International Journal of Nursing Practice最新文献

Aim

The aim of the present study is to evaluate the psychometric properties and factor structure of the Quality in Psychiatric Care–Outpatient Staff (QPC–OPS) instrument and briefly describe the staff's views on the quality of care provided in general outpatient clinics as well as demographic and clinical factors associated with quality of care.

Method

The study employed a cross-sectional design to conduct a psychometric evaluation and survey of staff perspectives. A sample of 143 permanently employed members of staff in multiprofessional teams at 15 outpatient clinics in Sweden completed the QPC–OPS, which consists of 30 items covering eight dimensions of quality of care.

Results

The QPC-OPS exhibited excellent psychometric properties, with a total alpha coefficient of 0.94, a test–retest reliability of 0.96 and a goodness-of-fit measure for the proposed model with a RMSEA value of 0.048. The staff's rating was generally high. Ratings were highest for Encounter and lowest for Accessibility. Staff who rated their own mental health as higher rated quality of care higher in most of the dimensions.

Conclusion

The Swedish QPC–OPS showed excellent psychometric properties and is a useful, inexpensive and simple way to evaluate the quality of care in outpatient care and contributes to health care improvement in the field of psychiatric care. The low quality of the dimension of Accessibility indicates an important area for improvement.

Aim

The aim of this study was to examine the effect of a nurse-led self-management program on psychomotor vigilance and sleep of nurses working on the night shift.

Background

Psychomotor performance and sleep quality of nurses working night shifts deteriorate due to disruption in the sleep–wake cycle. This situation negatively affects employee health and patient safety due to errors in medical practices.

Methods

This randomised controlled trial was conducted between October 2021 and April 2022. The study sample consisted of 52 nurses. Within the scope of the nurse-led self-management program, the nurses in the experimental group underwent an 8-week intervention that included health training, incentives, individual consultancy and reminders. Data were collected before the intervention, after the intervention and at the third month using the Descriptive Characteristics Form, Psychomotor Vigilance Test, Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS).

Results

After an 8-week intervention, there was a statistically significant decrease in the mean number of lapses, PSQI total and subjective sleep quality, sleep duration, sleep latency, daytime dysfunction subscale scores and ESS total scores in the intervention group compared to the control group.

Conclusions

Nurse-led self-management program can improve the psychomotor performance and sleep of nurses working night shifts.

Trial Registration

The study protocol has been registered at ClinicalTrials.gov (Identifier Code: NCT05185466; January 2021).

Aim

To evaluate the evidence for implementation strategies for evidence-based diabetic foot ulcer care in healthcare settings.

Background

Evidence-based practice in diabetic foot ulcer care improves healing rates and reduces complications. However, facilitating the uptake of evidence-based practice is challenging. To overcome this, a number of different strategies are used. However, there is little literature to support which strategies are effective in implementing evidence-based practice in diabetic foot ulcer care in healthcare settings.

Method

A systematic search was undertaken of Medline, PubMed, CINAHL, Cochrane Library databases, APA Psych INFO, Health & Medical Collection, India Database, Nursing & Allied Health Database and Google Scholar from 24 March 2010 to 01 May 2023.

Original, English language, peer-reviewed research articles and systematic reviews that relate to the implementation of diabetic foot ulcer care in any healthcare settings with healthcare professionals were included in the review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-P) 2015 guided the reporting of this review.

Results

A total of 42 articles were included in the final analysis. Implementation strategies such as educational workshops, educational resources, creating champions, audit and feedback, reminders, creating networks and tools were determined to support the implementation of evidence-based strategies for diabetic foot ulcer care.

Conclusions

The use of multiple implementation strategies aids in the successful implementation of evidence-based diabetic foot ulcer care in healthcare settings.

Background

Chinese nursing students face mental health challenges, with mindfulness-based interventions (MBI) commonly utilized to mitigate these issues. Neurofeedback-assisted MBI (NF-MBI) might be a promising alternative.

Aim

The study aims to explore the short- and long-term effectiveness of the NF-MBI and MBI in improving mental well-being among Chinese nursing students.

Methods

This three-armed randomized controlled trial included 147 nursing students in Beijing, China. MBI and NF-MBI groups completed a 6-week online MBI, with NF-MBI adding electroencephalogram-based neurofeedback. Controls received general mental education. Mental health was evaluated four times at baseline and post-intervention. Latent growth curve modeling was used to evaluate intervention effects.

Results

In the short term, the NF-MBI group exhibited decreased depression symptoms, anxiety symptoms, fatigue, and increased mindfulness. The MBI group showed increased mindfulness and decreased fatigue compared with the control group. In the long term, the MBI group showed increased depression symptoms, anxiety symptoms and fatigue. The NF-MBI group observed decreased mindfulness compared with the control group.

