International Journal of Nursing Studies Advances最新文献

{"title":"From ‘strong recommendation’ to practice: A pre-test post-test study examining adherence to stroke guidelines for fever, hyperglycaemia, and swallowing (FeSS) management post-stroke","authors":"Kelly Coughlan ,&nbsp;Tara Purvis ,&nbsp;Monique F. Kilkenny ,&nbsp;Dominique A. Cadilhac ,&nbsp;Oyebola Fasugba ,&nbsp;Simeon Dale ,&nbsp;Kelvin Hill ,&nbsp;Megan Reyneke ,&nbsp;Elizabeth McInnes ,&nbsp;Benjamin McElduff ,&nbsp;Jeremy M. Grimshaw ,&nbsp;N Wah Cheung ,&nbsp;Christopher Levi ,&nbsp;Catherine D'Este ,&nbsp;Sandy Middleton","doi":"10.1016/j.ijnsa.2024.100248","DOIUrl":"10.1016/j.ijnsa.2024.100248","url":null,"abstract":"<div><h3>Background</h3><div>The Quality in Acute Stroke Care (QASC) Trial demonstrated that assistance to implement protocols to manage Fever, hyperglycaemia (Sugar) and Swallowing (FeSS) post-stroke reduced death and disability. In 2017, a ‘Strong Recommendation’ for use of FeSS Protocols was included in the Australian Clinical Guidelines for Stroke Management. We aimed to: i) compare adherence to FeSS Protocols pre- and post-guideline inclusion; ii) determine if adherence varied with prior participation in a treatment arm of a FeSS Intervention study, or receiving treatment in a stroke unit; and compare findings with our previous studies.</div></div><div><h3>Methods</h3><div>Pre-test post-test study using Australian acute stroke service audit data comparing 2015/2017 (pre-guideline) versus 2019/2021 (post-guideline) adherence. Primary outcome was adherence to all six FeSS indicators (composite), with mixed-effects logistic regression adjusting for age, sex, stroke type and severity (ability to walk on admission), stroke unit care, hospital prior participation in a FeSS Intervention study, and correlation of outcomes within hospital. Additional analysis examined interaction effects.</div></div><div><h3>Results</h3><div>Overall, 112 hospitals contributed data to ≥1 one Audit cycle for both periods (pre=7011, post=7195 cases); 42 hospitals had participated in any treatment arm of a FeSS Intervention study. Adherence to FeSS Protocols post-guideline increased (pre: composite measure 35% vs post: composite measure 40 %, aOR:1.2 95 %CI: 1.2, 1.3). Prior participation in a FeSS Intervention study (aOR:1.6, 95 %CI: 1.2, 2.0) and stroke unit care (aOR 2.3, 95 %CI: 2.0, 2.5) were independently associated with greater adherence to FeSS Protocols. There was no change in adherence over time based on prior participation in a FeSS Intervention study (<em>p</em> = 0.93 interaction), or stroke unit care (<em>p</em> = 0.07 interaction).</div></div><div><h3>Conclusions</h3><div>There is evidence of improved adherence to FeSS Protocols following a ‘strong recommendation’ for their use in the Australian stroke guidelines. Change in adherence was similar independent of hospital prior participation in a FeSS Intervention study, or stroke unit care. However, maintenance of higher pre-guideline adherence for hospitals prior participation in a FeSS Intervention study suggests that research participation can facilitate greater guideline adherence; and confirms superior care received in stroke units. Nevertheless, less than half of Australian patients are being cared for according to the FeSS Protocols, providing impetus for additional strategies to increase uptake.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100248"},"PeriodicalIF":3.1,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of an algorithm for predicting exacerbations in telemonitoring: A multimethod study of patients’ and clinicians’ experiences","authors":"Sisse Heiden Laursen ,&nbsp;Lisa Korsbakke Emtekær Hæsum ,&nbsp;Julie Egmose ,&nbsp;Thomas Kronborg ,&nbsp;Flemming Witt Udsen ,&nbsp;Ole Kristian Hejlesen ,&nbsp;Stine Hangaard","doi":"10.1016/j.ijnsa.2024.100257","DOIUrl":"10.1016/j.ijnsa.2024.100257","url":null,"abstract":"<div><h3>Background</h3><div>Prediction algorithms may improve the ability of telehealth solutions to assess the risk of future exacerbations in patients with chronic obstructive pulmonary disease. Learning from patients’ and clinicians’ evaluations and experiences about the use of such algorithms is essential to evaluate its potential and examine factors that could potentially influence the implementation and sustained use.</div></div><div><h3>Objective</h3><div>To investigate the patients’ and clinicians’ perceptions and satisfaction with an algorithm for predicting exacerbations in patients with chronic obstructive pulmonary disease.</div></div><div><h3>Design</h3><div>Multimethod study.</div></div><div><h3>Setting</h3><div>Three community nursing sites in Aalborg Municipality, Denmark.</div></div><div><h3>Participants</h3><div>One hundred and eleven adults with chronic obstructive pulmonary disease and four clinicians (three nurses and one physiotherapist) specialized in telehealth monitoring of the disease.