Fateme Z. Kazemi, Hossein Mohsenipouya, Abolfazl Hosseinnataj, Nitai Roy, Mohammed A. Mamun
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.
{"title":"Perceived Organizational Support as a Factor in Managing Work–Family Conflict and Enhancing Occupational Well-Being: Findings From Iranian Nurses","authors":"Fateme Z. Kazemi, Hossein Mohsenipouya, Abolfazl Hosseinnataj, Nitai Roy, Mohammed A. Mamun","doi":"10.1111/ijn.70061","DOIUrl":"10.1111/ijn.70061","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The purpose of this study is to determine the relationship between organizational support, work–family conflict and occupational well-being in nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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 <i>t</i>-tests, analysis of variance, and linear regression were performed for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>B</i> = −0.25, <i>p</i> < 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 (<i>B</i> = 0.81, <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130675","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}
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.
{"title":"Developing Nurse-Accessible Hypertension Prediction Tools for Low-Income Populations: A Comparative Analysis of Machine Learning Algorithms With SHAP Interpretation","authors":"Chuan Huang, Jiaojiao Xu, Hai Qiu, Yuchuan Yue","doi":"10.1111/ijn.70060","DOIUrl":"https://doi.org/10.1111/ijn.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111271","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 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.
{"title":"The Turkish Version of the Haemodialysis Self-Management Instrument: A Study of Validity and Reliability","authors":"Sevda Tüzün Özdemir, Öznur Usta Yeşilbalkan","doi":"10.1111/ijn.70058","DOIUrl":"10.1111/ijn.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to adapt the ‘Hemodialysis Self-Management Instrument (HDSMI-18)’ to Turkish culture, and evaluate its psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The research employed a methodological design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 <i>α</i> coefficient was determined to be 0.77, with subscale coefficients ranging from 0.63 to 0.83.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The HDSMI is a valid and reliable tool for assessing self-management behaviours among haemodialysis patients in the Turkish population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075217","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 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.
{"title":"Advancing Maternal Well-Being: Development and Psychometric Validation of a Clinic-Based Instrument for Evaluating Healthy Adaptation to Pregnancy","authors":"Wan-Ru Wu, Pei-Jung Yu","doi":"10.1111/ijn.70059","DOIUrl":"10.1111/ijn.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to develop and evaluate the psychometric properties of a clinic-based instrument to assess pregnant individuals' adaptation to pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Instrument development and validation were conducted in three stages: generation, scale development and psychometric evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted using convenience sampling. Four hundred thirty-four pregnant individuals were recruited and randomly assigned to exploratory factor analysis (<i>n</i> = 222) or confirmatory factor analysis (<i>n</i> = 212). The 15-item pool was refined to a nine-item scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069643","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}
Petros Galanis, Aglaia Katsiroumpa, Irene Vraka, Olga Siskou, Olympia Konstantakopoulou, Theodoros Katsoulas, Ioannis Moisoglou, Parisis Gallos, Daphne Kaitelidou
Aim
To investigate the impact of nurses' job burnout on their quiet quitting and the mediating effect of job satisfaction on this relationship.
Methods
A cross-sectional study was conducted in Greece. The Quiet Quitting Scale was used to measure levels of quiet quitting. Levels of job burnout were measured with the Copenhagen Burnout Inventory. The Job Satisfaction Survey was used to measure job satisfaction. Multivariable linear regression analysis was employed to control for confounders. The PROCESS macro was used to test the mediating effect of job satisfaction in the relationship between job burnout and quiet quitting.
Results
Study sample included 946 nurses. Job burnout was a positive predictor of quiet quitting, while job satisfaction was a negative predictor of quiet quitting. Job satisfaction partially mediated the positive relationship between burnout and quiet quitting.
Conclusion
Job burnout affected quiet quitting within nurses through the mediating effect of job satisfaction. Effective measures should be taken to decrease nurses' job burnout in order to improve their job satisfaction and thereby reduce their quiet quitting.
