The objective of this research is to investigate the association between the number of teeth and frailty in the geriatric population.
Design
This cross-sectional study was conducted in Shanghai Fifth People's Hospital, Fudan University, from May 2021 to September 2021.
Methods
A cohort of 538 community-dwelling older adults aged 60 years or above was included in the analysis. The Tilburg Frailty Indicator, Mini-Mental State Examination and Mini Nutritional Assessment Short-Form were employed to assess frailty, cognitive function and nutritional status, respectively. The statistics software SPSS v21.0 and its process plug-in were employed for statistical analysis, and the significance of intermediary effects was tested using the bootstrap sampling test method and the process plug-in.
Results
The number of teeth influenced frailty through three mediating pathways: (a) nutritional status (effect = −0.038); (b) cognitive function (effect = −0.021); (c) nutritional status and cognitive function combined (effect = −0.038). The total mediating effect accounted for 50.26% of the overall effect.
Conclusion
These findings highlight the need to raise awareness of oral health care among older adults and implement comprehensive interventions to promote active aging and improve their overall well-being.
{"title":"Explaining the Association Between Number of Teeth and Frailty in Older Chinese Adults: The Chain Mediating Effect of Nutritional Status and Cognitive Function","authors":"Yanan Wang, Lifang Fan, Hui Zhou, Meimei Zhang, Tianyan Wang, Ying Sheng, Yuelan Zhu","doi":"10.1111/ijn.70001","DOIUrl":"https://doi.org/10.1111/ijn.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The objective of this research is to investigate the association between the number of teeth and frailty in the geriatric population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This cross-sectional study was conducted in Shanghai Fifth People's Hospital, Fudan University, from May 2021 to September 2021.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cohort of 538 community-dwelling older adults aged 60 years or above was included in the analysis. The Tilburg Frailty Indicator, Mini-Mental State Examination and Mini Nutritional Assessment Short-Form were employed to assess frailty, cognitive function and nutritional status, respectively. The statistics software SPSS v21.0 and its process plug-in were employed for statistical analysis, and the significance of intermediary effects was tested using the bootstrap sampling test method and the process plug-in.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The number of teeth influenced frailty through three mediating pathways: (a) nutritional status (effect = −0.038); (b) cognitive function (effect = −0.021); (c) nutritional status and cognitive function combined (effect = −0.038). The total mediating effect accounted for 50.26% of the overall effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings highlight the need to raise awareness of oral health care among older adults and implement comprehensive interventions to promote active aging and improve their overall well-being.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143446947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aim of this study is to systematically evaluates of risk prediction models for loss of arteriovenous endovascular fistula function in maintenance haemodialysis patients to provide guidance for establishing and improving the model.
Design
The PRISMA guidelines guided this systematic review. The review was registered with PROSPERO (CRD:42023416964).
Methods
This systematic review was conducted in accordance with the PRISMA 2020 guidelines. A comprehensive search was conducted on various databases, including Pubmed, Embase, Cochrane Library, Web of Science, China Knowledge Network, Wanfang Database, Vipshop Journal Repository and Chinese Biomedical Literature Database. The objective of this extensive search was to identify studies pertaining to predictive models for the occurrence of autogenous arteriovenous fistula failure. The search period extended from the creation of the databases to 4 April 2023. Two reviewers independently reviewed the literature to ensure the reliability of the findings. Extraction of relevant data and analysis of the risk of bias and applicability of the included literature were conducted using the Risk of Bias Assessment Tool for Predictive Modelling Studies. Outcome data were reported by narrative synthesis.
Results
Eight studies were included in the analysis. One study incorporated both internal and external validation, two studies employed internal validation and one study utilized external validation. The multivariate models reported that age, diabetes and hypotension on dialysis were the independent predictors in common. It is noteworthy that all studies exhibited some degree of bias. However, the applicability of the findings was deemed adequate.