</div></div><div><h3>Methods</h3><div>The study was performed from November 2021 to November 2022 alongside a clinical trial in which a prediction algorithm was integrated into an existing telehealth system. The patients’ perspectives were investigated using a self-constructed questionnaire. The clinicians’ perspective was explored using semistructured individual interviews.</div></div><div><h3>Results</h3><div>Most patients (84.0 %–90.8 %) were satisfied with the algorithm and the additional measurements required by the algorithm. Approximately 71.7 %–75.9 % found that the algorithm could be a useful tool for disease assessment. Patients elaborated that they could see an exacerbation prevention potential in the algorithm. Patients trusted the algorithm and found an increased sense of security. The clinicians showed a positive response toward the algorithm and its user-friendliness. However, they were concerned that the additional measurements could be too demanding for some patients and questioned the accuracy of the measurements. Some felt that the algorithm could risk being time-consuming and harm the overall assessment of the individual patient. They expressed a need for continuous information about the algorithm to understand its functions and alarms.</div></div><div><h3>Conclusions</h3><div>Optimal use of the algorithm would require that patients perform additional pulse and oxygen saturation measurements. Furthermore, it will require in-depth insight among clinicians regarding the algorithm's functions and alarms.</div></div><div><h3>Registration</h3><div>The study was performed alongside a clinical trial, which was first registered September 9, 2021, at clinicaltrials.gov (registration number NCT05218525). Date of first recruitment was September 28, 2021.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100257"},"PeriodicalIF":3.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142573455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the experience of participants in a pilot scheme to recognise teaching excellence in healthcare: A mixed methods approach","authors":"Dianne Burns ,&nbsp;Jess Grundy ,&nbsp;Helen White ,&nbsp;Deborah A O'Connor ,&nbsp;Christine Furber","doi":"10.1016/j.ijnsa.2024.100255","DOIUrl":"10.1016/j.ijnsa.2024.100255","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Within healthcare settings, practice-based healthcare professionals are expected to teach, supervise, assess and/or support learners in their respective disciplines. Ongoing development opportunities focusing specifically on teaching skills and support of students are varied and there are no mandatory requirements for practice-based healthcare professionals to develop formal teaching qualifications, despite their direct involvement with learners.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore the experience of participants in a pilot scheme to recognise teaching excellence in healthcare.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A mixed methods approach was used.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;One inner-city integrated health care system in the UK.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;This study involved eleven participants in total: seven applicants who successfully completed the award and four mentors who supported them throughout the application process. Mentors were all Advance HE Fellowship holders employed within one National Health Service (NHS) organisation and one Higher Education Institution situated within the Northwest of England.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Data collection methods included an online anonymised survey followed by individual semi- structured interviews. Quantitative data were analysed descriptively, and qualitative data were analysed using framework analysis principles.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The findings indicated that participants (applicants and mentors) found the overall experience positive and rewarding. The main positive aspects of taking part were:&lt;/div&gt;&lt;div&gt;I. Increased confidence and sharing of teaching experience.&lt;/div&gt;&lt;div&gt;II. Increased reflection and use of pedagogy.&lt;/div&gt;&lt;div&gt;III. Formation of a teaching community of practice.&lt;/div&gt;&lt;div&gt;IV. Perceived teaching career progression opportunities.&lt;/div&gt;&lt;div&gt;The application process appeared to act as a catalyst towards re-engagement with underpinning pedagogy when considering the suitability and utility of effective teaching approaches for learners in practice. It also helped to promote a teaching community of practice where mentors were able to ‘pay forward’ and support practice colleagues to be recognised for their teaching roles.&lt;/div&gt;&lt;div&gt;The main challenges were the competing demands on applicants’ time and the self-directed approach required to complete the award application.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Gaining recognition of teaching excellence through an award scheme such as Advance HE Fellowship can foster a sense of empowerment, recognition and reward for educators who work with learners undertaking Higher Education Programmes, irrespective of the setting where teaching and learning takes place. However, without wider organisation support and resources, the benefits of such schemes can be diminished.