Abstract:
BACKGROUND:Maternal mortality from postpartum hemorrhage remains high globally, in large part because women give birth in rural communities where unskilled (traditional birth attendants) provide care for delivering mothers. Traditional attendants are neither trained nor equipped to recognize or manage postpartum hemorrhage as a life-threatening emergent condition. Recommended treatment includes using uterotonic agents and physical manipulation to aid uterine contraction. In resource-limited areas where Obstetric first aid may be the only care option, physical methods such as bimanual uterine compression are easily taught, highly practical and if performed correctly, highly effective. A simulator with objective performance feedback was designed to teach skilled and unskilled birth attendants to perform the technique. OBJECTIVES:To evaluate the impact of simulation-based training on the ability of birth attendants to correctly perform bimanual compression in response to postpartum hemorrhage from uterine atony. METHODS:Simulation-based training was conducted for skilled (N=111) and unskilled birth attendants (N=14) at two regional (Kumasi, Tamale) and two district (Savelugu, Sene) medical centers in Ghana. Training was evaluated using Kirkpatrick's 4-level model. RESULTS:All participants significantly increased their bimanual uterine compression skills after training (p=0.000). There were no significant differences between 2-week delayed post-test performances indicating retention (p=0.52). Applied behavioral and clinical outcomes were reported for 9 months from a subset of birth attendants in Sene District: 425 births, 13 postpartum hemorrhages were reported without concomitant maternal mortality. CONCLUSIONS:The results of this study suggest that simulation-based training for skilled and unskilled birth attendants to perform bi-manual uterine compression as postpartum hemorrhage Obstetric first aid leads to improved applied procedural skills. Results from a smaller subset of the sample suggest that these skills could potentially lead to improved clinical outcomes and additional study is merited.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Andreatta P,Gans-Larty F,Debpuur D,Ofosu A,Perosky Jdoi
10.1016/j.ijnurstu.2011.03.001subject
Has Abstractpub_date
2011-10-01 00:00:00pages
1275-80issue
10eissn
0020-7489issn
1873-491Xpii
S0020-7489(11)00090-3journal_volume
48pub_type
杂志文章abstract:BACKGROUND:Korean adolescents' smoking is currently being considered as a crucial factor determining the health status of adolescents and an important public health and social issue. OBJECTIVES:The purpose of the study was to test the applicability of the Transtheoretical model to gain an understanding of smoking beha...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.06.008
更新日期:2006-05-01 00:00:00
abstract::Attempts to reform nurse education in the U.K. have met with limited success. A brief examination of similar moves in other countries reveals a similar situation. Placing experiences in this country in the context of global reform, it is possible to suggest that three sets of conditions need to be satisfied for change...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(98)00061-3
更新日期:1999-02-01 00:00:00
abstract::Qualitative analysis is problematic from two perspectives, which exist in the science and art debate [Tesch, R., 1990. Qualitative Research. Analysis types and software tools. The Falmer Press, London; Robson, C., 1993. Real World Research. Blackwell, Oxford]. The science view claims that the absence of clear and agre...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00040-1
更新日期:1999-10-01 00:00:00
abstract::The aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). The BPAF is a systems based checklist of physiological measurements, signs, and symptoms designed to structure and document the assessment of a patients physical condition by nursing staff. Initially th...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(98)00042-x
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:The increasing numbers of surgeries involving high risk, multi-morbid patients, coupled with inconsistencies in the practice of perioperative surgical wound care, increases patients' risk of surgical site infection and other wound complications. OBJECTIVES:To synthesise and evaluate the recommendations for ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析
doi:10.1016/j.ijnurstu.2019.103486
更新日期:2020-02-01 00:00:00
abstract::Meeting patients' fundamental care needs is essential for optimal safety and recovery and positive experiences within any healthcare setting. There is growing international evidence, however, that these fundamentals are often poorly executed in acute care settings, resulting in patient safety threats, poorer and costl...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.01.006
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Cultural competence is a key component of culturally congruent nursing care. In order to reduce healthcare inequalities and to identify potentials for improvement in nursing practice, researchers need to be able to assess cultural competence properly. Although many instruments for the assessment of cultural ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2020.103789
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport. OBJECTIVES:To synthesize published data on pediatric handover and transport and ident...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.07.020
更新日期:2016-10-01 00:00:00
abstract::Restorative proctocolectomy has become increasingly the surgical treatment of choice for ulcerative colitis and familial adenomatous polyposis since its inception in 1978 [Parks and Nicholls, 1978. British Medical Journal 2(6130), 85-88]. As Keighley, Grobler and Bain [1993. Gut 34(6), 680-684] point out it not only e...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.02.006
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Follow-up care and surveillance are essential components of colorectal cancer survivorship. However, the relative contribution of healthcare experiences to quality of life in cancer survivorship is poorly understood. OBJECTIVES:This study explores associations between colorectal cancer survivors' healthcare...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2019.103434
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Antiretroviral treatment for HIV is gradually being made available across sub-Saharan Africa. With antiretroviral treatment, HIV can be approached as a chronic, manageable condition rather than a shorter-term issue of palliative care. This treatment involves repeated interaction between health staff and pati...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.07.019
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:To identify rehabilitation interventions that can be integrated into ward-based nursing for patients with hemispatial neglect following stroke in the right brain hemisphere. DESIGN:A systematic review of interdisciplinary literature. DATA SOURCES:A preliminary literature search without time limits was cond...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.04.004
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Descriptive literature exists on the effects of HIV-related stigma on the lives of people living with HIV infection but few empirical studies have measured perceived HIV stigma nor explored its potential relationship to quality of life (QoL) over time in people living with HIV infection. AIM:A cohort study ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.09.008