Conclusion
The prediction model for the occurrence of arteriovenous endovascular fistula failure in patients with maintenance haemodialysis has good applicability. However, the overall bias is high, and the model's methodology contains defects. To address these issues, further research is necessary to construct the model in accordance with the PROBAST tool. Healthcare professionals should intervene promptly in high-risk patients with the aforementioned risk factors to minimize the incidence.
{"title":"Predictive Models of Arteriovenous Endovascular Fistula Deterioration in Maintenance Haemodialysis Patients: A Systematic Review","authors":"Xuhui Dong, Defeng Chen, Wanlin Peng, Bei Li","doi":"10.1111/ijn.70004","DOIUrl":"https://doi.org/10.1111/ijn.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of this study is to systematically evaluates of risk prediction models for loss of arteriovenous endovascular fistula function in maintenance haemodialysis patients to provide guidance for establishing and improving the model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The PRISMA guidelines guided this systematic review. The review was registered with PROSPERO (CRD:42023416964).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review was conducted in accordance with the PRISMA 2020 guidelines. A comprehensive search was conducted on various databases, including Pubmed, Embase, Cochrane Library, Web of Science, China Knowledge Network, Wanfang Database, Vipshop Journal Repository and Chinese Biomedical Literature Database. The objective of this extensive search was to identify studies pertaining to predictive models for the occurrence of autogenous arteriovenous fistula failure. The search period extended from the creation of the databases to 4 April 2023. Two reviewers independently reviewed the literature to ensure the reliability of the findings. Extraction of relevant data and analysis of the risk of bias and applicability of the included literature were conducted using the Risk of Bias Assessment Tool for Predictive Modelling Studies. Outcome data were reported by narrative synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight studies were included in the analysis. One study incorporated both internal and external validation, two studies employed internal validation and one study utilized external validation. The multivariate models reported that age, diabetes and hypotension on dialysis were the independent predictors in common. It is noteworthy that all studies exhibited some degree of bias. However, the applicability of the findings was deemed adequate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The prediction model for the occurrence of arteriovenous endovascular fistula failure in patients with maintenance haemodialysis has good applicability. However, the overall bias is high, and the model's methodology contains defects. To address these issues, further research is necessary to construct the model in accordance with the PROBAST tool. Healthcare professionals should intervene promptly in high-risk patients with the aforementioned risk factors to minimize the incidence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gülcan Bahcecioglu Turan, Zülfinaz Özer, Esra Yıldız
Objective
This study was conducted to examine the validity and reliability of the Turkish version of the Public Stigma of Stroke Scale (PSSS).
Background
The stigma perceived by patients who have had stroke affects the quality of life as well as many health-related factors. Therefore, it is necessary to determine the society's stigmatization of the stroke patient and to reveal the differences related to stroke in different cultures.
Design
This study is methodological research.
Methods
This study was conducted with 410 individuals aged 18 and over. The data were collected by using descriptive information form and PSSS. The data were evaluated by using exploratory and confirmatory factor analysis, Cronbach's alpha, McDonald's Omega reliability, composite reliability, mean variance extracted and test–retest analysis.
Results
Factor load values of the scale items were found to vary between 0.585 and 0.904. The fit index values in the scale were found as X2/df = 2.42, < 0.001, CFI = 0.934, TLI = 0.928, SRMR = 0.042 and RMSEA = 0.059. It was found that Cronbach's alpha coefficients of the factors of the scale ranged between 0.916 and 0.946, and the total Cronbach's alpha coefficient was 0.897. Total McDonald's omega coefficient was found to be 0.897, and McDonald's omega coefficients of the factors were found to be between 0.921 and 0.951. Total composite reliability was found to be 0.981, and total mean variance extracted was found to be 0.740. It was found that the Turkish version of the 33-item and four-factor scales was confirmed without any changes in the original scale form.
Conclusion
Turkish version of PSSS is a valid and reliable measurement tool for the evaluation of the stigmatization of stroke patients by the public and for use in clinical practice.