{"title":"The Influence of Job Burnout on Quiet Quitting Among Nurses: The Mediating Effect of Job Satisfaction","authors":"Petros Galanis, Aglaia Katsiroumpa, Irene Vraka, Olga Siskou, Olympia Konstantakopoulou, Theodoros Katsoulas, Ioannis Moisoglou, Parisis Gallos, Daphne Kaitelidou","doi":"10.1111/ijn.70057","DOIUrl":"https://doi.org/10.1111/ijn.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the impact of nurses' job burnout on their quiet quitting and the mediating effect of job satisfaction on this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted in Greece. The Quiet Quitting Scale was used to measure levels of quiet quitting. Levels of job burnout were measured with the Copenhagen Burnout Inventory. The Job Satisfaction Survey was used to measure job satisfaction. Multivariable linear regression analysis was employed to control for confounders. The PROCESS macro was used to test the mediating effect of job satisfaction in the relationship between job burnout and quiet quitting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Study sample included 946 nurses. Job burnout was a positive predictor of quiet quitting, while job satisfaction was a negative predictor of quiet quitting. Job satisfaction partially mediated the positive relationship between burnout and quiet quitting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Job burnout affected quiet quitting within nurses through the mediating effect of job satisfaction. Effective measures should be taken to decrease nurses' job burnout in order to improve their job satisfaction and thereby reduce their quiet quitting.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145037728","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 randomised controlled experimental study examined the impact of warm showers during labour on perceived pain, parenting behaviour and birth memory.
Method
This randomised controlled experimental study (ClinicalTrials.gov Identifier: NCT05529823) was conducted with 81 primiparous pregnant women, assigned to either the experimental group (n:41) or the control group (n:40). ‘Visual Analog Scale’, ‘Postpartum Parenting Behavior Scale’ and ‘Birth Memory and Recall Questionnaire’ were used to collect the data. In the experimental group, participants received warm showers at the onset of the active phase and during the transition phase of labour, whereas the control group received standard care.
Results
The experimental and control groups were similar in terms of sociodemographic characteristics, interventions and medications administered during labour. The pain scores of both groups before the application were similar, while the pain score of the experimental group after both applications was found to be statistically lower compared to the control group (p < 0.05). Postpartum Parenting Behavior Scale scores did not differ between groups. In the Birth Memory and Recall Questionnaire, the control group had higher scores in the emotional memory and involuntary recall sub-dimensions, whereas the experimental group had higher scores in the sensory memory sub-dimension (p < 0.05).
Conclusion
Warm showers during labour reduced perceived labour pain and positively influenced birth memory but had no effect on postpartum parenting behaviour.
{"title":"The Effect of Showering During Labour on Perceived Labour Pain, Parenting Behaviour and Birth Memory: A Randomised Controlled Clinical Trial","authors":"Vildan Kulaç, Yasemin Hamlaci Baskaya","doi":"10.1111/ijn.70055","DOIUrl":"10.1111/ijn.70055","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This randomised controlled experimental study examined the impact of warm showers during labour on perceived pain, parenting behaviour and birth memory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This randomised controlled experimental study (ClinicalTrials.gov Identifier: NCT05529823) was conducted with 81 primiparous pregnant women, assigned to either the experimental group (n:41) or the control group (n:40). ‘Visual Analog Scale’, ‘Postpartum Parenting Behavior Scale’ and ‘Birth Memory and Recall Questionnaire’ were used to collect the data. In the experimental group, participants received warm showers at the onset of the active phase and during the transition phase of labour, whereas the control group received standard care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The experimental and control groups were similar in terms of sociodemographic characteristics, interventions and medications administered during labour. The pain scores of both groups before the application were similar, while the pain score of the experimental group after both applications was found to be statistically lower compared to the control group (<i>p</i> < 0.05). Postpartum Parenting Behavior Scale scores did not differ between groups. In the Birth Memory and Recall Questionnaire, the control group had higher scores in the emotional memory and involuntary recall sub-dimensions, whereas the experimental group had higher scores in the sensory memory sub-dimension (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Warm showers during labour reduced perceived labour pain and positively influenced birth memory but had no effect on postpartum parenting behaviour.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033135","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}
Yuanli Guo, Xinyu Cao, Wenfeng Fan, Xiaofang Dong, Caixia Yang, Min Wang, Huanhuan Gao, Peihua Lv, Keke Ma
Background
Despite being efficacious for acute ischemic stroke, treatment with thrombolysis is often delayed because of the inaccessibility of informed consent from patient proxies. Decisional conflict could be an important contributor to this delay; however, its influencing factors remain unknown. This study sought to survey the decisional conflict of proxies for sufferers of acute ischaemic stroke and explore the influencing factors.
