Category: Nevin Manimala

J Nurs Manag. 2021 May 30. doi: 10.1111/jonm.13385. Online ahead of print.

ABSTRACT

AIM: Identify factors that facilitate participation in shared governance and attendance at unit meetings.

BACKGROUND: Shared governance and unit meetings are crucial for education and communication. Current literature explores barriers to participation and attendance; however, removal of barriers may be insufficient to bring about behavior change in nurses.

METHOD: Secondary analysis of data from 511 clinical nurses, who worked at one of nine facilities within one large healthcare system in the Midwest United States was used to address our aim.

RESULTS: Shared governance participants and unit meeting attendees were most satisfied with nursing as a career and more likely to be optimistic that nurses could change things, than non-participants and non-attendees, and this difference was statistically significant (p<0.05). The organizational variable most associated with participation and attendance dealt with paid time-off to attend meetings. Personal reasons for participation and attendance were the opportunity to express opinions and to hear opinions of others.

CONCLUSION: Organizations should encourage nurses to express their opinions and ensure that nurses are paid for the time spent participating in meetings.

IMPLICATIONS FOR NURSING MANAGEMENT: While some variables cannot be controlled by organizations, nursing leadership can provide opportunities for nurses to become more active and participate in decision-making.

PMID:34053149 | DOI:10.1111/jonm.13385

Int J Urol. 2021 May 29. doi: 10.1111/iju.14606. Online ahead of print.

ABSTRACT

OBJECTIVE: To assess the mid-term efficacy and safety of anterior urethroplasty using an autologous tissue-engineered oral mucosa graft (MukoCell^® ).

METHODS: The data of 77 patients with anterior urethral strictures undergoing treatment with MukoCell^® at a tertiary center from June 2016 to May 2019 were analyzed. Patients’ characteristics, pre- and postoperative diagnostics, perioperative complications, and follow-up data were obtained. The overall stricture-free survival, outcomes of the different surgical techniques, stricture localizations, stricture length, early complications of the procedure and risk factors of recurrence were assessed.

RESULTS: The median follow-up period was 38 months (interquartile range 31-46). The overall recurrence-free rate of anterior urethroplasty using MukoCell^® was 68.8%, 24 patients (31.2%) developed a recurrence of the stricture. The stricture recurrences were observed at a median of 7 months (interquartile range 3-13) only in patients with at least one previous surgery or repeated dilatations in their medical history. No oral-urethral adverse events related to the use of MukoCell^® were observed, except for a urethrocutaneous fistula (1.3%) requiring reoperation.

CONCLUSIONS: Anterior one-stage urethroplasty using MukoCell^® showed in our hands a mid-term success rate of up to 68.8% without significant adverse events after a median follow-up period of 38 months. This procedure might be an alternative option for long-segment urethral reconstruction.

PMID:34053150 | DOI:10.1111/iju.14606

J Nurs Manag. 2021 May 30. doi: 10.1111/jonm.13387. Online ahead of print.

ABSTRACT

AIM: To assess the effects of workplace fun on nurse innovative behavior and to confirm the intermediary function of affective commitment.

BACKGROUND: Employee innovative behavior has a crucial function in survival and development of an organization. On the basis of the theory of social exchange, there has been inadequate study of the influence of workplace fun on nurse innovative behavior mediated by affective commitment.

METHODS: A cross-sectional, descriptive correlational research design was conducted for 331 Chinese nurses from five public hospitals. The measurements were obtained from a questionnaire on workplace fun, affective commitment, nurse innovative behavior, and a sociodemographic datasheet. Descriptive statistics were used to analyze the personal profile, and inferential statistics were used to test hypotheses.

RESULTS: We identified a positive correlation between workplace fun and nurse innovative behavior. Affective commitment had a mediating effect.

CONCLUSIONS: Workplace fun and affective commitment can promote nurse innovative behavior.

IMPLICATIONS FOR PRACTICE: Managers need to provide measures that promote workplace fun and affective commitment to enhance nurse innovative behavior.

PMID:34053146 | DOI:10.1111/jonm.13387

Int J Urol. 2021 May 29. doi: 10.1111/iju.14608. Online ahead of print.

ABSTRACT

OBJECTIVES: To investigate the effect of oxybutynin patch versus β3-adrenoceptor agonist mirabegron on nocturia-related quality of life in female overactive bladder patients.

METHODS: In the present study, female overactive bladder patients were enrolled. The patients were randomly allocated into two groups: the oxybutynin patch group and the mirabegron group. Each of the drugs was given for 8 weeks. The changes in the total Nocturia Quality of Life Questionnaire score were evaluated. Parameters on a frequency volume chart were also evaluated.