{"title":"Public Stigma of Stroke Scale: Turkish Validity and Reliability Study","authors":"Gülcan Bahcecioglu Turan, Zülfinaz Özer, Esra Yıldız","doi":"10.1111/ijn.70003","DOIUrl":"https://doi.org/10.1111/ijn.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study was conducted to examine the validity and reliability of the Turkish version of the Public Stigma of Stroke Scale (PSSS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The stigma perceived by patients who have had stroke affects the quality of life as well as many health-related factors. Therefore, it is necessary to determine the society's stigmatization of the stroke patient and to reveal the differences related to stroke in different cultures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study is methodological research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was conducted with 410 individuals aged 18 and over. The data were collected by using descriptive information form and PSSS. The data were evaluated by using exploratory and confirmatory factor analysis, Cronbach's alpha, McDonald's Omega reliability, composite reliability, mean variance extracted and test–retest analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Factor load values of the scale items were found to vary between 0.585 and 0.904. The fit index values in the scale were found as <i>X</i><sup>2</sup>/<i>df</i> = 2.42, < 0.001, CFI = 0.934, TLI = 0.928, SRMR = 0.042 and RMSEA = 0.059. It was found that Cronbach's alpha coefficients of the factors of the scale ranged between 0.916 and 0.946, and the total Cronbach's alpha coefficient was 0.897. Total McDonald's omega coefficient was found to be 0.897, and McDonald's omega coefficients of the factors were found to be between 0.921 and 0.951. Total composite reliability was found to be 0.981, and total mean variance extracted was found to be 0.740. It was found that the Turkish version of the 33-item and four-factor scales was confirmed without any changes in the original scale form.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Turkish version of PSSS is a valid and reliable measurement tool for the evaluation of the stigmatization of stroke patients by the public and for use in clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143423726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study was conducted to determine the relationship between women's health literacy level and gynaecologic cancer prevention information.
Methods
The research design was descriptive and correlational. A sample of 264 women was recruited, and the research was conducted within the outpatient clinics of a state hospital situated in the Black Sea Region of Turkey. Data collection was carried out using the Information Form, Health Literacy Scale and Gynecological Cancer Prevention Information Scale. Prior to the study, ethical approval, institutional permission and informed consent were received. Because the data were normally distributed, t-tests and one-way ANOVA tests were used to evaluate differences between independent groups.
Results
The mean age was 41.98 ± 14.03 years. The total mean score on the Health Literacy Scale was 52.85 ± 9.81, whereas the total mean score on the Gynecologic Cancer Prevention Information Scale was 18.73 ± 7.52, both at ‘moderate’ level. A moderately positive correlation was identified between women's Health Literacy Scale score and Gynecologic Cancer Prevention Information Scale score (r = 0.320, p < 0.001). Age, education, and health literacy emerged as predictors of gynaecologic cancer prevention information in women.
Conclusions
Women's health literacy level is an important factor affecting their gynaecological cancer prevention knowledge behaviours. It is recommended that health professionals work to increase women's health literacy.
{"title":"Relationship Between Health Literacy and Knowledge About Gynaecological Cancer Prevention of Women","authors":"Fatma Aksoy, Hilal Gül Boyraz Yanık, Nülüfer Erbil","doi":"10.1111/ijn.70000","DOIUrl":"https://doi.org/10.1111/ijn.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study was conducted to determine the relationship between women's health literacy level and gynaecologic cancer prevention information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The research design was descriptive and correlational. A sample of 264 women was recruited, and the research was conducted within the outpatient clinics of a state hospital situated in the Black Sea Region of Turkey. Data collection was carried out using the Information Form, Health Literacy Scale and Gynecological Cancer Prevention Information Scale. Prior to the study, ethical approval, institutional permission and informed consent were received. Because the data were normally distributed, <i>t</i>-tests and one-way ANOVA tests were used to evaluate differences between independent groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age was 41.98 ± 14.03 years. The total mean score on the Health Literacy Scale was 52.85 ± 9.81, whereas the total mean score on the Gynecologic Cancer Prevention Information Scale was 18.73 ± 7.52, both at ‘moderate’ level. A moderately positive correlation was identified between women's Health Literacy Scale score and Gynecologic Cancer Prevention Information Scale score (<i>r</i> = 0.320, <i>p</i> < 0.001). Age, education, and health literacy emerged as predictors of gynaecologic cancer prevention information in women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Women's health literacy level is an important factor affecting their gynaecological cancer prevention knowledge behaviours. It is recommended that health professionals work to increase women's health literacy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143248708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Work environments that support patient safety initiatives are important for quality service and patient outcomes. The relationship between the leadership behaviours of nurse managers and safety culture, which has the potential to support these initiatives, constitutes one of the most important knowledge gaps.