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;N/A&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abs","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100255"},"PeriodicalIF":3.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological hardiness, social support, and emotional labor among nurses in Iran during the COVID-19 pandemic: A cross-sectional survey study","authors":"Elham SAEI ,&nbsp;Raymond T. LEE","doi":"10.1016/j.ijnsa.2024.100249","DOIUrl":"10.1016/j.ijnsa.2024.100249","url":null,"abstract":"<div><h3>Background</h3><div>Our study of nurses in Tehran was conducted in June of 2020, when the lockdown from the pandemic had been implemented. Nurses had been faced with how to effectively manage their own emotion responses during patientcare.</div></div><div><h3>Objectives</h3><div>Our study aims to evaluate how psychological and social resources were jointly related to the use of emotional labor through surface acting and deep acting among nurses at public hospitals.</div></div><div><h3>Design</h3><div>The study design was a single-wave, cross-sectional self-report questionnaire survey containing validated measures where the nurses reported on their work experiences during the pandemic.</div></div><div><h3>Settings</h3><div>The participants came from five out of 50 public hospitals within Tehran<strong>.</strong></div></div><div><h3>Participants</h3><div>Of the 250 nurses chosen by using multi-stage randomly sampling, 224 were retained after listwise deletion of missing data and outliers.</div></div><div><h3>Method</h3><div>Through a survey questionnaire, participants responded to scale measures of psychological hardiness, social support, and emotional labor to investigate the joint impact of hardiness and social support on emotional labor. Their responses provided information on the (1) validity and reliability of all variables, and (2) the hypothesized structural relations, using <em>SPSS</em>-AMOS 22 software.</div></div><div><h3>Results</h3><div>Challenge and control were related to social support; coworker sympathy and supervisory support were related to surface acting; coworker sympathy was related to deep acting. Under strong support, high hardiness was most negatively related to surface acting and positively related to deep acting.</div></div><div><h3>Conclusion</h3><div>Through coworker and supervisory support, hardiness became an effective means for nurses to regulate their own emotions during interactions to enhance patientcare.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100249"},"PeriodicalIF":3.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty as a mediator of postoperative delirium in older adults undergoing orthopedic surgery: A causal mediation analysis","authors":"Inthira Roopsawang ,&nbsp;Suparb Aree-Ue ,&nbsp;Hilaire Thompson ,&nbsp;Pawin Numthavaj","doi":"10.1016/j.ijnsa.2024.100247","DOIUrl":"10.1016/j.ijnsa.2024.100247","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative delirium has a high prevalence in hospitalized older adults. Frail older adults have an increased risk for developing it. Preoperative pain—a common symptom in older adults with orthopedic conditions—shows a connection with frailty through an inflammatory process. However, an association among preoperative pain, frailty, and postoperative delirium remains unexplored among older adults undergoing orthopedic surgery.</div></div><div><h3>Objectives</h3><div>To examine the magnitude, direction, and mediation effect of frailty on the association between preoperative pain and postoperative delirium among older adults undergoing orthopedic surgery.</div></div><div><h3>Design</h3><div>A secondary analysis of a prospective cohort study.</div></div><div><h3>Setting and participants</h3><div>A cohort of 200 older adults (60 years and older) who underwent major orthopedic surgery at a university hospital in Thailand was recruited for the study.</div></div><div><h3>Methods</h3><div>Participants responded to the Demographic and Health Information Form, the Reported Edmonton Frailty Scale-Thai version, and the Thai version of the 4 A's test. Analyses were conducted using a causal mediation analysis with 95 % confidence intervals.</div></div><div><h3>Results</h3><div>We found that 12.5 % of participants developed postoperative delirium. For the direct paths associated with postoperative delirium, statistically significant effects were observed for frailty, preoperative pain, and comorbidity. Considering frailty as a mediator of postoperative delirium, a significant positive indirect effect was identified from preoperative pain. Controlling for age and comorbidities, frailty mediated the association between preoperative pain and postoperative delirium in a statistically significant manner; the average direct effect was 0.014 (95 % confidence interval: 0.008–0.020), the average causal mediating effect was 0.002 (95 % confidence interval: 0.000–0.010), the total effects was 0.017 (95 % confidence interval: 0.010–0.020), and the probability mediation accounted for 14 % (95 % confidence interval: 0.031–0.300).