Technological machines and artificial intelligence in nursing practice.

This article is a theoretical discourse about technological machines and artificial intelligence, highlighting their effective interactive outcomes in nursing. One significant influence is technological efficiency which positively affects nursing care time, enabling nurses to focus more on their patients as the core of nursing. The article examines the impact of technology and artificial intelligence on nursing practice in this era of rapid technological advancements and technological dependence. Strategic opportunities in nursing are advanced, exemplified by robotics technology and artificial intelligence. A survey of recent literature focused on what is known about the influence of technology, healthcare robotics, and artificial intelligence on nursing in the contexts of industrialization, societal milieu, and human living environments. Efficient, precision-driven machines with artificial intelligence support a technology-centered society in which hospitals and healthcare systems become increasingly technology-dependent, impacting healthcare quality and patient care satisfaction. As a result, higher levels of knowledge, intelligence, and recognition of technologies and artificial intelligence are required for nurses to render quality nursing care. Designers of health facilities should be particularly aware of nursing's increasing dependence on technological advancements in their practice.

Beliefs and Practices on Depression Among Selected Filipino Indigenous Peoples: A Focused Ethnography.

INTRODUCTION: Depression beliefs and practices among indigenous peoples are essential to creating responsive mental health services. The purpose of the study is to explore the cultural beliefs and practices on depression among the Ilocanos, Kankana-eys, and Maranaos indigenous peoples in the Philippines. METHOD: The study employed a focused ethnography research design. The study involved 41 (N = 41) traditional healers and tribal leaders across Ilocano, Kankana-ey, and Maranao ethnic groups in the Philippine Islands. Interviews, reviews of records, and participant observation were used as data gathering tools. RESULTS: Beliefs about depression include magico-spiritual influence, relational problems, economic pressure, and emotional domains. Practices were divided into three domains: preventive, curative, and rehabilitative interventions. DISCUSSION: The depression beliefs and practices of Ilocano, Kankana-ey, and Maranao indigenous peoples are rooted in their tradition, culture, religion, and medical influences largely rooted in magico-spiritual approaches. These findings suggest the inclusion of culturally-based care to address depression.

Workplace incivility and its influence on professional quality of life among nurses from multicultural background: A cross-sectional study.

AIMS AND OBJECTIVES: To investigate the workplace incivility of nurses working in two Saudi hospitals and analyse its influence on the nurses' professional quality of life (ProQOL). BACKGROUND: The prevalence and economic impact of workplace incivility cannot be overstated and disregarded. To the current authors' knowledge, no extensive study on this topic has been conducted in Saudi Arabia. The influence of workplace incivility to ProQOL of nurses from different cultural backgrounds has never been thoroughly investigated. DESIGN: Descriptive, cross-sectional design. METHODS: A sample of 378 nurses working in two government hospitals in Saudi Arabia were surveyed using the Nursing Incivility Scale and the ProQOL Scale version 5 from February to May 2018. A multivariate multiple regression analysis was conducted to analyse the multivariate effect of workplace incivility on the nurses' ProQOL. The study adhered to the STROBE guideline (See Supporting Information File 1). RESULTS: The nurses perceived a moderate level of workplace incivility from the different sources of uncivil acts measured in this study. Among the five sources of incivility explored in this study, the nurses reported the majority of workplace incivility experienced from patients/visitors (M = 2.44, SD = 0.80), while the lowest was from supervisors (M = 1.90, SD = 0.66). The mean scores of the respondents in the compassion satisfaction, burnout and secondary traumatic stress subscales were 36.50 (SD = 6.30), 26.43 (SD = 4.81) and 26.47 (SD = 6.06), respectively. General incivility, supervisor incivility, physician incivility and patient/visitor incivility showed a significant multivariate effect on the three ProQOL subscales. CONCLUSIONS: Nurses' experience of workplace civility and its sources were associated with ProQOL. RELEVANCE TO CLINICAL PRACTICE: The findings of this study can be used as guide in establishing human resource policies towards achieving nurses' needs, reducing workplace incivility and improving ProQOL.

Nurturing the seeds of evidence-based practice: Early ambulation among cardiac surgery patients

