American Journal of Nursing Research

A King of the dreamers lies in the hospitals. The physical, biological environment is very important determinant of the recovery from disease and prevention of nosocomial infection. Patient recovery depends upon the environment, health atmospheric condition (temperature, humidity, air) clean and odorless, adequate lighting day and night without glare, quite environment, privacy of the patient, applying effective sanitary measures, ensure regular sprays in areas, potential for infestation and breeding places. Class IV employees plays a major role in the prevention of disease and promotion of health, if Class IV employees are knowledgeable they will impose this knowledge in their work. So, investigates assess the knowledge about Universal Precaution among class IV employees and it was found that they had lack of knowledge and their pretest knowledge percentage was 51 %. To enhance their knowledge effective Structured Teaching Programme was given. After STP the knowledge percentage was 93 %. The data reveals that their knowledge and demographic variables like monthly income (8.3), religion (4.59), place of residence (6.5) and year of experience (3.0) had association. Investigators suggested that though the effectiveness was highly significant, continuous reinforcement will enhance the knowledge among the Class IV employees.

American Journal of Nursing Research. 2014, 2(2), 26-30. DOI: 10.12691/ajnr-2-2-3
Pub. Date: August 03, 2014

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An assessment of Acquisition of Skills and Competencies Earned by Students during Clinical Placement in some Hospitals in Fako Division, S.W.Region, Cameroon

by Atanga MBS, Titanji P. and Ndong E B

Original Research

This study on the assessment of acquisition of skills and competencies obtained from clinical assessment of students by clinical mentors of hospitals in Fako Divisio, South West Region of Cameroon was carried because nurses in practices have sometimes demonstrated the lack of skills in clinical assessment of students’ competencies place under them. The problem was evident in all types of skills and competencies needed to be assessed. These three areas of skills are cognitive, psychomotor and attitudinal (affective). The objective of the study was to investigate the competencies mentors look for when assessing competencies in nursing students in placement settings. The population of the study was all clinical mentors charged with caring and follow up of students while at clinical sites. The instrument for data collection was the questionnaire which had both close ended (quantitative data) and open ended (qualitative data) questions. The instrument was pretested among mentors in distant hospitals out of Fako Division. Hence, a cross sectional survey of all seven hospitals with students on clinical placement was carried out and data was collected for a period of one month (July to August). Results show that cognitive, psychomotor and attitudinal skills could be assessed but at different levels and in different hospitals. Psychomotor and attitudinal skills were difficult to assess than the cognitive skills. An example of a cognitive was found to be objectivity in the activities of the students seen from observation of the students over a period of time. The study has demonstrated that observation of students was the main method of assessment, and that assignments were seldom used as assessment methods of the students on clinical placement. It thus conclude that all three types of skills are assessed but with a lot of subjectivity. These results can be used by faculty to training bedside assessors of students on clinical placement for objectivity in the assessment.

American Journal of Nursing Research. 2014, 2(2), 20-25. DOI: 10.12691/ajnr-2-2-2
Pub. Date: July 31, 2014

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Acute Confusion and Advanced Nursing Practice

by Paulo Marques, Paulino Sousa and Abel Silva

Original Research

Acute confusion is a frequent and serious phenomenon in hospitals mainly affecting the older people. Patients with acute confusion are more vulnerable to threats to their security, such as falls, not only because they have an increased risk but also because the nurses have difficulty in the identification and treatment of acute confusion. Challenges emerge related to quality and continuity of nursing care provided to these patients, including the introduction of measuring instruments of acute confusion and the implementation and evaluation of the effectiveness of specific nursing therapies in clinical practice. The research came after another were was identified an algorithm for the management of confusion. Through an action research methodology it was introduced in the documentation system in use, widespread in Portugal, as a decision support system. The aim of this study was to evaluate the effectiveness of a model that supports the conception of nursing care in confusion patients. After six months of assisting nursing practice, was identified the reduction of the under diagnosis of acute confusion, a low incidence of acute confusion new cases and a revaluation of reality orientation and family involvement as important nursing interventions.

American Journal of Nursing Research. 2014, 2(2), 17-19. DOI: 10.12691/ajnr-2-2-1
Pub. Date: May 05, 2014

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