https://www.medsciencegroup.us/journals/archives-of-nursing-practice-and-care A Peertechz Open Access Journal en-us 21 Feb, 2026 https://www.medsciencegroup.us/articles/ANPC-12-168.php Background: Diabetic foot ulcer (DFU) represents one of the most debilitating complications of diabetes mellitus, often resulting in infection, gangrene, and amputation. Modern wound dressing, which maintains a moist healing environment, is increasingly used to accelerate granulation and epithelialization. However, the knowledge of nurses regarding modern dressing techniques remains inconsistent in developing countries, influencing wound healing outcomes. Objective: This study aimed to explore the level of knowledge among nurses regarding modern wound dressing in diabetic ulcer care at Andi Makkasau Regional Hospital, Parepare, Indonesia. Methods: A descriptive cross-sectional study was conducted from April to December 2025 involving 270 nurses selected through total sampling. Data were collected using a validated questionnaire (Cronbach’s α = 0.918) comprising 24 closed-ended items covering aspects of wound assessment, moisture balance, debridement, and infection control. Descriptive statistical analysis was used to determine the distribution of knowledge levels. Results: Among the 270 respondents, 68.9% demonstrated good knowledge of modern dressing, while 31.1% exhibited limited understanding. Areas with the highest correct responses included principles of moist wound healing (85%), proper wound cleansing solutions (NaCl 0.9%) (82%), and use of alginate dressings for exudative wounds (79%). Knowledge gaps were observed in identifying appropriate dressings for necrotic and ischemic wounds (42%). Conclusion: Most nurses demonstrated adequate knowledge of modern wound dressing in DFU management. Nevertheless, targeted training is needed to enhance understanding of wound staging and dressing selection in necrotic or infected wounds. Modern dressing’s molecular mechanism enhances fibroblast migration, collagen cross-linking, and angiogenesis, which collectively improve wound healing and reduce amputation rates. 11 Feb, 2025 https://www.medsciencegroup.us/articles/ANPC-11-167.php Aim: This study aimed to examine the effects of anxiety, depression, social support, and clinical features on hope among kidney and liver transplant recipients. Method: This study used a descriptive cross-sectional design, and the study sample included 192 kidney (n:100) and liver (n:92) transplant recipients. A sociodemographic and clinical characteristics form, The Hospital Anxiety and Depression Scale, The Perceived Available Support Scale, and The Herth Hope Index were used to collect data. Data were collected through face-to-face interviews and patient records between 15 August and 30 December 2020. Numbers, percentages, mean values, and multiple regression analyses were used to evaluate data. Results: The mean score on The Perceived Available Support Scale was a significant, positive predictor of the mean score on The Herth Hope Index (β = 0.386, SE = 0.056; p &lt; 0.001), but the mean score on The Hospital Anxiety and Depression Scale was a significant, negative predictor of the mean score on The Herth Hope Index (β = -0.390, SE = 0.115; p &lt; 0.001). The time elapsing after transplantation (β = -0.219, SE = 0.009, p = 0.006) and transplants from cadavers (β = -0.201, SE = 0.886; p = 0.004) were also significant, negative predictors of hope in kidney and liver transplant recipients. Conclusion: The results showed that a significant portion of the patients were at risk of anxiety and depression and had moderate social support after transplantation. Besides, the level of anxiety did not affect hope and as social support increased, so did hope. 20 Dec, 2024 https://www.medsciencegroup.us/articles/ANPC-10-166.php This case report presents a novel, cost-effective, and minimally invasive office-based approach for managing urethral and bladder stones in an emergency setting. The method involves initial stone manipulation into the bladder, followed by Foley catheter placement and a regimen of tamsulosin to enhance urethral dilation and urine flow. Instillagel is subsequently applied after catheter removal to aid stone expulsion. This technique avoids surgery, demonstrating efficacy in a patient with a 6 mm urethral stone, providing a patient-friendly and resource-conscious alternative to traditional management. 30 Dec, 2023 https://www.medsciencegroup.us/articles/ANPC-9-165.php Intracranial metastases including leptomeningeal disease are not uncommon in patients with metastatic solid tumor cancers, such as breast and sarcoma. Treatment options are limited with disease progression on standard-of-care therapies, and high-dose Methotrexate (MTX) is offered for patients with well-preserved performance status. However, standard high-dose MTX treatment entails a lengthy hospitalization and close monitoring which can limit Quality of Life (QoL) for patients who already have multiple provider visits. The impact of high-dose MTX on patients’ daily lives has not yet been qualitatively examined. As a quality improvement project, our team designed an outpatient high-dose protocol for patients who tolerated at least one cycle of inpatient high-dose MTX, and herein we describe the protocol and a quality survey with patients’ feedback. The purpose of this study is to explore and compare the influence of high-dose MTX treatments in two different settings – inpatient and ambulatory – on patients’ QoL. Second, we aim to identify recurrent themes defining patients’ perceived QoL and healthcare experiences. This study identified key QoL impacts that high-dose MTX treatments have on metastatic breast and sarcoma patients. Patients experienced decreased health-related burdens and improved social and psychosocial well-being associated with high-dose MTX treatment compared to standard inpatient treatment. This study provides an opportunity to identify recurrent thematic domains defining QoL in women with metastatic breast cancer. 11 Nov, 2023 https://www.medsciencegroup.us/articles/ANPC-9-164.php Aim: Injection safety has over the years become important in view of the many diseases that are transmitted through unsafe injection practices. The objective was to assess the knowledge and practice of injection safety by nurses in Tertiary Care Hospitals (Bolan Medical Complex, Sandmen Provincial Hospital, and Fatima Jinnah Chest and General Hospital) in Quetta City, Pakistan. Methods: A descriptive cross-sectional study was carried out. A structured questionnaire was the tool for data collection. All the nurses (358) who gave their consent in the Tertiary care hospitals were studied. Data were analyzed using SPSS version 16. The study was conducted from January 2023 till August 2023, it took eight months to complete. Results: The mean age of the respondents was 28.84 ± 8.6 years. The knowledge of injection safety among the respondents was adequate (84.6%) while their safety practice was found to be good (68.2%). Knowledge was significantly influenced by the age, sex, and years of experience of the nurses. One hundred and twelve (31.0%) detached needles and two hundred and sixty-two (73%) respondents recap the used needles regularly and sometimes respectively. Conclusion: This study showed that the knowledge of injection safety was encouraging among the nurses in Tertiary care hospitals of Quetta City but their practice of injection safety was adequate. There is a need for these hospitals to organize regular training workshops and symposia. 