International Journal of Nursing Practice最新文献

Purpose

This study aimed to determine the effect of progressive muscle relaxation on disease activity, anxiety, sleep quality and quality of life in patients with ulcerative colitis.

Method

This randomised, assessor-blinded, three-arm study was conducted in a university hospital in western Turkey between February and December 2022. Sixty patients were randomly assigned to three groups of 20: a progressive muscle relaxation group, a relaxing music group and a standard care group. The intervention groups received their respective therapies for 8 weeks, while the standard care group received routine treatment. Data were collected using instruments measuring disease activity, anxiety, sleep quality and quality of life. Repeated-measures ANOVA was used for comparisons.

Findings

There were improvements in the quality of life, anxiety and sleep quality in the progressive muscle relaxation group compared to the relaxing music and standard care groups. Although disease activity was evaluated, no statistically significant differences were observed between the groups.

Conclusion

Progressive muscle relaxation, an affordable and easily applicable method, was found to be an effective nursing intervention for improving psychological and functional outcomes in patients with ulcerative colitis.

Background

Trauma-informed care is recommended in healthcare settings. However, the understanding of its effects on nurses' well-being, including secondary trauma, burnout and posttraumatic growth, remains lacking.

Objective

This study aimed to investigate the hypothesis that trauma-informed care is associated with nurses' negative outcomes, including secondary traumatic stress and burnout, and positive outcomes, including posttraumatic growth.

Design

This is a cross-sectional study.

Methods

This study randomly recruited 291 nurses from two tertiary hospitals in Saudi Arabia. The online survey was sent to nurses in different clinical settings. Structural equation modelling analysis and confirmatory factor analysis were conducted to evaluate the hypothesised model.

Results

The study revealed that trauma-informed care exhibited a significant negative association with secondary trauma (β = −0.351, p < 0.0001) and burnout (β = −0.535, p < 0.0001) and a positive association with posttraumatic growth (β = 0.281, p < 0.0001). Further, trauma-informed care is indirectly associated with posttraumatic growth through the mediation of burnout (β = 0.265, p < 0.0001) and secondary traumatic stress (β = −0.103, p = 0.003).

Conclusions

The study provides evidence that trauma-informed care is significantly associated with nurses' outcomes, including reducing secondary trauma and burnout and promoting posttraumatic growth. Therefore, implementing trauma-informed care training and integrating its principles into daily nursing practice may have a positive effect on nurses.

Background

Flipped learning and escape room (gamification) are among the innovative teaching strategies frequently used in interactive education methods today, focusing on problem-solving learning. These methods are important in promoting achievement by taking responsibility for learning.

Objectives

The study aimed to evaluate the effect of flipped learning and the escape room method on nursing students' knowledge and skill learning about infection control.

Materials and Methods

The study was a randomized controlled trial with open-label pretest-posttest. The research was conducted with 76 students in the experimental and control groups. In the study, while the experimental group students were taught using the flipped learning method, which is an effective way of learning outside the classroom, their learning was reinforced with gamification using the escape room method. These teaching methods also encouraged students to take responsibility for their own learning. Data were collected by administering the ‘Characteristics Form for the Student Group’, the ‘Knowledge Test on Infection Control Measures’ and the ‘Self-Directed Learning Skills Scale’.

Results

The post-test and follow-up test knowledge scores of the experimental group are statistically significantly higher than those of the control group (p < 0.001), and the difference has a high effect (d = 4.15). When the total score and all sub-dimensions of the Self-Directed Learning Skills Scale were analysed, a significant increase was found between the pretest and posttest scores of the experimental group compared with the control group (p = 0.003; p = 0.023; p = 0.023; p = 0.001; p = 0.049; p = 0.033; p < 0.05).

Conclusion

The study showed that flipped learning and escape room methods significantly improved nursing students' knowledge and skills related to infection control. Students' self-learning ability, taking responsibility and teamwork skills were strengthened.

Trial Registration: ClinicalTrials.gov identifier: NCT06670469.

Background

The nursing contribution to patient safety is often linked to their proximity to patients and ability to intervene when quality of care is compromised. However, the quality of nursing care provided also directly contributes to patient outcomes and is associated with increased rates of healthcare-associated infections.

