Tạp chí Khoa học Điều dưỡng

Examining nursing students’ perceptions of educational environment: Further validation of DREEM instrument

Hoang Thi Hue, Bui Thi Hien, Phan Hong Anh, Nguyen Thi Hoa Huyen, Hoang Lan Van — 2023-12-27

Background: Educational environment is an essential foundation for the effective learning process of students, which in turn contributes to the success of a curriculum. The evaluation of educational environment from students’ perception has been considered as an indicator for the quality improvement of higher education. This study aimed to explore the Vietnamese nursing students’ perception of educational environment and identify internal consistency reliability of the Vietnamese version of the Dundee Ready Educational Environment Measure (DREEM) instrument. Subjects and methods: A cross-sectional study was conducted among 102 second-year undergraduate nursing students in a medical university. An online survey, including the 50-item DREEM questionnaire, was used to obtain student’s perception of learning environment. Results: The overall Cronbach’s alpha coefficient of the V-DREEM in this study was 0.95 and five sub-scales ranged from 0.74 to 0.85, demonstrating that the V-DREEM instrument has good internal consistency reliability for measurement. The overall score of DREEM was 143.89/200 (SD =17.50), indicating a positive educational environment perceived. Fifty-eight percent (58%) of the items were rated high score, however, there were aspects perceived as problematic including teaching methods (The teaching is too teacher-centered), student-teacher interactions (The students irritate and annoy the teachers), and students’ learning approaches (I feel able to ask the questions I want). Conclusion: The study results suggested the specific areas, including teaching methods, student-teacher interactions, and students’ learning approaches, that need more attention to enhance the educational environment for nursing students in Vietnam where the reform of nursing education has eventuated recently.

Knowledge of stroke prevention among hypertensive patients at Gia Loc district medical center in Hai Duong province in 2023

Nguyen Hoai Thu, Vu Van Dau — 2023-12-30

Objectives: This study aimed to describe the knowledge of stroke prevention among hypertensive patients who were treated at Gia Loc district medical center, Hai Duong province in 2023. Subjects and research methods: A cross-sectional description was conducted on 178 hypertensive patients who were treated at Gia Loc district medical center, Hai Duong province from April to August 2023, using the convenient sampling method. Results: 71.3% of the participants had knowledge at a satisfactory level, of which 45.5% of patients answered correctly about persons at high risk of stroke. 66.3% of the patients had correct knowledge in terms of all signs of stroke. There were 45.5% of patients provided correct knowledge in terms of persons at high risk of stroke. Regarding risk factors that can cause stroke, 52.2% of patients presented correct knowledge about risk factors that may cause stroke. 77% of patients had correct knowledge about methods avoid the risk of stroke. In terms of knowledge about stroke prevention, 70.9% of hypertensive patients had knowledge at a satisfactory level, 29.1% of hypertensive patients had knowledge at an unsatisfactory level. Conclusion: Patients’ knowledge of stroke prevention is relatively high.

Self-care behavioral change among type 2 diabetic out-patients at Quang Ninh general Hospital after health education intervention in 2023

Pham Van Hien, Nguyen Thi Minh Chinh — 2024-01-04

Objective: to describe the change in self-care behavior among the type 2 diabetic patients treated as outpatients at Quang Ninh Provincial General Hospital after health education intervention in 2023. Participants and methods: Health education intervention study on a group of 86 diabetic patients with comparison before - after intervention from March to September 2023. Results: The average number of days per week performing self-care behaviors among diabetic patients before the intervention was 3.5 ± 0.76, after the intervention, it increased to 4.36 ± 1.1 and continued increasing to 6, 04 ± 0.77 (p < 0.001) one month after the intervention. Before the intervention, 22.1% of the patients had good self-care behaviors, after the intervention, the rate increased to 60.5% and continued increasing to 96.5% one month after the intervention. Before the intervention, only 2.3% of the patients were able to take care of themselves, after intervention the rate increased to 10.5% and continued to increase to 90.7% one month after the intervention. Conclusions: Health education intervention program has significantly changed the self-care behavior of the type 2 diabetes patients. It is necessary to continue to maintain and supplement content and combine many forms of health education counseling for them

Knowledge of cervical cancer prevention and screening among women at Thai Binh hospital of Obstetrics and Gynecology in 2023

2024-01-10

Objectives: To describe knowledge of cervical cancer prevention and screening and to identify associated factors among women at Thai Binh Hospital of Obstetrics and Gynecology in 2023. Participants and methods: A descriptive cross-sectional study design was conducted among 400 women aged 21-65 years at Thai Binh Hospital of Obstetrics and Gynecology to collect data on knowledge of cervical cancer prevention and screening by using a self – reported questionnaire. The maximum score for the general knowledge was 46 points. Results: The percentage of participants with good knowledge of cervical cancer prevention and screening was 38.8%. Knowledge of cervical cancer prevention and screening was related to age, occupation, and education level. Conclusion: The knowledge of cervical cancer prevention and screening among the women in the research was quite low. Therefore, it is necessary to strengthen communication and health education for women at the hospital by providing more information sheets (posters, leaflets...) about cervical cancer, vaccination and screening, therefore,they may improve their knowledge while getting the healthcare service at the hospital.

