[Clinical Simulation Teaching Program to Promote the Effectiveness of Nurses in Coping With Workplace Violence].

BACKGROUND: Workplace violence is a phenomenon that is prevalent around the world. Nursing personnel are one of the most frequent victims of workplace attacks. Beyond the harm done to physical health, mental health, and workplace morale, workplace violence also leads to the loss of personnel and causes severe injury to institutions and nursing professionals. PURPOSE: The aim of this study is to improve the awareness, attitudes, and self-confidence of nurses with regard to workplace violence using clinical simulation teaching and training courses. METHODS: A total of 400 clinical nurses at a tertiary hospital in Taipei City were enrolled and randomly assigned into either the experimental group, which received the education intervention, or the control group, which received no intervention. A total of 392 enrolled participants completed the study, including 200 in the experimental group and 192 in the control group. Before and after the intervention, a structured questionnaire was used to collect data, which were analyzed using a GEE model with SPSS V.23. RESULTS: After the clinical simulation teaching course, awareness of workplace violence as well as related attitudes and self-confidence were higher in the experimental group than the control group. Moreover, the posttest scores and pretest-posttest differences in scores were significantly higher in the experimental group than in the control group (p < .001). Advanced analysis of the data showed that cognition scores, being older in age, and having a registered nurse grade of N3 were all associated with earning a higher score. In addition, in terms of attitude, registered nurse grade was found to correlate positively with score. Further, male participants earned higher self-confidence scores than their female colleagues and participants who worked in either the emergency or psychiatric departments earned higher scores. CONCLUSIONS: The "Workplace Violence Clinical Simulation Teaching and Training Course" was shown to improve the awareness, attitudes, and self-confidence of clinical nurses with regard to workplace violence and may thus help reduce the risk and harm of violence in this category. In the future, contextual teaching courses on workplace violence prevention should be developed for different nursing levels, divisions, and units based on their specific characteristics and needs.

Effectiveness of Different Pain Control Methods in Patients with Knee Osteoarthritis after Knee Arthroplasty.

The number of patients with knee osteoarthritis has increased in tandem with population aging. Consequently, the number of knee arthroplasties has also risen. The postoperative pain is the biggest challenge faced by patients soon after knee arthroplasty; therefore, this study is among different methods for post-knee arthroplasty pain control. A prospective longitudinal research design was employed; 177 adult patients who proposed for primary knee arthroplasty were enrolled and recruited. The patients were divided into conventional Group 1 (n = 120) and patient-controlled analgesia (PCA) Group 2 (n = 57) according to the treatment methods they received. All patients experience the highest pain level on the day of their surgery; women complained of higher pain levels than men did, while the PCA group had lower postoperative pain. Meanwhile, patients with general anesthesia experienced more pain than those with spinal anesthesia in postoperative period. Patients with a higher postoperative pain index have a smaller optimal knee flexion angle. The PCA group had lower postoperative pain; all patients experienced the highest pain level on the day of their surgery. The results of this study could serve as a reference for nurses where PCA ensures a better postoperative pain control and therefore facilitates recovery and improves the quality of nursing.

[An investigation of the diet preferences of patients with metabolic syndrome who underwent coronary artery bypass graft surgery].

BACKGROUND: The coronary artery disease (CAD) patients are not free of disease recurrence following coronary artery bypass graft (CABG) surgery. There may be risk of restenosis or occlusion in coronary blood flow. Risk reduction, such as diet control, is needed for long-term vascular patency. PURPOSE: The purpose of this study was to explore the diet preferences of post coronary artery bypass graft surgery patients with metabolic syndrome. METHODS: A cross-section research design and purposive sampling were conducted in this study. The study was conducted at a general hospital in northern Taiwan. A total of 104 samples recruited. And given a respondent demographics questionnaire and Chinese food frequency questionnaire. Eata were managed and analyzed using SPSS 17.0 software. RESULTS: We found that postoperative patients ate less vegetables and milk and more fried food. They also used cooking oil more frequently. CONCLUSION: We recommend that patients after CABG surgery take more vegetables with less fried food and cooking oil. They should improve their diet preferences and eating habit. More than half of the patients have meals prepared by their spouses. More emphasis should be focused on improving the health knowledge of those who prepare food. We hope this result can provide more information about postoperative diet education for medical staff and help patients and their families consume a diet richer in healthy foods.

