bluuebunny/crossref_metadata_2025 huggingface dataset:
GASTROINTESTINAL STROMAL TUMOR
Authors: Sebastian Jeremy , Sobarna Lucky Faizal
Published: September 2018

Latar Belakang: Gastrointestinal Stromal Tumor (selanjutnya disebut GIST) adalah salah satu jenis neoplasma pada jalur gastrointestinal (GI) yang paling sering. Penyakit ini sering diketemukan secara tidak sengaja pada pemeriksaan radiologis, walaupun pada tumor berukuran besar gejalanya lebih nyata. Karena itu kami mengangkat topik ini dengan tujuan agar rekan – rekan petugas kesehatan dapat mengenali penyakit ini dengan lebih baik.

Metode: Wanita 52 tahun dirawat dengan keluhan BAB berdarah menahun. Endoskopi menunjukkan adanya divertikel pada jejunum dan CT scan memperlihatkan adanya massa tumor di dinding ileus. Pada pasien kemudian dilakukan tindakan reseksi tumor. Paska operasi tidak ditemukan adanya komplikasi pada pasien dan tidak terdapat tanda – tanda rekurensi tumor.

Diskusi: Penanganan GIST memerlukan pendekatan multidisiplin. Tumor yang terlokalisir memerlukan operasi sebagai terapi utama. Terapi adjuvant menggunakan imatinib diperlukan untuk mencegah rekurensi. Sedangkan pada tumor yang sudah berkembang atau sudah mengalami metastasis, imatinib merupakan terapi utama. Tindakan operasi pada tahap ini masih dipertimbangkan untuk mengurangi efek massa. Follow up pada pasien dilakukan secara berkala dan lamanya tergantung pada faktor prognosisnya.
Abses Psoas Tuberkulosis
Authors: Sudirman Taufik
Published: September 2018

Psoas abscess is a rarely found abscess located in the iliopsoas compartment. It characterized by fever, back pain, and limitation of hip movements. Psoas abscess is hard to diagnose due to only 30% of classic symptoms and signs are found. In this study we discussed tuberculous psoas abscess in patient 26 years old male. Anamnesis, physical examination, and supporting medical tests were done to diagnose tuberculous psoas abscess. Therefore we performed abscess incision and drainage, followed by continuous tuberculous therapy.

Keywords: tuberculous psoas abscess

 
Patofisiologi dan Diagnosis Penurunan Kesadaran pada Penderita Diabetes Mellitus
Authors: Huang Ian
Published: September 2018

Loss of consciousness (LOC) is a clinical presentation of patients with diabetes mellitus (DM) in emergency department which is caused by complications of the disease. Diabetic ketoacidosis, hyperosmolar hyperglycemic state, lactic acidosis, uremic encephalopathy, and hypoglycemia are the several main causes of LOC in patients with DM.  The comprehension of pathophysiology of LOC in patients with DM will be helpful in making accurate diagnosis. History taking, physical examination, and laboratory tests are essential in diagnosing that particular condition.

Key Words: loss of consciousness, diabetes mellitus, hyperglycemic crisis, hypoglycemia
Pendekatan Diagnostik Terhadap Leukemia Akut
Authors: Hartoyo Vinson , Kurniawan Andree
Published: September 2018

Acute leukemia is the most common form of cancer in children, comprises approximately 30 percents of all childhood malignancies, with acute lymphoblastic leukemia (ALL) being five times more common than acute myeloid leukemia (AML)1. Despite the advance in the treatment of acute lymphobalstic leukemia, five-year event free survival rate still remain quite low in group of patient with advanced age of onset (40% or below in later age)2,3,4. A case of 17 year old girl presented with 3 day onset of profuse bleeding from her nostril, ear, gums and gastrointestinal tract (melena and hematemesis). Blood count and peripheral blood smear revealed a pancytopenia with 26% blast count lymphocyte dominant, and reticulocyte percentage of 0.26% which is signalling a bone marrow failure. The patient was planned to undergo a bone marrow transplant before finally died on third day of care.
Tatalaksana Penurunan Kesadaran Pada Penderita Diabetes Mellitus
Authors: Huang Ian
Published: September 2018

Hyperglycemic crisis (diabetic ketoacidosis or hyperosmolar hyperglycemic state), lactic acidosis, hypoglycemia, and uremic encephalopathy are life-threatening complications of diabetes mellitus (DM). Specific therapies of each condition are essential in reducing mortality rate of the complications.
Characteristic of Central Nervous System Tumours from 2011-2015: A Single Institution Study
Authors: Dwinovitch Febrihardita , Widowati Nadya Aisyah , Kristiani Erna
Published: September 2018