</div></div><div><h3>Conclusion</h3><div>Integrating the concept of age-related decline and frailty assessment may offer opportunities to provide disease-specific care and strengthen precision perioperative care, which ultimately enhance quality of life in older adults undergoing orthopedic surgery.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100247"},"PeriodicalIF":3.1,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Silver Linings: A principle-based concept analysis examining the emergence of positive changes that accompany adversity","authors":"Emily Anne Barr ,&nbsp;Jennifer L. Raybin ,&nbsp;C. Robert Bennett ,&nbsp;Marlaine C. Smith","doi":"10.1016/j.ijnsa.2024.100243","DOIUrl":"10.1016/j.ijnsa.2024.100243","url":null,"abstract":"<div><h3>Background</h3><div><em>Silver linings</em> are commonly referenced in healthcare, yet rarely defined. Researchers have defined similar phenomena related to personal growth accompanying a challenge. Despite increased use in the literature, the meaning of the concept remains ambiguous.</div></div><div><h3>Objective</h3><div>To define the concept of <em>silver linings</em> through a principle-based concept analysis.</div></div><div><h3>Methods</h3><div>Using a principle-based concept analysis framework, records (<em>n</em> = 1513) were retrieved through MEDLINE, Embase, the Cochrane Library, PsycINFO, and CINAHL Plus. Eligibility criteria narrowed the field to 582 abstracts. The research team screened the resulting abstracts for relevance and selected 92 articles (1966 to 2022) for full review. After review, 32 articles were included for detailed thematic principle-based quality appraisals, of which 27 met final criteria. Preconditions, characteristics, similarities to related concepts, and outcomes were collected, analyzed, and synthesized to formulate a theoretical definition.</div></div><div><h3>Results</h3><div>Articles originated from 19 countries with conceptual commonalities that described silver linings, post-traumatic growth, and benefit finding. The pre-condition included an adverse event or series of challenging events, which led to a personal, paradoxical, and surprising awareness. Derived themes included pattern shifting, connection, and opportunities, with sub-themes described. Outcomes or consequences were related to improved coping, engagement in care, mental health, goal attainment, and ultimately, a new normal. Creative strategies to support the emergence and awareness of silver linings are presented.</div></div><div><h3>Conclusion</h3><div>Our definition of silver linings creates a foundation for future research to examine how they interact with health outcomes of people experiencing adversity, including chronic illness, mental health challenges, or acute traumatic events.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100243"},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus and controversies on post-acute care decision making and referral to geriatric rehabilitation: A national survey","authors":"Aafke J. de Groot ,&nbsp;Ewout B. Smit ,&nbsp;Dagmar Keizer ,&nbsp;Cees M. P. M. Hertogh ,&nbsp;Romke van Balen ,&nbsp;Johannes C. van der Wouden ,&nbsp;Elizabeth M. Wattel","doi":"10.1016/j.ijnsa.2024.100245","DOIUrl":"10.1016/j.ijnsa.2024.100245","url":null,"abstract":"<div><h3>Background</h3><div>Transitioning older hospital patients to the appropriate type of post-acute care has become an urgent clinical issue within the context of changing demographics and limited duration of hospital stay.</div></div><div><h3>Objective</h3><div>Consensus on assessments that guide post-acute care decision making would benefit potential patients and support cooperation between settings.</div></div><div><h3>Design</h3><div>A national web-based questionnaire focusing on professional contributions, patient involvement and the use of triage items and measures.</div></div><div><h3>Participants</h3><div>Hospital and geriatric rehabilitation professionals in the Netherlands participated as respondent groups, representing ‘sending’ and ‘receiving’ professionals.</div></div><div><h3>Methods</h3><div>A comprehensive questionnaire was used with open, multiple choice and closed questions, exploring in detail how assessment of hospital patients in need of a post-acute care decision was performed. Descriptive statistics were applied together with deductive coding of qualitative data.</div></div><div><h3>Results</h3><div>A total of 104 hospital liaison nurses (66.7 %) and 52 GR professionals (33.3 %) participated. Respondents were reasonably satisfied with the current triage practice. Hospital liaison nurses valued their operational responsibility for triage. Geriatric rehabilitation professionals wanted active involvement in decision making and deemed hospital paramedic expertise sub-optimally applied. ‘Too little involvement’ of patients and families was felt by 50.0 % of the GR respondents versus 15.5 % of hospital respondents. The importance of half (47.8 %) of the triage items was rated differently between respondent groups. When discussing complex cases between sending and receiving professionals, views were felt as complementary.