Memoirs of yesterday: The lived experience of individuals with separated parents

@#Separation issues have been rampant, and a significant rise in union dissolution cases in the Philippines has been observed. This certain occurrence should be given particular attention because it may alter the individual's way of living, particularly in perceiving and dealing with relationships. This study explores the lived experience of individuals who have undergone parental separation. The study utilized a Hermeneutic Phenomenological Design, which involved ten (10) respondents using a semi-structured key informant interview guide. The respondents were selected based on criteria as follows: (1) Have parents who have decided on the dissolution of marriage (annulled or informal) living separately; (2) 18 years of age and above; (3) Residents of Central Visayas; permanent or transient in Cebu City and; (4) Able to understand and express ideas in Cebuano dialect or English language. An Interpretative Phenomenological Analysis anchored on van Manen's six-step interpretive phenomenological approach with management and analysis done manually created a poem titled “Memoirs of Yesterday,” which incorporates three (3) major themes: (1) Into the Tunnel: Etiology of Separation, (2) The Darkness in the Tunnel: effects of the dissolution of marriage to children- emotional, psychological and academic status and (3) The Light After the Tunnel: attitude of the child and parent towards relationships and separation. The study implies that nurses should recognize the importance of assessing family concerns in rendering holistic and individualized client care. Thus, nurses should use assessed needs in advocating for the creation of more programs on awareness and counseling to families and, most especially, children.

Breast Cancer Patients’ Experience of Current Health Services as A Holistic Care: A Qualitative Study

@#Introduction: Breast cancer is now one of the leading causes of death and morbidity worldwide, including in Indonesia. Every health care professional and community member should pay close attention to these issues. Women diagnosed with breast cancer will experience physical, psychological, and social issues. Methods: This study looked into breast cancer patients’ experiences with holistic nursing care. The complexity of the difficulties confronting breast cancer patients will influence their experiences and perceptions, necessitating a holistic approach to nursing services. A qualitative exploratory, descriptive method was adopted in the investigation. During data collection, fifteen participants were recruited and interviewed. Focus Group Discussion (FGD) was utilized to collect data. Result: The study’s findings provide five significant themes: (1) knowledge and understanding of breast cancer; (2) experiences felt at the beginning of breast cancer complaints; (3) non-health breast cancer treatment; (4) perception of nursing services received by breast cancer patients; (5) facts and holistic needs during and beyond treatment; and (6) patients’ expectations of nursing services to help their needs. Conclusion: The findings provide information on how breast cancer patients understand the examination procedure, accept a diagnosis, and proceed to treatments.

Opinions about Death in People Receiving Dialysis

ABSTRACT Objective: People receiving dialysis have a high mortality rate due to life-threatening, chronic renal failure. These patients experience the fear of pain and suffering, loneliness and death in the haemodialysis unit. This research aimed at determining the perception of death in people receiving dialysis. Methods: A cross-sectional, descriptive research was conducted under the supervision of the Ministry of Health in public hospitals in the cities of Mersin, Izmir, Antalya, Erzurum, Samsun and Gaziantep. A total 240 patients were treated in the dialysis units of these hospitals. Participants were selected with stratified random sampling. For data collection, a patient information form was prepared by the researcher. Data from the study were analysed with Tukey Honest Significant Difference and one-way ANOVA, using an SPSS version 11.5 software package (Statistical Package for the Social Sciences Windows, IBM Corp., Armonk, NY). The statistical significance level was defined as p < 0.05. Results: People receiving dialysis were found to be in a mildly depressive emotional state and they had death anxiety. Death-related anxiety and depression were more common among the female study participants compared to the male participants. Single patients exhibited higher levels of death anxiety compared to married patients. Conclusion: We recommend a holistic and personalised care to allow people receiving dialysis to express their feelings and to overcome the death anxiety. Further research is needed to improve dignified person-centred care for people receiving dialysis.

O idoso e a espiritualidade: considerações para o cuidado holístico de enfermagem / The Elderly and Spirituality: considerations for holistic nursing care

O objetivo é compreender a espiritualidade como estratégia determinante do bem estar do idoso. Foi realizada uma revisão bibliográfica do tipo sistemática, através da metanálise de artigos das bases: LILACS e BDENF. A espiritualidade apresenta-se como fator protetor nas situações vivenciadas pelo idoso, o que ressalta a importância dessa abordagem no cuidado holístico de enfermagem.

The objective is to understand spirituality as a determinant strategy for the well-being of the elderly. A bibliographic review of the systematic type was carried out through the meta-analysis of articles from the databases: LILACS and BDENF. Spirituality presents itself as a protective factor in the situations experienced by the elderly, which highlights the importance of this approach in holistic nursing care.

El objetivo es comprender la espiritualidad como estrategia determinante del bienestar del anciano. Se realizó una revisión bibliográfica del tipo sistemática, a través del metanálisis de artículos de las bases: LILACS y BDENF. La espiritualidad se presenta como factor protector en las situaciones vivenciadas por el anciano, lo que resalta la importancia de ese abordaje en el cuidado holístico de enfermería.

Using the SBAR4 model for Management of a Patient with Complex Comorbidites in the Community Hospital - A Case Study

Patients who require a stay in a community hospital usually tend to be more complex, presenting not only with biomedical issues with complications, but also with a myriad of psychological and social issues as well. If they were to be discharged from an acute hospital directly to primary care and community, the patients and caregivers may feel helpless, overwhelmed and unsure of how to navigate the healthcare system to get their complex issues sorted out. Family physicians in the community hospitals need to hone their skills in such an area of care. The SBAR4 model can be effectively used to categorise the patients’ multiple bio-psycho-social issues, coordinate the multi-disciplinary team to bring hospital and community resources to help such patients, provide holistic care for such patients, and transit them safely into the care of our family physicians in primary care and community.

