Cultural relevance of the quality-of-life tools for people with kidney failure
- Authors: Ayoub, Abdelbasit , Nelson, Katherine , Wood, Pamela
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Renal Care Vol. 39, no. 4 (2013), p. 236-245
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- Description: Background Many tools are used to examine the Quality of Life (QOL) of patients with kidney disease, but little is known about how culturally relevant they are and why one should utilise one tool over another. As part of a larger study on the QOL of dialysis patients in United Arab Emirates, the cultural relevance of two tools (SF-36 and the QOL Index) was examined. This paper suggests a model to establish cultural relevance of QOL tools. Method A descriptive comparative survey design using a mixed method design was used in 2007 to study the QOL of 161 patients on dialysis and 350 people from the community. The cultural relevance of each tool was assessed by (i) examining missed questions, (ii) asking respondents about the cultural relevance of each tool, (iii) asking respondents what questions could be added or deleted to make the tools more culturally relevant and (iv) asking respondents to identify the factors that might contribute to their QOL. Results Of respondents, 94.7% from the dialysis sample and 90.4% from the community sample considered both tools culturally relevant. The QOL Index tool had more missing data. Many of the themes generated from the analysis of the qualitative data were addressed by the subscales of both tools. Themes not addressed by either tool were concerned with values, safety and country. Conclusion Cultural adaptation of QOL tools needs to follow well-established guidelines. The target population should be involved in establishing the cultural relevance of QOL tools.
Issues post-stroke for Muslim people in maintaining the practice of salat (prayer) : A qualitative study
- Authors: Mohamed, Che Rabiaah , Nelson, Katherine , Wood, Pamela , Moss, Cheryle
- Date: 2015
- Type: Text , Journal article
- Relation: Collegian Vol. 22, no. 3 (2015), p. 243-249
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- Description: Background: Muslims throughout the world perform salat (prayer) five times a day; salat involves a person reciting the Holy Qur'an while being in several positions. There are several steps that should be carried out before prayer, including wudhu (ablution) and covering one's awrah (body). Objectives: To identify educational needs for stroke patients and their caregivers in Malaysia. Another purpose is to report on the needs identified by stroke patients and their families related to salat. Methods: Descriptive qualitative study. Phase 1 involved semi-structured interviews with stroke patients (. n=. 5), family caregivers (. n=. 5) and health professionals (. n=. 12) in Kelantan Malaysia. Phase 2 involved presenting the findings from Phase 1 to the health professionals with the aim of establishing priorities and processes to develop education strategies for stroke patients and their families. Results: Preparing for and performing salat was challenging for both patient and family carers to do following a stroke. Themes identified were prayer and the meaning of the stroke events for participants, difficulties praying post-stroke, prayer as part of rehabilitation therapy. Conclusion: Providing culturally safe care should include how nurses assess and support patients and their caregivers post stroke to meet their prayer needs. Nurses have a role in discussing with stroke patients and their families how in addition to its spiritual and customary benefits, prayer and for Muslims reciting the Holy Qur'an can have cognitive and rehabilitation benefits, as well as being a source of psychological support for stroke patients. © 2014 Australian College of Nursing Ltd.
Striving for best practice: standardising New Zealand nursing procedures, 1930-1960
- Authors: Wood, Pamela , Nelson, Katherine
- Date: 2013
- Type: Text , Journal article
- Relation: Journal of Clinical Nursing Vol. 22 (21-22), no. 3217-3224 (2013 2013), p.
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- Description: Aims and objectives To identify how nurses in the past determined best practice, using the context of New Zealand, 1930–1960. Background In the current context of evidence-based practice, nurses strive to provide the best care, based on clinical research. We cannot assume that nurses in the past, prior to the evidence-based practice movement, did not also have a deliberate process for pursuing best practice. Discovering historical approaches to determining best practice will enrich our understanding of how nurses' current efforts are part of a continuing commitment to ensuring quality care. Design Historical research. Methods The records of the Nursing Education Committee of the New Zealand Registered Nurses' Association, 1940–1959, and the 309 issues of New Zealand's nursing journal, Kai Tiaki, 1930–1960, were analysed to identify the profession's approach to ensuring best practice. This approach was then interpreted within the international context, particularly Canada and the USA. Results For nearly 30 years, nurse leaders collaborated in undertaking national surveys of training hospitals requesting information on different nursing practices. They subsequently distributed instructions for a range of procedures and other aspects of nursing care to standardise practice. Standardising nursing care was an effective way to ensure quality nursing at a time when hospital care was delivered mostly by nurses in training. The reasons for and timing of standardisation of nursing care in New Zealand differed from the international move towards standardisation, particularly in the USA. Conclusions Historically, nurses also pursued best practice, based on standardising nursing procedures. Relevance to clinical practice Examining the antecedents of the present evidence-based approach to care reminds us that the process and reasons for determining best practice change through time. As knowledge and practice continually change, current confident assertions of best practice should and will continue to be challenged in future.
The journal Kai Tiaki's role in developing research capability in New Zealand nursing, 1908-1959
- Authors: Wood, Pamela , Nelson, Katherine
- Date: 2013
- Type: Text , Journal article
- Relation: Nursing Praxis in New Zealand Vol. 29, no. 1 (2013 2013), p. 12-22
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- Description: The development of research capability in New Zealand nursing can be seen particularly from the 1970s onwards. However, by analysing past issues of Kai Tiaki - the country's longstanding nursing journal - over the five decades following its establishment in 1908, the present authors identified two precursors to this later stage. The journal fostered nurses' awareness of research and consistently promoted nursing scholarship. Successive editors developed nurses' capability in writing about their practice by publishing case studies, the winning essays in competitions run jointly with the professional association and nursing schools, and nurses' articles on practice or professional issues. Although promotion of research awareness and nursing scholarship were not deliberate strategies to develop nursing research capability, they were necessary forerunners to it.