<span style="font-family:Verdana;">The </span><span style="font-family:""><span style="font-family:Verdana;">upsurge of candidemia in the past years has been ...<span style="font-family:Verdana;">The </span><span style="font-family:""><span style="font-family:Verdana;">upsurge of candidemia in the past years has been an immense encumbrance on public health and the number of deaths caused by candidemia particularly in critical care unit patients is devastating. </span><i><span style="font-family:Verdana;">Candida</span></i><span style="font-family:Verdana;"> species harbor a 30</span></span><span style="font-family:Verdana;">% </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:Verdana;">60% mortality rate and compared to stable people or those with less serious illnesses, this ranges from 60</span><span style="font-family:Verdana;">%</span><span style="font-family:Verdana;"> to 80% of those who are chronically ill patients. Grounded on a recent report from a tertiary care hospital in Kenya showing the emergence of previously unobserved species</span><span style="font-family:Verdana;">:</span><span style="font-family:""> <i><span style="font-family:Verdana;">Candida auris</span></i><span style="font-family:Verdana;">, this study aimed to determine the prevalence, species distribution, and antifungal susceptibility profile of candidemia in critical care unit patients of the hospital. 378 Critical Care Unit patients were enrolled for the study from January 2019 to January 2020. Positive archived isolates were sub-cultured using Sa</span><span><span style="font-family:Verdana;">boraud Dextrose Agar. </span><i><span style="font-family:Verdana;">Candida</span></i><span style="font-family:Verdana;"> species were identified utilizing API20C</span></span><span style="font-family:Verdana;"> AUX and Vitek-2. Antifungal susceptibility testing was conducted using the Liofilchem MIC Test strip. Out of 378 patients, thirty-one presented a positive culture for </span><i><span style="font-family:Verdana;">Candida</span></i><span style="font-family:Verdana;"> species. The prevalence of Candidemia was </span><b><span style="font-family:Verdana;">8.2%</span></b><span style="font-family:Verdana;"> with </span><b><span style="font-family:Verdana;">9 (29.03%) </span></b><i><span style="font-family:Verdana;">Candida auris</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">8 (25.81%)</span></b> <i><span style="font-family:Verdana;">Candida albicans</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">6 (19.35%) </span></b><i><span style="font-family:Verdana;">Candida parapsilosis</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">3 (9.68%)</span></b> <i><span style="font-family:Verdana;">Candida famata</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">3 (9.68%)</span></b><i><span style="font-family:Verdana;"> Candida tropicalis</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">1 (3.23%)</span></b> <i><span style="font-family:Verdana;">Candida duobushaemolumonii</span></i><span style="font-family:Verdana;">, and </span><b><span style="font-family:Verdana;">1 (3.23%)</span></b> <i><span style="font-family:Verdana;">Candida lusitaniae</span></i><span style="font-family:Verdana;">.</span><i> </i><span style="font-family:Verdana;">A resistance pattern to Fluconazole was observed among </span><i><span style="font-family:Verdana;">Candida auris</span></i><span style="font-family:Verdana;"> and </span><i><span style="font-family:Verdana;">Candida parapsilosis</span></i><span style="font-family:Verdana;">, and resistance to Flucytosine was observed in </span><i><span style="font-family:Verdana;">Candida tropicalis</span></i><span style="font-family:Verdana;">,</span><i> </i><span style="font-family:Verdana;">whereas susceptible MIC values were obtained for the other drugs.</span><i> </i><span style="font-family:Verdana;">There is an increase in candidemia among critical care unit patients in the health facility posing a public health challenge. Moreover, the onset of new species </span><i><span style="font-family:Verdana;">Candida auris </span></i><span style="font-family:Verdana;">which is unprecedented in Kenya warrants enhanced infection control, and the uniform resistance of </span><i><span style="font-family:Verdana;">Candida auris</span></i><span style="font-family:Verdana;">, </span><i><span style="font-family:Verdana;">Candida parapsilosis</span></i><span style="font-family:Verdana;">,</span><i> </i><span style="font-family:Verdana;">and</span><i><span style="font-family:Verdana;"> Candida tropicalis</span></i><span style="font-family:Verdana;"> towards Fluconazole and Flucytosine necessitate constant drug monitoring for empirical treatment regime. In contrast, the high potency of Echinocandins and Amphotericin-B demonstrate them as the drug of choice.展开更多
