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@#Introduction: Nurses play critical roles in disaster management and are required to demonstrate leadership by dealing with disaster events effectively. This study aimed to identify the nurse leadership indicators at each phase of disaster management. Methods: A qualitative descriptive study was conducted in two phases between November 2017 -January 2018 at two regional hospitals and one central hospital in Yogyakarta. The first phase involved semi-structured in-depth interviews with seven emergency nurses, and the second was a focus group discussions with five nurses’ managers or lecturers. Participants were selected using a purposive sampling technique. Data Analyze used a modified version framework method. Results: We found 49 indicators of nurse leadership in disaster management. We grouped indicators into two major groups: common indicators (27 indicators) and specific indicators (22 indicators). Four themes were obtained according to the disaster management phases: nurse leadership in the mitigation phase, the preparedness phase, the response phase, and the recovery/rehabilitation phase. Each theme contains three main sub-themes (3Cs): character, competence, and the central role of the leader. Conclusion: Using the International Council of Nurses (ICN) framework’s disaster phase as a conceptual basis, 49 nurse leadership indicators were identified as potential information for future items candidates of the instrument for measuring nurse leadership in disaster management.
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Objetivos: Evaluar si existe una asociación entre el test de Squeeze (TS) positivo y el hallazgo ecográfico de sinovitis en las articulaciones metacarpofalángicas (MCF) y metatarsofálangicas (MTF) de pacientescon diagnóstico de artritis reumatoidea (AR). Resultados: Se evaluaron 35 pacientes con diagnóstico de AR, 85% mujeres, con una mediana de edad de 57 años (RIC 50,5-64), y una mediana de tiempo de evolución de 10 años (RIC 4-15). La sensibilidad (S) y especificidad (E) del test de Squeeze para detectar al menos una MCF dolorosa fue de 81% y 90%, respectivamente. Para detectarinflamación en MCF, el test tuvo una S de 62% y una E de 78%. En pies, el test presentó un menor desempeño, con S y E menores. En la evaluación ecográfica de pacientes con TS positivo se observó una mayor frecuencia de hipertrofia sinovial, distensión articular y señal Doppler en manos, e hipertrofia sinovial y distensión articular en pies. Sin embargo, ninguno de estos hallazgos alcanzó significancia estadística. El test de Squeeze en manos tuvo una S de 50% y E de 84% para detectar señal Doppler. Conclusiones: El test de Squeeze demostró ser útil para detectar articulaciones dolorosas, especialmente en las manos. En este estudio no se encontró una asociación significativa con hallazgos ecográficos. La sensibilidad del test en manos y pies para detectar efecto Doppler no fue buena, pero la especificidad fue aceptable.
Objectives: To assess whether a association exists between thepositive Squeeze test (ST) and ultrasound finding of synovitis in themetacarpophalangeal (MCP) and metatarsophalangeal (MTP) of patientswith rheumatoid arthritis (RA). Results: We evaluated 35 patients with RA, 85% were female, with a median age of 57 years (IQR 50.5-64) and a median disease duration of 10 years (IQR 4-15). The sensitivity (S) and specificity (Sp) for the Squeeze test in detecting at least one painful MCP was 81% and 90%, respectively. To detect inflammation in MCP joints, the testhad a sensitivity of 62% and a specificity of 78%. The test showeda worse performance in feet, with less S and Sp. In the ultrasonographicevaluation of patients with positive TS, we found a higher frequency of synovial hypertrophy, distension and Doppler signal in hands, and synovial hypertrophy and distension in feet. However, none of these findings reached statistical significance. Squeeze test in hands had a S of 50% and Sp of 84% to detect Doppler. Conclusions: The Squeeze test proved to be useful in detecting painful joints, especially in hands. This study found no significantassociation with ultrasound findings. The sensitivity of the test to detect Doppler was not good, but the specificity was acceptable.