Background: Central nervous system (CNS) tumours affect the quality of life of patients since its neurological deficits. Data from Globocan 2012 reveals that there are 256,000 cases of CNS tumour. Epidemiology of the CNS tumours is very important for diagnosis and treatment, but data in Indonesia is still not fully reported.
Objective: The aim of this study was to determine the exact amount of the incidence, histologic type of the tumour and the characteristic of patient in our institution.
Methods: This is an observational study, all pathology report of CNS tumours that underwent surgery at Siloam Hospitals Lippo Village from 2011 until 2015. We classified based on gender, age, location of the tumour, and the histologic type according to WHO Classification of CNS tumour 2007.
Results and Discussion: There were 913 patients of CNS tumours from 2011 until 2015. The most common tumours were meningioma (32.96%) followed by glioma (21.35%) and pituitary adenoma (16.10%). In meningioma, most occur in women, 41 - 50 years old, located in the frontal region and the most common subtype is transitional meningioma. In glioma, most occur in men, 31 - 40 years old, located in the frontal region and the most common subtype is glioblastoma. In adenoma hipofisis, most occur in men, 41 - 50 years old.
Conclusion: The result of this study was accordance with the literature so this data could be a reference for further research.
Peritoneal (Paraovarian) Malignant Mesothelioma
Authors: Kristiani Erna , Marisca Stephanie
Published: September 2018

Peritoneal Malignant Mesothelioma (PMM) is uncommon disease, but increasing in frequency nowadays. This highly aggressive malignancy occurs most commonly in older men and has a strong association with asbestos exposure. It manifests most often as diffuse sheet-like or nodular thickening of the peritoneal surfaces, but it may occasionally be a localized mass. The very large variations of its clinical features and its histological appearance mimicking adenocarcinoma make this tumor is difficult to diagnose.
We report a case of PMM that previously diagnose as adenocarcinoma of the ovary. A 29 year-old female came to gynecology clinic with para-ovarian mass. She had no history of asbestos exposure. The mass was oval 9x6x6 cm in size, whitish and firm. Microscopic features showed papillary dense structure with desmoplastic stroma, covered by a layer of cuboidal to columnar cells. The cells with mild pleomorphism and hyperchromatic nuclei, mitotic figures were minimal. The immunohistochemistry tests revealed positive for D2-40, Calretinin, CK8 and CK 18, weakly positive for Inhibin and EMA, and negative for CEA and AFP. Patient had been received chemotherapy, there were no metastasis.
Tropical silviculture in dense African forest (Part 5)
Authors: Catinot René , Bossanyi Ilona
Published: September 2018

L’article présente la dernière partie de l’étude sur la sylviculture en forêt dense africaine. L’auteur y décrit une nouvelle méthode, appelée la méthode « Nouvelle croissance » que le Centre technique forestier tropical (CTFT, centre technique maintenant intégré au Cirad) a pu développer au Gabon depuis 1958. L'objectif est de donner le plus de lumière possible aux jeunes arbres plantés tout en maintenant une ambiance forestière acceptable par le soin et l'entretien des nouvelles espèces d'ombrage. Dans la conclusion, il compare les coûts et les rendements des différentes méthodes sylvicoles employées dans les forêts tropicales humides, et il fait le point sur la situation actuelle et les perspectives d’avenir.
Principe de facilitation appliqué à la restauration écologique de sites miniers dégradés : suivi des communautés ectomycorhiziennes au cours de successions végétales assistées par  Acacia spirorbis
Authors: Houlès Anne
Published: September 2018

Acacia spirorbis est une espèce endémique de la Nouvelle-Calédonie, capable de former des symbioses multiples avec des microorganismes du sol, bactéries fixatrices d’azote, champignons mycorhiziens arbusculaires et des champignons ectomycorhiziens. Cette espèce est capable de se développer sur une très large variété de sols de pH 4 à pH 8, texture sableuse à argileuse, riche ou pauvre en matières organiques, etc. Afin de tester les capacités de cette espèce à initier un processus de restauration écologique des écosystèmes métallifères dégradés par l’exploitation minière, un essai en pépinière et trois essais sur le terrain ont été conduits. Ces essais ont permis de mettre en évidence la capacité d’A. spirorbis à jouer, grâce à la facilitation, un rôle de plante nurse pour des espèces cibles de la restauration écologique comme des espèces du genre Tristaniopsis. Ainsi, nous avons tout d’abord décrit 76 taxons moléculaires (OTUs) de champignons ectomycorhiziens dominés par des taxons proches de Tomentella et de Thelephora, associés avec A. spirorbis dans 12 sites répartis sur trois classes de sol : ferralitique, volcano-sédimentaire et calcaire. Nous avons ensuite constaté la capacité de ces OTUs à s’associer aux Tristaniopsis grâce à la présence initiale d’A. spirorbis. Les capacités d’A. spirorbis à faciliter l’implantation d’autres espèces en améliorant leur survie, leur croissance et en leur permettant de disposer de partenaires fongiques ectomycorhiziens diversifiés sont décrites. Ces résultats ont conduit à proposer un itinéraire technique de restauration écologique des maquis miniers dégradés, itinéraire fondé sur la facilitation entre espèces utilisant A. spirorbis comme plante nurse.
Effet de la diversité végétale sur la productivité des systèmes de culture multi-espèces : une étude de cas sur les systèmes agroforestiers à Talamanca, Costa Rica
Authors: Salazar-Diaz Ricardo
Published: September 2018

