A systematic review of instruments for assessing parent satisfaction with family-centred care in neonatal intensive care units

This systematic review synthesised and described instruments measuring parent satisfaction with the increasing standard practice of family-centred care (FCC) in neonatal intensive care units. We evaluated 11 studies published from January 2006 to March 2016: two studies validated a parent satisfaction questionnaire, and nine developed or modified previous questionnaires to use as outcome measures in their local settings. Most instruments were not tested on reliability and validity. Conclusion: Only two validated instruments included all six of the FCC principles and could assess parent satisfaction with FCC in neonatal intensive care units and be considered as outcome indicators for further research

Instrumentos de avaliação do aleitamento materno e seu uso na prática clínica

RESUMO Objetivos Identificar instrumentos de avaliação da amamentação e sua aplicação na prática clínica, validação e adaptação transcultural. Método Revisão integrativa, realizada em seis bases de dados e em uma biblioteca eletrônica, entre agosto/2014-dezembro/2015, sem limitação temporal. Resultados Foram identificados 19 instrumentos de avaliação do AM. Destes, 12 foram validados e cinco foram adaptados transculturalmente. Quanto à aplicação, destacam-se seu uso para a avaliação do risco de desmame (BAPT) e a percepção/comportamento da mulher em amamentar (BSES-SF e IIFAS). Conclusão A identificação dos instrumentos disponíveis e de suas indicações para a avaliação do AM pode auxiliar profissionais na escolha pelo instrumento a ser utilizado, qualificando a assistência materno-infantil

Effects of the Nursing Therapeutics Program for Facilitating Patient Transition (NTPFPT) on Subjective Well-Being, Role Mastery, and Relationships’ Well-Being among Adult Stroke Patients in Bandung, Indonesia

This quasi-experimental, repeated measures design was used to examine the effects of the nursing therapeutics program for facilitating patient transition (NTPFPT) on subjective well-being, role mastery, and relationships’ well-being among adult patients who suffered from stroke in Indonesia. Purposive sampling was used to recruit the sample. The control group (n = 42) received the routine care, while the experimental group (n = 42) received the NTPFPT and routine care. The data were collected using 1) the subjective well-being inventory, 2) the role function mode, and 3) the brief family relationship scale. The Chronbach’s alpha coefficients of questionnaires 1 - 3 were .89, .77 and .89, respectively. Descriptive statistics, repeated measures ANOVA, one-way ANOWA, and t-test were used to analyze the data.&#x0D; The results revealed that significant differences of the mean scores of subjective well-being, role mastery and relationships’ well-being were found between the control and experimental groups (p &lt; .000) and between three times (e.g., Day 3 of hospitalization, T1; one day before discharge, T2; and one month after discharge, T3) within group (p &lt; .000). Significant differences between all three pair wise comparisons of these three variables were found in the experimental group (p &lt; .000) while, two pair wise comparisons showed significant differences in the control group. The mean scores of the three variables in the experimental group measured at T2 and T3 were significantly higher than those of the control group (p &lt; .000) whereas those of measured at T1 showed no significant differences between two groups (p &gt; .05). Thus, it is appropriate for nurses to provide the NTPFPT to stroke patients and families.&#x0D; The results revealed that significant differences of the mean scores of subjective well-being, role mastery and well-being of relationships were found between the control and experimental groups (p &lt; .000) and between three times (e.g., Day 3 of hospitalization, T1; one day before discharge, T2; and one month after discharge, T3)within group (p &lt; .000).Significant differences between all three pair wise comparisons of these three variables were found in the experimental group (p &lt; .000) whereas in the control group, only two pair wise comparisons were significant differences. The mean scores of the three variables in the experimental group measured at T2 and T3 were significantly higher than those of the control group (p &lt; .000) whereas those of measured at T1 were non significant differences between two groups (p &gt; .05). Thus, it is appropriate for nurses to provide the NTPFPT to stroke patients and families.</jats:p

Development of the Quality of Nursing Care Scale for Hospitalized Acute Respiratory Infection Children in Indonesia