Changes in confidence among patients with chronic obstructive pulmonary disease after health education at Quang Ninh provincial general Hospital in 2023

Nguyen Bich Huyen, Nguyen Thi Minh Chinh — 2024-01-12

Objectives: Toassess changes in confidence among patients with chronic obstructive pulmonary disease(COPD) after health education at Quang Ninh General Hospital 2023. Methods and Paticipants: The outpatients with COPD at Quang Ninh General Hospital meet the inclusion criteria. Results: Thestatus of confidence reached 2.24±0.3 points, 8.97% of the participants felt confident, the rest were not confident. After the health education intervention, the confidence rate increased from 8.97% to 75.21% after 4 weeks and to 85.9% after 12 weeks. Conclusion: It is necessary to conduct health education for patients on effective breathing exercises; Stop exposure to risk factors; Quit smoking and tobacco; Get vaccination against respiratory infections; Pulmonary rehabilitation to improve the confidence of outpatient patients with COPD.

The interaction of nurses with patients and family when expressing difficult news: A study using video recordings

Tran Thuy Duong, Bui Thi Hien, Nguyen Thi Hoa Huyen — 2024-01-16

Objectives: To evaluate and explore nurses’ communication skills when providing difficult news to patients and their family members. Methods: A cross-sectional study was performed. The study employed a combination of qualitative and quantitative observations to analyze 49 videos recorded nurses’ interaction with standardized patients in a communication training course from 2019 to 2021. A validated checklist named The Liverpool Communication Skills Assessment Scale was used to quantitatively evaluate the level of nurses’ communication skills, and qualitative comments provided by observers were explored to explain quantitative results found. Results: The “nonverbal behavior” component of nurses’ communication was at acceptable levels, however, other components including “introduction”, “respect and empathy”, “questioning” and “giving information” were at poor levels. Conclusion: Communication skills of “introduction”, “respect and empathy”, “questioning” and “giving information” of nurses in adverse situations need to be improved, and hospital’s leader board should have viable measures to raise nurses’ awareness about providing truth to the patients or family

Status of knowledge, attitude, practice towards occupational exposure prevention to blood and body fluid among nurses and related factors at Hanoi Post Hospital in 2023

Nguyen Thi My Phuong, Do Minh Sinh, Do Thi Linh — 2024-01-18

Objective: To describe the status on knowledge, attitude, practice about occupational exposure prevention to blood and body fluids among nurses and related factors at Hanoi Post Hospital in 2023. Subjects and methods: Cross-sectional descriptive study was conducted using a pre-designed questionnaire on 180 nurses from March to August 2023, selecting the entire sample. Satisfactoryknowledge, positive attitude was achieved when the total score was over 50%, practice was considered satisfactory when all steps were completed. Results: The rate of satisfactory knowledge about preventing exposure to blood and body fluids among nurses was low, only 58.9%. Nurses with a positive attitude accounted for a low rate of 54.4%. The rate of nurses’ achieved practice in preventing exposure to blood and body fluids was 65%. University degree or higher was associated with knowledge of exposure prevention to blood and body fluids (p < 0.05). There was no factors related to attitudes toward preventing exposure to blood and body fluids (p > 0.05). Gender (male), department of work (surgery department) were found to be associated with practice in preventing exposure to blood and body fluids (p < 0.05). Conclusion: Nurses’ knowledge, attitude and practice about prevention of exposure to blood and body fluids were not high. To address this, the hostpial should consider an ongoing training courses on infection prevention every year to improve nurses’ knowledge, attitude, and practice about exposure to blood and body fluids. Furthermore, it is recommended to implement regular monitoring programs for nurses’ hand hygiene and safe injection practice