Talamanca, au Costa Rica, avec ses systèmes de culture variés, est l'une des régions les plus diversifiées du pays sur le plan écologique. L'environnement naturel a toujours fait partie intégrante de la vie des populations autochtones de cette région. Les agroforêts tropicales sont de plus en plus étudiées comme une alternative durable aux systèmes modernes d'agriculture intensive.Cependant, les connaissances sont encore insuffisantes sur la façon dont la diversité fonctionnelle dans les plantes affecte les processus qui soutiennent la production, ce qui nécessite le développement de nouvelles approches. L'objectif de cette thèse était de quantifier la relation entre diversité et productivité dans le cas des systèmes agroforestiers de Talamanca, dans une perspective de recherche appliquée. Tout d'abord, une méta-analyse a été effectuée pour étudier la question de la production et de la diversité dans un très large éventail de systèmes à travers le monde. Nous avons ensuite réalisé une étude approfondie de la diversité et de la productivité de 180 parcelles (100 m² chacune) situées dans 20 champs de la région de Talamanca. Nous avons estimé la productivité de chaque plante dans ces champs pendant un an de travail sur le terrain. Nous avons ensuite développé une analyse des individus pour déterminer si le nombre de plantes voisines d'une espèce donnée expliquait le rendement potentiel des bananiers ou des cacaoyers (les principales cultures de rente de ces systèmes agroforestiers). Il est intéressant de noter que les arbres occupant les strates supérieures ont eu un effet plus faible que ceux des strates inférieures, ce qui suggère que des densités modérées de grands arbres pourraient être compatibles avec une productivité élevée de bananes et de cacao. Du point de vue de la recherche appliquée, cette étude a permis de quantifier la productivité globale de ces systèmes et de déterminer dans quelle mesure leur diversité fonctionnelle les modifie.
The Caring Connection in Nursing: A Concept Analysis
Authors: Wilde, Mary H.
Published: September 2018

The concept of “connection” has not been well described in the nursing caring literature, but the term is often used in the context of a caring relationship in nursing. A concept analysis was done to explicate the concept “connection” in relation to nursing caring literature and to advance theories about the caring relationship in nursing. Nurses need to know that it does not necessarily take extra time to connect with patients, but that intentionality and good communications skills are essential. The special moments they share with their patients can be ones of healing, harmony, enabling, and diminishing of vulnerability. This caring connection can help make up for pain and sorrow that nurses might feel in providing nursing care.
The Value of Caring—Episodes of Desired Change
Authors: Skott Carola
Published: September 2018

With the aim to expose how situations of valued caring were described by the participants, written episodes were analyzed and interpreted. The value of a caring act in the specific situation was narrated as an image of what actually happened. The scene in which a caring act took place shaped the meaning of the act. Caring was connected to a diversity of acts designed to achieve different purposes. Comparison between the described episodes revealed that “recovery,” “alleviation,” “security,” and “comfort” were most often seen as purposes of the caring acts. The all-encompassing motive was fulfillment of the participant’s desired change.
Caring Relationship in an Out-Patient Clinic: Balancing Between Vulnerability and Dignity
Authors: Berg, Linda , Danielson, Ella
Published: September 2018

Studies regarding the caring relationship in out-patient clinics are few. The aim was to illuminate the caring relationship’s appearance in encounters between patients with long-term illness and nurses in an out-patient clinic, and their experiences of this phenomenon. An interpretive phenomenological method was used; data were collected using participant observation and interviews, which were then interpreted. The findings illuminate the caring relationship’s appearance in encounters, as well as patients’ and nurses’ experiences. Findings are understood as balancing between vulnerability and dignity, which reflects opportunities for realizing a holistic view in decreasing vulnerability and maintaining dignity.
Critical Social Theory as a Means of Analysis for Caring in Nursing
Authors: Sumner Jane
Published: September 2018

Critical social theory (CST) is offered as a means to explore the social construction of the patient-nurse relationship within the power constraints of the healthcare delivery system. It is a tool that probes for gaps, silences, and false construction in discourse within this relationship in order to identify excluded or marginalized voices. It provides an opportunity to question historical influences, confront unquestioned norms and values and their relevance in today’s nursing practice. Power is examined as knowledge and as moral, and is explored within the patient-nurse hierarchy. As a method, CST facilitates understanding of caring in nursing.
The Taboo of Motherhood: Postpartum Depression
Authors: Pierre Cathy M. St.
Published: September 2018

Postpartum depression (PPD) is a significant illness that can exact a heavy toll of suffering and devastate the lives of the new mother and her family and impact society at large. PPD is actually a spectrum of illnesses encompassing three syndromes: transient baby blues, postpartum depression and, the most severe, postpartum psychosis. The purpose of this study is to identify factors that place a woman at risk for PPD. Findings highlight several significant risk factors for PPD, such as the presence of depression in the pre-partum period and low self-esteem. Unique to this study is the finding that a woman’s lack of religious or philosophical orientation may be a predictor for clinical depression.
Reflections on Suffering and Culture in Iraq: An Army Nurse Perspective
Authors: La Rosa CPT Rene De
Published: September 2018