29 Nov, 2022 https://www.medsciencegroup.us/articles/ANPC-8-163.php Background: Mediterranean lifestyle has consistently been shown to reduce cardiovascular morbidity and mortality. Physical activity is beneficial to health, although it needs to be carefully studied in extreme conditions. Hypertension depends on sedentary lifestyles, stress, and bad habits such as excessive consumption of food and salt. Chronic sleep deprivation alone has been associated with cardiovascular diseases such as hypertension, diabetes, and obesity. The patient must be educated. Aim: The main objective of this study was to evaluate parameters of non-invasive health such as blood pressure and heart rate in the federated population in winter sports in Andalusia (Spain) relating to body composition. Methods: Cross-sectional observational study. Sample of 234 subjects currently federated in the Andalusian Federation of Winter Sports (Spain). Ages between 12-30yrs (51.6% women, 48.4% men). Subjects carried out surveys with a physical examination, blood pressure measurements, electrocardiogram performance, and parameters to assess body composition. Results: None of the younger male subjects had hypotension or bradycardia (76.6% normotensive, 80.4% normal heart rate). None of the adults had hypotension or tachycardia (82.4% normotensive) and none of the women had bradycardia. Mean weight values (men and women) with a tendency to significance (p = 0.064). 13 Oct, 2022 https://www.medsciencegroup.us/articles/ANPC-8-162.php Objective: This study investigates the effect of Tai Chi exercise on the quality of life of seniors from a demographic perspective.  Methods: The SF-36 Quality of Life Scale questionnaire was administered to 224 seniors in Wuhan, divided into an experimental group (n = 134, seniors who had participated in Tai Chi exercise for three years or more) and a control group (n = 90, seniors who had not received Tai Chi exercise). An independent samples t-test, one-way Analysis of Variance ANOVA, and dummy regression analysis are conducted using multivariate statistics.  Results: (1) The quality of life scores for seniors who participated in Tai Chi exercise were significantly different from those who did not (p < 0> 0.05); (3) Highly significant differences in quality of life scores between the 61-90 minutes Tai Chi group and the <60>90 minutes Tai Chi groups (F = 5.43, p < 0 xss=removed xss=removed> 0.05). Conclusion: Practicing Tai Chi Chuan can improve the quality of life of seniors, but the effect is influenced by gender and the length and frequency of exercise. 06 Sep, 2022 https://www.medsciencegroup.us/articles/ANPC-8-161.php Aim: To examine the intrapersonal and organizational factors that contribute to pathogenic and salutogenic psychological outcomes in Australian nurses and midwives. Design: The conceptual framework Factors associated with Salutogenic and Pathogenic Outcomes in Australian Midwives and Nurses was used as a guide for this exploratory, cross-sectional study. Method: Participants were recruited from public, private, and community settings throughout Australia. Six hundred and fifteen participants completed an online survey assessing job satisfaction, professional quality of life, ways of coping, resilience, psychological distress, and the impact of the worldwide coronavirus pandemic on psychological health and well-being. Results: Analyses showed that workplace environmental factors were strong predictors of Secondary Traumatic Stress, and Burnout. Results also showed that workplace factors and adaptive coping were predictive of the salutogenic outcomes of compassion satisfaction and resilience. Conclusion: Adopting a salutogenic approach, focused on maximizing individual and organizational contributors to psychological health and wellbeing, provides a new way for organizations to develop strategies to decrease adverse psychological outcomes, promote well-being and better equip nurses and midwives to cope with the challenges of the healthcare environment. Impact: The findings will be of interest to Chief Nurses, Midwifery Officers, healthcare organizations, and universities to target workplace, individual and interpersonal factors that promote health and wellbeing amongst nurses and midwives. 24 Jun, 2022 https://www.medsciencegroup.us/articles/ANPC-8-160.php Introduction: The following research is developed within the framework of the Project 135 of the National School of Nursery and Obstetrics (ENEO), with the contribution of the GIIIDEE Group (Interdisciplinary Group of Innovation and Research of Educational Assessment in Nursery). The global context had many significant changes starting 2019, since the emergence of COVID-19, a phenomenon that had significant repercussions on the training and assessment of the clinical skills in real scenarios with important implications for internships in students of higher education, both undergraduate and postgraduate. Theoretical framework: The theoretical referent is the Model of Reflexive Mentorship for Nursery. The clinical tutor is a professional specialist in nursery in charge of the clinical training of his/her students in real scenarios, in order to develop their critical thought, clinical judgment and decision making in the clinical field or community insert, both in metropolitan and foreign headquarters. Objective: The main goal of this document is to identify the training challenges and the assessment of the clinical mentorship for the tutors specialized in mentorships, orientations and guides in the clinical practices that take place in real contexts at different locations of the Unique Program of Nursery Specialties (PUEE). The methodology consisted on a bibliographical research in order to realize the state of art. The results show four important challenges for clinical mentorship at PUEE in the post-pandemic stage. The theoretical and methodological challenges are diverse in order to provide the mentorship as a unified policy with the commented perspectives that appear in the document. The teaching in situ and the formative assessment can potentiate the didactics in mentorship and the development of professional skills. 11 Mar, 2022 https://www.medsciencegroup.us/articles/ANPC-8-159.php An epidemic that travels throughout the world is called a pandemic [1]. There have been several pandemics that have impacted the world. One example of a pandemic that became global is Spanish influenza. This pandemic was very severe and attacked more than 30% of the world population. Approximately 50 million people died from the first outbreak. 