Role of pediatric nurse in management of child with special needs

Children facing life with chronic illness and disability are increasing in number. There are multiple factors which are responsible for that. Most of the children survive well into adulthood with early intervention, treatment and care. Pediatric nurses may create excellent professional roles caring for children with special health care needs and their families. The main responsibility will be to provide the children medical care and developmental training so that they can handle basic daily functions and lead happy, healthy lives. The role of a pediatric nurse in this field is not fixed. They may have to carry out different kinds of responsibilities based on the type and extent of special need. Pediatric nurses are responsible for helping children adapt to a hospital setting and prepare them for medical treatment and procedures. These nurses have special training to provide expert care to the child with special needs while working with the family to address their concerns, problems and help them to understand different treatment options and services available for the child with special needs. Pediatric nurses not only focus on the child with special needs but involve themselves in the wellbeing of other family members. They have special training in caring of children, good interacting skills, good empathy, immense love for children, flexibility, having control over their own emotions and stress management skills.

Systematic Development of Generic Skills to Enhance Innovation Capacity of Eastern and Southeastern European Universities

The level of innovativeness within the higher education systems of east and southeast Europe and their graduates is still assessed as modest or moderate. Besides the general socio–economic context and the inherited institutional management types, this deficiency stems from a lack of generic skills crucial for increasing the innovation capacity of the universities. TrainESEE v.2 project suggests that significant changes should be already put in place within the applied teaching methodology, but also highlights the importance of developing project development and management skills, innovation, entrepreneurial skills, and finally competences needed to strengthen science to business cooperation.

Healthcare professionals’ perceptions on barriers and facilitators to DMARD use in rheumatoid arthritis

Background Disease-modifying anti-rheumatic drugs (DMARDs) are the cornerstone of rheumatoid arthritis (RA) treatment. However, the full benefits of DMARDs are often not realized because many patients are sub-optimally adherent to their medication. In order to optimize adherence, it is essential that healthcare professionals (HCPs) understand patients’ barriers and facilitators for medication use. Insight in these barriers and facilitators may foster the dialogue about adequate medication use between HCPs and patients. What HCPs perceive as barriers and facilitators has, so far, scarcely been investigated. This study aimed to identify the perceptions of HCPs on patients’ barriers and facilitators that might influence their adherence. Methods This qualitative study was performed using semi structured in-depth interviews with HCPs. An interview guide was used, based on an adjusted version of the Theoretical Domains Framework (TDF). Thematic analysis was conducted to identify factors that influence barriers and facilitators to DMARD use according to HCPs. Results Fifteen HCPs (5 rheumatologists, 5 nurses and 5 pharmacists) were interviewed. They mentioned a variety of factors that, according to their perceptions, influence DMARD adherence in patients with RA. Besides therapy-related factors, such as (onset of) medication effectiveness and side-effects, most variation was found within patient-related factors and reflected patients’ beliefs, ways of coping, and (self-management) skills toward medication and their condition. In addition, factors related to the condition (e.g., level of disease activity), healthcare team and system (e.g., trust in HCP), and social and economic context (e.g. support, work shifts) were reported. Conclusions This study provided insights in HCPs’ perceptions of the barriers and facilitators to DMARD use patients with RA. Most factors that were mentioned were patient-related and potentially modifiable. When physicians understand patients’ perceptions on medication use, adherence to DMARDs can probably be optimized in patients with RA leading to more effectiveness of treatment outcomes.

Developing Conflict Management Skills in Municipal Employees: a Sociological Study

The article introduces a sociological survey that featured the development of conflict management skills in municipal employees of the Belgorod region. The methods involved a questionnaire survey and a semi-structured interview of Belgorod municipal authorities, teaching staff of the Higher School of Management of the Belgorod State University, and employees of the Institute of Regional Personnel Policy of Belgorod. The reasons behind the conflicts were divided into those caused by the specifics of the municipal service, the peculiarities of team relations, and the individual characteristics of a municipal employee. The results of the study can improve the practical work of municipal personnel departments or be used in teaching sociological disciplines. Further study is required to develop diagnostic methods to identify the conflict management skills in municipal officials, collect information, define conditions and patterns of development, draft resolution procedures, etc.

