Oketani massage with jasmine oil improves breast milk production on postpartum days 1-3

Objective:This study aimed to determine the effect of Oketani massage with jasmine oil on improving breast milk production on days 1-3.Materials and Methods:This preexperimental one-group pretest-posttest design was conducted with 44 eligible respondents,selected using an incidental sampling technique.Oketani massage with jasmine oil was conducted once a day for 3 consecutive days.A total of 44 respondents were selected with incidental sampling.Sufficient breast milk production was observed through the frequency of baby urination in 24 h,the frequency of baby defecation in 24 h,the baby’s weight,and the length of time the baby slept or remained calm after breastfeeding.Results:Results showed that Oketani massage using jasmine oil impacted on increasing breast milk production in postpartum on days 1-3(Z=6.633,P=0.000).The baby’s weight in 3 days was increased after intervention compared with intervention before(2858.25±180.62 g vs.2881.66±180.96 g,t=55.33,P=0.000),the baby’s urination frequency was increased after intervention(4.55±0.50 vs.7.20±0.70,t=17.87,P=0.000),the breastfeeding frequency has decreased(10.27±1.42 vs.8.82±0.82,t=6.94,P=0.000),and the time of baby’s sleeping or calming state has increased(5.14±6.46 h vs.8.48±10.24 h,t=2.11,P=0.041).Conclusion:Oketani massage combined with jasmine oil has been shown to be effective on improving breast milk production on days 1-3.

Patient outcomes in the field of nursing: A concept analysis

Purpose:This paper reports an analysis of the concept of patient outcomes.Methods:The Walker and Avant concept analysis approach was applied.Results:The attributes of patient outcomes include(1)patient functional status(maintained or improved),(2)patient safety(protected or unharmed),and(3)patient satisfaction(patient reporting of comfort and contentment).These attributes are influenced by the antecedents of individual patient characteristics and health problems,the structure of healthcare organizations and received health interventions.Additionally,patient outcomes do significantly impact the quality of nursing care,the cost of effective care and healthcare policy making formulation.Conclusion:Providing good nursing care to all patients is a central goal of nursing.Patient outcomes in nursing are primarily about the results for the patient receiving nursing care.This analysis provides nurses with a new perspective by helping them to understand all the components within the concept of patient outcomes.

Gender and managerial competence:a comparison of male and female first-line nurse managers in Indonesia

Objective:First-line nurse managers are more likely to work according to gender beliefs and stereotypes,which may affect their managerial competence.This study is aimed at comparing managerial competence of male and female first-line nurse managers in public hospitals in Indonesia.Methods:This study employed a descriptive comparative approach with a cross-sectional survey with a total of 256 participants selected from 18 public hospitals.To measure managerial competence,the managerial competence scale for Indonesian first-line nurse managers was used.Data were analyzed using descriptive analyses using mean,standard deviation,and Independent t-test.Results:Managerial competence of male and female first-line nurse managers was not significantly different(P=0.555).Female nurse managers descriptively reported/received higher ranking in facilitating spiritual nursing care,managing self,staffing and professional development,utilizing informatics,and applying quality care improvement.Male nurse managers repor ted higher in leadership and financial management.Conclusions:Female and male first-line nurse managers should be treated equally for leadership and managerial development.

