Global Journal of Health Science and Nursing

Current Issues.

Volume 1  Issue 1
   Research Article         Month : 06 (2017)

The Student Perspective: Using Explicit Instruction and Technology for Critical Thinking Development

  Ruth Swart

A mixed methods research study explored critical thinking development with nursing students. Critical thinking was explicitly discussed, integrating instructional strategies with course domain knowledge. Questions developed for use with instructional technology aimed at higher level thinking to facilitate student development of critical thinking. Students were surveyed to gain their perspective of the educational strategies used. Student online discussions were assessed for critical thinking with qualitative content analysis using three approaches for triangulation of findings. Thematic analysis of open-ended student survey responses informed on their perspective of critical thinking. Inclusion of a critical thinking skills tests provided appraisal of critical thinking. The use of three methods of data collection and analysis offered comprehensive understanding of findings. Students were appreciative of technology use in delivering course information and supporting their development of critical thinking. Two forms of technology were beneficial in offering alternate means to actively participate in learning, and meeting different needs and preferences. Students noted alignment of critical thinking instruction with subjectspecific content to facilitate understanding, application, and relevance of course material to their learning. While the findings are limited to students in the study, the instructional strategies can provide basis for course design and implementation for critical thinking development.
   Research Article         Month : 06 (2017)

Effect of One-day Educational Program on MERS- Corona-Virus and Its Determinants on Knowledge and Practice amongst Secondary School Students at Al-Ahsa City

  Salwa Hassanein

Aim: To investigate the effects of one-day educational program on knowledge and ways of practices regarding MERS-CoV and its determinants among females’ secondary school students. Methods: Quasi-experimental research design with a single group of participants was utilized. A sample of 192 students were pretested before the administration of the health education program, and then, post-tested after the administration of the health education program. Results: Total of 192 female secondary school students participated in the current study. The mean age was 16.3 ± .82; with 49.0% enrolled in first year, 42.7% in second year and 8.3% in third year. There were significant differences between the results of pre-test and post-test in items of the questionnaires except for questions that have low response rate of post-test. The results revealed that the majority of students displayed a significant increase in the level of knowledge regarding MERS-CoV; nature, modes of transmission, clinical features of the disease, preventive measures and ways of practice. Conclusion: The findings suggest that an educational program is crucial for secondary school students as they represent a large segment of the Saudi Arabian population and are thus considered knowledge disseminators for their families and communities.
   Research Article         Month : 06 (2017)

Usefulness and Challenges of Sick Child Care Services for Single Mothers

  Ikuko Sobue

Objective: To clarify the usefulness and challenges of sick child care services based on users’ characteristics, the use and evaluation of such services by single mothers were examined. Methods: A qualitative, descriptive study. Semi-structured interviews were conducted involving 10 single mothers with their written consent to examine: the sick child’s age, the parent’s coping with the child’s sickness, and sick child care service use. Results: A large number of the single mothers were low-income, non-regular employees. They needed to continue working even when their children became sick. A daily service fee was too high for them, and forced them to adopt measures that negatively affected their children’s health and safety, such as taking them to nursery schools despite the presence of sickness. They regarded high-quality medical, nursing, and child care services, detailed recording and reporting, and parental guidance provided in sick child care facilities as useful. They trusted facility staff giving considerations for single mothers. Conclusion: For single mothers with limited sources of personal support, sick child care services were important social resources for parenting, developmental support, and health assurance. The results suggest the necessity of measures to accommodate service users’ needs, such as reducing service fees for low-income households.
   Editorial         Month : 06 (2017)

Essence of Healthcare: People Caring for People

  Sandra Sandoval Barrientos,

It is a reality that science and technology are enabling us to live longer, with better living conditions and somehow with greater Access to information through the web. In this scenario, people who require healthcare have been changing their profile and needs. These are people or more empowered users who not only know their rights in health, but also requires them
   Research Article         Month : 06 (2017)

Does Public Hospitals Crowd Out Private Hospitals? Evidence from China Province Level Data

  Biao Xu

Background: China has promulgated a series of policies to promote the development of private hospitals since 2009. However, private hospitals developed only in a growing number but not growing in market share of medical services. This paper aims to investigate whether public hospitals had crowded private hospitals out of healthcare market. Methods: Using various datasets, this study employed an instrumental variable technique to examine the existence of crowd-out effects in hospital market. Results: xx Conclusion: Chinese public hospitals crowded private hospitals out of inpatient market, and the crowding out effect persisted in all areas with different level of economic development.
Volume 2  Issue 1
   Review Article         Month : 08 (2018)

‘Coping Well’ within Nursing Practice

  Kathleen Hudson

To be able to cope well within nursing practice takes time, reflection, and positive personal growth (experiential learning). Building effective coping skills are necessary for nurses to remain engaged and committed to their practice. Coping is a complicated maneuver within healthcare as the environment and psychosocial interactions are quite complex. Nurses’ work within a milieu consistently comprised of: stressful patients and families, novice to expert peers caregivers, colleagues and administrators with variable expectations for care provision, shifting time schedules for various care activities, and still, basic needs of bathroom and food breaks. This article reflects the fundamental components of both nurses’ coping and resilience. Following this are creative strategies for nurses to use including: self-care, care standards and advancements, ethical competence, emotional presencing, resilience, and excellent and caring communication. These are complex components required for today’s nurses to remain engaged and reflecting high ethical standards when delivering their nursing care for their patients’ and families’ wellbeing.
   Research Article         Month : 08 (2018)

Evaluation and Cost Effectiveness of a Telephonic Intervention to Improve Chlamydia Rescreening among Adults

  Theresa Wadas

Background: Despite the United States’ recommendation for retesting after Chlamydia Trachomatis (CT) treatment, rescreening rates for CT remains low. The purpose of this study was to compare rescreening rates between routine care and a telephone intervention among CT treated adults and to assess cost effectiveness. Objectives: To assess rescreening rates and cost effectiveness of a telephone intervention for CT rescreening among adults. Method: CT treated participants were randomized to a control group (CGroup) or an intervention group (IGroup). The IGroup received telephone reminders at weeks 10, 11, and 12 following CT treatment. Medical records were reviewed at 10-14 weeks after initial CT treatment for rescreening rates. Cost effectiveness of the telephone intervention was evaluated by comparison of manual placed calls versus a telephone automation system. Results: There were a total of 120 participants (60 per group). Rescreening rates were 6.67% (n=4) in the CGroup and 20% (n=12) in the IGroup. Rescreening rates were greater with the IGroup and statistically significant (? = 0.03), An automated telephone system was found to be more cost effective than use of a medical clerk manually placing calls. Conclusion: Telephone intervention is effective for improving CT rescreening rates and cost effective with an automated system