Nursing Interventions in the Clinical Settings and Implications of the Documentations

This study investigated the implications of documentation of nursing interventions in the clinical settings. Documented nursing actions for 264 clients in the medical, surgical and maternity units of six health care facilities were obtained for the study using purposive and simple random sampling techniques. One research question and four null hypotheses guided the study. Checklist on nursing documentations in the clinical setting was used for data collection. Descriptive statistics of frequency, means and standard deviation (SD) were used to summarize the variables. Pearson Product moment correlation was used to answer the research question, while analyses of variance (ANOVA) was used to test the null hypotheses at 0.05 level of significance. The result showed that the core principles of nursing documentation significantly apply to all nursing documentations. In addition, significant differences existed across the units of the health care institutions with regard to the legal implications and the impacts of nursing documentation on quality assurance and science of nursing

Relationships of Providers’ Accountability of Nursing Documentations in the Clinical Setting

Documentation demonstrates the unique contribution of nursing to the care of clients. This study investigated the relationships of Providers accountability of nursing documentations in the clinical settings. Judgmental and simple random sampling techniques were used to select documented nursing actions for 264 clients. One research question and four null hypotheses guided the study. The instrument used for data collection was checklist on Nursing documentation in the clinical setting. Descriptive statistics of frequency, means and standard deviation (SD) were used to summarize the variables. Pearson Product Moment correlation was used to answer the research question, while analyses of variance (ANOVA) was adopted in testing the null hypotheses at 0.05 level of significance. The result indicated that significant correlation existed between legal implications of nursing documentation and the core principles of nursing documentation. Significant differences were also observed among providers\u27 accountability of nursing documentations with regard to promotion of interdisciplinary communication, legal implications of documentation, impacts on quality assurance and nursing science

Integrated Management of Chronically ill Patients: Nurse-client interactions and follow-up care

Follow-up care ensurescontinuity of client care, gives room for provider-client interactions and sustains self-management measures in the client with chronic illness. This study examined nurse-client interactions and follow-up care in integrated management of the chronically ill patient. 240 nurses were selected from secondary and tertiary health institutions in Anambra State of Nigeria using purposive sampling technique. Two research questions and two null hypotheses guided the study. The instrument used for data collection was questionnaire on nursing interventions in integrated management of chronically ill patients. Standard descriptive statistics was used to summarize the variables. Mean scores were used to answer the research questions while chi-square test was adopted in testing the hypotheses at 0.01 level of significance. The result indicated high level of nurse-client interaction (mean = 3.1368) but average level of follow-up care (mean =2.1556) of clients by nurses. Client's medical diagnosis was observed to have significant influence on nurse – client interaction; also nurse-client interactions was found to differ significantly across the levels of health care institutions

Stress Among Parents of Hospitalized Infants in NICU: Effects on Parental Needs and Expectations

Abstract. Neonatal Intensive Care Unit (NICU) environment has the potential to exacerbate stress for parents of infants admitted to the unit. This study investigated the stress among parents of hospitalized infants in neonatal intensive care unit, and its effects on parental needs and expectations. Convenient sampling method was used to select 216 parents of at-risk infants in the NICU from two Teaching Hospitals in the South-East Zone of Nigeria. Two research questions and three null hypotheses guided the study. Parental Stressor Scale: Neonatal Intensive Care Unit and Parental Self -report Scale on coping measures were used to measure the stress among the parents. A parent -infant demographic information was obtained and used to determine the extent to which the characteristics serve as stress predictors. Mean score, standard deviation (SD) and Spearman Rank correlation Coefficient (rho) were used to answer the research questions while Chi-square, Wilcoxon and Mann-Whitney U tests were adopted in testing the null hypotheses at 0.01 level of significance. Parental stress for NICU infant behaviour and appearance significantly correlated with parental role alteration while infant gestational age correlated with parental stress for NICU staff behaviour and communication. Significant differences resulted in parental self-report of coping measures and their role alterations with regard to number of children born by parents and across the fertility history of the parents respectively. Parents of infants in the NICU need to take more active part in decision making and care of their infants