Identifying nursing research priorities in Vietnam: a modified Delphi study

Objective: There is no single study that has examined nursing research priorities in Vietnam. This study aimed to gain consensus from experts on the nursing research priorities in Vietnam.Methods: A three-round modified Delphi study was used in this study. A focus group discussion among experts was conducted in round I to identify the nursing research priorities(n=23). Data in round I were analyzed using content analysis. In round Ⅱ, participants were invited to rate the importance of each nursing priority topic in a 5-point Likert scale questionnaire, which had a 74%(n=17) response rate. In round Ⅲ, the questionnaire was returned to the experts(n=17) until consensus was reached. Data from round Ⅱ and round Ⅲ were analyzed to produce mean score and final rank.Results: The top 12 research priority lists were identified, which included subthemes and areas of possible investigations. All priorities were classified into three groups in the rank order, namely:(i) nursing management and leadership, which included(1) nursing care quality,(2) management and leadership of nurse managers,(3) nursing image,(4) professional nurse competency, and(5) human resource management;(ii) nursing education, which included(1) knowledge-specific domain,(2) the linkage between education and practice, and(3) nurse teacher workforce;and(iii) nursing service, which included(1) adult nursing concern,(2) patient safety,(3) public health nursing concern, and(4) quality of life of patients and nurses.Conclusions: Consensus among experts was achiever, and the findings are considered as the basis of resources to the most essential research needs in Vietnam.

医院一线护士长核心能力要素的质性研究

目的在新常态背景下要应对不断出现的新挑战,临床一线护士长需要提高技能,以有效履行职责、发挥多重作用,亟需完善新形势下其核心能力指南或标准。本研究旨在探讨后疫情时代背景下印度尼西亚医院一线护理管理者的核心能力要素。方法2022年1—8月,在印度尼西亚的1所公立医院选择7名有新型冠状病毒疫情期间护理管理经验的一线护士长进行面对面访谈。对访谈内容进行录音,逐字逐句转录,并通过重新聆听进行验证。采用主题分析法对访谈资料进行分析。结果医院一线护理管理者的核心能力要素包括4个方面:管理核心能力,临床核心能力,科技核心能力,以及社会情感技能/个人特质(包括勇敢、迅捷、耐心、乐观、坚持和责任心)。结论研究结果表明,一线护士长的管理和临床核心能力必须保持一致,科技核心能力是两者的中间组成部分。个人特质对于一线护士长至关重要,因为这是他们的其他3个核心能力和成功的基础。

护理工作环境指数量表印尼版跨文化调适及心理测量学分析

目的旨在翻译和验证印尼语版护理工作环境指数量表(the Practice Environment Scale of the Nursing Work Index,PES-NWI)在护士中应用的信效度。方法对PES-NWI进行翻译,并通过横断面研究验证其信效度。采用正向翻译、对比译文、反向翻译、对比译文,及采用二分量表进行初步测试5个步骤将英语版本问卷翻译为印尼语。30名住院部护士参与了量表可读性和可理解性检查。于2022年8—10月在印度尼西亚的17所医院选取350名护理人员参与调查。采用结构效度和收敛效度来评估量表的效度。采用Cronbach's α系数、项目总相关系数和组合信度指数来评估量表的信度。结果验证性因子分析显示,PES-NWI具有良好的拟合度,量表因子结构稳定。各维度的相关系数为0.70~0.88,条目的载荷值都高于0.6。量表维度的收敛效度为0.61~0.74。Cronbach's α系数为0.97,修正后的项目总相关系数0.62~0.85,各个维度的组合信度指数均高于0.89。结论印尼版PES-NWI具有良好的同质性和结构效度,护理管理人员可以使用它来衡量工作环境。

Factors affecting repositioning policy compliance:an integrative review

Objective:To explore the factors affecting nurses’compliance with repositioning policy.Methods:An integrative review was conducted following the Whittemore and Knafl methodology to identify the problem related to repositioning policy compliance.We searched the following databases:Coherence Wounds Group Specialized Register(Jan 1997 to Jun 2019),Ovid MEDLINE(Jan 1997 to Jun 2019),EBSCO CINAHL(Jan 1997 to Jun 2019),and Clinical Key database(Jan 2014 to Oct 2018).Results:The review revealed three factors that influence repositioning compliance:nurse-related factors,patient-related factors,and Environment-related factors.Conclusions:These factors directly impact one another and,in turn,influence the compliance of nurses to the repositioning policy.However,there is no evidence currently available that explains the collective impact of these factors and how they interact to affect repositioning policy compliance.Never theless,all these factors are impor tant and should be considered to enhance and fur ther improve the quality of nursing care and adherence to the repositioning policy。