The United States Army (U.S. Army) has a fine tradition of providing healthcare on the battlefield. In March 2003, the United States military (U.S. military) entered the Iraqi theater of operations. Included in the military package were medical “assets” dedicated to sustain the health of the military fighting men and women, as well as the health of Iraqi detainees. Detainee medical care was a completely new setting where American nurses had not practiced before but where they were vitally needed. The purpose of this article is to describe the broad themes of suffering and healing at Abu Ghraib Internment Facility in Iraq and the mutual culture shock experienced by both sides of the war effort.
An Archive of Caring for Nursing: Using Foucauldian Archaeology for Knowledge Development
Authors: Bourgeois, Sharon
Published: September 2018

Foucauldian archaeology offers nursing a useful research methodology to advance nursing knowledge. It allows the isolation and analysis of structures that are treated as discursive systems. Foucauldian archaeology is concerned with discourse where knowledge is understood as a matter of social, historical, and political conditions under which statements come to count as true or false. In this paper, the author discusses Foucauldian archaeology and the three tools (statement, discourse, discursive formations) that were used to undertake an archaeological analysis. The result was the identification of an archive of caring for nursing comprising three distinct wellbounded discourses of caring.
Patient and Personnel Conceptions of the Patient-Nurse Relationship in Psychiatric Post-Ward Out-Patient Services
Authors: Hautala-Jylhä Pirjo-Liisa
Published: September 2018

The aim of this study was to analyze and describe the conceptions of patients and personnel concerning the patient-nurse relationship in psychiatric post-ward out-patient services. Aphenomenographic approach was used. The four main categories were patient’s appearance, behavior, and nonverbal expression; empowering of the patient; characteristics of patient-nurse relationship; and setting and maintaining limits. Especially in psychiatric nursing, the significance of the patient-nurse relationship needs to be emphasized. In a successful and collaborative patient-nurse relationship, the patient learns to care for him/herself and to restore interest in taking care of him/herself and surviving in everyday life.
Care and Caring: A Look at History, Ethics, and Theory
Authors: Como June M.
Published: September 2018

The words nurse or nursing as related to the profession of nursing today tend to be associated with the words care and caring. Care and caring have been discussed and researched by scholars from different disciplines. This paper provides an overview of care and caring from the historical, ethical, and theoretical viewpoints of scholars in the field, such as Reverby, Gilligan, Noddings, Watson, and Munhall, that form the foundation for a clinical case discussion. The role of the advanced practice registered nurse in teaching care and caring is discussed and future research opportunities explored.
Participant Retention in Randomized, Controlled Trials: The Value of Relational Engagement
Authors: Andersen Elizabeth
Published: September 2018

Although participant retention is critically important for the conduct of randomized controlled trials, relatively little is known about factors that lead to attrition. I argue that commonly used retention strategies are not cost effective in large trials because most participants do not value them. Attrition in experimental research occurs because we rely on conventional retention strategies and we neglect the unspoken values and beliefs of our participants. The most important of these is the value of relational engagement. Relational engagement does pose a potential threat to internal validity in trials with small sample sizes. This threat is discussed. In conclusion, I suggest that large trials should consider supporting relational engagement rather than spending money on conventional retention strategies.
Student Paper: Humanism in Nursing
Authors: Elasivich Teresa A.
Published: September 2018

In the constantly evolving healthcare environment, the client’s psychosocial maintenance is often neglected while disease processes take priority. The importance of maintaining clients’ psychosocial needs while concurrently treating their malady is discussed. Humanistic concepts of noetic locus, pathic touch, and concern are applied to one factual nursing student experience. In conclusion, the necessity of treating the patient as a whole, not merely an illness, creates a stable care environment where the patient can most effectively heal. By citing a single student-nursing encounter, a professional nursing foundation is built along with an applicable philosophy.
Student Paper: Enhancing Patient Connectedness
Authors: Mitchell Jinjer B.
Published: September 2018

Patient connectedness is the bond that develops between a nurse and a patient. Enhancing patient connectedness is a worthwhile skill to practice. There are several basic principles that nurses can use when learning or perfecting that skill. Nurses should keep in mind, however, that there are benefits as well as challenges to developing patient connectedness. Despite the challenges, what is gained by the nurse and the patient from each other is rewarding and inestimable. This manuscript will explore patient connectedness from several different perspectives, showing the positive and more challenging elements so that there can be a deeper understanding and appreciation for our patients and our impact on each other.
Teaching-Learning Professional Caring Based on Jean Watson’s Theory of Human Caring
Authors: Sitzman Kathleen L.
Published: September 2018

Acourse created for senior BSN students clarifies how to enact Jean Watson’s theoretical caring concepts in relation to self, others, peers/co-workers, nursing leadership, local/world communities, the environment, and web-based interactions. Students begin to build unique caring professional identities based on enhanced understanding of caring and through studying others’ professional caring activities. Aculminating project requires each student to create and enact a caring professional activity. This article presents a brief overview of Watson’s Theory of Human Caring and explores how it was applied in the creation of this course.
The Nurse Administrator as Caring Person: A Synoptic Analysis Applying Caring Philosophy, Ray’s Ethical Theory of Existential Authenticity, The Ethic of Justice, and The Ethic of Care
Authors: Sorbello, Barbara
Published: September 2018