Aim

This study aimed to measure and compare nurses' perceptions of the frequency of and reasons for missed IPC practices in their workplaces and to examine nurses' perceptions of their ability to conduct IPC activities and their hospital capacity to support them.

Methods

This study used a cross-sectional online survey of nurses in acute general hospitals (n = 113) using the Missed Nursing Care Infection Prevention and Control (MNCIPC) instrument (March 21–May 26, 2022). Study reportage was informed by the STROBE guidelines.

Results

Care activities relating to hand hygiene and minimisation of hospital-acquired infections were identified as the most frequently missed infection prevention and control practices. Factors that hindered best practice occurred at systemic (staffing/resources) and environmental (patient room overcrowding/bathroom sharing) levels.

Conclusion

Best practice infection prevention and control care is hampered by factors outside of individual nurse control. Unit-specific infection prevention and control training, including support staff, is recommended to help prevent hospital-acquired infections.

Aims

The aim of this study was to evaluate the cross-cultural adaptation and examine the psychometric properties of the Indonesian version of the 35-item Nurse Professional Competence Scale Short Version (NPC Scale SV).

Method

This descriptive cross-sectional study involved translation, cross-cultural adaptation and evaluation of psychometric properties. Data were collected from 352 registered nurses (RNs) working in various healthcare settings across Indonesia. The NPC Scale SV was translated into Bahasa Indonesia. Preliminary psychometric testing was conducted with content validation using an expert panel and pilot testing. Psychometric testing included confirmatory factor analysis (CFA), construct reliability, and finally the Model Fit.

Results

The 35-item Bahasa Indonesia version (NPC Scale SV-INA) demonstrated six domains evident from the CFA. This was confirmed with fit indices: CMIN/df 1.346; GFI 0.914; NFI 0.967; TLI 0.989; CFI 0.991; and RMSEA 0.031. Factor loadings in each domain were more than 0.5 and showed good construct reliability (> 0.7).

Conclusion

The NPC Scale SV-INA has been tested among RNs across Indonesia and evaluated from a cultural perspective.

Aim

The objective of this study was to determine the effectiveness of various interventions—including educational programmes, counselling, mobile applications, peer support and home visits—on improving breastfeeding self-efficacy, breastfeeding success and infant-feeding attitudes in pregnant and postpartum women.

Method

The literature review for this systematic review was conducted between September and October 2024 by searching four electronic databases. Studies related to ‘in vivo’ were identified using MeSH-based keywords. Only Randomized Controlled Trials (RCTs) published within the last decade were eligible for inclusion in the review.

Result

The analysis was conducted with 3677 women and a total of 26 studies. Subgroup analysis showed no significant difference in breastfeeding self-efficacy before the intervention (MD: −0.53, 95% CI: −1.43 to 0.38, p = 0.25), while a significant increase was observed after the intervention (MD: 53.53, 95% CI: 29.34 to 77.72, p < 0.0001). Breastfeeding success also improved significantly postintervention (MD: 1.22, 95% CI: 0.52 to 1.92, p = 0.0007). No significant change was found in infant-feeding attitudes (SMD: 0.01, 95% CI: −0.18 to 0.16, p = 0.47). Postnatal interventions were significantly more effective than antenatal ones in increasing breastfeeding self-efficacy (MD: 53.53, 95% CI: 29.34 to 77.72, p < 0.0001).

Conclusion

Subgroup analyses demonstrated that interventions significantly increased breastfeeding self-efficacy and success, particularly when delivered in the postnatal period. Antenatal interventions were not found to be effective. These findings highlight the importance of the timing of maternal support, suggesting that postnatal interventions are more beneficial in improving breastfeeding-related outcomes.

Aims

The purpose of this study is to determine the relationship between organizational support, work–family conflict and occupational well-being in nurses.

Background

The sensitivities and problems in the nursing profession may lead to conflicts between work and family. The available solution to moderate this conflict is the organizational support available in hospitals, which can ultimately lead to job well-being in the nurses' work environments.

Methods

In this cross-sectional study, 291 nurses from four hospitals in the Iranian province of East Mazandaran were interviewed between November and January 2022 using the well-being at work scale (WBWS), the work–family conflict scale, the family–work conflict scale and the perceived organizational support (POS) questionnaire. Descriptive analysis, independent t-tests, analysis of variance, and linear regression were performed for data analysis.