Objective:To determine the relationship between clinical performance and professional self-concept in critical care nurses.Methods:This study was conducted on 308 critical care nurses.Data gathering instruments were n...Objective:To determine the relationship between clinical performance and professional self-concept in critical care nurses.Methods:This study was conducted on 308 critical care nurses.Data gathering instruments were nurses’clinical performance questionnaire(NCPQ)and nursing professional self-concept measure(NPSCM).Independent sample t-test,one-way analysis of variance(ANOVA),and Pearson correlation coefficient were used for data analyses.Results:The average age of the nurses was 33.74±7.01 years.The clinical performance score of female nurses was significantly higher than male nurses.In the domain of clinical performance,clinical judgment and clinical inquiry had the highest and lowest scores,respectively.In the nurses’professional self-concept,the highest and lowest scores were awarded to the subscales of self-confidence and staff relations,respectively.In addition,there was a significant positive correlation between self-concept and clinical performance of nurses.Conclusions:Increasing professional self-concept improves the clinical performance of critical care nurses.Professional self-concept enhancement measures are recommended to improve the clinical performance of nurses in critical care units.展开更多
目的调查某三甲儿童医院重症患儿照顾者决策疲劳现状,并分析其影响因素。方法采用便利抽样法,于2022年6月-2023年6月选取在儿童重症监护室(pediatric intensive care unit,PICU)住院治疗的118例重症患儿的照顾者作为研究对象,采用一般...目的调查某三甲儿童医院重症患儿照顾者决策疲劳现状,并分析其影响因素。方法采用便利抽样法,于2022年6月-2023年6月选取在儿童重症监护室(pediatric intensive care unit,PICU)住院治疗的118例重症患儿的照顾者作为研究对象,采用一般资料调查表、决策疲劳量表、家庭成员决策自我效能量表对其进行调查。结果该组重症患儿照顾者决策疲劳量表得分为(12.16±3.81)分,决策疲劳量表得分与家庭成员决策自我效能量表得分呈负相关(r=-0.882,P=0.012)。多元线性回归分析结果显示,重症患儿照顾者性别、患儿入住PICU天数、家庭平均月收入、决策自我效能是患儿照顾者决策疲劳的独立影响因素(R^(2)=0.952,_(△)R^(2)=0.902,F=16.819,P<0.001)。结论PICU重症患儿照顾者决策疲劳处于中等水平,医护人员应重点关注女性、家庭平均月收入低、患儿入住PICU时间长、决策自我效能水平低的患儿照顾者,及时向照顾者提供重症患儿病情、治疗方案、预后等信息,加强其心理支持,提升照顾者决策自我效能,从而降低其决策疲劳水平。展开更多
文摘<span style="font-family:Verdana;">The </span><span style="font-family:""><span style="font-family:Verdana;">upsurge of candidemia in the past years has been an immense encumbrance on public health and the number of deaths caused by candidemia particularly in critical care unit patients is devastating. </span><i><span style="font-family:Verdana;">Candida</span></i><span style="font-family:Verdana;"> species harbor a 30</span></span><span style="font-family:Verdana;">% </span><span style="font-family:Verdana;">-</span><span style="font-family:""> </span><span style="font-family:Verdana;">60% mortality rate and compared to stable people or those with less serious illnesses, this ranges from 60</span><span style="font-family:Verdana;">%</span><span style="font-family:Verdana;"> to 80% of those who are chronically ill patients. Grounded on a recent report from a tertiary care hospital in Kenya showing the emergence of previously unobserved species</span><span style="font-family:Verdana;">:</span><span style="font-family:""> <i><span style="font-family:Verdana;">Candida auris</span></i><span style="font-family:Verdana;">, this study aimed to determine the prevalence, species distribution, and antifungal susceptibility profile of candidemia in critical care unit patients of the hospital. 378 Critical Care Unit patients were enrolled for the study from January 2019 to January 2020. Positive archived isolates were sub-cultured using Sa</span><span><span style="font-family:Verdana;">boraud Dextrose Agar. </span><i><span style="font-family:Verdana;">Candida</span></i><span style="font-family:Verdana;"> species were identified utilizing API20C</span></span><span style="font-family:Verdana;"> AUX and Vitek-2. Antifungal susceptibility testing was conducted using the Liofilchem MIC Test strip. Out of 378 patients, thirty-one presented a positive culture for </span><i><span style="font-family:Verdana;">Candida</span></i><span style="font-family:Verdana;"> species. The prevalence of Candidemia was </span><b><span style="font-family:Verdana;">8.2%</span></b><span style="font-family:Verdana;"> with </span><b><span style="font-family:Verdana;">9 (29.03%) </span></b><i><span style="font-family:Verdana;">Candida auris</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">8 (25.81%)</span></b> <i><span style="font-family:Verdana;">Candida albicans</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">6 (19.35%) </span></b><i><span style="font-family:Verdana;">Candida parapsilosis</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">3 (9.68%)</span></b> <i><span style="font-family:Verdana;">Candida famata</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">3 (9.68%)</span></b><i><span style="font-family:Verdana;"> Candida tropicalis</span></i><span style="font-family:Verdana;">, </span><b><span style="font-family:Verdana;">1 (3.23%)</span></b> <i><span style="font-family:Verdana;">Candida duobushaemolumonii</span></i><span style="font-family:Verdana;">, and </span><b><span style="font-family:Verdana;">1 (3.23%)</span></b> <i><span style="font-family:Verdana;">Candida lusitaniae</span></i><span style="font-family:Verdana;">.</span><i> </i><span style="font-family:Verdana;">A resistance pattern to Fluconazole was observed among </span><i><span style="font-family:Verdana;">Candida auris</span></i><span style="font-family:Verdana;"> and </span><i><span style="font-family:Verdana;">Candida parapsilosis</span></i><span style="font-family:Verdana;">, and resistance to Flucytosine was observed in </span><i><span style="font-family:Verdana;">Candida tropicalis</span></i><span style="font-family:Verdana;">,</span><i> </i><span style="font-family:Verdana;">whereas susceptible MIC values were obtained for the other drugs.</span><i> </i><span style="font-family:Verdana;">There is an increase in candidemia among critical care unit patients in the health facility posing a public health challenge. Moreover, the onset of new species </span><i><span style="font-family:Verdana;">Candida auris </span></i><span style="font-family:Verdana;">which is unprecedented in Kenya warrants enhanced infection control, and the uniform resistance of </span><i><span style="font-family:Verdana;">Candida auris</span></i><span style="font-family:Verdana;">, </span><i><span style="font-family:Verdana;">Candida parapsilosis</span></i><span style="font-family:Verdana;">,</span><i> </i><span style="font-family:Verdana;">and</span><i><span style="font-family:Verdana;"> Candida tropicalis</span></i><span style="font-family:Verdana;"> towards Fluconazole and Flucytosine necessitate constant drug monitoring for empirical treatment regime. In contrast, the high potency of Echinocandins and Amphotericin-B demonstrate them as the drug of choice.
文摘Objective:To determine the relationship between clinical performance and professional self-concept in critical care nurses.Methods:This study was conducted on 308 critical care nurses.Data gathering instruments were nurses’clinical performance questionnaire(NCPQ)and nursing professional self-concept measure(NPSCM).Independent sample t-test,one-way analysis of variance(ANOVA),and Pearson correlation coefficient were used for data analyses.Results:The average age of the nurses was 33.74±7.01 years.The clinical performance score of female nurses was significantly higher than male nurses.In the domain of clinical performance,clinical judgment and clinical inquiry had the highest and lowest scores,respectively.In the nurses’professional self-concept,the highest and lowest scores were awarded to the subscales of self-confidence and staff relations,respectively.In addition,there was a significant positive correlation between self-concept and clinical performance of nurses.Conclusions:Increasing professional self-concept improves the clinical performance of critical care nurses.Professional self-concept enhancement measures are recommended to improve the clinical performance of nurses in critical care units.
文摘目的调查某三甲儿童医院重症患儿照顾者决策疲劳现状,并分析其影响因素。方法采用便利抽样法,于2022年6月-2023年6月选取在儿童重症监护室(pediatric intensive care unit,PICU)住院治疗的118例重症患儿的照顾者作为研究对象,采用一般资料调查表、决策疲劳量表、家庭成员决策自我效能量表对其进行调查。结果该组重症患儿照顾者决策疲劳量表得分为(12.16±3.81)分,决策疲劳量表得分与家庭成员决策自我效能量表得分呈负相关(r=-0.882,P=0.012)。多元线性回归分析结果显示,重症患儿照顾者性别、患儿入住PICU天数、家庭平均月收入、决策自我效能是患儿照顾者决策疲劳的独立影响因素(R^(2)=0.952,_(△)R^(2)=0.902,F=16.819,P<0.001)。结论PICU重症患儿照顾者决策疲劳处于中等水平,医护人员应重点关注女性、家庭平均月收入低、患儿入住PICU时间长、决策自我效能水平低的患儿照顾者,及时向照顾者提供重症患儿病情、治疗方案、预后等信息,加强其心理支持,提升照顾者决策自我效能,从而降低其决策疲劳水平。