</div></div><div><h3>Conclusions</h3><div>Both sending and receiving professionals expressed moderate satisfaction with post-acute care decision making, whereas their views on triage assessments differed according to setting and role. The patients’ voice may be insufficiently heard in triage decisions. Shared expertise and a consensual approach can develop when triage consultation is facilitated by both hospitals and PAC facilities. This study offers ingredients to reach a multi-professional view on post-acute care decision making and referral to geriatric rehabilitation.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100245"},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How does family resilience develop among stroke survivors and their caregivers? A mixed-method study using a chain mediating model","authors":"Qin Ye ,&nbsp;Yang Yang ,&nbsp;Jingling Li ,&nbsp;Ting Wang ,&nbsp;Ning Liu","doi":"10.1016/j.ijnsa.2024.100246","DOIUrl":"10.1016/j.ijnsa.2024.100246","url":null,"abstract":"<div><h3>Background</h3><div>Walsh's family resilience theory indicated that families could foster resilient outcomes among their members when they are facing changes or crises. However, little is known about family resilience among Chinese stroke survivors and their caregivers.</div></div><div><h3>Objectives</h3><div>To explore the direct and indirect relationships between the family resilience of stroke survivors, perceived social support, self-perceived burden, self-efficacy, and the burden on their principal caregivers, and to examine the journey of adapting to family resilience among stroke survivors.</div></div><div><h3>Design</h3><div>An explanatory sequential mixed-method study.</div></div><div><h3>Methods</h3><div>A quantitative assessment of perceived social support, self-perceived burden, self-efficacy, and family resilience was conducted among a cohort of stroke survivors. For a deeper understanding of the family resilience formation process, semi-structured, in-depth interviews were undertaken with a purposefully selected subset of participants, consisting of 15 stroke survivors and their principal caregivers who met the study criteria. Data analysis encompassed descriptive statistics, mediation models, and content analysis to integrate and interpret both quantitative and qualitative data.</div></div><div><h3>Results</h3><div>In a comprehensive hospital in Guangdong Province, China, 379 participants—229 men (60.4%) and 150 women (39.6%)—completed a cross-sectional questionnaire survey. The quantitative phase revealed significant statistical differences (<em>p</em> &lt; 0.05) in total family resilience scores among stroke survivors related to various factors, such as age, marital status, educational level, occupational status, average monthly income per capita, first-time onset, and types of stroke. Self-perceived burden and self-efficacy partially mediate the relationship between perceived social support and family resilience, contributing to a sequential chain-mediated effect. During the qualitative phase, in-depth interviews revealed a progressive trajectory from the initial shock of diagnosis through the ongoing presence of stress and challenges to the ultimate development of family resilience and an adaptive perspective toward the future.</div></div><div><h3>Conclusions</h3><div>Exploring the factors influencing family resilience in stroke survivors could assist healthcare professionals developing interventions to enhance family resilience and lessen the burden on principal caregivers from individual, family, and social perspectives.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100246"},"PeriodicalIF":3.1,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interventions to promote resilience and passion for work in health settings: A mixed-methods systematic review","authors":"Supan Unjai ,&nbsp;Elizabeth M. Forster ,&nbsp;Amy E. Mitchell ,&nbsp;Debra K. Creedy","doi":"10.1016/j.ijnsa.2024.100242","DOIUrl":"10.1016/j.ijnsa.2024.100242","url":null,"abstract":"<div><h3>Background</h3><div>Resilience and passion for work are associated with better psychosocial wellbeing and professional quality of life for healthcare workers.</div></div><div><h3>Objective</h3><div>To evaluate the characteristics and efficacy of interventions to promote resilience and passion for work in health settings.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across six databases (MEDLINE, EMBASE, CINAHL, Web of Science, Scopus, and PsycINFO) for articles published between January 2003 and February 2023. Studies utilizing both quantitative and qualitative methodologies were included. Methodological quality assessment was performed using the Mixed Methods Appraisal Tool. Data from the included studies were analyzed using a convergent mixed methods design.