07 Jan, 2022 https://www.medsciencegroup.us/articles/ANPC-8-158.php Aim: This study was performed in order to determine the attitudes of nursing students towards violence against women (VAW) and their occupational roles in addressing violence. Method: This descriptive study was conducted on nursing students (n=108) at a State University in Ankara, Turkey. 1) Personal information form, 2) The attitudes towards VAW, and 3) The attitudes towards occupational role VAW scale were used for data collection. In data evaluation, frequencies, percentage, mean, standard deviation, t-test for independent samples and one-way analysis of variance tests were used. Results: The mean age of the students was 20.13±1.17 (min: 18, max: 26). It was determined that the mean of the VAW attitudes of the students of nursing is 74.15±12.01. The attitudes of the students were found far from the modern view. Female students were closer to the conservative view (p<0> 0.05). Conclusion: As a result of this study, non-contemporary attitudes and disapprove occupational roles towards VAW are still a major problem among nursing students. The nursing students should be educated in terms of awareness and knowledge towards VAW. 14 Dec, 2021 https://www.medsciencegroup.us/articles/ANPC-7-157.php Background: Occupational burnout among nurses is one of the major factors which affect the quality of nursing care. Assessing the relationship between burnout and its associated factors is one of the most basic things that should be done so that later, actions can be taken to reduce burnout. Fear of COVID-19 is one of the factors that can increase the burnout of nurses during the Coronavirus Disease 2019(COVID-19) pandemic. Aim: To investigate the relationship between job burnout and fear of COVID-19 among ICU and CCU nurses. Methods: The Maslach Burnout Inventory (MBI) and the Fear of COVID-19 Scale (FCV-19S) were distributed to ICU and CCU nurses (n = 170) at Shahid Madani Cardiac Hospital, Tabriz, Iran, and the correlation between job burnout and fear of COVID-19 was calculated. Results: The results show that the level of emotional exhaustion and reduced personal accomplishment among participants of this study is average, and depersonalization is at a low level. Also, the level of fear of coronavirus is below average among the respondents. The research showed that emotional exhaustion and fear of COVID-19 were positively correlated (p &lt; 0.05), but there was not any significant correlation between depersonalization and fear of Coronavirus; as the relationship between reduced personal accomplishment and fear of COVID-19. In addition, there were significant correlations between age and reduced personal accomplishment, as well as marital status and reduced personal accomplishment (p &lt; 0.05). On the other hand, the results showed that there were not any significant correlations between gender and burnout dimensions, nor between educational degree and burnout dimensions. Conclusion: As job burnout reduces the quality of nursing care, managers must take strategies that reduce job burnout. One of the strategies that they can take is to reduce the fear of COVID-19 by taking wise strategies. 03 Dec, 2021 https://www.medsciencegroup.us/articles/ANPC-7-156.php Cystic Fibrosis (CF) is a common inherited disease with reported mean prevalence of 0.737/10,000 in 27 EU countries (Farrell J Cyst Fibros. 2008). Still, many EU countries have not implemented CF in the Newborn Screening (NBS) programme, including our country. We report the case of a 7-month-old boy whose presenting signs of CF were life-threatening neurological symptoms caused by severe metabolic alkalosis and hypoelectrolytemia. By presenting this case, we argue hoping to persuade the authorities in any country that the available newborn screening for CF is the cost benefit procedure in preventing life treating consequences with the obvious impact on the long-term prognosis of this chronic disease. 01 Apr, 2021 https://www.medsciencegroup.us/articles/ANPC-7-155.php Objective: The main objective of the study is to measurement of the satisfaction of Outpatient Department patients regarding clinical investigation of physicians in government hospitals of Quetta, Pakistan. Methods: It was a cross sectional questionnaire based study. Data was collected from OPD (Outpatient Departments) of government hospitals (Sandeman provisional hospital, Bolan medical complex hospital) of Quetta, through a pre-structured questionnaire. Total sample size of the study was 447. The data collected, was analysed by using IBM SPSS 22. The descriptive analysis was carried out for the demographic details as well as for other categories. All the data was categorical so was expressed as frequency and percentage. Results: A total of 447 OPD patients were included in the study to know their perceptions towards the doctors and their attitude while consultation. Total of 550 questionnaires were distributed with the response rate of 89.4%. It was found that most of respondents 270 (60.3%) were male and having majority 338 (75.4%) among the age group of 15 to 35 years. Majority 120 (26.8%) respondents were satisfied that physician making them feel ease during physical examination. Among all 175 (39.1%) answered positively (Good) to physician guided you regarding any of dietary change. Conclusion: This study reveals that there is a good satisfaction of patients regarding physician’s attitude, diagnosis, treatment and advice in government hospitals of Quetta city. 03 Mar, 2021 https://www.medsciencegroup.us/articles/ANPC-7-154.php Introduction: Stress, anxiety, and depression are of high prevalence among all mental disorders. Their high prevalence among those students directly dealing with the public health, made us investigate the prevalence of these disorders and their related parameters such as the body mass index and body image perception among the medical students in Azad Medical University. Materials and methods: This is a cross-sectional – analytical study conducted on 148 medical students (51 male and 97 female; average age 19.51±1.03 years) of the Azad Medical Sciences University of Tehran in their 1st to 7th semesters in a period between December and June 2017.. The students were given a questionnaire encompassing demographic information, 21-folded depression, anxiety, and stress index (DASS-21), and the questionnaire of the body image perception; and the participants’ height and weight data were also collected. Results: 148 students filled in the questionnaires and 47%, 54% and 59.15% of them were diagnosed with depression, anxiety, and stress symptoms, respectively. These percentages were not significantly different between the basic medicals and physiopathology course groups. But the stress rate was lower among the physiopathology course group members (p=0.026). Furthermore, the BMI rate was normal in 61.5% of the students of the basic medicals courses and 71.9% of those of physiopathology courses. However, only 25.3% of the students perceived a correct image of their body, and this can provide grounds for the outbreak of depression among those students. Conclusion: The present study revealed that the prevalence of depression, stress, and anxiety are high among medical students, and this makes them perceive an incorrect image of their body which should be studied. Therefore, regarding the results of this study, it is imperative to conduct more research on this group, so that the outcomes would be communicated with the relevant authorities and educational academies, in line with reducing the pressure on the students. 