Nursing Practice Today

Comparison effect of Lavender Oil Inhalation and Tea on Sleep Quality, Fatigue, and Pain in Hemodialysis Patients: A Randomized Clinical Trial

2025-02-17T09:50:16+0330

Background & Aim: The pain of arteriovenous fistula, fatigue and sleep disturbances are common problems in hemodialysis patients. Using lavender products can help reduce these problems. This study aimed to comparison the effects of lavender aromatherapy and lavender tea consumption on reducing pain and fatigue, as well as improving sleep quality in HD patients.

Methods and Materials: This study is a randomized clinical trial without blinding conducted at the Dialysis Center in Tabriz University of Medical Science from May to December 2022. Random allocation was done by randomizing the moved blocks. HD patients were allocated to one of the three study groups: control (n=30), lavender inhalation (n=30), and lavender tea (n=30). At the baseline and the end of the study, Participants' sleep quality with PSQI, fatigue with FSS, and pain of needle insertion in arteriovenous fistula with Vas scale were assessed. The data analysis was performed using SPSS software The Analysis of covariance (ANCOVA) test was used to compare the mean of variables between the study groups.

Results: The results showed that the scores of pain, fatigue and sleep quality after the intervention were statistically significant (P < 0.05) compared to before in the lavender tea group and lavender aromatherapy group; but in the control group there was no statistically significant difference (P < 0.05). Also, no statistically significant difference was observed between the lavender tea group and lavender aromatherapy group regarding the scores of sleep quality (P=0.428), fatigue (P=0.570), and pain (P=0.997).

Participants in the lavender tea group and lavender aromatherapy group had a lower score of subjective sleep quality (P<0.001), sleep latency, sleep duration, use of sleep medication, day time dysfunction (P for all <0.001), sleep disturbances (P=0.035), Total score of PSQI (P<0.001), fatigue (P<0.001), and pain (P<0.001) following the intervention compared to the control group. Following the intervention,

Conclusions: The findings of this study showed that the effects of lavender on the nervous system can be useful in improving the problems of dialysis patients, such as sleep quality, fatigue, and pain caused by needle insertion.

Hemodialysis, Lavandula, Fatigue, Sleep Quality, Pain, aromatherapy, complementary medicine

Fiduciary duty in error reporting

2025-02-17T09:49:33+0330

The letter centres around a recent study published in the Nursing Practice Today, titled “Medication errors occurrence and reporting: A qualitative study of the Jordanian nurses” (1), which sheds light on the experiences of Jordanian nurses regarding medication error incidence and factors that may influence their decisions to report or not. The study deserves praise for its insightful look at the critical issues of medication errors. Most importantly, this study calls for serious reflection on one’s moral duty in error reporting. Following this call, this commentary will be set on the fiduciary duty of the individual nurse and organization.

Challenges and Barriers to Noncommunicable Disease Management at Community Health Centers in South Sumatera Province, Indonesia: A Qualitative Study

2025-02-17T09:44:29+0330

Background: Noncommunicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, heavily impacting low- and middle-income countries like Indonesia. Community Health Centers (CHCs) play a critical role in providing healthcare, including NCD management, but face significant challenges. This study explores the barriers to NCD management at CHCs in South Sumatra Province, Indonesia.

Methods: A qualitative descriptive phenomenological approach was employed to gain an in-depth understanding by healthcare workers in managing NCDs. Data were collected through semi-structured interviews with 12 health workers consist of nurses, doctors, midwives, and public health workers. Thematic analysis was used to data analysis.

Results: The thematic analysis identified five themes, namely Workload and limited resources; Lack of effective interprofessional collaboration; Social and cultural issues ; Work area coverage; and Government policy and support.

Conclusion: These findings highlight the complex challenges faced by CHCs. Addressing them requires a comprehensive strategy to enhance NCD care and primary healthcare services. Policymakers and health system managers can use these insights to develop targeted interventions. Further research is recommended to assess the effectiveness of specific strategies in overcoming these barriers in low-resource settings.

Relationship Job Embeddedness to Turnover Intention among Nurses: A Cross-Sectional, Correlational Study

2025-02-17T09:44:04+0330

Background: Because of the high turnover rate among nursing personnel, contemporary medical facilities require more nurses. Retaining nurses is critical to ensuring patient safety and preventing malpractice.

Objective: The purpose of this research was to investigate the relationship between work embeddedness and nurse turnover intentions.

Methods: This descriptive analytic study included 242 nurses from hospitals affiliated with Zahedan University of Medical Sciences. We chose participants using stratified random selection. We gathered information using a demographic questionnaire, the Global Job Embeddedness Scale, and a turnover intention questionnaire. We evaluated the data using independent t-tests, Pearson correlation coefficients, ANOVA, and multiple regression tests.

Results: The Pearson correlation coefficient test found a significant and negative relationship between work embeddedness and the desire to leave among nurses (r = -0.3). Multiple regression analysis found that job embeddedness significantly influenced turnover intention, accounting for 9.2% of the variation (p < 0.001).

Conclusion: The study concluded that high levels of work embedding are associated with a lower willingness to leave the profession. By preserving and increasing job embedding among nurses, it is feasible to lower the number of nurses leaving the profession, thereby improving patient care.

Prevalence and Reasons for Occurrence of Missed Nursing Care in a Medical and Surgical Departments: A Cross-sectional Study

2025-02-17T09:42:55+0330

Aim: To measure the prevalence of missed nursing care and determine the reasons and risk factors for its occurrence in surgical and medical departments.

Methods: A cross-sectional design was used. All registered nurses aged ≥ 18 years who had worked for more than six months were included. The MISSEDCARE survey tool was used to determine missed nursing care (Part A) and reasons for its occurrence (Part B). Multivariate regression was used to determine risk factors for missed nursing care. The significance level was set at p<0.05.

Findings: The prevalence of missing nursing care ranged from 4.8% (n=8) to 84.8% (n=140). Nurses with a high turnover intention had a great risk of the following missed nursing care: ‘medications administered within 30 min before or after the scheduled time’ [OR=11.60, CI 95%: 3.76-35.75; p <0.0001], ‘assess the effectiveness of medications’ [OR=3.79, CI 95%: 1.79-8.04; p <0.0001]. Urgent patient situations were the main reasons for missing patient-specific reassessment to verify improvement or deterioration during the shift [OR=6.82, CI 95%:1.84-25.26; p =0.008] and assess the effectiveness of medications.

Conclusions: This study showed a high prevalence of missed nursing care in surgical and medical departments; labour resources increased the risk of missed nursing care.