BACKGROUND: Cardiovascular disorders continue to be the most prevalent cause of morbidity and mortality in the Philippines and worldwide. Surgical treatments used to manage cardiovascular disorders (unfortunately) have multiple complications. As part of the health care team, nurses need to develop interventions that are safe, scientifically grounded, and cost-effective in order to counteract these complications. One of the nursing interventions that can be implemented is nearly ambulation. AIM: To search, appraise and synthesize the best evidence surrounding early ambulation among cardiac surgery patients. METHODS: This study employed an evidence-based review method suggested by Melnyk and Fineout-Overholt (2005). Systematic literature search was done to the following databases: Cochrane, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Joana Briggs Institute (JBI), MEDLINE, National Guideline Clearinghouse (NGC), and Nursing/Academic edition. Post-operative patients who have undergone coronary artery bypass surgery(CABG), percutaneous coronary intervention (PCI), and transfemoral cardiac catheterization (TCC) are included in this study. The final review also included six articles. RESULTS AND DISCUSSION: Findings show that early ambulation among patients who underwent coronary artery bypass surgery(CABG), percutaneous coronary intervention (PCI), and transfemoral cardiac catheterization (TCC) improves patient care outcomes (i.e., reduce complications such back pain, puncture bleeding,and urinary discomfort, improves general well-being, and decrease health care costs).Parameters for early ambulation (ranges from 3 hours to 24 hours)and late ambulation (ranges from 12 hours to 48 hours) are used in the study reviewed. The non-randomized comparative study found that the complication rate in the early ambulation group is not increased compared to the late ambulation group (test for non-inferiority p=0.002). Randomized controlled trial found out that early ambulation among cardiac surgery patients could reduce back pain (OR=0.19, 95% Cl: 0.08-0.45, p CONCLUSION AND RECOMMENDATIONS: This evidence-based practice (EBP) review ascertains that early ambulation among postoperative coronary artery bypass surgery (CABG), percutaneous coronary intervention (PCI), and transfemoral cardiac catheterization (TCC) could improve patient care outcomes such as reduction of complication rate, improvement of general well-being, and decrease of healthcare costs. This study, therefore, recommends the use of early ambulation among CABG,PCI, and TCC postoperative patients to complete the last two phases of evidence-based practice.  

The effect of psychoeducation for depression: A meta-analysis 2010-2016

@#<p style="text-align: justify;"><strong>BACKGROUND/OBJECTIVE:</strong> Depression is a global mental health problem. Therefore,mental health professionals need to develop interventions that are evidence-based and  cost-effective.  One  of  the  psychosocial  interventions  is  psychoeducation. However, a recent Google search on the effect of psychoeducation for depression suggests conflicting results calling for an analysis of studies to establish psychoeducation  effectiveness.The  goal  of  the  meta-analysis  is  to  examine randomized  controlled  trials (RCTs) overall effectiveness of psychoeducation for depression.<br /><strong>METHODS: </strong>EBSCOhost, PsychINFO, and Science Direct databases were searched using  the  keywords  'psychoeducation,'  'group  psychoeducation,'  'mental  health education,' 'depression,' 'depressive disorder,' and 'dysthymia' with year restriction of  2010-2016.  In  this  meta-analysis,  the  effect  size  (using  Hedges'  g  value),  Q statistics, and I2  were calculated under the random effects model aided by CMA v.3.To test for publication bias, trim-and-fill analysis, and fail-safe N were computed too.<br /><strong>RESULTS:</strong> A total of 1,560 patients from 11 studies were included in this analysis.Post-intervention results had Hedges' g-value of -0.293 (95% CI= -0.552--0.035) of psychoeducation for depression meaning low effect. Although notably, the overall effect size leans towards psychoeducation. The p-value is significant at .05 level,favoring  psychoeducation  (p=0.026).  The  studies  were  also  found  to  be  highly 2 heterogeneous (Q(10) = 55.467, p<.05, I 2 =81.971) under the random effects model, suggesting  high  inconsistency  on  the  studies  included  in  this  meta-analysis.  In testing for publication bias, the imputed effect size using trim-and-fill approach was -0.38558 (95% CI= -0.64926- -0.12189) while the result of fail-safe N suggested that 48 nil or null results would be needed to increase the p-value associated with the average effect above an alpha level of 0.05.<br /><strong>CONCLUSIONS:</strong> This  meta-analysis  may  suggest  that  psychoeducation  has  low effect on depression. Longer and more interactive approach can be done to ensure its long-term and maximal effectiveness. Publication bias is unlikely in this meta-analysis.  The  findings  provide  valuable  information  for  future psychoeducation   to   improve   content,   design,   quality,   and process that will benefit patients with depression.</p>

Wellness within illness: An evolutionary concept analysis

@#<p style="text-align: justify;">The concept of wellness has no single, universal acceptable definition. The situation gives room to developing and refining wellness both as a concept and an experience. This paper aimed to substantiate the concepts surrounding wellness within an illness experience. Beth Rodger's evolutionary method of concept analysis provided the organizing framework for this paper. The data source was a search of literature published from 2010-2016 on CINAHL, Medline, EBSCO, and Google scholar database. Trailing process is organized with particular focus on antecedents, attributes, and consequences.</p> <p style="text-align: justify;">The analysis found four attributes of wellness within illness namely: normalizing, independence, empowerment, and finding meaning strengthened by antecedents such as strong social support, motivation, constructive coping strategies, and cognitive reframing. Subsequently these may lead to adaptation to illness, being well, and living to illness. Looking at wellness and illness in dichotomy may lead to rote deftness thus expansion of the panorama of wellness within an illness experience may lead to more depth on the scientific understanding and varied application. Increased conceptual understanding and knowledge development on wellness will enable nurses in facilitating patient's adaptation during illness.</p>