Parental needs and nursing response following SUFE Surgery: An interpretive descriptive study

<p><b>The parental experience of caring for a child following the unexpected admission and surgery for a significant hip injury has largely been unexplored in the New Zealand (NZ) context. Slipped Upper Femoral Epiphysis (SUFE) is one of the most common orthopaedic hip disorders prevalent amongst children between the ages of nine to fifteen years. In New Zealand, Māori and Pacific children are the most vulnerable population at risk of this hip condition. Existing literature focuses on the demographic and epidemiological studies, including surgical treatment and management of SUFE; however, there is a dearth of research concerning SUFE that focuses on parents’ experiences in the postoperative, discharge and rehabilitative phases of care and the nurses’ experience of caring for these children and their families.</b></p> <p>This qualitative study was undertaken at a large public hospital in New Zealand and interpretive descriptive methodology was utilised to examine the experiences of parents and nurses in caring for a child following invasive SUFE repair. As Māori and Pacific Island populations are highly represented in the SUFE statistics, most of the parents used in this study are from these socio-cultural backgrounds. Through transcribed semi-structured interviews with parents of five children who underwent SUFE repair, and five paediatric nurses caring for children and their families in the hospital ward, this study offers two perspectives of the journey for these parents following such an injury, from the child’s hospitalisation to caring for these children once they are home. Following thematic analysis, these perspectives are presented and contrasted revealing, insights of the parents’ ongoing need for support, information and planning for care and nurses’ efforts to meet these needs. Implications of nursing practice and parental education include the need for improved information sharing and delivery to aid parents understanding of the SUFE condition and effective management of care during hospitalisation and at home following discharge. Recommendations are made to improve the parental experience to support their child’s recovery following SUFE surgery.</p> <p>Key Words:SUFE, Parents and caregivers, Māori and Pacific populations, Nurses</p>

Parental needs and nursing response following SUFE Surgery: An interpretive descriptive study

<p><b>The parental experience of caring for a child following the unexpected admission and surgery for a significant hip injury has largely been unexplored in the New Zealand (NZ) context. Slipped Upper Femoral Epiphysis (SUFE) is one of the most common orthopaedic hip disorders prevalent amongst children between the ages of nine to fifteen years. In New Zealand, Māori and Pacific children are the most vulnerable population at risk of this hip condition. Existing literature focuses on the demographic and epidemiological studies, including surgical treatment and management of SUFE; however, there is a dearth of research concerning SUFE that focuses on parents’ experiences in the postoperative, discharge and rehabilitative phases of care and the nurses’ experience of caring for these children and their families.</b></p> <p>This qualitative study was undertaken at a large public hospital in New Zealand and interpretive descriptive methodology was utilised to examine the experiences of parents and nurses in caring for a child following invasive SUFE repair. As Māori and Pacific Island populations are highly represented in the SUFE statistics, most of the parents used in this study are from these socio-cultural backgrounds. Through transcribed semi-structured interviews with parents of five children who underwent SUFE repair, and five paediatric nurses caring for children and their families in the hospital ward, this study offers two perspectives of the journey for these parents following such an injury, from the child’s hospitalisation to caring for these children once they are home. Following thematic analysis, these perspectives are presented and contrasted revealing, insights of the parents’ ongoing need for support, information and planning for care and nurses’ efforts to meet these needs. Implications of nursing practice and parental education include the need for improved information sharing and delivery to aid parents understanding of the SUFE condition and effective management of care during hospitalisation and at home following discharge. Recommendations are made to improve the parental experience to support their child’s recovery following SUFE surgery.</p> <p>Key Words:SUFE, Parents and caregivers, Māori and Pacific populations, Nurses</p>

Explaining Resident Medical Students’ Experiences of Performance During COVID-19: A Qualitative Study

Background: The COVID-19 crisis has created many problems, including a negative impact on student education. Objectives: The study aimed to understand the resident medical students' performance experiences during the COVID-19 pandemic, which is essential for future planning. Methods: The present qualitative study was performed on 15 resident medical students in Alborz University of Medical Sciences, Iran, from September to November 2020. Data were analyzed using conventional content analysis. Results: Analysis of the meaning units of interviews showed four categories describing the resident students' experiences of performance during COVID-19 as follows: Fear and anxiety, the need for support, the sense of responsibility, and the lack of educational facilities. Conclusions: The present study showed that the COVID-19 pandemic had posed incredible new challenges for resident students. Assessing the mental health of residents, providing adequate protective equipment, and support from authorities and community members can create empathy, reduce the feeling of fear, and increase their accompaniment with pandemic managing programs. Due to the problems created in the training of residents during the pandemic, it seems necessary to propose rehabilitation courses to improve the training program for residents in various fields.

