Objective: This study involved a situation analysis of nursing students’ preparation and demand for interprofessional practice (IPP) with an aim to make improvements to the interprofessional education (IPE) curriculum. Methods: This was a situation analysis involving 58 responses (75.32%) from the Faculty of Nursing, Mahidol University, Thailand, performed between August and December 2019. Personal information, closed-ended questionnaires, and descriptive questionnaires were utilized to assess the participants’ perspectives regarding their approach to their preparation and demand for IPP. Reflection and interpretation methods were used to categorize the participants’ descriptive answers. Additionally, data are reported as the mean, frequency, percentage, and p-value as appropriate. Results: Overall, 45 (77.6%) participants had never taken the IPE course before. Of those who had taken the IPE course, 22.4% stated that having good communication skills was the main ability needed for multidisciplinary nursing practice in an open-ended question, participants indicated that their self-identity had the key effect on their confidence in multidisciplinary nursing practice (Non-IPE attendants, n = 19 (32.76%), IPE attendants, n = 6 (10.34%)). Furthermore, 77.78% of respondents said they prefer to perform nursing practice to prepare themselves to work with other healthcare professionals collaboratively. Conclusion: IPE not only benefits healthcare students by preparing them to be able to work in their field but also prepares them to be able to collaboratively operate with different healthcare personnel. In particular, communication skills, self-confidence, and nursing practice skills are important attributes that need to be prepared.
Objective: To evaluate the effectiveness of a cognitive flexibility training program on cognitive functions and activities of daily living (ADLs) in patients with ischemic stroke.Methods: A single blind randomized controlled trial study was conducted in a stroke unit of a tertiary hospital in a Bangkok setting. The sample size was 80 participants of both genders, aged 18 – 80 years. The sample size was stratified by age. Randomization was generated by a computer program dividing 40 participants into the experiment and 40 into the control group. Eleven participants dropped out during data collection. Therefore, 34 participants in the experimental group received cognitive flexibility training four days a week for 30-40 minutes per day over a period of 4 weeks in addition to usual care. There were 35 participants in the control group who received diary recording and usual care. The study used various instruments for data collection, including a Thai version of the Montreal Cognitive Assessment and Barthel’s Index of Activities of Daily Living. Data were analyzed by multivariate analysis of covariance (MANCOVA).Results: The experiment group had higher cognitive functions and abilities in performing activities of daily living than the control group with statistical significance (p < .05).Conclusion: The study suggested that the program can be used to increase both cognitive functions and activities of daily living. Nurses and healthcare staff should apply this program in patients with acute ischemic stroke for nervous system recovery.
Objective: This study aimed to examine the factors that influence the severity and impact of symptoms in patients with an Upper Respiratory Tract Infection (URTI).Materials and Methods: This study is a correlational predictive research. The sample size included 127 patients with URTI accessing care at community hospital and 5 health-promoting hospitals from February to June in 2020. Data were collected by using a questionnaire on demographic data, a questionnaire on health literacy, a questionnaire on self-care behavior in patients with URTI, the Nutrition Alert Form (NAF), the Pittsburgh Sleep Quality Index (PSQI), and the Wisconsin Upper Respiratory Symptom Survey-21 (WURSS-21). Subsequently, the data were analyzed using descriptive statistics and multiple regression analysis.Results: The sample had a mean age of 45.30 years in which 73.2% were females; the average score of severity and impact of symptoms was minimal (Mean = 52.75 ± 22.85). The results from the multiple regression analysis indicated that all variables were able to co-predict the severity and impact of symptoms in patients with URTI as 25.9% (R2 = .259, F = 10.676, p < .05). Sleep quality and health literacy were the most statistically significant in predicting the severity and impact of symptoms in this sample group (β = .393 and -.221 respectively, p < .05).Conclusion: The findings suggested that nurses should encourage their patients to be aware of the importance of sleep, promoting a good sleep method and health literacy in order to make better decisions in their daily health.
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