12 Jan, 2021 https://www.medsciencegroup.us/articles/ANPC-7-153.php Objective: To examine the first clinical experience of student nurses from their perspective and determine the factors that influence it. Method: Sample: 103 student nurses whose first clinical experience was in internal medicine and surgical departments. Tool: a questionnaire that included demographic details, questions on the clinical training experience, and questions about factors that may affect the training experience. Results: The factor analysis found 4 factors that explained up to 33.82% of the variance in the experience: (1) the clinical instructor’s attitude toward the student, (2) the student’s self-confidence in his or her abilities, (3) the department staff’s attitude toward the student, and (4) a sense of calmness and familiarity with the work environment. The students’ experience in each of the factors was above 4.33 on average (on a scale of 1-5). A strong, positive correlation was found between the support and guidance of the preceptor and between the clinical instructor’s approach toward the student; between the support and guidance of the preceptor, a sense of confidence and ability to provide care; and between a positive relationship with staff and colleagues and the student’s confidence in his or her personal ability. Conclusion: The human factor in the training: the clinical instructor, staff, and colleagues are of the utmost importance in students’ having a positive experience in their first clinical training. Highlights • Student nurses’ experience in first clinical experience • Experience of student nurses in generic program • First experience of student nurses. 29 Dec, 2020 https://www.medsciencegroup.us/articles/ANPC-6-152.php Background: Coronavirus Disease 2019 (COVID-19) continues to spread all around the world, affecting 212 countries that originated from Wuhan, China. In Pakistan, spread of COVID-19 infection is experienced at exponential rate. Until 11thMay, 2020, total 4,235,237 COVID-19 cases with 285,946 mortalities and 2,430,202 active cases have been reported globally. Objective: This study aims to find the rapid increase in figure constrained the nations to initiate various steps to cope with the COVID-19 pandemic. Methods: In this retrospective analysis, Early Situation of COVID-19 in Pakistan, Spot mapping, Demographic Display, Screening and Surveillance, Health Facilities, Fiscal Support and Exponential growth were included. Data for this study were obtained mainly from COVID-19 dashboard Pakistan up to 9th May, 2020,and world meters until 11th May, 2020. Results: In Pakistan, highest cases appeared in Sindh Province N=10,771. Least cases appeared in >80 age group (0.62%) while most cases appeared in age group ranging between 30-39 with 16.73% in male and in female4.83% in age group ranging between 20-29. In Pakistan, the reported case fatality rate (CFR) was 2.2% while recovery rate was 27.2%, as of 9thMay, 2020. Conculsion: Pakistan is experiences a huge increase in number of COVID-19 cases within a brief period of time despite the fact that Pakistan has shown its efforts by taking various steps as preventive measures for the containment of this pandemic. Furthermore, strengthening of health sector by devising new strategies and hiring of expert professionals scientists will be pivotal to cope with COVID-19 pandemic. 28 Oct, 2020 https://www.medsciencegroup.us/articles/ANPC-6-151.php Aim and objective: Drug-drug interaction (DDI) is of major concern in patients with complex therapeutic regimens. The study aims to assess the prevalence of DDIs in the prescriptions of patients during the hospitalization to evaluate the DDIs of drugs regarding its severity, pharmacodynamic and pharmacokinetic. Methodology: The prescribed drugs in the admission chart of 183 patients were screened for Drug-drug interaction using Mediscape interaction screening program. Drug-drug interactions have been classified on the basis of severity (contraindicated, significant, minor, major, moderate and serious). Frequency and the percentage of pairs of drugs with DDIs, number of prescribed drugs, demographics and DDIs on the basis of and Pharmacodynamics, Pharmacokinetics have been analysed. Results: The overall result shows the frequency and percentage of drug-drug interaction present in hospitalized patients, out of 183 was 125(68.3%). Majority of interactions was found on the basis pharmacokinetic DDI 108(59.0%). On the basis of severity, minor Drug-drug interaction was found dominant 91(49.7%) followed by contraindicated 19(10.4%). Conclusion: Drug-drug interaction is common among hospitalized patient’s medications. My study evaluated a positive relation between prevalence of DDIs and number of drugs prescribed. Survey concluded that percentage of minor and contraindicated DDIs at admission were produced by changes of medication during hospitalization. 19 Oct, 2020 https://www.medsciencegroup.us/articles/ANPC-6-150.php The purpose of this study is to showcase some of the challenges experienced with the transition to and implementation of televisits and to identify strategies both in terms of practice and policy that enhance case managers’ ability to connect, engage and continue to support expectant and parenting youth (EPY) during the COVID-19 pandemic. A total of 83 program staff (case managers and supervisors) from each of the 20 programs across California provided information on their experiences in serving EPY youth during this challenging time, especially as they transitioned from traditional face to face visits to online televisits. They report that COVID has exacerbated the challenges facing expectant and parenting youth and identified a number of challenges in conducting televisits. Case managers provide critical support for EPY, understanding the needs of and providing ongoing support for these front-line staff is essential during this pandemic. 