Objectives
The study aimed to determine the relationship between nurses' perceived leadership behaviours and hospital safety culture and the factors affecting them.
Design
We tested the theoretical model using structural equation modelling with the AMOS 21 program.
Methods
The research was conducted with 134 nurses in two public hospitals in the south of Türkiye. Data were collected between October and December 2021 using the Leadership Behaviour Questionnaire and the Patient Safety Culture Hospital Questionnaire. Descriptive statistical analysis used to evaluate the data of the study. Structural equation modelling analysis and confirmatory factor analysis performed to test the research hypotheses.
Results
The study found that non-punitive attitudes towards the mistakes had a full mediating effect on overall perception of safety interaction with employee-oriented leadership and high-level hospital interventions (β = −0.510, 95% CI −1.006/−0.076), and change had partly mediating effect on overall perception of safety interaction with change-oriented leadership (β = −0.510, 95% CI −1.043/−0.053).
Conclusions
It is clear that if nurse managers are to improve the staff's patient safety culture, they should develop change-oriented leadership skills by identifying adverse events and risks and motivating staff to learn from errors without taking punitive measures. In this context, healthcare organizations should evaluate the leadership qualities of managers. Managers at all levels can make plans to develop leadership behaviours that will play a facilitating role in improving patient safety.
{"title":"Investigation of the Relationship Between Perceived Leadership Behaviours of Nurses and Hospital Safety Culture: A Study With the Structural Equation Model","authors":"Aysun Ünal, Nezaket Yıldırım, Selma Öncel","doi":"10.1111/ijn.13324","DOIUrl":"10.1111/ijn.13324","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Work environments that support patient safety initiatives are important for quality service and patient outcomes. The relationship between the leadership behaviours of nurse managers and safety culture, which has the potential to support these initiatives, constitutes one of the most important knowledge gaps.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The study aimed to determine the relationship between nurses' perceived leadership behaviours and hospital safety culture and the factors affecting them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>We tested the theoretical model using structural equation modelling with the AMOS 21 program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The research was conducted with 134 nurses in two public hospitals in the south of Türkiye. Data were collected between October and December 2021 using the Leadership Behaviour Questionnaire and the Patient Safety Culture Hospital Questionnaire. Descriptive statistical analysis used to evaluate the data of the study. Structural equation modelling analysis and confirmatory factor analysis performed to test the research hypotheses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found that non-punitive attitudes towards the mistakes had a full mediating effect on overall perception of safety interaction with employee-oriented leadership and high-level hospital interventions (β = −0.510, 95% CI −1.006/−0.076), and change had partly mediating effect on overall perception of safety interaction with change-oriented leadership (β = −0.510, 95% CI −1.043/−0.053).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It is clear that if nurse managers are to improve the staff's patient safety culture, they should develop change-oriented leadership skills by identifying adverse events and risks and motivating staff to learn from errors without taking punitive measures. In this context, healthcare organizations should evaluate the leadership qualities of managers. Managers at all levels can make plans to develop leadership behaviours that will play a facilitating role in improving patient safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Low childbirth self-efficacy is a significant indicator of vaginal birth and is closely related to adverse perinatal outcomes.
Objectives
This study aimed to evaluate factors associated with low childbirth self-efficacy for vaginal birth in high-risk pregnant women.