By virtue of their position, nurse administrators are responsible for patient outcomes, developing strategic plans and budget forecasts, and overall organizational viability. In addition to these activities, nurse administrators recognize that it is equally, if not more, important to care for individual staff members, to role model caring, and to facilitate an environment where caring is valued. This article presents a nurse administrator’s experience of living caring during and after two hurricanes that devastated the hospital and its staff members. Caring philosophy, the ethics of care, and the ethics of justice theories are used as frameworks through which to view how living caring within this situation provided for the needs of the individuals and for the organization
Caring Scholar Response To: Uncovering Meaning Through the Aesthetic Turn
Authors: Wagner A. Lynne
Published: September 2018

This caring scholar response to Barry and Purnell’s paper, Uncovering Meaning Through the Aesthetic Turn: A Pedagogy of Caring, expands the dialogue on the role of aesthetics in preparing nurse students to be holistic caring practitioners. Addressing the key concepts of intentionality, aesthetic attitude, aesthetic turn, aesthetic knowing, role of nursing education, and transforming practice, this response further explores the power of aesthetic reflection. The model of helping students develop “caring nurseself” through the aesthetic pathway invites nurse educators to transform curriculum and nursing practice.
Technology in Nursing Education
Authors: Benjamin Richardean
Published: September 2018

Offering on-line and web-enhanced courses provides educational advancement to nursing students who have limited or no access to traditional educational institutions in terms of on campus classes during fixed course times. Two educational institutions describe strategies used to increase access for two student populations through various distance education formats. Critical to success of this endeavor is support to students and faculty. Student satisfaction is directly related to faculty caring behaviors such as respect, frequent timely feedback, personal connection, and empathy. Strategies described reinforce the need to provide faculty support for learning the technology while maintaining sound teaching and learning principles.
Nurse Caring and Patient Satisfaction in Iran
Authors: Rafii, Forough , Hajinezhad, Mohammad Esmaiel , Haghani, Hamid
Published: September 2018

Intense staff shortages and heavy workloads are common characteristics of Tehran educational hospitals. This may contribute to changes in patients’ perceptions of nurse caring and satisfaction with healthcare services. The time that nurses previously allotted to direct care has been reduced, possibly restricting the effects of nursing care. For this study, data were collected using the Persian versions of the revised Caring Behaviors Inventory and the Patient Satisfaction Instrument. Data were analyzed using SPSS for Windows. Findings support earlier western evidence that nurse caring is associated with patient satisfaction with nursing care. It is important to reflect on the impact of culture, religion, and current healthcare environment of Iran on nurse caring and patient satisfaction.
Hospice Referral: What Takes Us So Long?
Authors: Melvin, Christina
Published: September 2018

Late referrals to hospice and palliative care plague the healthcare system. One key issue lies within education of nursing and medical students, whereby students are offered insufficient classroom and clinical education. Recently, the trend is changing with colleges and universities offering more courses in end-of-life care. This article explores an expanded role of Advanced Practice Registered Nurses (APRNs) in providing expert end-of-life care. APRNs are well-positioned to meet this growing need. Educated to provide an expert level of care in treating symptoms associated with end-of-life care, APRNs also have compassion and understanding to meet the growing need while promoting fiscal responsibility.
Creating Room for Learning at Work: Nurses’ Experiences of Participating in an Educational Program on the Function of Patient Teaching
Authors: Friberg, Febe , Lindberg, Elisabeth , Lepp, Margret,
Published: September 2018

The aim of this study was to describe an educational program concerning nurses’ patient-teaching work and how it was experienced by the nurses. The program consisted of five sessions, each with a main theme, which employed four main teaching/learning strategies. Interviews were conducted with the nurses and analyzed qualitatively. The analysis revealed three themes: inter-collegial learning, increased awareness of pedagogical complexity, and increased preparedness. The study showed that participation in an educational program at work is one strategy by which nurses can become more closely linked with their patient-teaching function, which has direct consequences for practice
Being Below the Horizon: The Dwelling Place of the Nurse Aide
Authors: Andersen Elizabeth
Published: September 2018

Nurse aides are the unregulated caregivers who perform the bulk of the physical and emotional care-giving work for residents in long-term care facilities. Hierarchies of nursing work in some long-term care institutions and the marginalization of some nurse aides in these institutions are revealed through quotes retrieved from existing literature. These quotes illustrate the ways in which these nurse aides are on earth – their ways of “dwelling.” The author calls for support and empathy from registered nurses for struggling nurse aides by integrating Martin Heidegger’s philosophies of space and dwelling with the ways in which nurse aides “dwell” in their places of work.
No Recipe For Care as a Moral Practice
Authors: Delmar, Charlotte
Published: September 2018

As there is no recipe for nursing as a moral practice, the nurse is obliged to risk herself in order to meet the ethical demand placed on her as a professional and to preserve the vulnerable trust essential to cooperation with the patient. On the basis of research and examples from interviews with six patients and six nurses, this article discusses examples of nurses’ moral irresponsibility stemming from a lack of consciousness about the power inherent in the relationship between nurse and patient. The challenge for the nurse is to understand that the trust and power embedded in his/her meeting with patients entails a demand for attentiveness.
Clinical Faculty Influences on Student Caring Self-Efficacy
Authors: Livsey Kae Rivers
Published: September 2018

