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  • Boisen Schaefer posted an update 5 days, 8 hours ago

    BACKGROUND AND PURPOSE Opioid use disorder is an ever-expanding health epidemic affecting populations across the lifespan. Infants diagnosed with neonatal abstinence syndrome (NAS) often require additional resources while inpatient and after discharge to support ongoing NAS symptoms and improve outcomes. The purpose of this article is to highlight the need for a “safe plan of care” for infants with a history of NAS and provide evidence-based recommendations for providers. REVIEW OF CURRENT PRACTICE In response to the opioid crisis, legislative efforts were passed to enhance access to care and provide valuable resources for families and clinical providers. These efforts require the development of comprehensive plans of care that include assessment of the home environment along with specialized care and services. Despite active legislation, infants and families continue to lack adequate access to resources such as therapy, specialized nutritional support, developmental specialists, and financial support. EVIDENCE-BASED RECOMMENDATIONS An effective safe plan of care ensures that infants with a history of NAS are discharged to caregivers who are prepared, devoted, and responsive to the infants’ needs. These essential components include responsive caregiving, safe and secure environments, appropriate nutrition, and health-promoting behaviors. CONCLUSION AND IMPLICATIONS A review of current practice and evidence-based recommendations reveals essential components of a safe plan of care for infants with a history of NAS. By embracing the need for a comprehensive plan, providers can empathize with family needs and activate resources to promote healthy families and improve long-term outcomes of these infants.The United States is in the midst of an opioid epidemic. The numbers of opioid-related deaths have been steadily climbing, magnifying the need for innovative intervention. Stigma is a set of preconceived, negative assumptions about a patient population or group. Stigma is a known deterrent to communication and the delivery of healthcare. Nurses serve as a primary contact for many marginalized patients within the healthcare system. The purpose of this scoping review is to gather known data on the use of educational interventions with nursing students to reduce stigmatizing tendencies. Inclusion criteria constituted an educational intervention involving student nurses and an effort to reduce stigmatizing attitudes toward patients who misuse opioids. selleck The intervention must have taken place in an institute of higher learning between the years of 2003 and 2018. Exclusion criteria included community-wide studies. A single study was identified addressing nursing student reduction of stigmatization of the individual who uses opioids, and so, the search was expanded to include any student nursing intervention developed to reduce stigma toward any marginalized population. The following electronic databases were utilized in the search process Cumulative Index of Nursing and Allied Health Literature, Google Scholar, Journal Storage, Microsoft Academic, and ScienceDirect. Reference pages of selected or related articles were reviewed in an attempt to identify additional pertinent literature through citation mapping. Fifteen studies were identified, each of which utilized a variable methodology for stigma reduction with varying levels of success.Studies suggest that the prevalence of smartphone overdependence has increased in middle-aged individuals; however, little is known about factors that may influence smartphone overdependence among middle-aged women. This study assessed the patterns of smartphone usage and the psychosocial factors affecting smartphone overdependence in middle-aged women. Middle-aged women (n = 135) in South Korea completed the Smartphone Overdependence Scale, Ego Resiliency Scale, Profile of Mood States-Brief, Multidimensional Scale of Perceived Social Support, and Subjective Happiness Scale. The data were analyzed using univariate and multivariate logistic regression analyses. The mean smartphone duration per use was 13.41 ± 10.82 minutes, the mean frequency of smartphone usage per day was 23.06 ± 20.29, and the most used smartphone function was messaging. Smartphone overdependence occurred in 13 (9.63%) of the 135 middle-aged women, and higher tension (OR = 1.34, p = .011), less vigor (OR = 0.83, p = .040), and less social support from significant others (OR = 0.40, p = .010) were significantly associated with an increased likelihood of smartphone overdependence. This study has value as a first step in examining smartphone overdependence and its psychosocial predictive factors among middle-aged women. A smartphone overdependence intervention for middle-aged women could include activities that reduce tension, increase vigor, and enhance offline social support.BACKGROUND Computer games are included in next-generation technologies in today’s developed visual media world. They are attractive to all ages, but the dramatic increase in the use of computer games in children and adolescents is remarkable. This study aims to determine the computer game addiction in primary school children and its affecting factors. METHODS The study sample consisted of 476 students among 952 students enrolled in three primary schools in Fethiye, Muğla. Data were collected from the students using the “Child Information Form” and the “Computer Game Addiction Scale for Children.” The data were analyzed using numbers, percentages, independent samples, one-way analysis of variance, and regression analysis. RESULTS This study found that there was a statistically significant difference between gender, class grade, level of income, mothers’ educational level, the presence of a game console/computer at home, and the computer game addiction scale scores (p less then .05). It was also found that students who spend more time on the Internet and playing computer game constitute the most at-risk group for computer game addiction (p less then .05). CONCLUSION Some interventions can be planned to decrease computer game addiction particularly in male students, children and families with low income and educational level, and students who have computers and game consoles at home with longer duration of gaming and Internet use with the cooperation of schools, school nurses, teachers, and parents.

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