Methods
This descriptive study was conducted between July and December 2022 in Van, Turkey, with a total of 200 participants. Data collection instruments included a Socio-demographic Questionnaire and the Self-Efficacy Regarding Vaginal Birth (SEVB) scale. Independent t-test, chi-square test and multivariable binary logistic regression were employed for data analysis.
Results
The mean age of the participants was 27.74 ± 5.12 years, and the mean gestational age was 33.22 ± 4.28 weeks. Unplanned pregnancy status (p = 0.002), a history of caesarean section (p = 0.013), multiparity (p = 0.001), age (p < 0.01) and gestational age (p = 0.001) were associated with low childbirth self-efficacy for vaginal birth. In multivariate analysis, only age (B: 1111; 95% CI: 1038–1189; p = 0.002) and gestational age (B: 1120; 95% CI: 1034–1214; p = 0.004; and p = 0.005) were independently associated with low childbirth self-efficacy.
Conclusions
Low childbirth self-efficacy for vaginal birth was associated with higher maternal age and gestational ages. Identifying high-risk pregnant women with low childbirth self-efficacy will improve the care process for women and their newborns.
{"title":"Factors Associated With Low Childbirth Self-Efficacy for Vaginal Birth in High-Risk Pregnant Women","authors":"Yılmaz Sarıboğa, Zeynep Gürkan, Remzi Sarıkaya","doi":"10.1111/ijn.13323","DOIUrl":"10.1111/ijn.13323","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Low childbirth self-efficacy is a significant indicator of vaginal birth and is closely related to adverse perinatal outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to evaluate factors associated with low childbirth self-efficacy for vaginal birth in high-risk pregnant women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive study was conducted between July and December 2022 in Van, Turkey, with a total of 200 participants. Data collection instruments included a Socio-demographic Questionnaire and the Self-Efficacy Regarding Vaginal Birth (SEVB) scale. Independent <i>t</i>-test, chi-square test and multivariable binary logistic regression were employed for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the participants was 27.74 ± 5.12 years, and the mean gestational age was 33.22 ± 4.28 weeks. Unplanned pregnancy status (<i>p</i> = 0.002), a history of caesarean section (<i>p</i> = 0.013), multiparity (<i>p</i> = 0.001), age (<i>p</i> < 0.01) and gestational age (<i>p</i> = 0.001) were associated with low childbirth self-efficacy for vaginal birth. In multivariate analysis, only age (B: 1111; 95% CI: 1038–1189; <i>p</i> = 0.002) and gestational age (B: 1120; 95% CI: 1034–1214; <i>p</i> = 0.004; and <i>p</i> = 0.005) were independently associated with low childbirth self-efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Low childbirth self-efficacy for vaginal birth was associated with higher maternal age and gestational ages. Identifying high-risk pregnant women with low childbirth self-efficacy will improve the care process for women and their newborns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mustafa Volkan Düzgün, Cafer Özdemir, Ayşegül İşler, Ebru Karazeybek
Aim
This systematic review and meta-analysis aimed to evaluate the effect of technology-based interventions on the pain of paediatric surgery patients.
Background
Recently, the number of technology-based interventions involving multimodal nonpharmacological methods tailored to pain management in paediatric surgery patients has increased. It is crucial to determine the effectiveness of these interventions.
Design
A systematic review and meta-analysis of randomized controlled trials following Cochrane methods was conducted.
Review Methods
We performed a literature search in the Web of Science, PubMed, CINAHL, Science Direct, MEDLINE, ProQuest and Cochrane Library databases. Two independent researchers screened the literature using specific keywords and selected randomized controlled trials based on the inclusion and exclusion criteria. Each researcher extracted data and assessed the risk of bias in the randomized controlled trials using the Cochrane bias risk assessment tool.
Result
We conducted a meta-analysis on 14 randomized controlled trials included in the study. The results showed that technology-based interventions reduced pain scores in paediatric surgery patients. Cochran's Q test results pointed to a high level of heterogeneity among the randomized controlled trials.
