International Journal of Nursing Practice最新文献

Aim

To map the current literature on the use of mobile health interventions by caregivers to prevent stunting in children.

Background

Combining mobile technology with health education or community engagement has shown promise as an intervention for preventing child stunting.

Method

Following Arksey and O'Malley's scoping methodology and PRISMA-ScR guidelines, a systematic search was conducted across multiple databases, including PubMed, Scopus, CINAHL, Cochrane Library and Web of Science. A total of 317 records were assessed, and seven studies were included for critical review.

Results

Included studies composed of three randomized controlled trials, one quasi-experimental trial and three pilot studies. Types of mobile health interventions included mobile apps, interactive voice response (IVR) audio messages, WhatsApp and chatbots, which were delivered through self-guided and provider-assisted modes. Protocols were conducted through daily or weekly messages or structured multi-week modules over periods of weeks to months. Outcomes measured included caregivers' cognition, child diet, child growth and health, service utilization and maternal well-being. Improvements were observed in caregivers' knowledge and feeding practices. However, the results for child growth and immunization were inconsistent.

Conclusion

Mobile health interventions have considerable potential to enhance caregivers' knowledge and improve feeding practices, which are crucial for preventing stunting globally.

Aim

Poor sleep quality can impair nurses' ability to function effectively. We aimed to investigate the impact of sleep quality on the work functioning of intensive care unit (ICU) nurses.

Methods

This cross-sectional questionnaire-based study was conducted at an academic tertiary hospital in Saudi Arabia between December 2023 and January 2024. Eligible participants included any ICU nurses. The self-administered questionnaire included basic demographics and questions from the Pittsburgh Sleep Quality Index (PSQI) and Nurses Work Functioning Questionnaire (NWFQ).

Results

Of the 131 participants, 60 (45.8%) were 35–44 years old and 118 (90.1%) were females. The median [interquartile range] number of years working in the ICU was 8 [4–16]. Participants with poor sleep quality had a significantly higher median NWFQ score (27.57 vs. 17.44; p < 0.0001) and all the NWFQ subscales (p ≤ 0.02) except for the item ‘conflicts and irritations with colleagues.’ NWFQ scores demonstrated a moderate negative correlation with Global PSQI Scores (r_s = −0.37; p < 0.0001) and mild-to-moderate negative correlations were observed with six of seven NWFQ subscales (r_s = −0.21 to −0.41; p ≤ 0.05). Multivariable regression analysis revealed that none of the participants' characteristics were associated with poor work functioning. However, poor sleep was associated with poor work function (OR 4.29; 95% CI, 1.74–10.58).

Conclusion

The sleep quality of ICU nurses was significantly associated with work functioning. Addressing sleep-related challenges is essential to ensuring high-quality patient care and the overall sustainability of the nursing profession.

Aim

This study employed a network meta-analysis to compare the effects of multiple mindfulness-based interventions on stress and mindfulness levels among nursing students.

Methods

Systematic searches were conducted in PubMed, the Cochrane Library, EMBASE and Web of Science for clinical randomized controlled trials evaluating mindfulness therapies for stress and mindfulness outcomes in nursing students. The search spanned from each database's inception to 28 February 2025. Study quality was assessed using the Cochrane-recommended Risk of Bias tool. Analyses were performed using Stata 14.0 software.

Results

Eight articles, encompassing 744 participants, were incorporated into the analysis. Compared with acceptance and commitment therapy, mindfulness-based stress reduction therapy, mindfulness meditation and the control group were all effective in reducing stress scores among nursing students. The surface under the cumulative ranking curve values indicated the following ranking for the efficacy of reducing stress scores in nursing students: mindfulness-based stress reduction therapy > mindfulness meditation > control > acceptance and commitment therapy.

Regarding the enhancement of mindfulness scores, mindfulness meditation demonstrated more significant improvement in nursing students' mindfulness scores than the control and acceptance and commitment therapy groups. Additionally, mindfulness-based stress reduction therapy led to greater increases in mindfulness scores compared with acceptance and commitment therapy. The surface under the cumulative ranking curve values suggested the following ranking for improving nursing students' mindfulness scores: mindfulness meditation > mindfulness-based stress reduction therapy > control > acceptance and commitment therapy.