Assessment and homoeopathic management of psychological stresses and somatic illnesses in high school students from rural Palghar: Observational case series

Objectives: Children are often taken to paediatricians for recurrent physical illnesses, which often cannot be diagnosed due to a lack of confirmed investigation findings. It is important to study various psychological stressors they might be undergoing to explain such somatic complaints. Understanding the types of somatic symptoms and nature of stressors in school-going children would also enable us to use Homoeopathy in managing these cases. This is all the more important in a rural set-up, where specialist consultation is difficult to obtain. Material and Methods: Six successfully treated children from three rural high schools in Palghar area with recurrent and different somatic illnesses were selected from a part of a larger population studied. These cases have been presented with an aim to study the clinical manifestations and underlying stressors. Management with Homoeopathic medicines along with the use of some stress management skills have been presented. Results: Various life situations such as change of school, staying away from parents or interaction patterns of family members were found to have a direct impact on the genesis of either anxiety or anger. As a result, children developed recurrent somatic illnesses, which in turn affected their academic performance. Homoeopathy, along with stress management skills, helped the children to overcome the psychological stresses and reduce the burden of somatic illnesses. Conclusion: The external environment is often the same for all students in schools, but a vulnerable few are affected. This results in the development of anxieties, specifically of strangers, of the future, of teachers, or of losing parents; this in turn causes insecurity.

Can grassroots festivals serve as catalysts to connect and empower youth in urban informal settlements? A case study of art festivals in Indonesian kampungs

Purpose The purpose of this study is to examine how young residents in two Indonesian kampungs (urban informal settlements) participate in two grassroots art festivals and to what extent their participation affects their capacity and network. Design/methodology/approach This study uses a qualitative method. The data collection were done in 2017 and took the form of in-depth semi-structured interviews with 15 respondents in two kampungs, Kampung Dago Pojok, Bandung, and Kampung Bustaman, Semarang. Findings The results show that the grassroots festival can empower youth throughout its process while also influencing their networks. The festival could act as the catalyst for youth to gain event management skills and exchange cultural knowledge. This study also found that there are two sides the art festivals can bring to the youth regarding their network: while the festival was able to develop their internal and external network, it also led to social division within the community. Originality/value The originality of this paper lies in the context of the research where it contributes to understanding the implications of community-based art festivals in the developing context, particularly in the low-income informal settlements. The paper’s content also provides insights that festivals can also be understood as more than place marketing or branding but as collections of steps and efforts of the community to provide meaningful actions for their place and people.

Nurse-led self-management support after organ transplantation—protocol of a multicentre, stepped-wedge randomized controlled trial

Background Recipients of an organ transplantation face a number of challenges and often need to change their health behaviour. Good self-management skills are essential for optimal clinical outcomes. However, few interventions are available to support post-transplant self-management. To fill this gap, we developed a self-management support intervention offered by nurse practitioners. The primary aim of the study is to implement and test the effectiveness of the ZENN intervention in promoting self-management skills among heart, kidney liver and lung transplant recipients in comparison to standard care. The secondary aim is to assess the self-management support skills of nurse practitioners who will deliver the intervention. Methods This multi-centre stepped-wedge randomized controlled trial will take place from September 2020 until May 2023. All departments will commence with inclusion of patients in the control period. Each department will be randomly assigned to a start date (step in the wedge) to commence the experimental period. Patients in the control period will receive standard care and will be asked to complete questionnaires at baseline (T0), 6 months (T1) and 12 months (T2), to assess self-management, self-regulation, quality of life and adherence. During the experimental period, patients will receive standard care plus the ZENN intervention and receive the same set of questionnaires as participants in the control period. Nurse practitioners will complete a baseline and follow-up questionnaire to assess differences in self-management support skills. Video recordings of outpatient clinic consultations during the control and experimental periods will determine the differences in nurses’ needs-thwarting and needs-supporting skills between the control and experimental period. Discussion The ZENN intervention could be a useful approach to support patients’ self-management skills after organ transplantation and thus promote clinical outcomes as well as avoid adverse events. Trial registration Dutch Trial Register NL8469. Registered on March 19, 2020.