Method
This was a correlational study including proxies of patients with acute ischaemic stroke receiving intravenous thrombolysis. The questionnaire comprised general information questions about the patients and proxies, and questions about illness and onset, anxiety levels, social support, trust level in physicians, control preference and the decisional conflict level of proxies. To explore the influencing factors, Spearman's and Pearson correlation analyses as well as ridge regression were conducted using SPSS 22.0. The STROBE checklist was used in this study.
Results
In total, 343 patients and their proxies participated in this research, 55.98% of whom experienced decisional conflict in the course of making thrombolysis decisions. When the proxies were female, younger, less educated, the payer of this treatment and reported heavier burden, high social support, severe anxiety and low trust in physicians, and when the patients were older, with low financial burden (i.e., where patients' financial resources generally covered their daily needs, creating minimal burden), the proxies had higher decisional conflict. When the patients did not participate in the decision-making process, when the number of decision-makers was lower and the patients had higher stroke severity, the proxies also had higher decisional conflict.
Conclusion
Many decision makers for acute ischaemic stroke patients experience decisional conflict during thrombolysis decision-making. Nurses should consider their psychological traits and use effective communication skills and decision-making aids according to their characteristics in the decision making process.
{"title":"Decisional Conflict of Proxies in the Thrombolysis Decision-Making Process for Acute Ischaemic Stroke Patients","authors":"Yuanli Guo, Xinyu Cao, Wenfeng Fan, Xiaofang Dong, Caixia Yang, Min Wang, Huanhuan Gao, Peihua Lv, Keke Ma","doi":"10.1111/ijn.70054","DOIUrl":"https://doi.org/10.1111/ijn.70054","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite being efficacious for acute ischemic stroke, treatment with thrombolysis is often delayed because of the inaccessibility of informed consent from patient proxies. Decisional conflict could be an important contributor to this delay; however, its influencing factors remain unknown. This study sought to survey the decisional conflict of proxies for sufferers of acute ischaemic stroke and explore the influencing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This was a correlational study including proxies of patients with acute ischaemic stroke receiving intravenous thrombolysis. The questionnaire comprised general information questions about the patients and proxies, and questions about illness and onset, anxiety levels, social support, trust level in physicians, control preference and the decisional conflict level of proxies. To explore the influencing factors, Spearman's and Pearson correlation analyses as well as ridge regression were conducted using SPSS 22.0. The STROBE checklist was used in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In total, 343 patients and their proxies participated in this research, 55.98% of whom experienced decisional conflict in the course of making thrombolysis decisions. When the proxies were female, younger, less educated, the payer of this treatment and reported heavier burden, high social support, severe anxiety and low trust in physicians, and when the patients were older, with low financial burden (i.e., where patients' financial resources generally covered their daily needs, creating minimal burden), the proxies had higher decisional conflict. When the patients did not participate in the decision-making process, when the number of decision-makers was lower and the patients had higher stroke severity, the proxies also had higher decisional conflict.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Many decision makers for acute ischaemic stroke patients experience decisional conflict during thrombolysis decision-making. Nurses should consider their psychological traits and use effective communication skills and decision-making aids according to their characteristics in the decision making process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007921","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}
Gonzalez, VA, Febras, LLT, Lima, CCD, Alves, BM, Dos Santos, DT, Souza, MA, Carvalho, SM, Rohsig, V, Pille, A, Wolf, J, Maccari, JG, Mutlaq, MP, Nasi, LA. Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study. Int J Nurs Pract. 2024 Dec; 30(6):e13313. https://doi.org/10.1111/ijn.13313. PMID: 39431424.
