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Study Protocol on Stroke Management: Role of Nurses and Physiotherapists at the Adult University Teaching Hospital, Lusaka Zambia

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Journal of Biosciences and Medicines 2021年第9期9卷 25-37页

作者： Patricia Katowa-Mukwato Martha Chalwe Banda Michael Mumba Kanyanta Emmanuel Mwila Musenge Peter D.C. Phiri Victoria Mwiinga-Kalusopa Fabian Chapima Micah Simpamba Charity Kapenda hastings shula Department of Basic and Clinical Nursing Sciences School of Nursing Sciences University of Zambia Lusaka Zambia Department of Physiotherapy School of Health Sciences University of Zambia Lusaka Zambia

Background: Management of stroke patients requires a multidisciplinary approach. Literature presents unequivocal evidence of improved outcomes when patients are treated in a stroke unit by multi-disciplinary teams made up of medical doctors, nurses, physiotherapists and occupational therapists. Among the multidisciplinary team members, physiotherapists and nurses are the largest professional workforce working with both stroke patients and survivors. This study, therefore, aims at investigating the role of nurses and physiotherapists in the management of stroke patients at the Adult University Teaching Hospital. Methodology: This study shall utilize a convergent parallel mixed method design where both quantitative and qualitative data will be collected at the same time resulting in two data sets which will eventually be merged at the point of discussion. The quantitative component shall utilize an analytical cross-sectional approach while the qualitative component shall use a qualitative case study approach. The study will be conducted at the Adult University Teaching Hospital in Lusaka. Data will be collected from all the 287 nurses and 37 physiotherapists working in the Emergency Department, Medical Wards, Adult Intensive Care Unit and the Department of Physiotherapy. Quantitative data will be analyzed using Statistical Package for social sciences. Descriptive statistics shall be computed on the role of nurses and physiotherapists in stroke care. In addition, chi-square and fisher’s exact tests will be used in the test for associations between variables while binary logistic regression will be used in identifying predictors of the various roles played by nurses and physiotherapists in the management of stroke patients. Qualitative data will be analyzed using thematic analysis in order to generate new concepts and a substantive model of care for stroke patients. Conclusion: Despite research evidence of improved outc

关键词： Stroke Management Nursing Role Physiotherapy Role Model of Care

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Cultural Stress Revisited

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大家健康(学术版) 2011年第9期05卷 15-19页

作者： hastings K shula Aizhong Liu Department of Epidemiology & Health Statistics School of Public Health Central South University

Cultural stress is no longer a rare phenomenon because the world has been reduced to the size of a village due to modern technology and advancements. It is a concept that grows in magnitude each year. More and more people are affected. In this paper, we discuss the assessment of cultural stress by combining some instruments like the Perceived Stress Scale, the Depression Anxiety, and Stress Scale with the Cultural Stress Scale. They appear to be valid and can be used across different cultures. We discuss the need to come up with a standard instrument for measuring cultural stress as opposed to having so many. We also outline ways of coping with cultural stress as it occurs at different stages. There is need for more research to counter the negative effects of cultural stress.

关键词： Cultural stress Sojourner People at risk Coping mechanisms

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