International Journal of Nursing Practice最新文献

Background

Asthma is a prevalent chronic condition among children, significantly impacting their quality of life and imposing a burden on healthcare systems. Nursing interventions, encompassing education, care coordination and symptom management, are increasingly recognized as critical components of paediatric asthma care. This meta-analysis aims to evaluate the effectiveness of nursing interventions on various asthma-related outcomes.

Methods

A comprehensive search of PubMed, CINAHL, EMBASE, Cochrane Library, Scopus and Web of Science was conducted, identifying 35 studies involving over 6394 participants. Outcomes included asthma control, emergency department (ED) visits, hospitalizations, quality of life (QoL), acute asthma attacks, correct inhaler usage, medication adherence and symptom frequency. Random-effects models were used for pooling standardized mean differences (SMDs) and odds ratios (ORs), with heterogeneity assessed using I² and τ².

Results

Nursing interventions significantly reduced ED visits (SMD −1.741; OR 0.450) and hospitalizations (OR 0.378), improved QoL (SMD 1.013), reduced acute asthma attacks (SMD −2.149) and enhanced inhaler usage (SMD 1.254). Significant reductions in daytime and nighttime symptoms were observed (SMD −1.700 and −0.610, respectively). However, effects on asthma control (SMD 0.618; OR 3.011) and medication use (OR 0.970) were not statistically significant. Heterogeneity was high for several outcomes.

Conclusion

Nursing interventions significantly improve acute care utilization, symptom control and QoL in paediatric asthma management, highlighting their value in clinical practice. Standardized protocols and further research are needed to optimize and sustain these benefits.

Aim

This study was conducted to adapt the Colonoscopy Satisfaction and Safety Questionnaire into Turkish and evaluate its psychometric properties.

Method

The study was conducted with a methodological design recruiting a sample of 181 individuals scheduled for colonoscopy procedures.

Results

Content validity index for a single dimension yielded a satisfactory score of 0.95. The study also revealed strong and consistent time-dependent invariance correlation coefficients ranging from 0.82 to 0.97, indicating reliability over time. A robust and positive relationship was detected between the item scores recorded during the pretest and posttest assessments. After item analysis, three items were removed from the questionnaire, resulting in a 13-item scale that displayed good internal consistency with a Cronbach's alpha coefficient of 0.86.

Conclusion

The findings suggest that the Turkish version of the Colonoscopy Satisfaction and Safety Questionnaire is well-suited for use in research related to patients undergoing colonoscopy procedures. As a result of this study, it was determined that it is an appropriate tool for assessing the satisfaction of patients undergoing colonoscopy.

Background

Research has shown that providing high-quality supportive care to ischemic stroke survivors can promote their physical rehabilitation. Therefore, understanding the supportive care needs of this patient group is essential.

Aim

To investigate ischemic stroke survivors' supportive care needs at various rehabilitation stages.

Methods

This phenomenological study used purposive sampling to recruit ischemic stroke patients from a tertiary hospital in Xuzhou, China, between April 2023 and October 2023. Data were collected at four rehabilitation stages through in-depth interviews and observations of ischemic stroke survivors. Forty-eight semi-structured interviews were conducted, and data were analysed using Colaizzi's phenomenological method to identify study themes.

Results

The themes of ischemic stroke survivors' supportive care needs at various rehabilitation stages were as follows: (1) comprehensive stroke knowledge (acute hospitalisation stage), (2) comprehensive rehabilitation support (1 month after stroke onset), (3) continuity of care services (3 months after stroke onset) and (4) systemic social support (6 months after stroke onset).

Conclusion

Ischemic stroke patients' supportive care needs vary according to the stages of the disease. Healthcare providers and caregivers should deliver stage-specific holistic care to help enhance these patients' rehabilitation.

Aim

The aim of this study was to identify and summarize the roles of nursing schools in disaster management within the context of advanced disaster nursing.

Background

Little is known of the roles, responsibilities and concrete contributions of nursing schools in disaster management.

Methods

This study was conducted as a scoping review. This scoping review was conducted following the five-stage methodological framework and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist. EBSCO, PubMed, Science Direct, Medline, Proquest, Web of Science and Scopus were searched to find articles. Only articles in English published in the last 25 years were considered, and 16 articles were included in the study. The included articles were analysed using inductive content analysis.

Results

Nursing schools exhibit notable gaps in disaster preparedness and response processes, with particular emphasis on the need to clearly define disaster-specific roles and strengthen leadership. Thematic analysis yielded two main themes and corresponding subthemes that directly address the research questions: (1) Roles of nursing schools in disaster (education and preparedness, simulation and practical experience, psychosocial support skills, collaboration and coordination, public health and prevention strategies, rapid decision-making and stress management); and (2) efforts of nursing schools to develop advanced disaster nursing knowledge (collaboration and stakeholder relations, leadership and management skills, sustainability and assessment, community engagement and awareness).

Conclusions

Nursing schools play multifaceted and comprehensive roles in disaster contexts, actively adopting diverse approaches to advance disaster management nursing knowledge and competencies.

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.