This non-experimental, explanatory study examined the relationship between nursing student perceptions of the clinical learning environment and student caring self-efficacy. Also examined was the relationship between student perceptions of clinical faculty leadership behaviors and these variables. The study provided preliminary evidence of the relationship between student perceptions of leadership behaviors demonstrated by clinical nurse faculty and caring self-efficacy of nursing students. However, additional research is needed to better understand how the combination of environmental and personal factors in the clinical learning environment influences these behavioral outcomes.
Teaching Caring and Empathy Through Simulation
Authors: Panosky Denise
Published: September 2018

Caring and empathy may be taught to nursing students through a simulation experience of patient role playing. Students are asked to put themselves in a patient’s shoes to experience how that patient may feel when given a new diagnosis that may change their lifestyle or quality of life. After a simulation experience of wearing an ostomy bag or adult diaper, the students were able to better understand the importance of caring and empathy in nursing.
A Cartography of Caring: A Call to Weave Maps of Support
Authors: Ogle, Kathleen T. , Scardaville, Debra L.
Published: September 2018

The purpose of this article is to make connections between caring and the support that occurs among nurses who are making an educational journey and who are in practice. The authors believe that webs of caring and support are formed, which make a stressful journey in higher education and practice tolerable. As faculty members it is imperative that we encourage this support and caring in our students and in each other. Interpretive themes originating from doctoral dissertation studies and lived experiences of being in a writing circle form the foundation of this article.
The Dialectic Movement Between Suffering and Reconciliation: Male Caregivers’ Experience of Caring for Their Wives Suffering from Dementia
Authors: Knutsen, Håvard , Råholm, Maj-Britt
Published: September 2018

There appears to be little understanding of the ways men experience and manage the strain of caregiving. A phenomenological approach was used to understand the experiences of male caregivers taking care of their wives suffering from dementia. This study indicates that the essence of the experience is a daily struggle with the heartfelt paradox of grief and loneliness while experiencing reconciliation through love and communion.
Applying Watson’s Caring Theory and Caritas Processes to Ease Life Transitions
Authors: Goldin, Marlienne , Kautz, Donald D.
Published: September 2018

This personal account of a transformed life illustrates how a clinical expert, confronted by major change, applied Watson’s (2008) caring theory and caritas processes to her life. Through sustained effort and reflections she acted and ultimately integrated theory into everyday lived experience.
Metaphors - A Path to Narrative Understanding
Authors: Wiklund Lena
Published: September 2018

This article illustrates the process of narrative hermeneutic interpretation. Narratives were analyzed and understood as text on different levels of interpretation. Analyzing narrative structure by means of emplotment focused on how the story was narrated. Further understanding is promoted by analyses of narrative content (what the text talks about) and could be revealed by metaphors used by participants or constructed by the researcher. I will argue in favor of metaphors not only as analytic tools but also as means to communicate findings. Through their ability to make connections between language and body metaphors they can facilitate appropriation of new understandings.
Student Paper: A Pivotal Caring Experience for a Nursing Student
Authors: Tesfamichael Alexander
Published: September 2018

The application of Swanson’s (1991) mid-range caring theory in clinical practice is the focus of this paper. The clinical practice example chosen to highlight this theory was an interaction observed by a nursing student between a nursing instructor and an elderly woman who had experienced an embarrassing incidence of bowel incontinence. This example of caring behavior will have a significant influence on the nursing student’s future nursing practice.
Community-Dwelling Elders’ Perceptions of LIFE Staff Caring: A Comparative Descriptive Study
Authors: Wolf, Zane Robinson , Goldberg Earl
Published: September 2018

The aim of this comparative descriptive design study was to explore older persons’ perceptions of the staff caring process and to describe whether differences exist among ethnic groups and by gender. Subjects were recruited from a diverse group of older persons who attended the Mercy Living Independently for Elders (LIFE) Program in Philadelphia. Total scores on the Caring Behaviors Inventory for Elders (CBI-E) were compared by ethnic group; scores did not differ at a statistically significant level. When total CBI-E scores were compared by gender, no statistically significant difference was found. Additional testing of the CBI-E is called for to continue to establish its psychometric properties.
Development and Psychometric Testing of the Technological Competency as caring in Nursing Instrument
Authors: Parcells, Dax Andrew , Locsin, Rozzano C.
Published: September 2018

The mid-range theory, technological competency as caring in nursing, provides a novel understanding of the harmonious integration of technology and caring in nursing. The quantification of technological competency, reflected in shared expectations of nurses and patients, ultimately informs the best practices requisite in grounding nursing care delivery models in technology, caring, and quality nursing. Theory and practice experts were invited to examine the validity of the Technological Competency as Caring in Nursing Instrument. Item statements were revised or eliminated based on quantitative content validity indices and specific expert feedback. The revised instrument consists of 25 statements inclusive of the five assumptions of the theory. Future work will establish best practices grounded in the perspective of technological competency as in caring nursing.
Mountains to Climb: Male Nurses and Their Perspective on Professional Impairment
Authors: Dittman, Patricia Welch
Published: September 2018