13 Oct, 2020 https://www.medsciencegroup.us/articles/ANPC-6-149.php The past few months of responding to COVID-19 were undoubtedly a challenging time. The North Middlesex University Hospital in North London experienced an early peak of deaths from Covid-19. With no visiting allowed to keeo the footfall through the hospital as low as possible, patients and their families were unable to share the final days or hours and were unable to say goodbye. In response, Su Yin Yap, the Lead for clinical health psychology and Bernie Byrne, the interim Macmillan lead nurse for cancer, set up a project of reaching out and supporting families and carers bereaved during this time. 08 Oct, 2020 https://www.medsciencegroup.us/articles/ANPC-6-148.php Background: The increasing availability and abuse of recreational and medical cannabis has been associated with patients presenting with cyclical nausea, vomiting, intestinal cramps, and other manifestations, referred to as cannabinoid hyperemesis syndrome. An exact etiologic mechanism, especially on the cellular level, remains unclear. Continual studies are needed to address the effect of cannabinoid activity specifically addressing that which occurs in the gastrointestinal tract. Methods: Cannabinoids in general, are immiscible in water-based cell culture media. Homogenization was performed to bring a THC/CBD formulation into a workable state for in vitro testing. The human colon adenocarcinoma (HT-29) epithelia cell line was used throughout this study. Mitochondrial cytotoxicity testing was performed using a fluorescein conjugated monoclonal antibody to the organelle’s outer membrane protein. Mitochondrial morphology was performed by transmission electron microscopy utilizing a commercially available cannabidiol product. Cell cultures, incubated with 50 to 125 µg/ml of a THC/CBD formulation for 72-h, were viewed daily for the appearance of a monolayer degeneration or a cytopathogenic effect. Results: Cell monolayers treated with non-homogenized THC/CBD in phosphate-buffered saline or utilizing DMSO as analyte diluents, proved unremarkable. However, homogenization of the cannabinoid formulation at > 50 µg/ml affected a loss of monolayer confluency and mitochondrial membrane surface protein. Treatment of monolayers with CBD affected a loss of mitochondrial morphology as observed by an absence of organelle cristae and matrix structure. Mitochondrial loss of surface protein integrity occurred prior to monolayer degeneration. Conclusion: A cytotoxic effect was realized in colon cell cultures following treatment with a cannabinoid liquid tincture formulation at concentrations > 50 µg/ml. The degenerative effect by the cannabinoid formulation was directed initially to a marked loss of mitochondrial morphology and loss of [organelle] surface integrity, followed by a monolayer degeneration. Critically, the immiscible THC/CBD analyte mandated a size distribution of lipid globules to single digit of smaller µM particulates. Globule reduction was achieved by high speed homogenization. Additional studies in the animal model are needed to further address our findings in the search for an etiology to cannabinoid hyperemesis syndrome. 03 Oct, 2020 https://www.medsciencegroup.us/articles/ANPC-6-147.php When we identify moments of extreme demand for health care in the Emergency Departments (ED), we can reach a level characterized as a maximum restriction, when there is an extreme decrease in the capacity to absorb new demand in the sector (capacity above the maximum number of beds arranged in the ED with hospital capacity preventing internal transfers). At these times, it is important to have alternatives to maintain health care for patients who seek emergency care. This paper reports the description and validation of a nursing care protocol in an emergency department using a welcoming technique. In this technique, health production and promotion practices imply the responsibility of the health team for the user, from their arrival until the resolution of the illness that took them to the hospital. 28 Sep, 2020 https://www.medsciencegroup.us/articles/ANPC-6-146.php Epilepsy is considered to be as old as humanity itself and one of the most common Central Nervous System disorders. It has been known since ancient times and is considered a modern disease. It is a global health problem and is affected by more than 50 million people, most of them from developing countries and with psychobiological consequences and even the risk of death, as part of its complications. Comprehensive management is necessary, which includes preventive / prophylactic, pharmacological and non-pharmacological treatment and, therefore, the training of nursing staff in specialized protocols is essential, to ensure adequate patient management, adequate quality of care and avoid complications preventable, which is set out in the document. 22 Sep, 2020 https://www.medsciencegroup.us/articles/ANPC-6-145.php Objective: To associate the Nursing Sensitive Indicators of structure related to nursing staff with Nursing Sensitive Indicators of outcome in the Intensive Care Units. Method: Prospective cohort study developed in 8 adult Intensive Care Units, with a sample of patients composed of simple random sampling and nursing professionals composed by 2 categories: nurses and nursing assistants. The nursing workload was measured by the Nursing Activities Score instrument. A linear regression model associated variable of structure and outcome, considering a statistical significance of 5%. Results: The study found 265 patients, 115 nurses and 256 nursing technicians. The length of stay (p&lt;0.05), mean of nurse (p&lt;0.05) and nursing assistant (p&lt;0.05), mean of patient per nurse (p&lt;0.05) were associated with the Nursing Sensitive of outcome. Conclusion: The NSI of structure length of stay, mean of nurse and nursing assistant, and mean of patient per nurse associate with the NSI of outcome in this study. 18 Jul, 2020 https://www.medsciencegroup.us/articles/ANPC-6-144.php Interpersonal communication is one of the foundations of quality patient care especially for valuable trio in health care- the doctor, the nursing staff and the patient. Effective communication skills in health care setting are a boon as they not only benefit patient but also the health care provider, in respect to job satisfaction and prevention of work stress which affect health. There is strong need of hour that more training, more awareness is created about barriers to effective communication and empower them with strategies to enhance their receptivity towards patient’s queries thereby improving nursing interventions in patient care. 30 Jun, 2020 https://www.medsciencegroup.us/articles/ANPC-6-143.php Objective: The aim of the study was to investigate social support and psychosocial compliance in patients with breast cancer. Methods: The research was carried out on 131 patients diagnosed with breast cancer. The forms containing patients’ demographic information were prepared by the researcher and Multidimensional Scale of Perceived Social Support (MSPSS) and Psychosocial Adjustment of Illnes Scale-Self Report Scale (PAIS-SR) were used as the data tools. Data were collected during personal interviews with patients, and were evaluated on computer using SPSS packet program. Mean, standard deviation, t-test and Mann-Whitney U-Test, one way variance, Kruskal Wallis test Kolmogorov-Simirnov test, Spearman correlation analysis were used in the statistical analysis. Results: The mean score of MSPSS was 60.9±8.2 and the mean score of PAIS-SR scale was 56.0±9.5. It was found out that level of psychosocial adjustment of 3.8% of the patients was “good”, level of psychosocial adjustment of 22.2% of them