Conclusions

Mindfulness meditation might represent the optimal intervention. Nevertheless, considering the quality and methodological constraints associated with the included diverse interventions, findings require further validation to strengthen the robustness of the conclusions.

Background

Depression symptoms are prevalent and persistent psychological problems after a stroke. Five-element music therapy has been used to improve depression symptoms in stroke patients, but the effects have not yet been unified.

Aim

This review aims to evaluate the effects of five-element music therapy on depression symptoms after stroke.

Methods

We performed a literature search in the English databases (PubMed, Cochrane Library, Embase, Web of Science and CINAHL) and Chinese databases (Chinese National Knowledge Infrastructure, WanFang Data Knowledge Service Platform, Chinese BioMedical Database and Weipu Information Chinese Periodical Service Platform). Two investigators independently screened literature, extracted data and assessed the risk of bias according to the eligibility criteria. The RevMan 5.3 software was used to perform the meta-analysis. The review was reported in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

Results

A total of 21 studies involving 1612 participants were included in the analysis. Compared to the control group, five-element music therapy significantly improved depression symptoms (at post-intervention and at follow-up), sleep quality, daily living ability, stroke severity and 5-hydroxytryptamine levels of stroke patients. Subgroup analysis found a significantly positive effect of five-element music therapy on depression symptoms in different scales, intervention durations and types of five-element music.

Conclusions

Five-element music therapy can be a non-pharmacological intervention for managing depression symptoms after stroke. Healthcare providers could encourage stroke patients to engage in home-based five-element music listening to manage depression symptoms, a practical intervention that can be easily integrated into routine post-stroke care. Besides, it would be helpful for future researchers to test the use of other musical traditions relevant to other cultures.

Patient or Public Contribution

Patient or public contribution is not necessary as the study is a systematic review.

Aim

This study aims to examine the effects of lateral positions during the second stage of labour on maternal and neonatal outcomes.

Design

A prospective observational study was conducted in three Chinese hospitals from June to November 2020.

Methods

Eligible women were divided into groups based on their use of lithotomy or lateral positions during the second stage of labour. Propensity score matching (PSM) was employed to assess the effects of lateral positions on maternal outcomes (perineal tears, episiotomy use, postpartum blood loss, duration of the second stage of labour, and mode of birth) and neonatal outcomes (Apgar scores at one and 5 min postpartum).

Results

After PSM matching, lateral positions were associated with a 21% reduced risk of episiotomy use among primiparous women. Primiparous women adopting lateral positions also had significantly reduced risks of moderate perineal tears. There were no significant differences in the duration of the second stage of labour, mode of birth or rates of blood loss over 500 mL at 2 h postpartum. However, lateral positions increased the duration of the second stage of labour by 10 min among primiparous women who adopted lateral positions in this study, and both primiparous and parous women using lateral positions had greater postpartum blood loss. Cases of Apgar scores less than seven and severe perineal tears were rare.

Conclusion

This prospective observational study indicates that lateral positions during the second stage of labour may offer protective benefits for the perineum among primiparous women. However, their use requires careful clinical judgement, as they may not be suitable for primiparous women experiencing slower labour progress, and additional attention should be given for monitoring postpartum blood loss, regardless of parity.

Aim

This study aimed to adapt and test ‘The Partners at Care Transitions Measure (PACT-M)’ to Turkish culture, and evaluate its psychometric properties.

Methods

This methodological study included 300 patients from a university hospital. The Turkish version of the scale underwent translation, cultural adaptation and content validity review. Construct validity was tested with confirmatory factor analysis, and reliability was assessed through Cronbach's alpha and item–total correlations. Convergent validity was examined using correlations with the Readiness for Hospital Discharge Scale.

Results

The Turkish adaptation of the PACT-M successfully retained the original construct. Cronbach's alpha coefficients and item–total correlations indicated strong internal reliability. The two-factor structure was confirmed through confirmatory factor analysis, demonstrating an acceptable model fit, with all factor loadings statistically significant. In terms of convergent validity, the total PACT-M score showed a significant low-level positive correlation with the Readiness for Hospital Discharge Scale.

