Analysis of large sample characteristics for pressure ulcers risk prediction in acute critical patients

YUAN Haobin, LIU Ming, GU Qin, TIAN Yongming, YAO Xiuying

 

Journal Information.

護理研究,2019,33(3):425-431.

 

Abstract

Objective: To probe into the sensitivity, specificity and critical value of Braden pressure ulcers risk prediction in acute critical patients.

Methods: This study was a crosssectional descriptive study, in which the risk assessment and factor analysis of pressure ulcers were performed in 1 547 ICU patients sampled in the objective group within 24 hours after admission.

Results: During hospitalization, the incidence of pressure ulcers was 12.09%.The risk score of Braden pressure ulcers was 6~18(12.30±1.44).When the critical value of pressure ulcers risk assessment table was 11 or 12,the sensitivity respectively was 34.6% and 66.9%,the specificity respectively was 75.9% and 43.4%.And the critical degree of the disease was 19.5 or 20.5,the sensitivity respectively was 62.3% and 56.2%,and the specificity respectively was 49.9% and 56.8%.

Conclusions: The risk assessment table of pressure ulcers could be used to predict the risk of pressure ulcers in patients with acute and critical illness. However, it is necessary to further improve the evaluation index quantitative evaluation criteria;patients′ age, length of stay and degree of critical illness should be taken into account to predict the risk of pressure ulcers.

 

Keywords 

prediction; pressure ulcers risk; acute and critical illness; critical value; sensitivity; specificity

 

An iterative approach to enhance the clinical learning experience in Macao nursing education

An iterative approach to enhance the clinical learning experience in Macao nursing education

Ming Liu, Yok Man Chan, Stephen Tee, Ken Gu, Zhi Min Luo , Thomas K.S.Wong

 

Journal Information.

International Journal of Nursing Sciences 2019;6(2):216-220

 

Abstract

Objective: The aim of this study was to reduce or eliminate the stressors to enhance nursing students’ clinical learning experience through implementation of an iterative approach that developed a personalised response to student stress.

 

Methods: A prospective cohort research design was applied to collect data from a sample of undergraduate nursing students across the four study years. An iterative approach was employed to improve students’ learning experience and the Stressors in Nursing Students Scale-Chinese Version (SINS-CN) was used to measure student stress. Key problems encountered by students were identified, refined and the responding solutions were worked out and implemented among this group of students through their first year to fourth year.

 

Results: The overall SINS-CN mean score (2.17–2.82) of students was declined to a moderate level.

 

Conclusions: Having implemented iterative approach to address factors that led to stressful environments encountered by the nursing students, the overall stress score and each sub-dimension score decreased significantly. Therefore, it is recommended that this approach could be adopted by other colleagues in the nursing arena around the world.

 

Keywords

Clinical Clerkship; Nursing; Nursing education; Stressors; Students

 

 

Relationship Between Gerontological Nursing Education and Attitude Toward Older People

Relationship Between Gerontological Nursing Education and Attitude Toward Older People

 

Mei Hua Kerry Hsu, Man Ho Ling, Tai Lok Lui

 

Journal Information.

Nurse Education Today 2019;74:85-90

 

Abstract

Background: Nursing students' attitudes toward older people affect the quality of care provided to the aging population. Although gerontological nursing has been delivered as a stand-alone course in Macao since 2008, Macao nursing students' attitudes toward older people have not been investigated.

 

Objective: The purposes of this study were 1) to explore nursing students' background information and attitudes toward older people and 2) to examine the presence of relationships between these factors and gerontological nursing education in Macao, a special administrative region of China.

 

Methods: A cross-sectional survey design was adopted. Nursing students in Macao were invited to complete a questionnaire to record their demographic characteristics and gerontological nursing education and measure their attitudes toward older people using Kogan's Attitudes Toward Older People (KAOP) scale.

 

Results: Data from 377 (83.04%) nursing students who returned the questionnaire were analyzed. The students were found to have positive attitudes toward older people, with a mean KAOP score of 168.44 ± 18.38 (mean ± standard deviation). In particular, the item with the lowest mean score was “older adults have excessive demands for love” (2.5 ± 1.2), while the item with the highest mean score was “older adults need no more love than others” (6.0 ± 1.0). The results also revealed that Macao nursing students' positive attitudes toward older people were associated with having “religion,” “good experience in gerontological nursing taught course,” and “good experience in clinical practice with older people,” which were thus considered to be the predictors of their positive attitudes toward older people.

 

Conclusion: Religion and gerontological nursing education are associated with Macao nursing students' attitudes toward older people. A longitudinal study is needed to evaluate the gradual changes in nursing students' attitudes. Nursing students' future career choices and perceptions of gerontological nursing education should be explored in a future study.

 

Keywords

Nursing student; Gerontological nursing; Kogan's attitudes toward older people (KAOP) scale

Nursing students’ attitudes towards older people and future career choices in Macao-A pilot study

Nursing students’ attitudes towards older people and future career choices in Macao-A pilot study

 

Mei Hua Kerry Hsu, Man Ho Ling

 

Journal Information.

Journal of Nursing Education and Practice 2019; 9(2):10

 

Abstract

Background: As global ageing, Macao also faces challenges with regards to an aging population. Not many nursing students are willing to choose gerontological nursing (GN) as a career choice. This pilot study was conducted on a small sample of Macao nursing students to assess nursing students’ attitudes towards older people and their future career choices. Moreover, this pilot study is aimed to validate the survey questionnaire for the further study.

 

Methods: A cross-sectional survey to explore 30 Macao nursing students’ attitudes towards older people and future career choices. Kogan’s attitudes towards older people scale (KAOP) was adopted in this study.

 

Results: About 33.3% nursing students agreed to work in GN after graduation. Only 6.7% participants chose “aged care institute” as their first choice for future career. Participants have higher mean scores of KAOP that indicate more positive attitudes towards older people. “GN practice experience” and “personal preference” are confirmed as contributors for nursing students towards GN in this study.

 

Conclusions: Macao nursing students have positive attitudes towards older people but not many of them would choose GN as future career. This pilot study provided knowledge to current nursing educators and government for the situation among nursing students in Macao.

 

Keywords

Nursing students, Attitudes towards older people , Career choices

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