Emotional Intelligence and Academic Performance of Students

Medical profession deals with human interactions and ability to empathize improves clinical interactions as well as brings out good clinical outcomes. This has led to increasing interest in the importance of Emotional Intelligence (EI) for effective clinical practice. EI integrates the important aspects of interpersonal and intrapersonal relationships to promote self-management skills like adaptability, control of temperaments and tension free states, which have a profound effect on the academic performance of students. There has been substantial evidence proving that being emotionally intelligent can help individuals excel through life transitions starting from school to college, and later into to the working world. There are many studies in the literature that examine the correlation between EI and academic achievement in different education levels which signify importance of EI levels to predict “students who are in need of guided intervention”.

Multimorbidity prevalence and patterns and their associations with health literacy among chronic kidney disease patients

Background Health literacy is the ability to deal with information related to one’s health. Patients with low health literacy have poor disease-management skills for chronic diseases, such as chronic kidney disease (CKD). This could influence the number and combination of their diseases. Methods We included adult patients with CKD stages 1–5 from the Lifelines Study (n = 2,742). We assessed the association between low health literacy and the number and patterns of comorbidities, considering them globally and stratified by age and sex, using multinomial logistic regression and latent class analysis, respectively. Results Low health literacy was associated with a higher number of comorbidities in the crude models, and after adjustment for age, sex, eGFR, smoking, and BMI. In the crude model, the OR for low health literacy increased from 1.71 (1.25–2.33) for two comorbidities to 2.71 (2.00–3.68) for four comorbidities. In the fully-adjusted model, the associations remained significant with a maximum OR of 1.70 (1.16–2.49) for four comorbidities. The patterns of multimorbidity were similar for low and adequate health literacy, overall and by sex, bur tended to be different for patients older than 65. Older patients with low health literacy had higher comorbidity prevalence and a relatively greater share of cardiovascular, psychiatric, and central nervous system diseases. Conclusions Among CKD patients, low health literacy is associated with more multimorbidity. Health literacy is not associated with patterns of multimorbidity in younger patients, but a difference was observed in older ones. Improving low health literacy could be an intervention efficient also in decreasing multimorbidity in CKD patients. Graphical abstract

IMPLEMENTATION OF TEACHER SKILLS IN VARYING SOCIAL STUDIES LEARNING THROUGH ONLINE LEARNING AT INPRES LAYANG CITY OF MAKASSAR

Nur Aida, 2021. Implementation of teacher skills in varying social studies learning through online learning at Inpres Layang Elementary School, Makassar City. Supervised by Nursalam and Rosleny Babo. This research includes qualitative descriptive research. This study aims to determine the skills of teachers in varying IPS through online learning. The results of the study showed that the implementation of teacher skills in varying social studies learning at Inpres Layang Elementary School Makassar, namely a) Variation skills in teaching styles, b) Skills to open and close lessons, c) Skills to explain, d) Skills to ask, e) Skills to provide reinforcement, and f) Class management skills. 2. The results of the interview on the implementation of Teacher Skills in Social Studies Learning through online learning at Inpres Layang Elementary School, Makassar City a) The reaction of students who do not understand online learning, students are very bored because sometimes they do not listen b) Students do not like social studies in online learning by reason of the network less clear and intermittent voice, c) The method used is the lecture method, and the assignment method, and uses the powerpoint media. d) Students like the lecture and assignment method. e) The efforts taken by the teacher in overcoming the difficulties of learning social studies in online learning by reading a lot, students must be trained to be able to listen to learning and arrange the best possible schedule. f) Factors that cause difficulties in online learning, namely students' internal factors, and technical and external factors. g) make use of technology in learning using more via zoom. 3. Implementation of Teacher Skills in Varying Social Studies Learning through Online Learning, the teacher activates students during social studies learning activities through online learning, where students are given assignments, and use power points.Keywords: Teacher Skilss, Learning Variation, Online Learning