Critical Review III to Standardize the Textbooks of Fundamentals of Nursing: Nutrition, Urinary and Bowel Elimination Needs

Purpose: To identify the discrepancies in the textbook of fundamentals of nursing in nutrition and elimination needs in terms of number, range, definition and etc.Methods: The 10 textbooks which are the most frequently used were selected and reviewed. After then compared it with the protocols of essential nursing skills of Korean Accreditation Board of Nursing Education and evidence-based clinical nursing practice guidelines of Korean Hospital Nurses’ Association.Results: The most significant discrepancies in nutrition domain were criteria of obesity, confirmation of nasogastric tube placement. In elimination domain, there were several mixed or miss uses of French and number unit in catheter size. And appropriate catheter size for urinary catheterization and enema is different to books and guidelines.Conclusion: In order to conduct an effective resource in education of nursing, textbooks need to be revised constantly and contain the recent researches and guidelines.

Difference between Metaphysics and Physical Applications; Comparison of Classical and New Patient Positioning

Background: The linkage between metaphysics and applied physics is the key to creation. Realization of theories and concepts applied to nursing practice into technology is a theme in any age. This study compares the classical and new Patient Positioning in Nursing skills, which is clarified in the study comparing nursing textbooks worldwide in main countries and clarifies the difference of the academic concept metaphysically. Methods: Design analysis charts were used by the researcher and analyzed until theoretical saturation based on textbooks, papers, and expert opinions. Differences are drawn using figures of abstraction and realization. Results: The classical technique was an ergonomic technique considering the convenience of the nurse with the purpose concept of prevention for pressure ulcers and physical transfer. The new technology focuses that patients move by themselves, and the nursing side was only the assistant role. The technology with the purpose concept realized the support of physical, mental, and social aspects. Conclusion: Traditional Patient Positioning’s are skills with two concepts and patterns, and new ones are individual and comprehensive creations with different concepts. The working energy (J) in changing positions has been traditionally provided by nurses or Transfer Devices, not patients, but the new practice is performed by patients themselves, and nurses are the supporters of the process. KEYWORDS: Innovation,Design, Abstraction, Concreteness, Metaphysics

Do nursing textbooks accurately describe pulse oximetry? An audit of current literature

Background: The assessment of a patient's vital signs is a critical nursing task. Despite this, research has found that many nurses have a poor understanding of pulse oximetry. Aim: As undergraduate students rely heavily on textbooks as an educational resource, an audit was conducted of nursing texts to determine the quality of pulse oximetry descriptions. Method: The audit was guided by questions based on the findings of research examining nurses' understanding of pulse oximetry. Two researchers used these questions to appraise textbook content. Findings: A convenience sample of 32 contemporary nursing textbooks was appraised. Text descriptions of pulse oximetry varied from brief to more extensive, with the content ranging from superficial to detailed. Conclusion: Superficial, inconsistent or misleading information within basic nursing textbooks may be one factor associated with nurses' knowledge deficits about pulse oximetry. Academics and nurse educators should appraise core content of textbooks carefully before recommending textbooks to nursing students.

Best practice for deltoid intramuscular injections in older adults: Study in cadavers

Most injectable vaccines are administered via deltoid intramuscular injection (IMI). Nursing students are taught to perform deltoid IMI in their entry-to-practice education program. However, best practice evidence is lacking regarding specific techniques of deltoid IMI, and students are often taught what their instructor was taught in his/her own entry-to-practice (ETP) program. Nursing textbooks provide instructions and diagrams for how to perform deltoid IMI, but rarely cite underpinning empirical evidence. This study tested the injection techniques of bunching (squeezing) or flattening (stretching) the deltoid muscle before administering IMI using medical school donated cadavers. Flattening technique resulted in over-penetration of deltoid injections more than 85% of the time in these older adults, whereas nearly 80% of deltoid IMI are successful using bunching technique. Body mass index (BMI) and needle length are also crucial considerations when administering deltoid IMI. Nurses, and other health professionals who use deltoid IMI to administer vaccines to older adults, should determine the client’s body mass index to select the appropriate needle length. Based on these results, bunching technique is recommended. Flattening technique is not recommended for older adults with a BMI < 30.

An exploratory account of the register of nursing textbooks

Given the pressing issues that affect nursing education (e.g. higher attrition and plagiarism rates), this study aims to obtain initial insight on whether nursing textbooks meet the demands of their context of situation. These demands could be listed as: construing biomedical knowledge, establishing a pattern of evidence-based nursing practice and promoting the values of person-centred care. For this analysis, I draw on aspects of parameters of context developed by Hasan (2004), Butt (2004) and Matthiessen (2015), and relate them to their semantic and lexicogrammatical realisation across different metafunctions using corpus-based techniques and detailed manual analysis of short extracts. The results may suggest that nursing textbooks may be meeting the demands of nursing as a research-based discipline but failing to model empathetic communication.