was “fair” and level of psychosocial adjustment of 74.0% of them was “poor”. It was found that there was a negative and significant correlations between MSPSS and PAIS-SR. 22 Jun, 2020 https://www.medsciencegroup.us/articles/ANPC-6-142.php Type 1 Diabetes Mellitus (T1DM) is a complex disease including a result of which children and adolescents medical applications daily life and lifestyle changes, lack of insulin secretion from pancreatic beta cells. Nowadays, there is no improvement in Type 1 diabetes mellitus. However, it can be maintained near-normal life with the insulin subcutaneous injection (SC) that is missing. Sleep is a concept with psychological, physiological and social dimensions that affect the health and quality of life of individuals. Sleep disorders can often be impaired due to hypoglycemia, hyperglycemia, and parents’ nighttime diabetes care behaviors in adolescents with Type 1 diabetes. This sleep disorder can adversely affect the progress of the disease and the development of complications. Good sleep quality be important role in the regulation of endocrine functions and glucose metabolism in Type 1 diabetes mellitus. Besides, some studies with adolescents with diabetes have encountered the low quality of sleep as well as those with good sleep quality compared to their healthy peers. The effect of adolescents with Type 1 diabetes sleep quality that more studies are needed to learn. In the study planned in line with all this information that the quality of sleep in adolescents with type 1 diabetes was discussed. 17 Jun, 2020 https://www.medsciencegroup.us/articles/ANPC-6-141.php Since December 2019, COVID-19 is still in the global trend of pandemic, prevention and control situation is grim. Shenzhen is adjacent to Hong Kong, with a small area (1997 square kilometers), a large population (23 million people), many ports, immigrant cities and other factors, which have increased the difficulty of preventing and controlling the epidemic situation in Shenzhen. In such a complex situation, 08 Jun, 2020 https://www.medsciencegroup.us/articles/ANPC-6-140.php Community Health Nursing and Public Health Nursing has a long history in the world. However, most of the times it is associated to care in community more than care to community [1]. 21 Apr, 2020 https://www.medsciencegroup.us/articles/ANPC-6-139.php Remote patient monitoring (RPM) has gain popularity over the last two decades. Initially sought after by large hospitals and academic institutions, RPM has shown benefits to patient management at all levels including solo practice. Majority of the companies we identified address two primary diagnosis, hypertension and diabetes. In an analysis of 10 companies we found cost structures varied greatly between vendors while equipment type did not. While there are numerous commonalities between vendors, each vendor differentiated itself through online dashboards and clinical pathways navigations. As the RPM market expands, it is important for physicians to have a structured approach to identifying vendors, selecting appropriate features and contracting with vendors. This article covers cost structures, commonalities and unique aspect of the vendors we reviewed. 04 Nov, 2019 https://www.medsciencegroup.us/articles/ANPC-5-138.php Background: Safety in the care of patients is a priority in the design of any health system, having direct implications on the quality of care. Assessment of nurses in hospital rooms allows to detect diffi culties or problems in preoperative which can endanger the patient’s life or the expected result of the surgery. Is there where you must generate protocols that ensure safety for patients, decreasing the maximum errors and comply with the premise made by WHO in 2008: “Safe surgery saves lives”. 30 Jul, 2019 https://www.medsciencegroup.us/articles/ANPC-5-137.php Background: Policy implementation is a fundamental aspect in management. This study examined gaps and barriers in the implementation process of governmental policy with respect to the division of responsibility and authority between physicians and nurses. 17 Jul, 2019 https://www.medsciencegroup.us/articles/ANPC-5-136.php Introduction: Ectopic Breast Tissue (EBT) is still a condition seen as sporadic (2-5%), and it is often delayed and ignored due to lack of awareness, whereas it may be exposed to malignant diseases. it must be always kept in mind for differential diagnosis of an EBT. We think that this case report is important because EBT associated with fi bro-adenoma is a quiet rare condition. 31 Jan, 2019 https://www.medsciencegroup.us/articles/ANPC-5-135.php Background: The development of a successful relationship between a mother and her developing fetus to foster maternal behavior attainment. Diverse factors such as psychophysiological elements influence the maternal-fetal relationship. Mindfulness, a psychological process, increasingly apples to the research of pregnant women’s wellbeing. However, most studies focus solely on physiological outcomes; few consider the maternal-fetal bonding. Purpose: This research aims to investigate whether factors of stress, symptoms during pregnancy and mindfulness systematically related to maternal-fetal attachment. 15 Nov, 2018 https://www.medsciencegroup.us/articles/ANPC-4-134.php Breastfeeding is a vital component of realizing every child’s right to the highest attainable standard of health, while respecting every mother’s right to make an informed decision about how to feed her baby. Several factors related to the mother and the baby has a negative effect on the duration of exclusive breastfeeding. Most breastfeeding mothers have experienced variety of difficulties because of some of the techniques used. The broad objective of this study is to determine the effectiveness of nursing intervention on breastfeeding-related problems among nursing mothers in selected primary health clinics in Lagos, Nigeria. Three research questions were raised and three hypotheses were generated in line with the objectives. 01 Nov, 2018 https://www.medsciencegroup.us/articles/ANPC-4-133.php Background: There is now an abundance of global evidence demonstrating serious developmental and psychological problems associated with placement in residential care which refl ected in the form of poor self-esteem, aggressive behavior, academic failure and later on, personality disorder. 14 Feb, 2018 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000032-anpc.php Objectives: Evaluation of the quality of life for patient with total hip arthroplasty surgery (THA) and whether patients with poor function before THA have the ability to recover less than those with less preoperative disability. 30 Dec, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000031-anpc.php Objectives: This study investigated the correlations between the organizational politics perception, job satisfaction, job stress, and organizational commitment of the hospital employees in a medical centre. This will allow managers at various levels to understand better the organizational politic perception of the hospital nursing staff, which will enable them to reduce the negative impacts of hospital nursing staff’s organizational politics perception and job stress, and improve the job satisfaction and organizational commitment of hospital employees. Accordingly, the hospital will become more competitive and achieve sustainable operation. 