RESULTS: In total, 100 patients (51 oxybutynin patch, 49 mirabegron) were treated with oxybutynin patch or mirabegron. The changes in the Nocturia Quality of Life Questionnaire score 4 weeks after administration were 3.8 ± 18.6 and 8.7 ± 13.1 with the oxybutynin patch group and the mirabegron group, respectively, which were significantly higher than those at the baseline. Furthermore, the changes in the Nocturia Quality of Life Questionnaire score 8 weeks after administration were 4.3 ± 16.5 and 7.7 ± 12.3, respectively. A statistical difference was seen only in the mirabegron group. Regarding the Nocturia Quality of Life Questionnaire subscores, oxybutynin patch and mirabegron significantly improved the Nocturia Quality of Life Questionnaire bother/concern subscore 4 and 8 weeks after administration, whereas the Nocturia Quality of Life Questionnaire sleep/energy subscore was not significantly improved in each period. Eight weeks after administration, 24-h frequency, 24-h urinary urgency and mean voided urine volume were improved in both groups statistically.

CONCLUSIONS: The oxybutynin patch improves quality of life, focusing mainly on nocturia by improving the bother/concern subscores of the Nocturia Quality of Life Questionnaire in the short term.

PMID:34053119 | DOI:10.1111/iju.14608

J Nurs Manag. 2021 May 30. doi: 10.1111/jonm.13386. Online ahead of print.

ABSTRACT

AIM: This study aims to explore the relationship between work environment, job characteristics and person-centered care for people with dementia in nursing homes.

BACKGROUND: Person-centered care approaches have become a dominant indicator for good quality of care in nursing homes. Little is known about the relationship between work environment, job characteristics and person-centered care in nursing homes.

METHOD(S): Cross-sectional data from the LAD-study were used. Direct care staff (n = 552) of nursing homes (n = 49) filled in an online questionnaire about work environment characteristics and person-centered care. To examine relationships, multilevel linear regression analyses were conducted.

RESULTS: Associations were found between a higher transformational leadership style, less social support from a leader, a higher unity in philosophy of care, higher levels of work satisfaction, more development opportunities, better experienced teamwork and staff-reported person-centered care.

CONCLUSION(S): In a complex nursing home environment, person-centered care is influenced by organizational and work characteristics, shared values and interpersonal relationships.

IMPLICATIONS FOR NURSING: Leaders may consider facilitating collaboration and creating unity between care staff, clients and family members in order to provide person-centered care. Therefore, a transformational leadership style, educational programs and coaching for leaders are recommended.

PMID:34053141 | DOI:10.1111/jonm.13386

Nurs Forum. 2021 May 30. doi: 10.1111/nuf.12616. Online ahead of print.

ABSTRACT

AIMS: This study was performed to determine the effect of distraction technique that was applied to 4-6-year-old children during blood drawal for decreasing the pain of the child during the procedure.

MATERIAL AND METHODS: The study was carried out as randomized controlled trial. Data were collected by individual information form, Faces Pain Scale-Revised (FPS-R), and a timer. Virtual reality glasses were used for distraction in the study.

RESULTS: Pain intensity and duration of crying significantly differed between the control and experimental groups. During the procedure, mean score of the children in the experimental group from “faces pain scale” was found to be 3.82 ± 1.20; the control group from “faces pain scale” was found to be 6.96 ± 2.08; and statistically significant differences were detected between both groups (p = 0.0001 and p = 0.001, respectively). When their duration of crying was examined, it was determined that mean crying time among the children in the experimental group was 8.43 ± 12.42 s and it was 33.65 ± 24.02 s among the children in control group; and the difference between groups was found to be statistically significant.

CONCLUSION: It was detected that using virtual reality glasses was an effective method in decreasing pain of the children during blood drawal procedure.

PMID:34053097 | DOI:10.1111/nuf.12616

Diabet Med. 2021 May 30:e14611. doi: 10.1111/dme.14611. Online ahead of print.

ABSTRACT

AIM: To examine psychosocial and behavioural impacts of the COVID-19 pandemic and lockdown restrictions among adults with type 2 diabetes.

METHODS: Participants enrolled in the Progression of Diabetic Complications (PREDICT) cohort study in Melbourne, Australia (n=489 with a baseline assessment pre-2020) were invited to complete a phone/online follow-up assessment in mid-2020 (i.e. amidst COVID-19 lockdown restrictions). Repeated assessments that were compared with pre-COVID-19 baseline levels included anxiety symptoms (GAD-7), depressive symptoms (PHQ-8), diabetes distress (PAID), physical activity/sedentary behaviour, alcohol consumption, and diabetes self-management behaviours. Additional once-off measures at follow-up included COVID-19-specific worry, quality of life (QoL), and healthcare appointment changes (telehealth engagement and appointment cancellations/avoidance).

RESULTS: Among 470 respondents (96%; aged 66±9 years, 69% men), at least ‘moderate’ worry about COVID-19 infection was reported by 31%, and 29-73% reported negative impacts on QoL dimensions (greatest for: leisure activities, feelings about the future, emotional wellbeing). Younger participants reported more negative impacts (P<0.05). Overall, anxiety/depressive symptoms were similar at follow-up compared with pre-COVID-19, but diabetes distress reduced (P<0.001). Worse trajectories of anxiety/depressive symptoms were observed among those who reported COVID-19-specific worry, or negative QoL impacts (P<0.05). Physical activity trended lower (~10%), but sitting time, alcohol consumption and glucose-monitoring frequency remained unchanged. 73% of participants used telehealth, but 43% cancelled a healthcare appointment and 39% avoided new appointments despite perceived need.