Rewarding, positive aspects and nursing characteristics of comprehensive community care practices by clinic nurses / 日本プライマリ・ケア連合学会誌

<b>Purpose</b> : The objective of this qualitative study was to clarify rewarding and positive aspects of comprehensive community care practices by clinic nurses.<br><b>Methods</b> : Semi-structured interviews were conducted for six nurses who had been working for more than five years at community-based clinics in the surrounding areas of Tokyo. Responses were analyzed using the Modified Grounded Theory Approach proposed by Kinoshita. Concept diagrams were drawn from the themes.<br><b>Results</b> : Nurses regarded the integrated care of individual patients, their family and community as meaningful and rewarding because they were able to provide truly holistic care. They were also satisfied with “value of individual experiences of nurses”, “frontier spirit of community nurses providing pathless integrated care”, “appropriate work-life balance”, “independent position in the clinic” and “community-based team approach including medicine, health and welfare”.<br><b>Conclusion</b> : Nurses felt easier providing their psychosocial intervention in a community-based clinic as part of a medical system. Nurses obtained rewards by using their holistic care ability. Since nurses and family physicians have similar perspectives with respect to patient-centered care, some nurses felt conflicts with their physicians, because patient-centeredness is not the only strength of such nurses.

Application of holistic nursing in operation room for surgical children patients / 中国实用护理杂志

Objective To explore the clinical effect of holistic nursing in the operation room for surgical children patients. Methods 120 patients required surgical treatment were selected and divided into the control group(45 cases)and the observation group(75 cases)randomly.The control group was given routine nursing,the observation group was given holistic nursing including preoperative interview,psychological care and all the preparations,strict check upon going into the operation room and before surgery,to help children keep graceful position,to cooperate closely with the anesthetist and surgeon,to observe the condition of patients and give good infusion management,to give continued observation of the disease condition after surgery,to make children safe escort back to the ward,and to make transfer with ward nurses.The treatment effect was compared between two groups. Results Two groups of children passed the period of operation and anesthesia safely,without appearing accidental situation.The satisfaction degree of the observation group was significantly higher than the control group.One case appeared operation accident and two cases appeared anesthesia awareness in the control group,and they were correctly handled.No one appeared operation accident and anesthesia awareness in the observation group.The differences between the two groups were significant. Conclusions Application of holistic nursing in the operation room for children patients puts forward higher requirements for nurses.It can help children cooperate with surgery better to achieve better surgical results,which is worthy of promotion.

Una propuesta educativa en enfermería transcultural: el caso de la cultura menonita / Transcultural nursing educational proposal: the case of mennonite culture

La necesidad de afrontar las barreras culturales, primeramente de lenguaje, el cual se entiende como sistema de comunicación que nos permite expresar conceptos entre los usuarios de la cultura menonita y los estudiantes del programa de la licenciatura en enfermería de la Universidad Autónoma de Ciudad Juárez, Unidad Multidisciplinaria en Cuauhtémoc, nos lleva a una propuesta educativa del cuidado enfermero. El objetivo es introducir al estudiante como futuro prestador del cuidado humano a la cultura menonita, asentada en la región desde 1922 y cuya lengua materna es el alemán bajo, con tradiciones y costumbres respecto a la salud muy arraigadas. Según datos del Hospital General Javier Ramírez, Topete de la ciudad de Cuauhtémoc, actualmente el porcentaje de menonitas que acuden a los servicios de salud se estima en un 73% del total de la población de la etnia, por lo cual se hace necesaria la interacción enfermera-paciente para una comprensión significativa de la situación sanitaria de la población primaria a través del lenguaje. Se toma como eje la teoría de la Diversidad y Universalidad de los Cuidados Culturales de Madeleine Leininger, cuyo propósito es que la enfermería trascienda la interculturalidad hacia la práctica, utilizando los conceptos antropológicos y médicos, aplicados en un diccionario de salud de la cultura de los menonitas, para establecer la relación humana, la comunicación y la comprensión de significados de salud para avanzar hacia la enfermería transcultural. Se asume que la existencia del cuidado cultural en el sistema de salud, fortalece el papel del enfermero(a) en la práctica asistencial. De ahí la importancia de esta propuesta educativa.

The need of trespassing the cultural barriers, in the first place that of the language, understanding language as a communication system that allows to express concepts, between the users of the Mennonite culture and the nursing degree students, of the Universidad Autónoma de Ciudad Juárez, Unidad Multidisciplinaria en Cuauhtémoc City, leads us to an educational purpose in the nurse care. Our aim is to introduce the student as a future provider of human care, to the Mennonite culture, that lives in the region since 1922. Their language is the low german. They have very strong health traditions and uses . The General Hospital Javier Ramirez Topete of Cuauhtémoc City has given us the data that almost the 73% of the Mennonite population use the Mexican community health services. That is why it is very necessary the interaction through the language. We are taking as a base the Diversity and Universality theory of the Cultural Care of Madeleine Leninger, whose purpose is that the nursing care goes beyond the interculturality , using the medical anthropological concepts applied in a health dictionary of the Mennonite culture, to the human relationship, the communication and the comprehension of health meanings an so arrive to the cross-cultural nursery . We assume that the existence of the cultural care in the health system strengthens the nurse role in the assistential practices. That is why this educational purpose is so important.