31 Aug, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000030-anpc.php Objectives: Our study aimed to investigate patient safety attitudes and perceptions amongst health care providers in Tunisian tertiary care hospitals. 24 Jul, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000029-anpc.php Background: The multiple sequelae caused by traumatic brain injuries (TBIs) can considerably reduce the ability of seniors to resume their activities of daily living and their leisure activities, and to return to meaningful relationships so they can participate in the life of their community. 07 Jul, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000028-anpc.php Aim: To inform about the prevention of child abuse and neglect. Method: This study was prepared as a compilation. The studies published between 2000 and 2017 were reviewed, researchers searched the keywords of “child abuse, child neglect, prevention, nurse” in Turkish and English on the international “PubMed”, “Embase”, “Ovid”, “ProQuest”, “Ebscohost” and national Turkish Medical Index. 05 Jul, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000027-anpc.php The study examined changes in HIV/AIDS-related knowledge, attitudes, and beliefs between cohorts of Cameroonian, Honduran, and American nursing students across iterations of a train-the-trainer program. 28 Jun, 2017 https://www.peertechzpublications.org/articles/ANPC-3-126.pdf Summary: Mary Frances Crowley nurse, midwife and nurse and midwifery tutor was founder member and first Dean of the Faculty of Nursing and Midwifery in the Royal College of Surgeons in Ireland. She started the Medical Missionaries Midwifery Training School at the International Hospital, Drogheda in 1942. 28 Jun, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000026-anpc.php Summary: Mary Frances Crowley nurse, midwife and nurse and midwifery tutor was founder member and first Dean of the Faculty of Nursing and Midwifery in the Royal College of Surgeons in Ireland 19 Jun, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000025-anpc.php The population is aging. Writes that we will soon be living to 100 [1]. The nursing profession has a major role today in promoting, supporting and maintaining healthy habits and resilience in this aging group of women and men. 14 Jun, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000024-anpc.php Introduction: The Erasmus Intensive Programme (IP) is a short term programme of study lasting from 10 continuous days to a maximum of six weeks of subject related work by bringing together students and staff from higher education institutions of at least three EU countries. 24 May, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000023-anpc.php Cancer is still the most diffi cult diagnosis that the physicians encountered and found themselves facing the issue of announcement and disclosure of a diagnosis for both families and patients. Aim: The aim of this study is to assess the attitudes of the public people toward the disclosure of cancer diagnosis to patients in Saudi Arabia. 17 May, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000022-anpc.php Introduction: Congenital Heart Diseases (CHD) do not preclude the possibility to become adult due to the different innovations in medical and surgical treatments. The transition from childhood to adulthood is a complex process in the life of CHD adolescents, considering the consequences of their diseases and the need to be adherent with their follow-up indications. 23 Mar, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000021-anpc.php Good nursing care is a key factor in reducing the most common complications related to immobility like pressure ulcers (PU), deep vein thrombosis (DVT) in spinal cord injury (SCI) patients. 15 Mar, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000020-anpc.php Objective: The study was conducted as a descriptive and cross-sectional to determine nurses’ views on their profession in Turkey, their commitment to the profession and participation in professional activities and infl uencing factors. 22 Feb, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000019-anpc.php Aim: The aim of the study was to explore fi ve years survival in women with endometrial cancer. 08 Feb, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000018-anpc.php Background: Nursing bridging education (NBE) refers to educational programs that support learners to move from one level of educational preparation or practice to another. 28 Jan, 2017 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000017-anpc.php Prostate cancer develops slowly and is frequently diagnosed in elderly men, and its treatments are associated with adverse effects on the urinary and sexual function of patients [1]. 05 Dec, 2016 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000016-anpc.php Background: Alcohol use disorder was linked to corruption, abuse of power, and bureaucratic inefficiency in mainland China. The Communist Party of China issued the “Eight-Point Regulation” and “Luxury Banquets Ban for Chinese Military” in December 2012 to eliminate extravagance and corruption. 05 Dec, 2016 https://www.medsciencegroup.us/articles/doi10.17352-2581-4265.000015-anpc.php There is a range of literature examining the predictors of academic success in nursing including age, entrance qualification and background. However, these are factors that cannot be changed once a student is on a programme of study. 01 Dec, 2016 https://www.medsciencegroup.us/articles/ANPC-2-114.php Aim: Motivation is one of the processes that initiates the effectiveness of learning. The study was conducted in order to examine the motivation levels of nursing students in their first year and the relationships between motivation levels and professional self-concept and self-esteem levels, as well as determining the personal and occupational characteristics that affect motivation. 05 Oct, 2016 https://www.medsciencegroup.us/articles/ANPC-2-113.php Introduction : Despite the progress made in perinatal medicine over the past two decades, the problem of preterm labor continues to frustrate satisfactory reproductive outcomes and its prevention still awaits needed improvements. Several factors have been identified to be associated with preterm birth (PTB). 26 Aug, 2016 https://www.medsciencegroup.us/articles/ANPC-2-112.php Background: In the current healthcare environment, education for technical skills focuses on quality improvement that demands ongoing skill assessment. Objectively assessing competency is a complex task that, when done effectively, improves patient care. Current methods are time-consuming, expensive, and subjective. Crowdsourcing is the practice of obtaining services from a large group of people, typically the general public on an online community. CSATS (Crowd Sourced Assessment of Technical Skills) uses crowdsourcing as an innovative way to rapidly, objectively, and comprehensively assess technical skills. We hypothesized that CSATS could accurately evaluate the technical skill proficiency of nurses. 