Conclusion
A meta-analysis result of 14 randomized controlled trials showed that technology-based interventions are effective methods for reducing pain in paediatric surgery patients.
Registration Number
CRD42021226666.
目的：本系统综述和荟萃分析旨在评估基于技术的干预措施对儿科手术患者疼痛的影响。背景：最近，针对儿科手术患者疼痛管理的多模式非药物方法的技术干预数量有所增加。确定这些干预措施的有效性至关重要。设计：采用Cochrane方法对随机对照试验进行系统评价和荟萃分析。我们在Web of Science、PubMed、CINAHL、Science Direct、MEDLINE、ProQuest和Cochrane Library数据库中进行了文献检索。两名独立研究人员使用特定关键词筛选文献，并根据纳入和排除标准选择随机对照试验。每位研究人员提取数据并使用Cochrane偏倚风险评估工具评估随机对照试验的偏倚风险。结果：我们对纳入研究的14项随机对照试验进行meta分析。结果显示，以技术为基础的干预措施降低了儿科手术患者的疼痛评分。科克伦的Q检验结果指出，在随机对照试验中存在高度的异质性。结论：14项随机对照试验的荟萃分析结果表明，基于技术的干预措施是减轻儿科手术患者疼痛的有效方法。注册号：CRD42021226666。
{"title":"Technology-Based Interventions for Pain in Children Undergoing Surgery: A Systematic Review and Meta-Analysis","authors":"Mustafa Volkan Düzgün, Cafer Özdemir, Ayşegül İşler, Ebru Karazeybek","doi":"10.1111/ijn.13322","DOIUrl":"10.1111/ijn.13322","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This systematic review and meta-analysis aimed to evaluate the effect of technology-based interventions on the pain of paediatric surgery patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Recently, the number of technology-based interventions involving multimodal nonpharmacological methods tailored to pain management in paediatric surgery patients has increased. It is crucial to determine the effectiveness of these interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review and meta-analysis of randomized controlled trials following Cochrane methods was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>We performed a literature search in the Web of Science, PubMed, CINAHL, Science Direct, MEDLINE, ProQuest and Cochrane Library databases. Two independent researchers screened the literature using specific keywords and selected randomized controlled trials based on the inclusion and exclusion criteria. Each researcher extracted data and assessed the risk of bias in the randomized controlled trials using the Cochrane bias risk assessment tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>We conducted a meta-analysis on 14 randomized controlled trials included in the study. The results showed that technology-based interventions reduced pain scores in paediatric surgery patients. Cochran's <i>Q</i> test results pointed to a high level of heterogeneity among the randomized controlled trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A meta-analysis result of 14 randomized controlled trials showed that technology-based interventions are effective methods for reducing pain in paediatric surgery patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Registration Number</h3>\u0000 \u0000 <p>CRD42021226666.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aim of this study was to adapt the Maternal Ambivalence Scale (MAS) to Turkish culture and to conduct validity and reliability studies.
Design
The sample of the methodological type consisted of women (n = 302) who applied to the outpatient clinics of a university hospital in the north of Türkiye.
Methods
The data of the study were collected with the Personal Information Form, Depression Anxiety Stress Scale-21 and MAS. Explanatory and confirmatory factor analysis was used to analyse the data, and Cronbach's alpha coefficient and item-total correlation were used to analyse internal consistency.
Results
Language validity of the scales was ensured by the translation–back-translation method and content validity according to expert opinions. It was found that MAS consists of three sub-dimensions as the original structure, factor loadings are above 0.30 and the explained variance is 55.219%. It was found that the fit index values of the scale were x2/SD value 2.74, CFI 0.895, RMSA 0.0761 and SRMR 0.0679 and the model was acceptable. Cronbach's alpha reliability coefficient of MAS was found to be 0.824, and the mean score was 23.04 ± 6.96.
Conclusion
It was determined that Turkish MAS is valid and reliable measurement tool.