Chemical dependency is a prevalent problem in nursing as well as society as a whole. This hermeneutic phenomenological (narrative) study focuses on the lived experience of nine male nurses who abused chemical substances in the workplace. The major theme of “person” had three sub-themes of (a) predetermined risk, (b) altered values, and (c) sensation-seeking behaviors. the major theme of “profession” had six sub-themes of (a) masterminding, (b) professional heteronomy, (c) getting caught, (d) rehabilitation, (e) spirituality, and (f) the nurse becoming the nursed. Study findings included gender-specific drug use patterns and insight into the caring philosophy of nursing.
Development and Psychometric Testing of the Postpartum Depression Screening Scale: Hungarian Version
Authors: Hegedus, Kathryn Stewart , Beck, Cheryl Tatano
Published: September 2018

The purpose of this study was to ensure the semantic equivalence of the Hungarian version of the Postpartum Depression Screening Scale (PDSS) (Beck & Gable, 2002). a multiple-step process was used to translate the scale. first, the PDSS was translated into Hungarian. Secondly, this version was blindly back translated to English. Third, a panel of three Hungarian-American mothers met with one researcher and reviewed the items. Finally, a linguist read the scale for syntax and grammar. A convenience sample of Hungarian-American mothers (n = 30) participated in the study. Correlation between the English and Hungarian scales was high (r = .97, p <.01).
Understanding the Essence of Caring in the Nurse-Patient Relationship: Situational Reflection of Professional Perspectives within the Framework of Caring Science
Authors: Weiser, Marcia Lynn
Published: September 2018

A daughter relies on caring and other theoretical perspectives when caring for her mother with Alzheimer’s Disease.
What Keeps Nurses in Nursing?
Authors: Dunn, Dorothy J.
Published: September 2018

Interpretive phenomenology was used in this study to explore what keeps nurses in nursing by examining the impact of the relational experience of the nurse caring for the nursed in the context of the nursing situation. Eight practicing nurses were interviewed about what keeps them in nursing. Data were analyzed using Heideggerian hermeneutics and the theoretical framework of Boykin and Schoenhofer’s nursing as caring theory. Four themes, practicing from inner core beliefs, understanding the other from within, making a difference, and nursing as an evolving process, supported one constitutive pattern, intentional compassion energy, revealing that nurses intend to care compassionately.
The Deteriorating Health of “Nursing” in the United Kingdom Today: An Acute Episode or a Long-Term Condition?
Authors: Goodenough John
Published: September 2018

In the United Kingdom today there appears to be an escalating theme of poor nursing care and negative patient experience. As caring is recognized as the spirit of nursing and is its underlying principal cultural value, this paper aims to explore and examine the nursing as caring theory and associated model of nursing, to ascertain if the care required to “nurse” the profession back to health, to deliver and manage patient expectations in today’s healthcare, is not only familiar, but actually underpins the very essence of nursing itself.
Utilizing Watson’s Theory of Human Caring and Hills and Watson’s Emancipatory Pedagogy to Educate Hospital-Based Multidisciplinary Healthcare Providers About Hospice
Authors: Iversen, Alyx , Sessanna, Loralee
Published: September 2018

Hospice offers holistic human caring that embraces every individual as a unique physical, mental, emotional, social, and spiritual entity. To holistically address and fulfill end-of-life care needs, wishes, and preferences for terminally ill patients and their families, early healthcare provider referral to hospice is crucial. Utilizing Watson’s (2012a) theory of human caring and Hills and Watson’s (2011) emancipatory pedagogy for nursing as theoretical frameworks, this article proposes an approach to educating multidisciplinary healthcare providers on the importance of and need for early hospice referral to promote quality holistic, meaningful, respectful, dignified, and compassionate end-of-life care.
Developing and Sustaining a Study Abroad Program as Viewed Through a Caring Lens
Authors: Hegedus, Kathryn Stewart , McNulty, John , Griffiths, Lisa-Marie , Engler, Arthur , Cabrera, Lourdes , Rose, Rev. Vernon
Published: September 2018

Facilitating global learning for students of nursing presents unique challenges. In this paper, the authors describe a study abroad/away program for faculty and students. This experience is part of the students’ plan of study within their 4-year curriculum. The infrastructures needed to initiate the program and lay the foundation for building, implementing, and maintaining the experiences are defined. Students’ blogs are shared in order to illustrate caring nursing practice. Projected plans for future activities and the evaluative dimension are discussed.
The Relationship Between Caring Ability and Competency with Caring Behaviors of Nursing Students
Authors: Sokola, Kathy M.
Published: September 2018

A descriptive correlational study was undertaken to provide insight into the relationship between caring ability (innate caring) and competency with caring behaviors (professional caring) of student nurses. Currently, little research addresses these aspects of caring simultaneously. The study found significant correlations between caring ability and caring competency for first and fourth semester students, but no significant difference in caring ability between first semester and fourth semester students. The results suggest that nursing education significantly impacts the development of professional caring behaviors, but has little effect on innate caring ability. Higher caring ability scores were associated with increased caring competency
Caring in the Community: An Exemplar within Faith Community Nursing
Authors: Dyess, Susan MacLeod , Chase, Susan K. , Hanaway, Kevin P.
Published: September 2018