25 Aug, 2016 https://www.medsciencegroup.us/articles/ANPC-2-111.php This exploratory study examined the relationship between virtues and indicators of work satisfaction and engagement, perceptions of hospital functioning and quality of nursing care, and psychological well-being of nursing staff. Working in Turkish hospitals. A virtue is any psychological process that enables a person to benefit himself or herself and others. Two virtues were considered: optimism and proactive behaviors. This emphasis was consistent with emerging trends in both psychology and organizational studies, termed positive psychology or positive organizational scholarship respectively, to focus on strengths and excellence rather than weakness and pathology. 05 Jul, 2016 https://www.medsciencegroup.us/articles/ANPC-2-110.php Aim: The aim of the current study was to develop a scale to measure the attitudes of nursing students towards simulation-based education. 30 Jun, 2016 https://www.medsciencegroup.us/articles/ANPC-2-109.php Background: loneliness, a common feature among elderly people, can affect health and quality of life. Objective: this article examined affective bond and marital status among elders in “Barra do Garças”, municipality, Mato Grosso State, Midwest Brazil. Methodology: from the 3,593 elderly people, 300 engaged in the study which had been approved by the ethical committee on research. Results: there were more illiterate men than women (37.7% and 21.6%, respectively). In respect of income source there was a relative contingent of women with no income comparing to the men. Considering the socioeconomic class the majority of elderly, 68% belong to the less fortunate socioeconomic classes (D and E). Conclusion: it has been observed a higher contingent of elderly people with no affective bond or living alone which influence the quality of life of those elderly by increasing the psychosocial as well as the health-related risks, which was widely discussed according to the world’s scientific literature. 07 Jun, 2016 https://www.medsciencegroup.us/articles/ANPC-2-108.php The study sample was composed of 200 individuals with hypertension who were admitted to the emergency department of a government hospital. Of the participants, 36.5% presented to the emergency department. Of the participants, those who were older, who had a low education level, who consumed salt without restriction, coffee drinkers, who were not on a diet and who did not receive health education obtained lower scores from the Patient Assessment of Chronic Illness Care scale. Effective discharge planning from hospital to home, home visits and counselling provided by primary health care departments will contribute to a reduction in emergency admissions and to successful chronic disease management. 06 Feb, 2016 https://www.medsciencegroup.us/articles/ANPC-2-107.php This exploratory study examined the relationship between the experience of flow at work and indicators of satisfaction, engagement and psychological well-being of nursing staff working in Turkish hospitals. This emphasis was consistent with emerging trends in both psychology and organizational studies, termed positive psychology or positive organizational scholarship respectively, to focus on strengths and excellence rather than dissatisfaction and pathology. Data were collected from 224 staff nurses in Ankara Turkey using anonymously completed questionnaires, a 37% response rate. Hierarchical regression analyses, controlling for both personal demographic and work situation characteristics, indicated that flow accounted for significant increments in explained variance on most work outcome measures but not on indicators of psychological well-being. Explanations for the association of flow with favorable outcomes are offered along with potentially practical implications 25 Jan, 2016 https://www.medsciencegroup.us/articles/ANPC-2-106.php Technology has conquered the world and also heath care as a part of it. It has stated that patients’ needs and expectations have not been taken into account when using technology. From caring science point of view it is a problem to leave patients’ experiences without attention. By summarizing the past qualitative studies of patients’ experiences of technology in caring, the aim is to highlight the patients’ perspective and increase knowledge of their experiences of technology in caring science and care as a basis for theory development. The purpose of the study is to describe patients’ experiences of technology in caring. The main study question is: 16 Dec, 2015 https://www.medsciencegroup.us/articles/ANPC-1-105.php Introduction: Studies on methods of teaching informatics for graduate nursing programs are limited. This paper discusses the design and evaluation of an IT-related Business Process Reengineering (BPR) Project, one of the main assignments in an informatics course offered jointly for three graduate nursing programs. Challenges and lessons learned are also presented. 05 Aug, 2015 https://www.medsciencegroup.us/articles/ANPC-1-104.php In contemporary society, it’s important to prevent and minimize the impact of non-communicable disease [ 1 ]. Health behaviors, such as physical inactivity, smoking, obesity, poor diets, and alcohol misuse are among the most common causes of disease and premature deaths in the world [ 2 , 3 ]. With the development of the economy and the level of medical and health care, the proportion of the elderly population is becoming big, and the number of centenarians is increasing both in China and many other developing countries. 05 Aug, 2015 https://www.medsciencegroup.us/articles/ANPC-1-103.php Background: Incitements to smoking cessation in patients hospitalized in mental health settings should be an ethical commitment for the mental health staff. However, worldwide studies have shown that the mental health staff is often reluctant to the implementation of smoking bans, and that the psychological attitude of the nursing staff may even sometimes wreck the efforts to ban smoking. No studies have been made in France investigating the psychological attitudes of mental health employees towards a complete smoking ban. 22 Jun, 2015 https://www.medsciencegroup.us/Nursing-Practice-Care/ANPC-1-102.php Background: Men and women are differently bodily, as well as have distinctive ways of thinking; consequently, their health care needs are not always the same. For some older adults who enter long-term care facilities, the impact of gender upon their care may not be recognized by staff. 29 May, 2015 https://www.medsciencegroup.us/Nursing-Practice-Care/ANPC-1-101.php Aims: to investigate the relationship between nursing workloads (first shift) and Healthcare-associated Infections (HAI) in two European Cardiac Surgery Intensive Care Units (ICUs).