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The benefits of international immersion programs are multifactorial. These programs not only allow the sharing of nursing best practices and models of care and education, but they also increase collaborative opportunities to develop shared research ideas and innovation. This article presents the practicalities and considerations when undertaking an immersion program, with exemplars from the authors' experience and the unique and invaluable outcomes that were achieved.
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Bachillerato en Enfermería/métodos , Cooperación Internacional , Enfermería Oncológica/educación , Desarrollo de Personal , HumanosRESUMEN
Background Posterior communicating artery aneurysms are often associated with a high rupture risk. This study compares the differences in the rate of growth and morphological characteristics between growing posterior communicating artery aneurysms and other types of growing aneurysms. Materials and methods Thirteen patients with growing internal carotid artery aneurysms were scanned using Siemens 64 slice computed tomography scanners. Three patients had ophthalmic aneurysms, three had superior hypophyseal aneurysms and seven had posterior communicating artery aneurysms. Each aneurysm case had three distinct time points, with an average separation time of 1.3 ± 0.6 years. Annual aneurysm dimensional growth, annual volume growth, annual increase in surface area, size ratio, aspect ratio, and non-sphericity index were analysed. Results Posterior communicating artery aneurysms demonstrated significantly higher annual increases in dimensional growth, volume and surface area when compared to other internal carotid artery aneurysms. Posterior communicating artery aneurysms also demonstrated a significantly higher increase in aspect ratio, size ratio and lower non-sphericity index. Discussion Posterior communicating artery aneurysms had significantly greater growth per year when compared to other types of internal carotid artery aneurysms, and had different morphological characteristics.
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Imagenología Tridimensional , Aneurisma Intracraneal/diagnóstico por imagen , Aneurisma Intracraneal/fisiopatología , Anciano , Anciano de 80 o más Años , Angiografía Cerebral , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Factores de RiesgoRESUMEN
AIM: To examine Chinese mothers' experience of caring for their hospitalized sick child. BACKGROUND: Engaging the mother in providing care for a hospitalized sick child is considered one of the key elements for high-quality care in advanced paediatric nursing. There is evidence that a mother's belief in her capacity to manage stressful situations could improve the nurse-parent relationship because they might play an important role in protecting mothers against heightened stress during crisis situation. DESIGN: An interpretive phenomenological approach involving semi-structured interview and thematic analysis was used. METHOD: Fifteen interviews were conducted in Hong Kong, China from April 2009-January 2010, with 15 mothers caring for their hospitalized sick children with acute injury or illness. Crist and Tanner's circular process of hermeneutic interpretive phenomenology was chosen to guide the data analysis. FINDINGS: The prevailing concept identified through analysis was the 'constant vigilance' that mothers developed. Interpretation of data resulted in the identification of four key themes: 'being sensitive to others', 'providing helping hands', 'monitoring health conditions', and 'maintaining dialogues'. The findings highlight Chinese mothers' desire for participation in caring for their hospitalized child, their unexpressed needs for communication, and concern about being uncared by the busy health professionals, which affect their care for the child's health outcomes. CONCLUSION: The findings facilitate the development of family-centred care focuses on partnership of care between the nurse and family to enhance the Chinese family's active and participatory role.
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Actitud Frente a la Salud , Cuidadores , Niño Hospitalizado , Enfermería de la Familia , Relaciones Madre-Hijo , Relaciones Profesional-Familia , Adulto , Niño , Preescolar , Femenino , Hong Kong , Humanos , Lactante , Enfermería Pediátrica , Poder Psicológico , Apoyo SocialRESUMEN
We developed a new multiplex PCR assay for detection of Panton-Valentine leukocidin virulence genes and simultaneous discrimination of methicillin-susceptible from -resistant staphylococci. This assay is simple, rapid, and accurate and offers the potential for prompt detection of newly emerging community-associated methicillin-resistant Staphylococcus aureus.