This paper presents a caring exemplar that was accomplished by a graduate nursing student who engaged in the practice of professional nursing within a faith community as a directed, independent study. The holistic caring is presented, the specialty practice is highlighted, and the potential for influencing community-based healthcare for individuals who identify themselves as lesbian, gay, bisexual, or transgender is exposed. Theory and practice implications are considered.
…and so it begins. One Nurse’s Journey to Caritas Consciousness
Authors: Huntley, Nicole Braun
Published: September 2018

Reflective journaling has been used in nursing as a type of education technique. This paper is a scholarly review of one nurse’s reflective journaling and how she was able to identify caritas nursing throughout her career on her journey to caritas consciousness.
An Integral-Caring-Science RN-BS Nursing Curriculum: Outcomes From Fostering Consciousness Evolution
Authors: Clark, Carey S.
Published: September 2018

With the knowledge of psychoneuroimmunological responses and the stress of nursing students, as caring nurse educators, we have become ethically obligated to revise and re-vision our current nursing educational practices. Nurse educators should be motivated to create innovative caring-science curricular approaches, so that our nurses of the future are in turn supported in creating caring-healing sustainable practices (Watson, 2008). This paper details the outcomes from an RN-BSN program that implemented an integral-caring-holistic-science curriculum design in order to support students on their own healing journey. The program supported nurses in their ability to create caring-healing moments and spaces for patients, implement change in the workplace, and avoid the perils of burn-out related to low stress resilience, which is so common within the nursing profession (Clark, 2010; 2006; 2003).
Designing a Fourth Year Baccalaureate Nursing Course Utilizing the Lens of The Theory of Bureaucratic Caring and a Root Cause Analysis Approach
Authors: Maykut, Colleen , McKendrick-Calder, Lisa
Published: September 2018

The purpose of baccalaureate nursing education is to foster critical thinking in the nursing student to encourage use of evidence in their practice, increasing their ability to manage complexity in a variety of settings. Nurses who incorporate critical thinking and problem-solving strategies into their practice ensure an evidence-informed approach and become active participants and architects of their own destiny. A root cause analysis approach utilizing The Theory of Bureaucratic Caring as a lens might facilitate critical thinking and problem solving, and enhance the understanding of the dichotomy of a caring bureaucracy; facilitate decision-making; and humanize nursing care (Ray, 1989; Ray & Turkel, 2012, 2010) for the nursing student.
STUDENT PAPER: Continuing Competency in Nursing Practice
Authors: Glasser Jillian
Published: September 2018

Within bureaucratic organizations, registered nurses experience environments and situations which are complex in nature. The theory of bureaucratic caring (Ray, 1989) identifies caring as a dynamic concept which is influenced by both bureaucratic and humanistic factors; the ethical and education factors of caring may influence registered nurses’ competency. Continuing competency programs must prepare RNs to deal with the growing challenge of clients with multiple comorbidities seeking care in complex health systems. Recommendations will be suggested to augment current educational programs to ensure continuing competency for RNs.
Global Earth Caring through the Millennium Development Goals and Beyond
Authors: McDermott-Levy, Ruth , Leffers, Jeanne , Huffling, Katie
Published: September 2018

The interconnectedness of human health and the earth has been central to nursing practice since Florence Nightingale. Drawing from Watson’s theory of human caring and Shuster’s (1990) conceptualization of earth caring, we articulate linkages between environmental concerns and caring for health of people globally. The United Nations Millennium Development Goals (MDGs) set standards and targets for health worldwide. Using these goals as guidelines for global health nursing practice, we articulate specific environmental issues related to each of the MDGs. Poverty, hunger, education, toxic exposures in air, water, soil and climate change are all interrelated and a holistic earth caring approach is needed to heal the planet and assure human health.
Pediatric Nurses Acknowledging Praxis: Recognizing Caring in Reflective Narratives
Authors: Hines, Mary Enzman , Gaughan, Jennifer
Published: September 2018

Nurses are identified as caregivers, but caring and the work of nursing are often difficult to describe. This study explored caring within pediatric nursing practice, specifically how reflective narrative can be used to capture the essence of caring within practice. How nurses revealed praxis in the narratives is also explicated. Nine nurses’ narratives were analyzed by the participants using Johns’s (2009) model for structured reflection (MSR). Researchers then analyzed the narratives to identify the common themes of caring. Seven themes emerged: normalizing the environment, creating sacred space, being rooted in compassion, the art of being present, establishing trust-caring, coaching the family as caregiver, and inspiration for the future.
Essay: Celebrating New Life in a Neuro-Surgical ICU
Authors: Goldin, Marlienne
Published: September 2018

Caritas nurses cultivate the soul and spirit of their patients, as well as attend to their emotional and physical needs. This exemplar of caritas nursing shows how the nursing staff in a neuro-surgical intensive care unit (ICU), where a new mother had been admitted after having grand mal seizures during delivery, used technology to bring mother and baby together. Using iPhones and Facetime, the ICU nurses arranged for the mother to see her baby boy in the newborn nursery for the very first time, in real time. This caring moment exemplifies many of Watson’s caritas processes. Participating in these caring moments is the greatest reward of nursing.