</div></div><div><h3>Results</h3><div>A total of 33 studies met the inclusion criteria. All reported on interventions designed to enhance resilience for healthcare workers. None reported on interventions to enhance passion for work. Interventions included mindfulness-based programs, psychoeducation workshops, stress management techniques, and professional coaching. Interventions varied widely in terms of delivery modality, format, content, intensity, duration, and outcomes. Of the studies reporting quantitative data, most (21/29) reported statistically significant improvements in resilience. Of the studies reporting qualitative data, all reported a positive impact of the intervention on resilience and psychological well-being.</div></div><div><h3>Conclusions</h3><div>Overall, interventions designed to enhance resilience in health care settings appear to be effective across a variety of healthcare settings. The diversity of effective intervention approaches, delivery formats, intensity and duration suggest that brief, light-touch or self-directed online interventions may be equally as effective as more intensive, lengthy, in-person or group-based interventions. This provides health care organisations with the opportunity to select and flexibly implement interventions that align with organisational, and staff needs and preferences. Future research needs to explore effective approaches to building passion for work.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100242"},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000699/pdfft?md5=7a4ad94d3d961ee34b87e8d5f2a409ae&pid=1-s2.0-S2666142X24000699-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142316082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ experiences and sense making of COVID-19 redeployment and the impact on well-being, performance, and turnover intentions: A longitudinal multimethod study.","authors":"Alice Dunning ,&nbsp;Hannah Hartley ,&nbsp;Kerrie Unsworth ,&nbsp;Ruth Simms-Ellis ,&nbsp;Michael Dunn ,&nbsp;Angela Grange ,&nbsp;Jenni Murray ,&nbsp;Jayne Marran ,&nbsp;Rebecca Lawton","doi":"10.1016/j.ijnsa.2024.100244","DOIUrl":"10.1016/j.ijnsa.2024.100244","url":null,"abstract":"<div><h3>Background</h3><div>During Covid-19 nurses were redeployed to new teams and specialties at a level never previously experienced. Little is known about how nurses made sense of and coped with this situation and what we can learn from this for future redeployment approaches.</div></div><div><h3>Objectives</h3><div>We sought to understand how nurses made sense of ongoing redeployment during the COVID-19 pandemic and how this related to their psychological distress, burnout, turnover intentions, and perceived performance</div></div><div><h3>Design</h3><div>A longitudinal multi-method design. (ISRCTN: 18,172,749).</div></div><div><h3>Setting(s)</h3><div>Three acute National Health Service (NHS) Trusts in England, selected for diversity in geographical location and ethnicity, with different COVID-19 contexts.</div></div><div><h3>Participants</h3><div>Sixty-two nurses (90 % female; 83 % white) who experienced different types of redeployment during the pandemic, with an average of 17 year's post-registration experience (mean age 41 years).</div></div><div><h3>Methods</h3><div>We gathered both interview and survey data from 62 nurses across two or three time points in 2020–2021 and sought to find commonalities and differences in patterns of experience using Pen Portrait analysis.</div></div><div><h3>Results</h3><div>The pandemic redeployment process was life-changing for all nurses, personally and professionally<strong>.</strong> The research uncovered an intertwined pattern of identity and sensemaking as nurses coped with COVID-19 redeployment. Three sensemaking ‘journeys’ were evident, involving professional identity as a nurse and identification with one's organisation. Nurses in journey one: ‘Organisational Identification and Professional Identity Maintained’ (n = 28) had the best outcomes for wellbeing, burnout, performance, and retention. Those experiencing the ‘Devaluation of Organisational Identification But Maintenance of Professional Identity’ journey (n = 24) maintained their professional identity, but their organisational identification deteriorated. Journey three nurses: ‘Devaluation of both Organisational Identification and Professional Identity’ (n = 10) had the worst outcomes for wellbeing, burnout, performance, and retention. A salient nurse identity triggered stoicism and resilient behaviours while external cues of control, support and contextual awareness affected organisational identification.</div></div><div><h3>Conclusions</h3><div>Nurses made sense of their experiences of redeployment during Covid-19 differently which, in turn affected their outcomes. Given the stark differences in how nurses perceived their psychological distress, burnout, turnover intentions and performance across the journeys, the importance of understanding the cues (e.g. having autonomy) associated with each journey is apparent. Thus, our research provides clear guidance for managers to help them support nurses during redeployment.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100244"},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}