CONCLUSIONS: COVID-19 lockdown restrictions negatively impacted QoL, some behavioural risk factors, and healthcare utilisation in adults with type 2 diabetes. However, generalised anxiety and depressive symptoms remained relatively stable.

PMID:34053106 | DOI:10.1111/dme.14611

Environ Sci Pollut Res Int. 2021 May 29. doi: 10.1007/s11356-021-14174-0. Online ahead of print.

ABSTRACT

Human disturbance has become the primary driving factor behind declining urban wetland ecological health due to rapid urbanization. Sediment microbial communities are critical for wetland ecosystem functioning but experience a range of natural and anthropogenic stressors due to rapid urbanization and land use changes, especially in developing countries. Polycyclic aromatic hydrocarbons (PAHs) released into the environment primarily come from anthropogenic sources like industrial activities and traffic emissions. Environmental PAH contamination is accelerating due to rapid urbanization, which also increases potential PAH-related dangers to human health. However, PAHs are widely distributed and not easy to centrally control. Microorganisms are the primary mediators of wetland purification, with most PAH-degrading microorganisms being bacteria. To better understand the influence of PAH contamination on urban wetland microbial communities, bacterial community compositions within sediments of urban wetlands in three land use types were investigated using high-throughput DNA sequencing and bioinformatics analyses. Statistical analyses revealed significant differences in overall microbial compositions among the three land use types, although γ-proteobacteria was the dominant phyla across all samples. Among the potential PAH-degrading bacterial taxa in sediments, Sphingomonas was the most prevalent. The distributions of PAH-degrading taxa were primarily affected by variance in organic compound abundances in addition to various physico-chemical variables, among which high-ring PAH content was a key parameter associated with bacterial distributions, except in the riverine wetlands. Functional inference via phylogenetic investigation of communities by reconstruction of unobserved states (PICRUSt) indicated that 30 of the 43 genes related to PAH metabolism were predicted to be present within the genomes of bacteria among the three land use type. In particular, dioxygenase and dehydrogenase genes involved in PAH degradation were inferred to be prevalent, indicating that the host urban wetlands exhibited strong potential for organic pollutant degradation.

PMID:34053037 | DOI:10.1007/s11356-021-14174-0

Environ Sci Pollut Res Int. 2021 May 29. doi: 10.1007/s11356-021-14614-x. Online ahead of print.

ABSTRACT

This study is the first proper attempt to examine the influence of energy poverty on productivity. Specifically, the study investigates the effects on the level and convergence of total factor productivity of no access to clean fuels and technologies for cooking; no access to electricity in the total population; no access to electricity in the rural population; no access to electricity in the urban population; non-renewable electricity production; and non-renewable electricity consumption. The study examines a global sample of 45 developing countries from 2002 to 2017 and offers three empirical analysis findings. First, the mutual causalities between the five dimensions of energy poverty and total factor productivity are shown by a non-Granger causality test for panel data, except one-direction causality from no access to clean fuels and technologies for cooking to total factor productivity convergence, which hints a ‘vicious cycle’ of two variables. Second, the two-step system generalised method of moments estimates show significant negative impacts of no access to clean fuels and technologies for cooking and the three variables of no access to electricity on total factor productivity. In contrast, the production and consumption of non-renewable electricity appear to have significant positive effects. Third, the three-stage least squares estimates provide statistical evidence that the effects of energy poverty on total factor productivity are transmitted through human capital accumulation, Internet usage, and the shadow economy.

PMID:34053040 | DOI:10.1007/s11356-021-14614-x

Environ Sci Pollut Res Int. 2021 May 29. doi: 10.1007/s11356-021-14484-3. Online ahead of print.

ABSTRACT

A thorough understanding of the processes and driving factors of ion migration, dilution, and enrichment in arid inland river basins is the basis for implementing water resources management. In this study, we analyzed the water chemistry of streamflow, groundwater, and precipitation and the behavior of main elements in the Shiyang River Basin by means of the hydrochemical diagram and multivariate statistical analysis. The spatial variation of water chemistry was obvious, and the conversion between different water bodies was frequent. The ions migrated from the mountain area to the oasis and desert and accumulated near the terminal lake finally. There were obvious differences in hydrochemistry between surface water and groundwater. From the mountain to the basin, the hydrochemical type of surfer water has varied, and the hydrochemical type of groundwater has changed from Ca-Cl type to Na-Cl type. The hydrochemistry of the basin was controlled by silicate weathering. However, the influence of water-rock interaction on surface water and groundwater was different, and the surface water was more complex. Significantly, agricultural activities and sewage discharge had a negative impact on the water environment. Interbasin water transfer (IBWT) was a form of external ions input from outside the basin, which affected the chemical characteristics of surface water in the lower reaches to a certain extent. In arid areas, human impact on water chemistry needs to be paid attention. These results are helpful to strengthen the understanding of the relationship between different regions and different water bodies in the arid basin.

PMID:34053041 | DOI:10.1007/s11356-021-14484-3