Implications of using the model of competence development for nurses

Do Thi Ha — 2024-01-29

Background: Nursing, as a professional and academic discipline, requires the development of a distinct body of knowledge applicable to nursing practice. The development of nursing competency is significant to improve the quality of nursing services and meet the requirements of health care needs. Objectives: This study aimed to explore how the model of nursing competency development can be used, and its implications for nursing organizations, nursing education, implications for the healthcare system and policy are discussed. Results and conclusion: The proposed model provides a comprehensive framework for the changing processes from existing competencies to the needed competencies. To apply the Model of Competency Development effectively to support nurses moving from the existing competencies to the needed competencies as expected to fill out the gaps, several steps are implicated

Quality of life among patients with gastroesophageal reflux disease at Tuyen Quang general Hospital in 2023

Vu Thi Thu Ha, Tran Ngoc Duc, Vu Thi Thu Huong — 2024-02-16

Objectives: To assess the quality of life among patients with gastroesophageal reflux disease at Tuyen Quang General Hospital in 2023. Research participants and methods:Cross-sectional descriptive study was conducted with 200 patients from March 2023 to June 2023. The Quality of Life in Reflux and Dyspepsia patients (QOLRAD) was used to interview patients for gastrointestinal examination and endoscopy at Tuyen Quang General Hospital. Results: The average quality of life score among patients was 4.33 - 4.46. In which all fields were at a good level, not too different from the bad level, the average score in the item eating/drinking (4.33), the items of sleep disorders (4.36), the item of emotion (4.39), the item of physical/social (4.39), vitality domain (4.46). Conclusion:The quality of life of patients with gastroesophageal reflux disease at Tuyen Quang General Hospital in 2023 is at a good level in all items

Nutritional status among patients with type 2 diabetes at Nam Dinh General Hospital in 2022

Pham Van Son, Duong Thanh Tinh, Lai Thi Ha — 2024-02-17

Objectives: To assess nutritional status among patients with type 2 diabetes at Nam Dinh General Hospital in 2022. Methods: Cross-sectional descriptive study was conducted on 98 patients with diabetes Type 2 at the Outpatient Department of Nam Dinh General Hospital. Results: Nutritional status among diabetic patients according to 24-hour diet was 61.2% of patients met < 80% of recommended energy needs, 18.4% of patients met < 80 - 100 % of recommended energy needs and 20.4% met more than 100% of recommended energy needs. According to SGA 18.4% of patients with diabetes were at risk of malnutrition, 81.6% had good nutrition. Conclusion: The nutritional status among type 2 diabetes patients at Nam Dinh General Hospital is quite good. To limit the risk of malnutrition, patients with diabetes need to continue to follow their pathological diet.

Knowledge of eye self-care among secondary school students withmyopia attending Nam Dinh Eye Hospital in 2023

Vu Thi Lung, Do Minh Sinh, Hoang Nang Trong — 2024-02-19

Objective: To describe the knowledge of eye self-care among secondary school students with myopia undergoing examination at Nam Dinh Eye Hospital in 2023. Methods: The participants were 286 secondary school students (11-14 years old) with myopia examined and treated at Nam Dinh Eye Hospital. A descriptive cross-sectional study design was conducted. The research team developed a survey questionnaire on participants’s knowledge of self-care for myopic eyes, drawing references from various studies on myopia. The total knowledge score is 24 points, the participants had satisfactory knowledge defined as providing at least 70% of the correct answers (≥ 17 points), then the average score of students’ general knowledge of myopic eye self-care would be evaluated. Results: The average score of the students’ general knowledge of eye self-care was 17.52 ± 2.71 out of 24 points, with 73.1% of the students demonstrating satisfactory general knowledge while 26.9% of the students had unsatisfactory knowledge of eye care. Conclusion: The participants’ knowledge of self-care for myopic eyes was relatively good. It is necessary to evaluate students’ nearsighted eye self-care practices to have a basis for providing appropriate interventions

Current status of care for patients with tracheostomy among nurses at Thai Binh Provincial general Hospital and some associated factors in 2023

Pham Thi Thuy, Truong Tuan Anh, Tran Thi Van, Lam Thi Hanh, Bui Thi Lan — 2024-04-16