Conclusions

NF-MBI and MBI can effectively improve the mental health of nursing students in China, with NF-MBI performing better in certain indicators. Tailored interventions should be implemented to enhance their mental well-being.

Trial Registration

This study has been registered on the Chinese Clinical Trial Registry (ID: ChiCTR2400080314).

Aim

This study explored factors influencing the coping strategies of mothers of high-risk newborns using Lazarus and Folkman's stress appraisal coping model.

Background

Mothers' coping strategies impact both their well-being and their infants' development. Identification of key influencing factors is crucial for effective interventions.

Design

This was a single-centre, descriptive, cross-sectional study.

Methods

A total of 141 mothers of high-risk newborns admitted to the neonatal intensive care unit in South Korea participated in this study. Data were collected from August 2023 to January 2024 using structured questionnaires. Linear regression analysis was conducted to examine the influence of perceived stress and nursing support on coping strategies.

Results

Mothers with higher education levels and those with more sources of social support were more likely to use adaptive coping strategies, suggesting that access to knowledge and emotional support may facilitate effective stress management. Conversely, stress related to parental role alteration was associated with a higher likelihood of using maladaptive coping strategies, while informational nursing support appeared to mitigate this tendency.

Conclusion

Nurses can support coping by providing clear information about the newborn's condition. Additionally, providing opportunities for mothers to actively participate in newborn care may serve as an effective strategy to enhance adaptive coping strategies.

Background

Point-of-care ultrasound (POCUS) is used to verify the position of the nasogastric tube as an alternative to conventional methods.

Aim

This study aims to determine the diagnostic accuracy of POCUS in detecting nasogastric tube placement in emergency patients.

Methods

This was a prospective diagnostic accuracy study conducted at an emergency department between August and November 2021. We included 72 consecutively recruited patients aged 18 years and older who were planned for nasogastric tube insertion. The index and reference tests were ultrasound and chest X-ray, respectively. Nasogastric tube placement was detected by ultrasound and X-ray methods in all patients. Sensitivity, specificity and predictive values were calculated.

Results

Seventy-two patients (mean age: 69.49 ± 13.75, 55.6% male) were included. According to neck and gastric ultrasound, 58 nasogastric tubes (80.6%) could be detected. When POCUS was compared to X-rays, 56 (84.9%) were true positive and two (33.3%) were false positive. Fourteen nasogastric tubes (19.4%) could not be detected. When POCUS was compared to X-rays, four (66.7%) were true negative and 10 (15.1%) were false negative. A combination of neck and gastric ultrasound had a sensitivity of 84.84% (95% CI, 73.9%–92.49%), a specificity of 66.6% (95% CI, 22.28%–95.67%), a positive predictive value of 96.55% (95% CI, 89.99%–98.87%) and a negative predictive value of 28.57% (95% CI, 15.19%–47.19%). The percentage agreement was high (0.83%), and Gwet's AC1 statistic rated as moderate (AC1 = 0.46).

Conclusion

POCUS can be used as a diagnostic tool in detecting nasogastric tube placement in the stomach but should be confirmed with a chest X-ray in patients with a negative ultrasound result.

Background

Preoperative anxiety and postoperative complications significantly impact recovery among orthopaedic surgery patients. Nursing interventions, including education, psychological support and physical care, have shown potential in improving surgical outcomes. This review evaluated the effectiveness of nursing interventions in reducing anxiety, pain and postoperative complications among patients undergoing orthopaedic surgeries.

Methods

A comprehensive search was conducted across PubMed, CINAHL, EMBASE, Cochrane Library and Scopus, resulting in the inclusion of 59 studies. Outcomes assessed were preoperative anxiety (eight studies), postoperative anxiety (nine studies), pain (16 studies), surgical site infections (36 studies), poor incision healing (three studies) and deep vein thrombosis (two studies). Standardized mean differences (SMD) and odds ratios (OR) were pooled using random-effects models. Heterogeneity was assessed using I² and tau², and sensitivity analyses were performed.

Results

Nursing interventions showed no significant effect on preoperative anxiety (SMD −0.301; p = 0.082), postoperative anxiety (SMD −0.408; p = 0.137) or postoperative pain (SMD −0.203; p = 0.325). However, significant reductions were observed for surgical site infections (OR 1.122; p < 0.001), poor incision healing (OR 0.381; p = 0.012) and DVT (OR 0.132; p = 0.020). Heterogeneity was high for anxiety and pain outcomes but minimal for infections and healing. Sensitivity analyses confirmed the robustness of results.