Conclusions

This study provides evidence supporting the psychometric adequacy of the Turkish version of the PACT-M. The instrument appears to be a useful tool for assessing older adults' perceptions of care quality and safety during the transition from hospital to home. Its application in clinical practice may help identify patients who require additional support during the discharge and post-discharge process.

Aims

To translate the Clients' Perceptions of Providers' Cultural Competency into Chinese, validate it with Chinese immigrant clients in the United States and explore their healthcare experiences.

Background

Culturally competent care is crucial to promote access, utilization and health outcomes among racial and ethnic minorities. Chinese immigrants represent the largest Asian-American population in the US healthcare providers can enhance patient-centred care with instruments that assess and improve their cultural competency. The Clients' Perceptions of Providers' Cultural Competency instrument can assess healthcare providers' cultural competency, offer feedback and improve patient-centred care.

Design

An online, cross-sectional design was utilized for this psychometric study.

Method

Data from 121 Chinese immigrants in the United States were analysed using Cronbach's alpha and exploratory factor analysis to assess reliability and construct validity. Criterion validity was examined by testing the association between self-reported health and cultural competency using a generalized linear model.

Results

Cronbach's alpha of the instrument was 0.91. The construct validity of the instrument revealed the four-dimensional structure. Self-reported health was significantly associated with cultural competency (p = 0.003).

Conclusion

Findings support the Chinese Clients' Perceptions of Providers' Cultural Competency instrument as a reliable and valid instrument to measure Chinese immigrants' perceptions of healthcare providers' cultural competency.

Aim

Given the critical role of nursing students amid global nurse shortages, the impact of impostor syndrome on their career decisions is underexplored. This study aimed to explore nursing students' experiences with and perspectives on impostor syndrome through a phenomenological approach to guide the development of targeted support frameworks.

Methods

The data were collected from 21 nursing students in clinical learning at a Chinese tertiary hospital through in-depth, semistructured, face-to-face interviews conducted from October to December 2024. The analysis was then undertaken using Colaizzi's seven-step analysis method.

Results

The following four themes emerged: unfavourable emotional sensations of the impostor syndrome; the causes of the impostor syndrome; the impacts on clinical practice and the impacts on professional values. The themes were delineated into 10 subthemes. The first theme includes anxiety and depression, inferiority, and shame. The second covers the transition shock from academic to clinical environments, inadequate psychological resilience and distorted feedback. The third includes missed opportunity and lack of enthusiasm and motivation for internships. The fourth is about scepticism of professional competence and denial of the profession.

Conclusions

The impostor syndrome inflicts notable psychological stress on nursing students, potentially affecting their professional development. Nursing educators and administrators must monitor relevant factors, communicate regularly, enhance students' psychological resilience and professional identity, and guide the formation of sound professional values.

Aim

This study was performed to test the validity and reliability of the translated Turkish version of the Perceived Control in Childbirth Scale (PCCh) and the Satisfaction with Childbirth Scale (SWCh) in Turkish women.

Background

Childbirth control and childbirth satisfaction are interrelated issues, which are extremely important for improving childbirth environments. However, although there are several birth satisfaction scales in Turkey, there is no tool to measure the perception of control during birth.

Methods

This study was conducted with the participation of 320 individuals using a cross-sectional and descriptive design. Data were collected using a Participant Information Form, the PCCh, the SWCh and, as a parallel form, the Birth Satisfaction Scale-Revised. Factor analyses, Cronbach's alpha coefficient and item-total score correlation tests were used to analyse the data.

Results

The Turkish form of the PCCh consisted of 12 items and two dimensions that explained 58% of the total variance in the measured variable. Cronbach's alpha coefficient for the scale in Turkish was found to be 0.90. The Turkish form of the SWCh consisted of seven items and a single dimension that explained 74% of the total variance in the measured variable. Cronbach's alpha coefficient for the scale in Turkish was found to be 0.94.

Conclusions

The PCCh and the SWCh are valid and reliable instruments for measuring perceived control in childbirth and satisfaction with childbirth in Turkish women.