Aim The aim of the paper is to compare the quality of nursing documentation in the Children's Hospital before and after the NANDA‐I nursing diagnoses training. Methods Research employed the interventional study design, and pre–post study design. Before and after the NANDA‐I nursing diagnoses training, 50 nursing records were analyzed in the interventional pre–post study, using D‐Catch instrument. Results The most often documented problem‐centered nursing diagnosis before training was anxiety and after the training, hyperthermia. The most common risk diagnoses before and after the training was risk of infection. Before the training, one health promotion diagnosis was determined in the nursing records, and after the training the number increased to four. The highest value was given to readability of the nursing documentation both before and after the training. The lowest score before the training was given to the quality determiners of the accurate nursing diagnoses and after the training given to the determiners of the results’ quantity. The sum score of documenting the nursing interventions was the most inconsistent before the training and after the training. The most consistent was the readability of the nursing records before and after the training. Statistically significant differences in the improvement of quality were revealed in all areas except for the readability of the nursing documentation and the quantity of nursing assessment. Conclusions The results of the study revealed that following the training, the quality of nursing documentation improved, the wording of the nursing diagnoses improved, and the number of accurate nursing diagnoses had increased. Implications for Nursing Practice Results of the research provide an overview of the importance of the training in improving the quality of nursing documentation and aid the educators in planning the trainings, focusing more on the challenges in the documentation.
When it comes to students who have special dietary needs in relation to the provision of school catering, their nutritional requirements should be taken into account. As the incidence of chronic diseases in children is on the rise, the role of school nurses in student catering is becoming ever more important. This qualitative study describes the school nursing support of students who have special dietary needs. The final targeted sample consisted of fifty-seven school nurses who were working in general education schools. Findings show that the responsibilities of these school nurses are multifaceted when they are tasked with supporting students who have special dietary needs. The participation of school nurses in terms of being able to provide advice for the provision of school catering for students who have special dietary needs tends to vary greatly in schools, and participation levels are generally low. The research revealed that the workload of school nurses is uneven across schools. The more students there are in the school, the less nutritional counselling is provided. The results point to the potential health risks which can be associated with providing unsuitable food to students. The necessary competence of a school nurse in the field of nutrition should not be underestimated.
Introduction Breast cancer is easily detectable by mammography and many countries run national screening programs for women as a target group. Yet, the majority of these countries have screening participation rates below the recommended level of 70%. Objective The aim of the present article was to examine a connection between existing health practices and a decision to participate during breast cancer screening. Methods Methodologically, this research was a web panel and quantitative telephone survey. The survey was conducted among 1200 Estonian women in the age group 50–69 years. Statistical data analysis was performed with SPSS using a descriptive and logistic regression model. Results The findings revealed that among different background variables, age and existing health practices significantly influenced the decision-making for participating in the screening. Results also highlighted that the possibility to participate in the screening increased with existing supportive health practices and with the increasing age. Other sociodemographic factors did not have a significant influence on the decision-making of participation. Conclusions There is a need to educate people from an early age about the developments in health practices that could support a healthy lifestyle in terms of individual responsibility. Thus, public health campaigns should not only call for action but also focus on health education in terms of the role of preventive medicine and health practices.
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