Results

The overall mean scores of nurses' organizational support, work–family conflict, and occupational well-being were 16.70 ± 5.10, 29.62 ± 7.6 and 75.22 ± 17.81, respectively. In addition, organizational support was negatively correlated with work–family conflict (B = −0.25, p < 0.003), and by increasing one score of organizational support, the conflict score decreased by 0.25. Organizational support was positively correlated with occupational well-being (B = 0.81, p < 0.001).

Conclusion

Employees who are supported by their organization are more likely to experience higher levels of well-being, which may reduce conflict in both the home and the workplace. These findings are valuable to hospitals because they can improve the quality of care provided by nurses.

Aim

The aim of this study is to develop and compare machine learning algorithms for hypertension prediction in low-income populations, with emphasis on model interpretability for nursing implementation in resource-limited settings.

Methods

This retrospective cross-sectional study analysed data from seven iterations of NHANES (2005–2018) focusing on low-income populations. After LASSO regression identified eight key predictors, eight machine learning models were developed and evaluated using ROC curves, calibration plots and decision curve analysis, with SHAP methodology applied for interpretation.

Results

Among 12 506 participants, 39.96% had hypertension. Logistic regression and neural networks both achieved the highest discriminative ability (AUC = 0.853). SHAP analysis identified age as the most influential predictor, followed by waist circumference and diabetes status. A clinical nomogram with three-tier risk stratification (< 30%, 30%–60% and > 60%) was developed for nursing assessment.

Conclusion

Neural network models with SHAP interpretation achieved optimal hypertension prediction (AUC = 0.853) while maintaining clinical transparency essential for nursing practice. The resulting nurse-accessible nomogram with a visual scoring system supports evidence-based screening in low-income populations, pending external validation in clinical settings.

Aim

This study aims to adapt the ‘Hemodialysis Self-Management Instrument (HDSMI-18)’ to Turkish culture, and evaluate its psychometric properties.

Background

Self-management plays a critical role in improving patients' adherence to treatment and quality of life; however, self-management assessment tools specific to haemodialysis patients are limited.

Design

The research employed a methodological design.

Methods

The data were collected with a total of 200 haemodialysis patients receiving haemodialysis treatment between 15 July and 15 August 2024. Content Validity Index, Exploratory and Confirmatory Factor Analyses, Cronbach's alpha, Test–retest reliability and item-total score correlation were used in data analysis.

Results

The original HDSMI-18 consists of 18 items and four subdimensions (partnership, self-care, problem-solving, emotional management). However, the Turkish version of HDSMI-18 (HDSMI) comprises 17 items and introduces an additional fifth subdimension, ‘self-control’, alongside the four original subdimensions. The five-factor structure of the HDSMI demonstrated acceptable internal consistency and reliability. The scale's overall Cronbach's α coefficient was determined to be 0.77, with subscale coefficients ranging from 0.63 to 0.83.

Conclusion

The HDSMI is a valid and reliable tool for assessing self-management behaviours among haemodialysis patients in the Turkish population.

Aims

This study aimed to develop and evaluate the psychometric properties of a clinic-based instrument to assess pregnant individuals' adaptation to pregnancy.

Background

Pregnancy is a multifaceted experience involving physical transformations, psychological adjustments and social role changes, all of which require varying degrees of adaptation. Existing tools often focus narrowly on stress or psychological symptoms and may not fully capture the multidimensional nature of pregnancy adaptation.

Design

Instrument development and validation were conducted in three stages: generation, scale development and psychometric evaluation.

Methods

A cross-sectional study was conducted using convenience sampling. Four hundred thirty-four pregnant individuals were recruited and randomly assigned to exploratory factor analysis (n = 222) or confirmatory factor analysis (n = 212). The 15-item pool was refined to a nine-item scale.

Results

The final Healthy Adaptation to Pregnancy (HAP) scale comprised three factors: acceptance of pregnancy, coping with physical changes and mindfulness of pregnancy health, which explained 56.2% of the total variance. The scale demonstrated acceptable internal consistency and construct validity.

Conclusions

The HAP scale fills a critical gap in existing measures by providing a concise, multidimensional tool for evaluating adaptation to pregnancy. Its brief format and sound psychometric properties make it a valuable addition to prenatal care screening protocols.