DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20190164

An analysis of the items of nursing competency in oral feeding assistance for hospitalized hemiplegic patients in China: a qualitative study

Huifang Chen, Hisae Nakatani, Akiko Kanefuji, Hongxia Yang, Haiwei Zhao, Md Moshiur Rahman

Abstract


Background: Patients with hemiplegia often suffer from malnutrition and security threat due to disabilities and inadequate supports. This study aims to explore nursing perceptions regarding problems, necessary nursing supports, and nursing competencies required for the provision of oral feeding assistance to hospitalized hemiplegic patients.

Methods: A qualitative study was conducted in Taian City, China in 2016. A purposive sampling method was used, and data were gathered using semi-structured interviews. Totally, 5 faculty members and 10 ward nurses in China were interviewed. In relation to the nursing status regarding oral feeding assistance in the case of hemiplegic patients, background and improvement measures in nursing practice were assessed. Data were analyzed using the content analysis method.

Results: Four problems in providing oral feeding assistance to hemiplegic patients were identified: 1) insufficient cognition of nursing roles, 2) insufficient consideration of psychological aspects of the patients, 3) lack of related theoretical and practical education, 4) lack of nutritional support during hospitalization. Twenty-five items of nursing competencies, the knowledge and skills required for oral feeding assistance to hospitalized hemiplegic patients were identified.

Conclusions: The nursing competency identified by this study can provide evidence for reviewing the related nursing practice and continuous education in China. 


Keywords


Chinese nurses, Hemiplegic patients, Nursing competency, Oral feeding

Full Text:

PDF

References


Crisp J, Taylor C, Douglas D, Rebeiro G. Potter and Perry’s Fundamentals of Nursing. 4th ed. Sydney: Mosby Elsevier: 2012: 1064-1112.

Langmore SE, Terpenning MS, Schork A, Chen Y, Murray JT, Lopatin D, et al. Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia. 1998;13(2):69-81.

Holmes S. Undernutrition in hospital patients. Nurs Stand. 2003;17(19):45-52.

Jefferies D, Johnson M, Ravens J. Nurturing and nourishing: the nurses’ role in nutritional care. J Clin Nurs. 2011;20(3-4):317-30.

World Health Organization. The top 10 causes of death. Available at: http://www.who.int/media-centre/factsheets/fs310/en/. Accessed on 12 January 2017.

Ministry of health, China. China Health Statistics Yearbook. Available at: http://www.nhfpc. gov.cn/htmlfiles/zwgkzt/ptjnj/year2013/index2013.html. Accessed on 26 April 2017.

Feigin VL, Lawes CM, Bennett DA, Barker-Collo SL, Parag V. Worldwide stroke incidence and early case fatality reported in 56 population-based studies: a systematic review. Lancet Neurol. 2009;8(4):355-69.

Kelly-Hayes M, Beiser A, Kase CS, Scaramucci A, D'Agostino RB, Wolf PA. The influence of gender and age on disability following ischemic stroke: the Framingham study. J Stroke Cerebrovasc Dis. 2003;12(3):119-26.

Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13-31.

Bouziana SD, Tziomalos K. Malnutrition in patients with acute stroke. J Nutr Metab. 2011;2011:167898.

Zhao S. Recognition on life care among nurses working less than five years. Chinese Nursing Management. 2011;11(11):53-6.

Tsujimura H, Mori Y, Takada K, Miyakoshi S. Differences of nursing between Japan and China: analysis of interviews and reports by Japan overseas cooperation volunteers working in China. The Kitakanto Med J. 2009;59(1):51-8.

Hu Y, Shen J, Jiang A. Nursing shortage in China: State, causes, and strategy. Nurs Outlook. 2010;58(3):122-8.

Jiang H, Li H, Ma L, Gu Y. Nurses' roles in direct nursing care delivery in China. Appl Nurs Res. 2015;28(2):132-6.

Jiang H, Ye W, Gu Y. Family-paid caregivers in hospital health care in China. J Nurs Manag, 2013;21(8):1026-33.

Chen H, Miyakoshi Y, Nakatani H, Tomie F, Moshiur RF, Toshio K. Cognition, training, and education of nurses in oral feeding assistance for hospitalized patients: A comparative study among nurses in China and Japan. Hiroshima J Med Sci. 2017;66(3):61-9.

Dong Z, Philips MR. Evolution of China’s health-care system. Lancet. 2008;372:1715-6.

Yang J. Professors, doctors, and lawyers: the variable of the professional classes. In New Rich in China. Goodman D, ed. London: Routledge; 2008: 148-168.

Shang J, You L, Ma C, Altares D, Sloane DM, Aiken LH. Nurse employment contracts in Chinese hospitals: impact of inequitable benefit structures on nurse and patient satisfaction. Hum Resour Health. 2014;12:1.

Ministry of Health, China. Chinese nursing development plan for 2016-2020. Available at: http://www.moh.gov.cn/yzygj/s3593/201611/92b2e8f8cc644a899e9d0fd572aefef3.shtml. Accessed on 18 November 2017.

The State Council, China. Notice on the issuance of "thirteen five" plan for deepening medical and health system reform. Available at: http://www.gov. cn/zhengce/content/2017-01/09/content_5158053.htm. Accessed on 27 December 2017.

Zhu J, Rodgers S, Melia KM. A qualitative exploration of nurses leaving nursing practice in China. Nurs Open. 2014;2(1):3-13.

Chen Y. Chinese values, health and nursing. J Adv Nurs. 2001;36(2):270-3.

Ministry of Health, China. Quality care service demonstration project. Available at: http://www.nhfpc.gov.cn/mohyzs/s7659/201001/45756.shtml. Accessed on 22 January 2017.

Ministry of Health, China. Basic care service for hospitalized patients. Available at: http://www.nhfpc.gov.cn/mohbgt/s10696/201001/45754.shtml. Accessed on 22 January 2017.

Bloomfield J, Pegram A. Improving nutrition and hydration in hospital: the nurse’s responsibility. Nurs Stand. 2012;26(34):52-6.

Zhao SH, Akkadechanunt T, Xue XL. Quality nursing care as perceived by nurses and patients in a Chinese hospital. J Clin Nurs. 2009;18(12):1722-8.

Davis AJ. Global influence of American nursing: some ethical problems. Nurs Ethics. 1999;6(2):118-25.

Ministry of Education, China. Notification about Distributing the Discipline Catalogue of Degree Granting and Talent Training, 2011. Available at: http://www.moe.edu.cn/publicfiles/business/htmlfiles/moe/moe_834/201104/116439.html. Accessed on 8 March 2017.

Wong FK, Peng G, Kan EC, Li Y, Lau AT, Zhang L, et al. Description and evaluation of an initiative to develop advanced practice nurses in mainland China. Nurse Educ Today. 2010;30(4):344-9.

Pegram A, Bloomfield J. Nutrition and fluid management. Nurs Stand. 2015;29(31):38-42.

Shang E, Hasenberg T, Schlegel B, Sterchi AB, Schindler K, Druml W, et al. An European survey of structure and organisation of nutrition support teams in Germany, Austria and Switzerland. Clin Nutr. 2005;24(6):1005-13.