The plant and the management of the PICC/MIDLINE. The priority nursing role in the appropriate care

The interaction between the individual and the environment has a strategic significance for welfare purposes and shows the importance of the bilateral nature of the relationship. It highlights how promoting health means acting on the environment and on the individual. In terms of health education, for health workers it is no longer a question of intervening from the outside on behavior, but of inserting themselves into situations, in the processes of interaction, as active protagonists of a complex system. This orientation of the health system requires a reinterpretation of the role of operators, through the adoption of the participatory planning method, which requires interpreting one's work as a problem solving process. To get to the solution of the problems it is necessary to identify the elements of difficulty that the patient encounters, thus adopting methodologies that allow for an exchange relationship. Nurses, in all health systems, have a privileged position due to the capillarity of their action, inherent in the “to care” of nursing care, and of their contacts with citizens and clients. In particular towards the patient he teaches the correct assistance maneuvers and the most appropriate attitudes to be adopted to favor the change of behaviors and the achievement of awareness of a new state of health and a new degree of autonomy. The most suitable educational method that should be used by the nurse in the path of therapeutic education, is to link learning to action, in clinical practice, alongside the patient, promoting healthy lifestyles and the dissemination of a culture of health. Educational intervention aims at personalizing care and can improve health status and reduce healthcare costs. Alongside the ethical value and professional duty, it is necessary to use methodologies, techniques and methods to provide a structured set of specific information, with a simple and understandable language, speaking.

Impact of health educational intervention among pregnant and lactating mothers in a rural field practice area of Bagalkot: A non randomized interventional trial without control

: Anemia is very common in Indian subcontinent. In India, according to National Health and Family Survey (NHFS-4), the prevalence of anaemia in India among adolescent girls, 15-19 years is 54.1%. Women during pregnancy are more vulnerable for anemia not only because of the synergistic effects of physiological increase in plasma volume (hemodilution) but also because of increased demand and poor bioavailability of iron in the food.To find out the impact of health educational intervention on anaemia among pregnant and lactating women.A non-randomized interventional trial without control study was conducted in the Rural field practice area of Department of Community Medicine, S.N. Medical college, Bagalkot with the Sample size for pregnant and lactating women is 153, for the period of one year (March 2018- June 2019).: There is increase in level of knowledge among pregnant and lactating women regarding anemia after health education intervention and was found to be statistically significant by paired t-test. Health education is one of the cost-effective method in improving the knowledge among pregnant and lactating mothers.

Motivasi internal perawat terhadap pelaksanaan dokumentasi edukasi terintegrasi di ruang rawat inap

The health educational intervention and inpatient documentation execution and an internal motivation among nursesBackground: Documentation of the health educational to inpatient is a nursing that evidence record the service of nursing care given to the patients that is useful for patients, nurses, health staffs and hospital. Most of the hospital in Bandar Lampung in the pre-survey, there were of 30% medical records was incomplete filled such as time and date when giving nursing care and signed by nurses, and mostly regarding in health educational documentations.Purpose: To identify the nursing documentation perfection (health education to the inpatient) and an internal motivation among nurses to executionMethod: A quantitative study with cross-sectional approach. The population and the sample were all inpatient nurses at Immanuel Hospital of Bandar Lampung in 2019 of 75 respondent and 75 medical records. The instrument as a questionnaire to explore nurses' internal motivation. Medical record to observe nursing note.Results: Finding of 52.0% respondent has made an incomplete nursing documentation and 46.7% respondents exhibited a poor in internal motivation. The p value was 0.004; and OR 4.643.Conclusion: There was a correlation between nurses' internal motivation and the completeness of health educational documentation. The nurse supervisor should regularly do evaluation the completeness of health educational documentation and hospital management to encourage nurses's internal motivation.Keywords: The health educational; Intervention; Inpatient documentation; Execution; An internal motivation; NursesPendahuluan: Dokumentasi edukasi keperawatan merupakan bukti tertulis perawat atas pelayanan asuhan keperawatan yang diberikan kepada pasien yang berguna untuk kepentingan pasien, perawat, tim kesehatan lain dan rumah sakit. Saat pre survey didapatkan 30% dokumentasi edukasi pasien tidak terisi waktu dan tanggal pelaksanaan, 10% dokumentasi edukasi dalam pasien tidak terisi bagaimana kebutuhan edukasi, selain itu sebanyak 10% pasien pindahan dalam lembar edukasi tidak terisi tujuan pemberi edukasi di dalam form tersebut.Tujuan: Diketahui hubungan motivasi internal perawat terhadap kelengkapan dokumentasi edukasi di ruang bangsal dewasa Rumah Sakit Imanuel Bandar Lampung tahun 2019.Metode: Jenis penelitian kuantitatif, desain penelitian analitik pendekatan cross sectional. Populasi dan sampelnya seluruh perawat pelaksana di ruang bangsal Rumah Sakit Imanuel Bandar Lampung, sejumlah 75 responden dan 75 catatan keperawatan dalam medical record. Instrumen berupa angket untuk mengetahui motivasi internal perawatHasil: Diketahui dari 75 responden sebanyak (52,0% responden melakukan pendokumentasian tidak lengkap. Diketahui dari 75 responden sebanyak 46,7% responden yang mempunyai motivasi internal kategori rendah. Didapatkan hasil p-value=0,004; OR 4,643.Simpulan: Ada hubungan motivasi perawat terhadap kelengkapan dokumentasi edukasi di ruang bangsal dewasa Rumah Sakit Imanuel Bandar Lampung tahun 2019. Saran diharapkan kepala ruangan dapat mengevaluasi secara rutin tentang kelengkapan pengisian dokumentasi edukasi

Improving malaria preventive practices and pregnancy outcomes through a health educational intervention: a randomized controlled trial

Background: The prevalence of malaria in pregnancy and its complications, remain very high in Nigeria. This study aimed to determine the effects of a malaria health educational intervention based on the information-motivation-behavioural skills (IMB) model on malaria preventive practices and pregnancy outcomes. Methods: The study was a randomized controlled parallel-group study, where 372 randomly selected antenatal care attendees were randomly assigned to one of either two groups after collecting baseline data. The intervention group then received a four-hour health education intervention developed based on the IMB model, while the control group received a similarly designed health education on breastfeeding, and were then followed-up to the end of their pregnancies. The intention-to-treat analysis using the generalized linear mixed models was used to analyse the data obtained. Results: The reported frequency of ITN use and dose of IPTp taken, were higher in the intervention group by 0.32 levels (p=0.024) and 0.37 doses (p<0.001) respectively, implying that for 32% and 37% of the participants, an individual in the intervention group slept more frequently under an ITN by one day, and had also took one dose of IPTp more than an individual in the control group. The intervention group also achieved a haematocrit level of 0.80% higher than the control group. The intervention however, had no significant effect on the incidence of malaria diagnosis or babies’ birth weights. Conclusion: The intervention was effective in improving ITN use, IPTp uptake, and haematocrit levels. It is therefore recommended for the module to be adopted and incorporated into the routine antenatal care programmes in the state. Trial registration: Pan African Clinical Trial Registry, PACTR201610001823405. Registered 26 October 2016, www.pactr.org.