Suchergebnisse

Background: Previous studies supported that sociodemographic characteristics are significantly associated with dietary adherence and glycemic control in adults with type 2 diabetes. The American Diabetes Association recommends that individually designed nutritional plans consider the sociodemographic characteristics of the patients. Few studies were specifically conducted to address the association of sociodemographic characteristics with adherence to dietary guidelines and glycemic control in adults with type 2 diabetes employing data from a US national dataset. Purpose: The study aimed to examine the relationships of sociodemographic characteristics with adherence to the American Diabetes Association dietary guidelines and glycated hemoglobin in adults with type 2 diabetes. Methods: A secondary analysis study used data for 1,401 adults that were extracted from the National Health and Nutrition Examination Survey conducted between 2007 and 2012. Logistic regression was employed to calculate the unadjusted odds ratios to determine the odds of non-adherence with dietary guidelines for each sociodemographic characteristic. Results: A large percentage of the sample was non-Hispanic White (66.1%) and female (52.7%). Sex, race/ethnicity, marital status, education, and income were significantly related to glycemic control. Race/ethnicity and marital status were significantly related to adherence to dietary guidelines. Single participants were at greater risk of being non-adherent compared to married participants. Furthermore, non-Hispanic Whites had much lower odds of nonadherence to dietary guidelines compared to Hispanics. Conclusion: Individualizing patients' nutritional plans based on sociodemographic characteristics is crucial for improving glycemic control and health outcomes in patients with type 2 diabetes. Implications for Nursing: Clinicians should pay attention to the dietary behaviors among people of different ethnic/racial backgrounds. Assessment sheets should be revised accordingly and health caregivers should be aware of how to design and modify dietary plans for their clients based on clients' food preferences and cultures. Keywords: Type 2 diabetes, Sociodemographic characteristics, Glycemic control, Dietary adherence.

Background: Nurse competency is a critical issue that is important for nurses, their organizations and their patients and empowers nurses in their practice. Factors related to nurses' competency level require further investigation. Purpose: To investigate how nurses assess their level of competency and the professional and clinical factors that influence it. Methods: A convenience sample of 204 registered nurses from an affiliated university hospital was approached. The data was gathered using the Competency Inventory for Registered Nurses (CIRN) questionnaire. The Pearson correlation coefficient, t-test and one-way ANOVA test were used to analyze the data. Results: The findings revealed that nurses' perceived competency level is in the middle range. The findings also revealed statistically significant differences in the nurses' perceived level of competency due to their level of education (p=0.012). Nurses who reported fair and objective annual evaluations rated their competency higher than nurses who reported unfair evaluations (p=0.014). Nurses who expressed an interest in nursing perceived their competency level to be higher than those who did not (p=0.006); nurses who did not change units perceived their competency level to be higher than nurses who did (p=0.012). Conclusion: Nurses' perceptions of performance evaluation, rotations between units, educational level and interest in the nursing profession are all factors that must be considered in order to improve clinical nursing competency. Implications for Nursing: It is critical to educate nurses through basic and continuing education, with a focus on clinical nursing competency achievement and improvement. Keywords: Nurses' competency, Competency, Clinical competency, Perception, Professional nurses, Jordanian nurses.

Background: Healthy lifestyle is important in promoting health and reducing risk of chronic diseases. Nurses' lifestyle could be affected negatively by working night shifts or always rotating shifts, long working hours and high exposure to work-related stress. Purpose: This study aims to assess nurses' lifestyle and factors associated with it. Methods: A cross-sectional design with an online survey was used in this study. The sample included 203 Jordanian nurses from four hospitals. Sleep quality was assessed using the Pittsburgh Sleep Quality Index, while dietary habits were assessed using the Rapid Eating Assessment for Participants-Shortened Version. Physical activity was assessed using the International Physical Activity Questionnaire. Results: Nurses' mean age was 32.7±5.66 years and on average, they have 8.27±5.63 years of experience. Approximately, 25% of nurses were tobacco smokers. The majority of nurses reported poor sleep quality (n = 174, 85.5%). Approximately, 58% of nurses were overweight or obese and 41.9% of nurses had poor dietary habits. Only 39.5% of nurses reported moderate or high levels of activity. Conclusion: Jordanian nurses' lifestyle showed poor quality in most aspects. Implications for Nursing: Nurses should be aware of the importance of adopting a healthier lifestyle to prevent possible complications. Nurse leaders should consider the health status of nurses and prevent illnesses by encouraging a healthier lifestyle of nurses. Keywords: Nurses, Lifestyle, Sleep quality, Dietary habits, Nutritional status, Physical activity.

Purpose
This paper aims to explore the lived experience of people with a chronic non-healing wound and to explore what it means to live with a chronic wound.


Design/methodology/approach
A descriptive phenomenological study design was adopted to explore the living experience of person with chronic wound. A sample of 15 individuals of both genders was selected using a purposive sampling technique. To collect data, in-depth interviews were conducted, and all the interviews were audio-taped and transcribed verbatim. Data were analysed using the seven-step process described by Colaizzi (1978).


Findings
The findings were organized into 6 themes clusters and 12 themes. The six themes clusters were limiting mobility; receiving care; explaining causes of wounds; contending with chronic illnesses; adapting and mal-adapting; and economic burden of the wound.


Research limitations/implications
Chronic wound had a profound impact on participants' lives by affecting their activities of daily living, their mobility, their income and their personal relationships.


Originality/value
Understanding the lived experiences of people with chronic wounds is crucial for health-care providers, including nurses. Investigating the chronic wound experience has become even more pressing given the projected increase in the number of elderly individuals and those with chronic illnesses such as diabetes mellitus. In Jordan, for example, the prevalence of diabetes mellitus is 17.1%, and it is projected to increase by 2050.