Virtual Bronchoscopy-Guided Transbronchial Biopsy Simulation Using a Head-Mounted Display: A New Style of Flexible Bronchoscopy

Background/need. The increases in reference images and information during bronchoscopy using virtual bronchoscopic navigation (VBN) and fluoroscopy has potentially created the need for support using a head-mounted display (HMD) because bronchoscopists feel difficulty to see displays that are at a distance from them and turn their head and body in various directions. Methodology and device description. The binocular see-through Moverio BT-35E Smart Glasses can be connected via a high-definition multimedia interface and have a 720p high-definition display. We developed a system that converts fluoroscopic (live and reference), VBN, and bronchoscopic image signals through a converter and references them using the Moverio BT-35E. Preliminary results. We performed a virtual bronchoscopy-guided transbronchial biopsy simulation using the system. Four experienced pulmonologists performed a simulated bronchoscopy of 5 cases each with the Moverio BT-35E glasses, using bronchoscopy training model. For all procedures, the bronchoscope was advanced successfully into the target bronchus according to the VBN image. None of the operators reported eye or body fatigue during or after the procedure. Current status. This small-scale simulation study suggests the feasibility of using a HMD during bronchoscopy. For clinical use, it is necessary to evaluate the safety and usefulness of the system in larger clinical trials in the future.

Support needs of Dutch young adult childhood cancer survivors

Background Studies about support needs of young adult childhood cancer survivors (YACCS) previously focused mainly on information needs. This study assessed support needs and associated factors (sociodemographic, medical, and psychosocial functioning) in Dutch YACCS. Methods YACCS (aged 18–30, diagnosed ≤ 18 years, time since diagnosis ≥ 5 years) cross-sectionally filled out a questionnaire regarding their need for various types of support (concrete information, personal counseling, and peer contact) in eight domains (physical consequences of childhood cancer, social-emotional consequences, relationships and sexuality, fertility, lifestyle, school and work, future perspective, insurance and mortgage), and questionnaires assessing health-related quality of life (PedsQL-YA), anxiety and depression (HADS), and fatigue (CIS-20R). Descriptive statistics were used to describe support needs. Linear regression was used to identify characteristics associated with support needs. Results One hundred fifty-one YACCS participated (response = 40%). Most YACCS reported a need for support in one or more domains (88.0%, N = 133). More than half of the participants reported a need for concrete information in the domains lifestyle, fertility, and physical consequences of childhood cancer and 25–50% in the domains insurance and mortgages, future perspective, and social-emotional consequences of childhood cancer. In the domains lifestyle and physical as well as emotional consequences of childhood cancer, 25–50% reported a need for counseling. Overall need for support was positively associated with middle (β = 0.26, p = 0.024) and high (β = 0.35, p = 0.014) compared to low educational attainment and (sub)clinical anxiety (β = 0.22, p = 0.017), and negatively associated with social functioning (β = − 0.37, p = 0.002) in multivariate analyses. Conclusion YACCS report the strongest need for support, for concrete information, in the domains lifestyle, fertility, and physical consequences of childhood cancer. Associated factors were mostly socioeconomic and psychosocial in nature. Psychosocial care should be an integral part of survivorship care for YACCS, with screening for psychosocial problems, information provision including associated emotional consequences and support if necessary (psycho-education) and tailored interventions, and adequate referrals to more specialized care if necessary.