Introduction: The QNCS-HARIC instrument is expected to be a potential tool for obtaining knowledge about quality of pediatric nursing care with acute respiratory infection (ARI) children and thereby contributing to improve quality in nursing practice with a more genuinely parental involvement approach, especially in Indonesia.Methods: Development of the QNCS-HARIC refers to literature review, expert panel meeting, experts’ review, and pilot study.Results: Four dimensions and 79 items were generated: 1) the physical needs of ARI children (36 items), 2) the psychological needs of ARI children and family (26 items), 3) the socio-cultural needs of ARI children and family (10 items), and 4) the spiritual needs of ARI children and family (7 items). The validity was approved by fi ve experts yielding the content validity index equals to .96. After performing the CVI, the QNCS-HARIC consisted of 78 items (deleting 2 items of the physical needs of ARI children dimension and additional 1 item of the physical needs of ARI children dimension). The reliability was tested with 30 pediatric nurses yielding alpha cronbach’s coeffi cient of the overall QNCS-HARIC 77 items was .94 and each of dimension equal to .94, .87, .79, and .73, respectivelyConclusion: To improve quality of nursing care delivery, pediatric nurses need to be equipped with a quality instrument which should be psychometrically tested, sensitive, specific, accurate, objective, and feasible.</jats:p

A Causal Model of Breastfeeding Duration among Working Muslim Mothers in Semarang City, Central Java Province, Indonesia

Islam encourages every mother to breastfeed; however, for working mothers, maintaining breastfeeding can be challenging. This study aimed to develop and test a causal model to predict breastfeeding duration in this population. A cross-sectional, predictive study was conducted to test the proposed causal model predicting breastfeeding duration among working Muslim mothers in Semarang City, Central Java Province, Indonesia. Two hundred and forty Muslim mothers participated in the study and self-reported questionnaires were used. Respondents were recruited by using multisite random sampling. Nine questionnaires were used to collect data and a model test using a path analysis was performed to examine the hypothesized relationships. The study results were as follows: 1) initially, the hypothesized model did not fit the data, then the model was modified based on the statistical and theoretical considerations until it could explain the data well, 2) the intention to exclusively breastfeed affected breastfeeding initiation, 3) breastfeeding knowledge and attitude toward breastfeeding affected intention to exclusively breastfeed, 4) breastfeeding knowledge, family support, workplace support, attitude toward breastfeeding, sufficient milk supply, and intention to exclusively breastfeed affected breastfeeding duration, 5) breastfeeding problems affected breastfeeding duration, 6) intention to exclusively breastfeed mediated breastfeeding knowledge and attitude toward breastfeeding on breastfeeding duration and breastfeeding initiation, 7) breastfeeding initiation did not mediate breastfeeding knowledge, family support, and intention to exclusively breastfeed on breastfeeding duration. Health care providers should consider that breastfeeding knowledge, attitude toward breastfeeding, and intention to exclusively breastfeed have high predictive values of exclusive breastfeeding duration among working mothers.</jats:p

Effects of a Nurse’s Support for the Adolescent-led HIV/AIDS Sexual Transmission Prevention Program using Social Media

In 2019, 1.1 to 2.4 million adolescents between the ages of 10 and 19 were living with HIV worldwide. In Thailand, there were approximately 5,400 new HIV cases among children and adolescents between the ages of 10 to 19 as a result of unprotected sex. This study, using 2-group pretest-posttest and repeated measures quasi-experimental design, examined the effects of the nurse’s support for the adolescents-led HIV/AIDS sexual transmission prevention program using social media on behavioral intention and perceived effectiveness of HIV/AIDS preventive behaviors among adolescents with HIV/AIDS. The study was conducted from April 2016 to July 2017. Purposive sampling was performed to recruit 70 adolescents with HIV/AIDS. The data were collected before day 1 and after receiving the program on days 15 and 30. The program and questionnaires were validated by 3 experts. The reliabilities of the behavioral intentions and perceived effectiveness of HIV/AIDS preventive behaviors questionnaires were examined, yielding Cronbach’s alpha coefficients of 0.80 and 0.96 respectively. Data were analyzed using a Friedman-test, a Wilcoxon matched-pairs signed-rank test, and a Mann-Whitney U-test. Results revealed that there were significant differences in the overall mean ranks of behavioral intention and perceived effectiveness of HIV/AIDS preventive behaviors at the baseline, on days 15 and 30 in the experimental group (p &lt; 0.001) whereas there were no significant differences in the control group (p &gt; 0.05). There were significant differences in the mean ranks of behavioral intention and perceived effectiveness of HIV/AIDS preventive behaviors measured on days 15 and 30 between the control and experimental groups (p &lt; 0.001). Thus, nurses implementing a social media program for adolescents with HIV/AIDS may have a significantly positive impact on sexual transmission prevention.</jats:p