{"title":"Validity and Reliability of the Turkish Version of the Maternal Ambivalence Scale","authors":"Nülüfer Erbil, Hilal Gül Boyraz Yanık","doi":"10.1111/ijn.13319","DOIUrl":"10.1111/ijn.13319","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to adapt the Maternal Ambivalence Scale (MAS) to Turkish culture and to conduct validity and reliability studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The sample of the methodological type consisted of women (<i>n</i> = 302) who applied to the outpatient clinics of a university hospital in the north of Türkiye.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The data of the study were collected with the Personal Information Form, Depression Anxiety Stress Scale-21 and MAS. Explanatory and confirmatory factor analysis was used to analyse the data, and Cronbach's alpha coefficient and item-total correlation were used to analyse internal consistency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Language validity of the scales was ensured by the translation–back-translation method and content validity according to expert opinions. It was found that MAS consists of three sub-dimensions as the original structure, factor loadings are above 0.30 and the explained variance is 55.219%. It was found that the fit index values of the scale were x2/SD value 2.74, CFI 0.895, RMSA 0.0761 and SRMR 0.0679 and the model was acceptable. Cronbach's alpha reliability coefficient of MAS was found to be 0.824, and the mean score was 23.04 ± 6.96.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was determined that Turkish MAS is valid and reliable measurement tool.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Self-management is the intrinsically controlled ability of an active, responsible, informed and autonomous individual to live with the medical, role and emotional consequences of his chronic conditions in partnership with his social network and the healthcare providers. This study evaluated the self-management behaviours of patients with rheumatoid arthritis and assess the association between health beliefs and self-management behaviours.
Methods
This cross-sectional study investigated 269 rheumatoid arthritis patients' self-management behaviours using the Self-Care Behaviours Scale with a score of 0–4 for each item and a total score of 0–100 points, and health beliefs using the Arthritis Health Belief Inventory with a score of 1–5 for each item and a total score of 0–165 points. Structural equation modelling with maximum likelihood method was used to explore the mediating effect of health beliefs.
Results
The patients' mean score for self-management behaviours was at the intermediate level (2.49 ± 0.60). Sex, marital status, per capita monthly income, payment of medical expenses, social status, disease staging, duration of morning stiffness, joint pain score, treatment, receiving health education, perceived severity, perceived benefits, cue to action and health motivation were significant predictors of the average score of self-management behaviour of the rheumatoid arthritis patients. Perceived severity, perceived benefits, cues to action and health motivation directly affected self-management behaviours; perceived severity influenced self-management behaviours through the mediating effect of cues to action; and health motivation affected self-management behaviours through the chain mediating effect of perceived benefits and cues to action.
Conclusion
Self-management behaviour of rheumatoid arthritis patients was at a moderate level, and health beliefs can effectively explain the differences in self-management behaviour scores. Health providers should pay attention to patients with different sociodemographic characteristics and disease-related characteristics, evaluate their health belief level, and develop targeted intervention measures to further improve patients' self-management behaviour level and improve their disease prognosis.
{"title":"Self-Management Behaviours in Rheumatoid Arthritis Patients: What Role Do Health Beliefs Play?","authors":"Huiling Hu, Anqi Xu, Zhenqing Wang, Chao Gao, Xue Wu","doi":"10.1111/ijn.13320","DOIUrl":"10.1111/ijn.13320","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Self-management is the intrinsically controlled ability of an active, responsible, informed and autonomous individual to live with the medical, role and emotional consequences of his chronic conditions in partnership with his social network and the healthcare providers. This study evaluated the self-management behaviours of patients with rheumatoid arthritis and assess the association between health beliefs and self-management behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study investigated 269 rheumatoid arthritis patients' self-management behaviours using the Self-Care Behaviours Scale with a score of 0–4 for each item and a total score of 0–100 points, and health beliefs using the Arthritis Health Belief Inventory with a score of 1–5 for each item and a total score of 0–165 points. Structural equation modelling with maximum likelihood method was used to explore the mediating effect of health beliefs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The patients' mean score for self-management behaviours was at the intermediate level (2.49 ± 0.60). Sex, marital status, per capita monthly income, payment of medical expenses, social status, disease staging, duration of morning stiffness, joint pain score, treatment, receiving health education, perceived severity, perceived benefits, cue to action and health motivation were significant predictors of the average score of self-management behaviour of the rheumatoid arthritis patients. Perceived severity, perceived benefits, cues to action and health motivation directly affected self-management behaviours; perceived severity influenced self-management behaviours through the mediating effect of cues to action; and health motivation affected self-management behaviours through the chain mediating effect of perceived benefits and cues to action.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Self-management behaviour of rheumatoid arthritis patients was at a moderate level, and health beliefs can effectively explain the differences in self-management behaviour scores. Health providers should pay attention to patients with different sociodemographic characteristics and disease-related characteristics, evaluate their health belief level, and develop targeted intervention measures to further improve patients' self-management behaviour level and improve their disease prognosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To identify, appraise and synthesize current evidence on different sensory-based interventions on delirium prevention in critically ill patients.