You Are What You Eat: Affirming Podcast and Subjective Wellbeing among African American Women

The purpose of this exploratory study was to investigate whether intentional exposure to affirming messages via podcast would lead to improvement in subjective wellbeing in a sample of African American women. This two-part study used a mixed-methods design to measure subjective wellbeing using the Multicultural Quality of Life Index and a series of focus groups. During Phase 1, participants rated and discussed culturally relevant affirmations that informed the development of the podcast intervention used in Phase 2. The results revealed that stressors such as microaggressions, mental distress, and competing demands justified the need for support. Participants indicated that the podcast intervention was an enriching experience that illuminated the necessity of restorative practices that heal and revitalize the spirit. The intervention led to positive behavior change; and these results demonstrated the podcast benefits, suggesting that intentional exposure to positive messages may help some African American women cope with life stressors.

Family caregivers’ expectations and needs in Critical Care Units

Introduction: Patient admission into the critical care unit is usually an unpleasant and unexpected life experience for the family members, and unusual for family members to cope with stress and anxiety during their hospital stay. Purpose: This study aimed to explore the expectations and needs of family members of the patients in critical care units at two tertiary care hospitals in Islamabad. Methodology: An exploratory descriptive design was used to address the study questions. Using purposive sampling, 14 family members were individually interviewed through a semi- structured interview guide. A conventional content analysis method was used to analyze the data through which categories and sub-categories were identified. Findings: The data analysis revealed three roles of the family members, which included assistance in physical care, facilitator in the provision of treatment and the decision maker. The participants expressed that their needs for information and assurance were being met to some extent; however, their need for support and comfort were not. Although the physical facilities for meeting the comfort were available in private hospital, it did not match the family members’ expectations. Conclusion: This study revealed that despite some similarities in the role and needs, the expectations and satisfaction of the family members is linked to their awareness of the healthcare system as well as the cost of the obtained services. The suggestions of the family members are implementable to improve their experiences and satisfaction in critical care units, which can enable them to perform their roles better.

The Relationship between Social Support, Self-Efficacy and Characteristics of Women with Diabetes during Pregnancy

Background: One of the most common metabolic complications of pregnancy are carbohydrate metabolism disorders resulting in hyperglycemia. The aim of the study was the assessment of impact of socio-demographic variables on the levels of social support and self-efficacy and an investigation of whether there is and how the relationship between social support and self-efficacy is shaped in pregnant women with gestational diabetes. In this study 339 pregnant women with diabetes during pregnancy and 337 healthy pregnant women took part. Methods: The Berlin Social Support Scales (BSSS), the Generalized Self-Efficacy Scale (GSES) and a standardized interview questionnaire were used. Results: The respondents rated Perceived Instrumental Support higher (M = 3.52) than Perceived Emotional Support (M = 3.39). In contrast, Actually Received Support (M = 3.53) was rated higher compared to Support Seeking (M = 2.99) and Need for Support (M = 2.95). The mean generalized self-efficacy score was M = 31.58 in women with diabetes during pregnancy and M = 31.85 in healthy pregnant women. Conclusions: The research results obtained prove the existence of a relationship between GSES and BSSS scores. In pregnant women with diabetes and healthy pregnant women, GSES increases with an increase in perceived support. Additionally, among pregnant women with diabetes, the level of GSES increases with an increase in actually received support. However, in the case of healthy pregnant women, a lower level of need for support is associated with higher level of generalized self-efficacy.

Impacts of new and emerging assistive technologies for ageing and disabled housing

This research looks at how smart home assistive technologies (AT) may be best used in both the aged care and disability sectors to reduce the need for support services. It includes an assessment of ease of use, quality-of-life and cost benefit analysis, and contributes to the development of policy options that could facilitate effective adoption of smart home AT in Australia.

“We will make you feel safe”: Female medical staff's experiences of meeting with raped women in Sweden

The focus of this study was on female emergency medical personnel's experiences of treating women who have been raped and on their own experiences of being women themselves working in this situation. We interviewed 12 female medical personnel in four focus groups of two to five participants each. The material was analysed using inductive thematic analysis. Participants’ experiences were structured under two main themes: Prerequisites for care and Effects on oneself. As women, the participants emphasized their understanding of other women and stressed the importance of offering flexible care and taking time with each patient. They described how their work affected them personally, making them increasingly aware of men's violence against women and their need for support from their colleagues. They also discussed structural barriers to both patient care and self-care. If unaddressed, such shortcomings risk negatively affecting raped women seeking medical care and may also be detrimental to the health and well-being of the professional offering care.