Objective: To describe the current status of care for patients with tracheostomy at Thai Binh Provincial General Hospital and some related factors. Research subjects and methods: A cross-sectional study of over 110 visits for each procedure of chest percussion and sputum suction in nursing care of patients with tracheostomy. The assessment scale is based on the procedure issued by the Ministry of Health. The chi-square test was used to identify factors related to the current status of care for patients with tracheostomy. Results:The practice rate achieving the technique of chest percussion and sputum suction was 35.5% and 81.8%, respectively. The rate of nurses with bachelor’s degrees, and care < 5 nurses/day satisfactorily practice in the technique of chest percussion is higher than the group of nurses with college degree and cared for ≥ 5 patients/day with ORs of 3.25 and 3.06, respectively. The nursing group is ≥ 30 years old, working experience > 10 years, experience in caring for tracheostomy patients > 10 years and number of training participations > 1 time passed the practice of sputum suction technique higher than the remaining nursing group with OR of 7.91; 4.71; 4.71 and 4.44 respectively. This difference is statistically significant with p < 0.05. Conclusion: The prorpotion of nurses practice satisfactorily the sputum suction technique is relatively high (81.8%), but it is too low with the chest percussion technique (35.5%). There are a number of factors related to percussion technique, including qualifications and the number of patients cared for per day. Some factors related to practicing the sputum suction technique are age, working experience, caring time for tracheostomy patients, and number of training session. Nurses need to pay attention to compliance with technical procedures, especially nurses aged < 30 years old, low qualifications, short working time and rarely participates in training

Change in the quality of life among patients with heart failure after health education at Quang Ninh general Hospital in 2023

Nguyen Thi Hong Thuan, Nguyen Thi Minh Chinh — 2024-02-22

Objective: Describe the change of quality of life among patients with heart failure after health education at Quang Ninh General Hospital in 2023. Methods: Research on health education intervention with before and after comparison on 74 patients with heart failure from March to August 2023. Results: The mean score about impact of heart failure on overall, physical and mental health was 79.3 ± 0.1, 30.6 ± 4.6 and 23.1 ± 2.2. After one month of intervention, the mean score decreased to 62.2 ± 9.17; 24.2 ± 3.9 and 17.2 ± 2.4 (p<0.001). After two months of intervention, the mean score continued reducing to 47.1 ± 8.9; 18.5 ± 3.7; 12.6 ± 2.6 (p<0.001). Patients’ status of sleep difficulty, poor appetite, and thoughts of being their family’s burden were improved after the intervention. Conclusion: Hospitals should come up with a specific intervention program to improve this status for patients with heart failure, especially psychological counseling for patients to help them feel more comfortable, eat better, and sleep well.

Status of the practice of oral care and sputum suction for patients with intubation and mechanical ventilation among nurses at Vinh Phuc general Hospital in 2023

Duong Thi Thu Huyen, Le Thanh Tung, Le Hong Trung, Chu Thi Nu — 2024-02-23

Objectives: Describe the status of the practice of oral care and sputum suction for patients with intubation and mechanical ventilation among nurses at Vinh Phuc General Hospital in 2023 and associated factors. Methods: A cross-sectional descriptive study was conducted on nurses’ implementation of technical procedures of sputum suction and oral hygiene for patients on mechanical ventilation through endotracheal tube. Research time was from March 2023 to June 2023. Participants were nurses working at the Intensive Care and Poisoning Control Department of Vinh Phuc General Hospital performed oral hygiene and sputum suction for patients. Results: Nurses in the age group 18-40 accounted for the highest percentage (88.2%). Working seniority from 5-10 years accounted for the highest proportion of 55.9%; Seniority <5 years accounted for the lowest rate at 11.8%. There were 64.7% of nurses who performed satisfactorily and 35.3% of them performed unsatisfactorily the sputum suction and oral hygiene procedures. Conclusion: The implementation of the procedures of sputum suction and oral hygiene for patients with ventilators is not at a high level. Some factors related to the care activities of nurses include age, professional qualifications; working seniority; working time; number of patients to be cared for

The impact of video calls on the anxiety level among patients’ caregivers at Viet Duc Hospital during covid-19 pandemics

Duong Thi Ngoc Mai, Nguyen Viet Minh — 2024-02-26

Objectives: To assess the impact of video call on the anxiety level of caregivers at the intensive care unit 2 at Viet Duc Hospital during COVID-19 pandemics. Research participants and methods: Intervention study comparing 2 groups on 62 caregivers of patients who were treated at Intensive Care Unit 2 of Viet Duc Hospital from January 2022 to November 2022 based on Zung Self-Rating Anxiety Scale. Results: Assessing the level of anxiety in the video call group: Severe anxiety was 71%, no pathological anxiety and very severe anxiety was 0%. Among the research participants in the video call group, the proportion of people who felt panicked for no reasons accounted for 71%, and 61.3% felt more impatient and anxious than usual, those felt limbs swaying, trembling, weak and easily tired, breathing in and out easily were 3.2%, 3.1%, 3.2% respectively. Anxiety level in video calls at mild to moderate anxiety accounted for the highest rate of 93.5%; The rate of very severe anxiety is 0%. Conclusion: Video calls for caregivers significantly reduced anxiety proportion compared to non-video calls