Data Sources
A comprehensive electronic literature search was performed in the PubMed, Embase, Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, China Biology Medicine, China National Knowledge Infrastructure, Wanfang and WeiPu databases from inception to 2 June 2022. The data were updated on 24 December 2022. The study was registered on PROSPERO (CRD 42021254328).
Review Methods
Randomized controlled trials were included. Participants in the included studies were critically ill patients aged 18 years or older, and the interventions involved care by sensory-based intervention. And the outcome was the incidence of delirium rated by the Confusion Assessment Method for the ICU Tool.
Results
The 14 studies included in the systematic review indicated a reduction in the effectiveness of sensory-based intervention on the incidence of delirium. Subgroup analyses showed significant effects for auditory stimulation (OR, 0.46; 95% confidence interval [CI], 0.27–0.79; p = 0.005) and tactile stimulation (OR, 0.53; 95% CI, 0.33–0.87; p = 0.01) but not for the effectiveness of visual intervention on the incidence of delirium (OR, 0.71; 95% CI, 0.38–1.30; p = 0.27).
Conclusions
Sensory-based interventions significantly reduce the incidence of delirium in critical patients. It is suggested that when choosing sensory-based interventions, auditory intervention should be preferred.
{"title":"Effects of Sensory-Based Interventions on Delirium Prevention in Critically Ill Patients: A Systematic Review and Meta-Analysis","authors":"Chenli Xu, Yan Zhang, Dajiang Yuan, Cuiling Wang, Xiaoru Wang, Xiaojuan Liang, Junli Wang, Junfang Duan","doi":"10.1111/ijn.13321","DOIUrl":"10.1111/ijn.13321","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify, appraise and synthesize current evidence on different sensory-based interventions on delirium prevention in critically ill patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>A comprehensive electronic literature search was performed in the PubMed, Embase, Cumulative Index of Nursing and Allied Health Literature, Cochrane Library, China Biology Medicine, China National Knowledge Infrastructure, Wanfang and WeiPu databases from inception to 2 June 2022. The data were updated on 24 December 2022. The study was registered on PROSPERO (CRD 42021254328).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>Randomized controlled trials were included. Participants in the included studies were critically ill patients aged 18 years or older, and the interventions involved care by sensory-based intervention. And the outcome was the incidence of delirium rated by the Confusion Assessment Method for the ICU Tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 14 studies included in the systematic review indicated a reduction in the effectiveness of sensory-based intervention on the incidence of delirium. Subgroup analyses showed significant effects for auditory stimulation (OR, 0.46; 95% confidence interval [CI], 0.27–0.79; <i>p</i> = 0.005) and tactile stimulation (OR, 0.53; 95% CI, 0.33–0.87; <i>p</i> = 0.01) but not for the effectiveness of visual intervention on the incidence of delirium (OR, 0.71; 95% CI, 0.38–1.30; <i>p</i> = 0.27).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Sensory-based interventions significantly reduce the incidence of delirium in critical patients. It is suggested that when choosing sensory-based interventions, auditory intervention should be preferred.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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