Browsing by Author "Hernandez M"

Now showing 1 - 8 of 8
  • Thumbnail Image
    Item
    Caesarean Section Surgical Site Infection and Associated Personal Patient Risk Factors: An Integrative Review
    (Sigma Theta Tau International Honour Society of Nursing, 1/06/2019) Hernandez M; Dela Cruz Regalo S
    Post-operative caesarean section surgical site infection (SSI) are associated with various complications, cost, extended hospital stay and can negatively impact on the life of new mothers, their babies and their families (Berríos-Torres et al., 2017; Mangram et al.,1999). A substantial number of literature on the prevention of SSI addressing various risk factors identified in these phases exist globally. However, it is not known whether extensive high quality evidence on the association of personal patient risk factors to SSI development exist. Thus, an integrative review was conducted to critically evaluate published research material on caesarean section surgical site infection and associated personal patient risk factors and to provide nursing recommendations that relate to this area of practice. Forty-six peer-reviewed publications met the inclusion criteria for full-text review. Twenty out of the 46 studies scored highly on quality. These studies supported an association between caesarean section surgical site infection and at least one of the following identified risk factors - age, obesity, smoking and diabetes mellitus. However, only one of the researches studied cultural practices and its association with caesarean section SSI. In conclusion, evidence regarding the association of personal patient risk factors such as age, obesity, smoking and diabetes mellitus to caesarean section surgical site infection is inadequate. Even more scarce are studies that evaluate the association of cultural practices to caesarean section surgical site infection.
  • Thumbnail Image
    Item
    Clinical epidemiology and outcomes of ventilator-associated pneumonia in critically ill adult patients: protocol for a large-scale systematic review and planned meta-analysis
    (BioMed Central Ltd, 20/07/2019) Hernandez M; Gutiérrez, JM; Borromeo A; Dueño AL; Paragas, Jr ED; Ellasus RO; Abalos-Fabia R; Abriam JA; Sonido AE; Generale AJA; Sombillo RC; Lacanaria MGC; Centeno MM; Laoingco JRC; Domantay JAA
    An increasing number of studies have investigated the clinical epidemiology and outcomes of ventilator-associated pneumonia (VAP) in intensive care units. However, these findings have not been clearly defined in broad subgroups of mechanically ventilated adults. Hence, this protocol for a systematic review and meta-analysis is designed to better understand the clinical and epidemiological features of VAP in these patient populations by establishing its overall prognosis of and risk factors for morbidity and mortality and to determine the differences in clinical and economic outcomes between VAP and non-VAP patients. This present review will systematically search available full-text articles without date and language restrictions and indexed in PubMed, CENTRAL, CINAHL, Web of Science, and EMBASE databases. In addition, reference lists and citations of retrieved articles and relevant medical and nursing journals will be manually reviewed. Supplementary search in other databases involving trials, reviews, and grey literatures, including conference proceedings, theses, and dissertations, will be performed. Study investigators will be contacted to clarify missing or unpublished data. All prognostic studies meeting the pre-defined eligibility criteria will be included. The study selection, risk of bias assessment, data extraction, and grading of the quality of evidence will be carried out in duplicate, involving independent evaluation by two investigators with consensus or a third-party adjudication. The degree of inter-rater agreement will be calculated using the kappa statistic. For meta-analysis, dichotomous and continuous outcome measures will be pooled using odds ratios and standardized mean differences with 95% confidence intervals, respectively. The Mantel-Haenszel or inverse variance methods with random effects model will be used as a guide for analysis. The heterogeneity of each outcome measure will be assessed using both X2 and I2 statistics. In addition, sensitivity and subgroup analyses will be performed to ensure consistency of pooled results. The review protocol described herein is in accordance with the PRISMA-P standards.Discussion: The investigation of the epidemiological profiles, prognostic factors, and outcomes associated with VAP is critical for the identification of high-risk groups of mechanically ventilated patients and evaluation of possible clinical endpoints. This may provide substantial links for improved VAP prevention practices.
  • Thumbnail Image
    Item
    Fast-tracking recruitment of IQNs into the aged care sector
    (NZME Educational Media - Health Central, 2019-06-26) Hernandez M
  • Thumbnail Image
    Item
    Give migrant nurses a longer visa to help ease shortage
    (Scoop Publishing Limited, 2018-12-12) Hernandez M
    Position statement on concerns regarding visas granted to internationally qualified nurses as drafted by the Filipino Nurses Association of New Zealand, Inc. where Monina Hernandez is the current president.
  • Thumbnail Image
    Item
    Indwelling Catheter Challenge (abstract only)
    (Sigma Theta Tau International Honour Society of Nursing, 1/03/2018) Hernandez M
  • Thumbnail Image
    Item
    Indwelling Catheter Challenge (conference paper)
    Hernandez M
    A study done in a New Zealand hospital identified nurses' (n=14) baseline knowledge of evidence-based indwelling catheter management using a 25-item pre- and post-test. Sixty-four percent received scores below 70%. An education intervention significantly improved (p < .05) nurses' post-test scores. This interactive session challenges nurses to take the test.
  • Thumbnail Image
    Item
    Migrant nurses can help solve Kiwi nursing shortage
    (NZME Educational Media - Health Central, 2018-12-12) Hernandez M
    Monina Hernandez, the president of the Filipino Nurses Association of New Zealand, argues that granting longer migrant nurse visas to internationally qualified nurses can help solve the nursing shortage.
  • Thumbnail Image
    Item
    Monina Hernandez – migrant nurses shouldn’t be channelled only into aged care
    (NZME. Educational Media - Nursing Review, 2018-10-09) Hernandez M