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Cancer patients often experience psychological distress. Life review has increasingly been used to enhance their mental health and well-being. However, no systematic review has synthesized the evidence, and its effects remain unclear. OBJECTIVE:To examine and synthesize the best available evidence on the ef...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2017.06.012
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To compare the efficacy of several antiseptics in decreasing the blood culture contamination rate. DESIGN:Network meta-analysis. DATA SOURCE:Electronic searches of PubMed and Embase were conducted up to November 2015. Only randomized controlled trials or quasi-randomized controlled trials were eligible. We ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2016.04.004
更新日期:2016-07-01 00:00:00
abstract::Urinary incontinence (UI) is a condition that is associated with decreased quality of life. Apart from this impact on quality of life, UI is also a very costly problem. It is recognised that 'usual care' for patients suffering from UI is not optimal. Specialised nurses can play an important role in the care for commun...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2004.08.002
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:With the changing demographic profile of the nursing workforce, retaining the skill and experience of nurses in mid-life is very important. Work-life balance is a concept that is gaining increasing prominence in today's society. However, little is known about older nurses' experience of family friendly polic...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.08.009
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Achieving asthma control is central to optimising patient quality of life and clinical outcome. Contemporary models of chronic disease management across a variety of countries point to the importance of micro, meso and macro level influences on patient care and outcome. However, asthma outcomes research has ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.10.017
更新日期:2012-05-01 00:00:00
abstract::The purpose of this study was to estimate the variance components associated with individual differences and various sources of measurement error of Caregiver Strain Index (CSI). A two-facet (item and occasion) crossed design generalizability study (G study) was conducted using a sample of 14 caregivers of cancer pati...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00021-4
更新日期:2002-11-01 00:00:00
abstract::Over the past three decades, active euthanasia and abortion have received increasing international attention. Since both these practices are relevant to the role of the nurse-midwife, it is important to know what influences their attitudes towards them. Therefore, the purpose of this study was: 1, to survey the attitu...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(00)00033-x
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:Evidence-based practice is considered a foundation for the provision of quality care and one way to integrate scientific knowledge into clinical problem-solving. Despite the extensive amount of research that has been conducted to evaluate evidence-based practice implementation and research utilization, these...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.09.006
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Oral health of nursing home residents is generally poor, with severe consequences for residents' general health and quality of life and for the health care system. Care aides in nursing homes provide up to 80% of direct care (including oral care) to residents, but providing oral care is often challenging. In...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2017.05.003
更新日期:2017-08-01 00:00:00
abstract:AIM:This paper reports a study that examined the extent to which nurse researchers internationally disproportionately include females as participants in their research. BACKGROUND:A bias toward predominantly male samples has been well-documented in medical research, but recently a gender bias favoring women in nursing...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.002
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Non-Hodgkin's lymphoma is a heterogeneous group of lymphoproliferative malignancies. Chemotherapy can improve patient survival rates, yet it is also associated with many adverse physical and psychosocial effects. It is suggested that qigong practices may be used to reduce patient distress and side effects. ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2017.01.004
更新日期:2017-04-01 00:00:00
abstract::This paper reports on how patients with uterine cancer, receiving radiotherapy, experience fatigue, other symptoms and global quality of life. The results showed that fatigue increased significantly during the therapy. Also the other symptoms; loss of appetite, nausea/vomiting and diarrhoea increased significantly and...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.07.008
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Although many pregnant women experience back pain, it has not considered an important health problem. No study has investigated the effects of a back-pain-reducing program (BPRP) during pregnancy for Korean women. OBJECTIVE:The purpose of this study was to evaluate the effect of a program designed to reduce...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2005.11.016
更新日期:2007-01-01 00:00:00
abstract::Recent studies suggest that violence in health care environments, especially mental health care, appears to be increasing. Although there is a lack of cross-cultural studies to prove it, this increase in violence would seem to be an international phenomenon. The present study sought to compare the extent and nature of...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(00)00089-4
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Deep tissue injuries are severe damages underneath the intact skin caused by long-endured, unrelieved pressure or shear forces. Empirical evidence regarding the magnitude of this health problem is limited. OBJECTIVE:Investigation of the prevalence, characteristics of persons affected and identification of t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.11.003
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To examine the practice environment, nurse reported quality of care and patient safety, and nurse workforce outcomes in medical and surgical units in private and public hospitals in South Africa (SA), and determine the association of modifiable features of the hospital such as the practice environment and pat...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.11.002
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:Diabetes mellitus is one of the most common non-communicable long-term conditions in the world and is linked to high mortality, morbidity, loss of quality of life and high social and economic cost. Diabetes presents a serious health challenge, as it is a significant cause of ill health and premature death. I...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2013.01.006
更新日期:2014-01-01 00:00:00