The co-author name Cássia Cristina Damásio de Lima in the above article was incorrect. In the published version, the name appears as Cássia Cristina Damásio de Lima, whereas the correct name is Cássia Cristine Damasio de Lima.
The online article has been corrected.
We apologize for this error.
Gonzalez， VA, Febras， LLT, Lima， CCD, Alves， BM, Dos Santos， DT, Souza， MA, Carvalho， SM, Rohsig， V, Pille， A, Wolf， J, Maccari， JG, Mutlaq， MP, Nasi， LA。巴西南部一家私立医院跌倒的经济分析——一项病例对照研究。国际护理实践杂志。2024年12月；30 (6): e13313。https://doi.org/10.1111/ijn.13313。PMID: 39431424。上述文章中的合著者姓名Cássia Cristina Damásio de Lima不正确。在公布的版本中，她的名字显示为Cássia Cristina Damásio de Lima，而正确的名字是Cássia Cristine Damasio de Lima。网上的文章已被更正。我们为这个错误道歉。
{"title":"Correction to “Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study”","authors":"","doi":"10.1111/ijn.70056","DOIUrl":"https://doi.org/10.1111/ijn.70056","url":null,"abstract":"<p>\u0000 <span>Gonzalez, VA</span>, <span>Febras, LLT</span>, <span>Lima, CCD</span>, <span>Alves, BM</span>, <span>Dos Santos, DT</span>, <span>Souza, MA</span>, <span>Carvalho, SM</span>, <span>Rohsig, V</span>, <span>Pille, A</span>, <span>Wolf, J</span>, <span>Maccari, JG</span>, <span>Mutlaq, MP</span>, <span>Nasi, LA</span>. <span>Economic Analysis of Falls in a Private Hospital in Southern Brazil – A Case – Control Study</span>. <i>Int J Nurs Pract</i>. <span>2024 Dec</span>; <span>30</span>(<span>6</span>):e13313. https://doi.org/10.1111/ijn.13313. PMID: 39431424.\u0000 </p><p>The co-author name Cássia Cristina Damásio de Lima in the above article was incorrect. In the published version, the name appears as Cássia Cristina Damásio de Lima, whereas the correct name is Cássia Cristine Damasio de Lima.</p><p>The online article has been corrected.</p><p>We apologize for this error.</p>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijn.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935185","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}
Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak
Aims
This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO2), physiological parameters, pain and comfort of premature infants during heel blood collection.
Methods
This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (n = 22), facilitated tucking with positioning bed group (n = 22) and routine procedure control group (n = 22); rSO2, physiological parameters, pain and (dis)comfort were assessed.
Results
In the facilitated tucking with positioning bed group, rSO2 and oxygen saturation (SpO2) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (p < 0.001). According to the results of the analysis, the effect size was moderate for rSO2, body temperature, heart rate and SpO2 and large for respiratory rate, comfort and pain.
Conclusions
Positioning bed can help stabilize rSO2 and physiologic parameters, increase comfort and reduce pain in premature infants.
