify and ameliorate preventable ADRs into routine work will require the support of policy makers.
    Ana Claudia Puggina* and Maria Julia Paes da Silva
    Abstract: Researchers have perceived religion, prayer, hope and faith to be needs of family members throughout the illness process. Family members of patients with disorders of consciousness experience suffering and anguish, due to the length of time waiting and uncertainty involved in the recovery process, with spirituality being an important source of emotional aid and relief from tensions. Spirituality has no power to immediately resolve the situation; however, it can renew the energy of the family through identification of resources and learning to cope with the situation. This is an important part of life for many families and cannot be neglected in the context of illness.
    Case Report
    Cristina Petrucci*, Stefano Aloisi, Carmen La Cerra, Elisabetta Tozzi and Loreto Lancia
    Abstract: This clinical case shows a child suffering from a dystonic-dyskinetic Dopa-responsive syndrome, of non-determined etiology, in which errors of metabolism affect the dopamine biosynthesis. This clinical picture leads to a progressive neurological deterioration, lack of postural development, rigidity and tremors, impacting very seriously on the functioning level of the child and on the family resources. Levodopa/carbidopa intestinal gel therapy is a possible treatment for motor control in Parkinson’s disease; it is delivered through a gastrostomy in the duodenum by an infusion pump, and it is unaffected by gastric emptying. After the onset of this therapy, the child achieved a gradual recovery of the postural tone and upper limbs function, succeeding to grasp and move objects. Today the child requires a high caring load by the family, which is fully absorbed during day and night. In view of supporting the clinical condition of the child, continuous home care and health professionals were required. Health professionals involved in this multidisciplinary team included home nurses, a physiotherapist, a speech therapist, a developmental neuro and psychomotor therapist, and a nursing assistant. To guarantee continuity of care, working agreement between health professionals is essential; at this regard, the nurse plays a key role. To date, clinical investigations are ongoing to define the etiological picture presented by the child and further researches are necessary to identify new strategies in delivering the best care to subjects affected from this clinical condition.
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