Food pattern and quality of life in metabolic syndrome patients who underwent coronary artery bypass grafting in Taiwan.

Metabolic syndrome is associated with poor operative outcomes of coronary artery bypass grafting surgery (CABG). A healthy food pattern for metabolic syndrome patients is necessary not only in the initial stage to prevent cardiovascular disease but for those who experience cardiovascular problems and undergo heart surgery. Empirical studies that explore food pattern and quality of life metabolic syndrome patients who undergo CABG are lacking. Therefore, the objectives of this study are to explore the food pattern and quality of life of metabolic syndrome patients who undergo CABG and to examine the relationship between these two variables. A descriptive, correlational and cross section design was conducted. Through convenience sampling, 104 patients were recruited. Data were collected through three instruments: a demographic questionnaire; the Chinese Food Frequency Questionnaire-Short Form (Short C-FFQ), used to assess food pattern; and the Taiwanese version of the Medical Outcomes Study Short Form 36-Health Survey (SF-36), used to assess quality of life. Descriptive analysis, one-way analysis of variance (ANOVA) and Pearson correlation were used to analyze the data. The results indicated that patients who ate fruit more frequently tended to have a better quality of life, while the intake of fried food was more frequently associated with a poor quality of life. The use of these data gives the health care provider a better understanding of food pattern and their impact on quality of life in this population. Such an understanding can be used to develop targeted interventions to promote health in this and in other populations.

[Quality of life and related factors in metabolic syndrome patients who underwent coronary artery bypass grafting surgery].

BACKGROUND: Metabolic syndrome is a high-prevalence health problem worldwide. In Taiwan, some 16.1-20.4% of males and 13.3-15.3% of females have been diagnosed with metabolic syndrome. Cardiovascular disease is the second leading cause of death in Taiwan, and metabolic syndrome is a recognized risk factor for coronary artery disease. Coronary artery bypass grafting (CABG) is currently the most recommended treatment for coronary artery disease. In Taiwan, approximately 6,300 individuals underwent CABG surgery in 2007. PURPOSE: Research has found metabolic syndrome to be associated with poor outcomes following CABG. However, research focusing on quality of life in metabolic syndrome patients who have undergone CABG is lacking. The purpose of this study was to explore the quality of life of such patients in order to address this gap in understanding. METHODS: The cross-sectional quantitative research design with purposive sampling used for this study employed two instruments, including the Short Form 36-Health Survey and a demographic questionnaire. Seventy patients were recruited from a medical center in northern Taiwan. Data were analyzed using SPSS, Version 17.0 software. Data analysis addressed percentages, means, standard deviations, independent t-tests, one-way ANOVAs and Pearson correlation coefficients. RESULTS: With regard to SF-36 Taiwan version scores, results showed participant mean scores for general health and social functions to be higher than those of the general population, and, in keeping with this, the mean scores for limited role function due to emotional problems and physical pain due to the operation were lower. Nevertheless, overall, the mean score for physical functions was lower than that for the general population, as were mean scores for vitality and mental health. Metabolic syndrome indicators were significantly associated with gender, age, education level, and religious affiliation. In addition, quality of life differed significantly by gender, marital status, meal arrangements, and alcohol consumption. Finally, lower blood pressure was correlated with vitality and mental health. CONCLUSIONS: It is hoped that study findings will increase awareness among healthcare providers regarding quality of life in metabolic syndrome patients who have undergone CABG. Based on study results, healthcare providers may design specific interventions for this particular population in order to achieve optimal quality of life.