Conclusion

Nursing interventions significantly reduce surgical site infections, poor incision healing and DVT, underscoring their role in perioperative care. However, their impact on anxiety and pain remains inconclusive, warranting further research. Standardized intervention protocols and targeted studies are needed to optimize nursing care in orthopaedic surgery.

Aim

This study aimed to evaluate the effectiveness of nurse-led self-management interventions on self-management behaviours and self-efficacy in individuals with type 2 diabetes mellitus.

Design

Systematic review and meta-analysis.

Data Sources

Sinomed, Wang Fang, The VIP Database, CNKI, PubMed, Embase, Web of Science, CENTRAL, CINAHL and Medline. The search period was from the establishment of the databases to 20 March 2024.

Methods

Electronic databases were searched to identify studies on the effects of nurse-led interventions on self-management behaviours and self-efficacy in people living with type 2 diabetes mellitus. Two researchers independently screened, extracted and analysed the literature using RevMan 5.4.1.

Results

A total of 21 articles were reviewed. The meta-analysis revealed that nurse-led interventions significantly improved self-management behaviours and self-efficacy in persons with type 2 diabetes mellitus. Subgroup analyses revealed that the intelligent intervention (remote interventions using an app, WeChat or other online measures) had the most substantial effect on the self-management behaviours in this population. Additionally, a 3-month intervention duration was found to be optimal for enhancing self-management behaviours in persons with type 2 diabetes. The self-management education intervention had the most significant impact on improving self-efficacy in people diagnosed with type 2 diabetes, with a 3-month duration also proving optimal for enhancing self-efficacy in people diagnosed with type 2 diabetes.

Conclusion

Nurse-led self-management interventions positively affect individuals with type 2 diabetes mellitus.

Aim

This study aimed to determine the effects of a virtual reality game or autogenic relaxation on pruritus, anxiety and dermatological quality of life in patients undergoing haemodialysis.

Background

Pruritus is a prevalent and disturbing symptom in patients with chronic kidney disease that causes a scratching behaviour with a vicious itch-scratch cycle.

Design

This is a randomized controlled study.

Methods

The study was conducted with 47 participants at two haemodialysis centres between December 2021 and February 2022. The participants in the intervention group were informed about virtual reality games (n: 15) or autogenic relaxation (n: 16). Data collection was performed face-to-face with the 5-D Itch Scale, State and Trait Anxiety Inventory and Dermatology Quality of Life Index in the first and third haemodialysis sessions in the first week and in the last sessions of the fifth and seventh weeks.

Results

Scores of both intervention groups for the 5-D Itch Scale and State–Trait Anxiety scores decreased significantly in the fifth and seventh weeks, and Dermatology Quality of Life Index scores decreased significantly in the fifth week compared to the control group.

Conclusion

Both virtual reality games and autogenic relaxation interventions, undertaken 1 day before haemodialysis sessions, reduce pruritus and anxiety symptoms and increase dermatologic quality of life.

Trial Registration

This study was registered in the Clinical Trials protocol registry system (ClinicalTrials.gov identifier: NCT04289038).

Aim

This meta-analysis examines the effectiveness of nursing interventions on various outcomes, including mortality, postoperative complications, quality of life (QoL), anxiety, depression and pain in HCC patients undergoing surgery.

Background

Hepatocellular carcinoma (HCC) is a prevalent liver malignancy often requiring surgical intervention. Postoperative outcomes in HCC patients are heavily influenced by perioperative management, with nursing interventions playing a critical role in improving recovery, minimizing complications and enhancing QoL.

Design

Systematic review and meta-analysis.

Review Methods

This review was conducted following PRISMA guidelines, evaluating studies on nursing interventions in surgical HCC patients. Databases were searched for studies reporting clinical and psychological outcomes, with eligible studies pooled using random-effects models. Heterogeneity, sensitivity analyses and publication bias assessments were performed to ensure robustness.

Result

Twenty-seven studies were analysed. Nursing interventions significantly reduced postoperative complications (OR 0.23; 95% CI: 0.17–0.31) and shortened hospital stay (WMD −5.92 days; 95% CI: −7.76 to −4.08). Additionally, significant improvements were observed in QoL (SMD 2.00; 95% CI: 0.74–3.27), anxiety (SMD −3.42; 95% CI: −5.95 to −0.89) and depression (SMD −3.70; 95% CI: −6.52 to −0.88). Pain levels were significantly reduced (WMD −2.02; 95% CI: −3.03 to −1.02), while nursing satisfaction was enhanced (OR 4.80; 95% CI: 2.42–9.51). Mortality did not show significant differences between groups.

Conclusion

Nursing interventions significantly enhance postoperative outcomes in HCC patients by reducing complications, improving QoL and alleviating psychological distress. These findings support integrating comprehensive nursing protocols into postoperative HCC care, emphasizing both physical and mental health.