Introduction. According to the World Health Organization (WHO), in 2015 neurological disorders accounted for 12% of total deaths worldwide. Presented data demonstrates that neurological neuropsychiatric disorders (NND) cause a substantial burden on global health. A majority of neurological disorders are progressive and currently have no cure. Aim. Is to evaluate current evidence of a middle range theory of Symptom Management Theory (SMT) created by University of California in San Francisco (UCSF) School of Nursing and to analyze implication of the theory for persons with NND. Material and Methods. Systematic review of the literature will be presented. SMT will be analyzed and evaluated based on Walker and Avant with special consideration to theory utilization in research encompassing NND. Study quality was assessed using the Quality Index (QI) checklist developed by Downs & Black in 1998. Results. A total of seven articles was included to support empirical relationships between SMT components evidenced in studies involving adults with neurological disorders/diseases. Overall, the literature supports SMT as a theoretical framework for symptoms management for persons with neurological disorders/diseases. Conclusions. The SMT is still in experimental stages. Analysis of the SMT proved that the theory is parsimonious, logical in its adequacy and may be generalized to other studies. This review created a solid beginning to explore recommendations to promote standards for symptom management in future investigations of NND. Further research is needed involving measurement of symptoms of multidimensional symptom management with persons with NND. (JNNN 2017;6(2):55-65)
Nursing staff in long-term care/transitional care (LTC/TC) facilities in the US work in unique environments that can be stressful and demanding. There is much in the literature that describes different leadership styles in nursing, but a limited amount on leadership in LTC/TC environments. This article explores the concept of leading by walking around (LBWA), also known as leadership by walking, to cultivate therapeutic work environments in LTC/TC facilities in the US. It defines therapeutic work environments and describes the specific environment of LTC/TC facilities. It also briefly describes the nursing hierarchy and nurse education in the US. Finally, it describes the cultivation of therapeutic work environments by using LBWA and includes two examples of the concept in action.
Occupational burnout is particularly common among nurses due to their work being associated with stress, showing understanding, compassion, and commitment, along with the simultaneous need to maintain the necessary emotional distance. The aim of this review was to assess the occurrence and characterization of burnout among nurses working within neurology, geriatric care, intensive care units and with patients infected with the novel COVID-19 virus. PRISMA guidelines were used to conduct the review. The search for literature was limited to articles meeting the inclusion criteria and published from 2017 to 2022 in PubMed, Scopus, Science Direct, Google Scholar, and Wiley. A total of 768 articles from this category have been found. Ultimately, after in-depth analysis, 20 articles were included in the study. The group of respondents ranged from 49 to 3100 participants. According to the data, the percentages of nurses suffering from burnout in the presented research ranged from 14.3% to 84.7%, with the highest value of burnout among nurses who worked in the ICU during the COVID-19 pandemic. There are certain factors among nurses that significantly affect the occurrence of burnout. These include, among others, working time, age, exposure to infection and contact with infected patients, lack of training on COVID-19 prevention, providing care to an increased number of COVID-19 patients per shift, lack of personal protective equipment, lack of support of administration, lack of pay satisfaction, intrinsic motivation and turnover intention.
Stroke is the second most common cause of death in the world after ischemic heart disease and is often associated with various long-term physical and neuropsychological consequences. Because stroke is one of the most common causes of disability, interest from researchers arCNSd the world is focused on assessing the functional capacity and quality of life among these patients. Many assessment tools, covering various functional areas, are available to clinicians and researchers working with people who have had a stroke. The presented analysis of research results of various authors indicates that stroke significantly affects physical and mental performance. The change in functional abilities, mood disorders, cognitive impairment and reduced social interactions are often observed in these patients. In stroke patients, the simultaneous use of several different scales for assessing patients' conditions creates the possibility of correct qualification for rehabilitation, long-term forecasting, estimation of needs for possible care and an objective, more detailed analysis of the obtained results and changes occurring during the treatment process. (JNNN 2019;8(2):86-90
The "Silver Snowfl ake" initiative was created to educate globally Every Patient and Every Provider, about new research and intervention available to prevent falls in patients with Parkinson Disease (PD). The mission of this initiative is to internationally educate patients and families about causative factors of falls in Parkinson's patients and existing modalities that can be utilized to minimize the risk of falling. Creators of the initiative strive to make the education material free and available in other languages to raise global awareness. Provided education includes free webinar, posters and brochures currently available in English and Polish. Materials provided present anatomy and Parkinson's disease symptoms that cause patients to lose balance and make them at risk for falling. The suggestion on evidence based research exercises modalities that help prevent PD patients falls are also included. Education also highlights the importance of the home safety tip to prevent falls in patients with PD.KEYWORDS: Parkinson, fall prevention, initiative, free education. STRESZCZENIEInicjatywa "Srebrny Płatek" została stworzona z myślą o pacjentach z chorobą Parkinsona. Projekt ten ma na celu zapobieganie upadkom pacjentów dotkniętych chorobą Parkinsona poprzez właściwą edukację zarówno chorych, jak i ich opiekunów. Propagowanie wyników nowych badań oraz interwencji jest kluczowym faktorem przy zapobieganiu upadkom pacjentów z chorobą Parkinsona. Głównym celem tej inicjatywy jest powszechna (globalna) edukacja pacjentów i ich rodzin na temat czynników wpły-wających na/powodujących upadki u pacjentów z chorobą Parkinsona oraz na sposoby, które mogą być łatwo wykorzystane, aby zminimalizować ryzyko upadku. Twórcy inicjatywy "Srebrny Płatek" dążą do tego, aby wszelkie materiały edukacyjne dotyczące choroby Parkinsona były darmowe i łatwo dostępne w wielu językach, co wpłynęłoby na podniesienie globalnej świadomo-ści dotyczącej choroby Parkinsona. Autorzy projektu przewidują różne formy przekazu edukacyjnego, m.in. bezpłatne webinarium oraz publikacje plakatów i broszur (obecnie dostępne w języku angielskim i polskim). Propagowane materiały prezentują anatomię i objawy choroby Parkinsona oraz wyszczególniają symptomy choroby odpowiedzialne za niestabilność postawy pacjenta i te, które bezpośrednio zwiększają zagrożenie upadkami. Obecne badania naukowe sugerują, że ćwiczenia fi zyczne są niezbęd-ne do zmniejszania ryzyka upadków. Materiały zawarte w tekście wskazują odpowiednie ćwiczenia, które pomagają pacjentom chorym na Parkinsona w zapobieganiu upadkom i kontuzjom. Problem bezpieczeństwa chorego w domu jest również poruszony, a porady szczegółowo opisane.SŁOWA KLUCZOWE: choroba Parkinsona, zapobieganie upadkom, inicjatywa, darmowa edukacja.
Parkinson's disease (PD) is considered to be one of degenerative disorders of the central nervous system. According to the Parkinson's disease Foundation there is an estimated 60.000 Americans that are newly diagnosed each year with PD. Patients that have been diagnosed with Parkinson's disease encounter many side effects including freezing gait and poor balance. Freezing gait and poor balance were found to be correlated to an increased fall risk in patients with PD. Researchers are examining complementary and integrative therapies to lessen the symptoms and improve quality of life. Some studies indicate that Tai Chi (TC) could be utilized to lessen the symptoms of freezing gait and poor balance, decreased patient fall rate and increased patient general well-being. The main concept that will be presented within this paper includes Theoretical Concept of Impact of Tai Chi on Falls in Clients with Parkinson's Disease.
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