{"title":"Effect of Facilitated Tucking on Cerebral Oxygenation, Physiological Parameters, Comfort and Pain in Premature Infants During Heel Blood Collection: A Randomized Controlled Trial","authors":"Sibel Kücükoglu, Fatma Tas Arslan, Sevinc Akkoyun, Deniz Kocoglu-Tanyer, Hanifi Soylu, Murat Konak","doi":"10.1111/ijn.70051","DOIUrl":"https://doi.org/10.1111/ijn.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study was conducted to determine the effects of Facilitated Tucking (FT) with hands or a positioning bed on cerebral oxygenation (rSO<sub>2</sub>), physiological parameters, pain and comfort of premature infants during heel blood collection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This prospective, single-blinded, randomized controlled trial was conducted in the tertiary neonatal intensive care unit of the Faculty of Medicine Hospital in Türkiye between December 2020 and October 2021. Heel blood collection was performed in the facilitated tucking with hands group (<i>n</i> = 22), facilitated tucking with positioning bed group (<i>n</i> = 22) and routine procedure control group (<i>n</i> = 22); rSO<sub>2</sub>, physiological parameters, pain and (dis)comfort were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the facilitated tucking with positioning bed group, rSO<sub>2</sub> and oxygen saturation (SpO<sub>2</sub>) were significantly higher during and after the procedure compared with the other two groups, while respiratory rate and pain score were significantly lower and (dis)comfort level was significantly higher. In addition, heart rate during the procedure was significantly lower in the facilitated tucking with positioning bed group than in the other two groups (<i>p</i> < 0.001). According to the results of the analysis, the effect size was moderate for rSO<sub>2</sub>, body temperature, heart rate and SpO<sub>2</sub> and large for respiratory rate, comfort and pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Positioning bed can help stabilize rSO<sub>2</sub> and physiologic parameters, increase comfort and reduce pain in premature infants.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144929805","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 investigate the effects of integrating standardized patients with the situational simulation teaching method (SSTM) on nursing interns' learning outcomes, work capabilities and engagement in the respiratory department.
Background
Traditional simulation methods may lack realism and interactivity. Combining standardized patients with SSTM may provide a more immersive and effective teaching strategy.
Design
A randomized controlled trial.
Methods
This randomized controlled trial compared the outcomes of traditional SSTM versus a combined standardized patient and SSTM approach. From April 2022 to April 2023, 108 nursing interns were randomly assigned to either a control group (traditional SSTM) or a research group (combined SSTM and standardized patients). Outcomes measured included theoretical and practical knowledge, self-directed learning, work engagement, caregiving skills, self-efficacy, stress levels and teaching evaluations.
Results
Nursing interns in the research group showed significant improvements in theoretical and practical knowledge, autonomous learning, work engagement, caregiving skills and self-efficacy, with a reduction in stress levels. Teaching evaluations rated the research group higher across multiple aspects.
Conclusion
The integration of standardized patients with SSTM is an effective educational strategy that enhances learning outcomes, practical capabilities and motivation among nursing interns, offering a valuable approach for better preparing students for clinical practice.
{"title":"Effect of Standardized Patients Combined With Situational Simulation Teaching Method on Learning Effect, Working Ability and Enthusiasm of Nursing Interns in a Respiratory Department: A Randomized Controlled Trial","authors":"Jie Zhang, Jinfang Jia","doi":"10.1111/ijn.70050","DOIUrl":"https://doi.org/10.1111/ijn.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate the effects of integrating standardized patients with the situational simulation teaching method (SSTM) on nursing interns' learning outcomes, work capabilities and engagement in the respiratory department.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Traditional simulation methods may lack realism and interactivity. Combining standardized patients with SSTM may provide a more immersive and effective teaching strategy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A randomized controlled trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This randomized controlled trial compared the outcomes of traditional SSTM versus a combined standardized patient and SSTM approach. From April 2022 to April 2023, 108 nursing interns were randomly assigned to either a control group (traditional SSTM) or a research group (combined SSTM and standardized patients). Outcomes measured included theoretical and practical knowledge, self-directed learning, work engagement, caregiving skills, self-efficacy, stress levels and teaching evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nursing interns in the research group showed significant improvements in theoretical and practical knowledge, autonomous learning, work engagement, caregiving skills and self-efficacy, with a reduction in stress levels. Teaching evaluations rated the research group higher across multiple aspects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The integration of standardized patients with SSTM is an effective educational strategy that enhances learning outcomes, practical capabilities and motivation among nursing interns, offering a valuable approach for better preparing students for clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 5","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144935119","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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