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Strengths, weaknesses, opportunities and threats of peer support among disadvantaged groups: A rapid scoping review 弱势群体同伴支持的优势、劣势、机会和威胁:快速范围审查
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.002
Kalina Mikolajczak-Degrauwe , Sybren R. Slimmen , Dylan Gillissen , Petra de Bil , Valerie Bosmans , Corrine Keemink , Inge Meyvis , Yvonne J. Kuipers

Objective

To explore the current state of knowledge and evidence about peer support for various disadvantaged groups; to identify the strengths, weaknesses, opportunities, and threats of peer support to critically reflect on peer support within health and social services.

Methods

A rapid scoping review was conducted according to Arksey and O’Malley’s framework, aiming to identify eligible studies in PubMed, APA PsychInfo, Education Resources Information Center, Cochrane Library, Academic Search Premier, ScienceDirect, Directory of Open Access Journals, ResearchGate, WorldCat, and Google Scholar. According to Rodgers’ concept analysis steps and the SWOT model, data was reported using thematic synthesis.

Results

Forty-five studies were included, describing a variety of peer support initiatives among groups of young migrants and unsupervised minors, young adults with autism, people with (mental) health problems, foster/shelter families, vulnerable pregnant women, people outside the labour force, older adults, and homeless people. The strength of peer support is its positive effect on the quality of life among vulnerable people. The weakness is represented by peers both being too involved and focused on personal interest or by peers lacking expertise and knowledge. Opportunities for peer support are mutual learning, the anticipated long-term effects, and the potential to facilitate social inclusion. Culture, language barriers, drop-out rates, securing sustainability, and peers’ lack of time and commitment are regarded as threats to peer support.

Conclusion

Although peer support offers good outcomes for various groups of vulnerable people, the weaknesses and threats need to be considered to provide and proliferate peer support.

目的探讨不同弱势群体同伴支持的知识和证据现状;识别同伴支持的优势、劣势、机会和威胁,批判性地反思卫生和社会服务中的同伴支持。方法根据Arksey和O'Malley的框架进行快速范围界定审查,旨在确定PubMed、APA PsychInfo、教育资源信息中心、Cochrane图书馆、Academic Search Premier、ScienceDirect、开放获取期刊目录、ResearchGate、WorldCat和Google Scholar中符合条件的研究。根据罗杰斯的概念分析步骤和SWOT模型,采用主题综合法报告数据。结果纳入了45项研究,描述了年轻移民和无人监督的未成年人、患有自闭症的年轻人、有(心理)健康问题的人、寄养/收容所家庭、弱势孕妇、劳动力以外的人、老年人和无家可归者群体中的各种同伴支持举措。同伴支持的力量在于它对弱势群体生活质量的积极影响。这种弱点表现为同龄人过于投入和专注于个人兴趣,或者表现为同龄人缺乏专业知识和知识。同伴支持的机会包括相互学习、预期的长期影响以及促进社会包容的潜力。文化、语言障碍、辍学率、确保可持续性以及同龄人缺乏时间和承诺被视为对同龄人支持的威胁。结论尽管同伴支持为不同弱势群体提供了良好的结果,但需要考虑其弱点和威胁,以提供和扩大同伴支持。
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引用次数: 0
The implementation and impacts of national standards for comprehensive care in acute care hospitals: An integrative review 急症医院综合护理国家标准的实施及影响:一项综合评价
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.008
Beibei Xiong , Christine Stirling , Melinda Martin-Khan

Objectives

To synthesise current evidence addressing implementation approaches, challenges and facilitators, and impacts of national standards for comprehensive care in acute care hospitals.

Methods

Using Whittemore & Knafl’s five-step method, a systematic search was conducted across five databases, including Medline (EBSCO), CINAHL (EBSCO), Cochrane Library, Web of Science, and Scopus, to identify primary studies and reviews. In addition, grey literature (i.e., government reports and webpages) was also searched via Google and international government/organisation websites. All searches were limited to January 1, 2000 to January 31, 2023. Articles relevant to the implementation or impacts of national standards for comprehensive care in acute care hospitals were included. Included articles underwent a Joanna Briggs Institute quality review, followed by qualitative content analysis of the extracted data adhering to PRISMA reporting guidelines.

Results

A total of 16 articles were included in the review (5 primary studies, 5 government reports, and 6 government webpages). Three countries (Australia, Norway, and the United Kingdom [UK]) were identified as having a national standard for comprehensive care. The Australian standard contains a unique component of minimising patient harm. Norway does not have a defined implementation framework for the standard, whereas Australia and the UK do. Limited research suggests that challenges in implementing a national standard for comprehensive care in acute care hospitals include difficulties in implementing governance processes, end-of-life care actions, minimising harms actions, and developing comprehensive care plans with multidisciplinary teams, the absence of standardised care plans and patient-centred goals in documentation, and excessive paperwork. Implementation facilitators include a new care plan template using the Identify, Situation, Background, Assessment and Recommendation framework for handover, promoting efficient documentation, clinical decision-making and direct patient care, and proactivity among patients and care professionals with collaboration skills. Limited research suggests introducing the Australian standard demonstrated some positive effects on patient outcomes.

Conclusion

The components and implementation approaches of the national standards for comprehensive care in Australia, Norway and the UK were slightly different. The scarcity of studies found during the review highlights the need for further research to evaluate the implementation challenges and facilitators, and impacts of national standards for comprehensive care in acute care hospitals.

目的综合当前的证据,解决急性护理医院综合护理国家标准的实施方法、挑战和促进因素以及影响。方法使用Whittemore&;Knafl的五步方法,在五个数据库中进行了系统搜索,包括Medline(EBSCO)、CINAHL(EB上合)、Cochrane Library、Web of Science和Scopus,以确定主要研究和综述。此外,还通过谷歌和国际政府/组织网站搜索灰色文献(即政府报告和网页)。所有搜索仅限于2000年1月1日至2023年1月31日。纳入了与急性护理医院综合护理国家标准的实施或影响有关的文章。纳入的文章接受了乔安娜·布里格斯研究所的质量审查,然后根据PRISMA报告指南对提取的数据进行定性内容分析。结果共有16篇文章被纳入综述(5篇初级研究,5篇政府报告,6个政府网页)。三个国家(澳大利亚、挪威和英国)被确定为具有全面护理的国家标准。澳大利亚标准包含一个将患者伤害降至最低的独特组成部分。挪威没有明确的标准实施框架,而澳大利亚和英国有。有限的研究表明,在急性护理医院实施综合护理国家标准的挑战包括在实施治理流程、临终关怀行动、最大限度减少伤害行动、,与多学科团队一起制定全面的护理计划,文件中缺乏标准化的护理计划和以患者为中心的目标,以及过多的文书工作。实施促进者包括一个新的护理计划模板,使用识别、情况、背景、评估和建议框架进行交接,促进有效的文件编制、临床决策和直接的患者护理,以及患者和具有协作技能的护理专业人员的积极性。有限的研究表明,引入澳大利亚标准对患者的预后有一些积极影响。结论澳大利亚、挪威和英国的综合护理国家标准的组成部分和实施方法略有不同。审查期间发现的研究很少,这突出表明需要进一步研究,以评估实施方面的挑战和促进因素,以及急性护理医院综合护理国家标准的影响。
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引用次数: 0
Meaning of community activity participation for older adults in couple households 老年人在夫妻家庭中参与社区活动的意义
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.003
Yumie Kanamori, Ayako Ide-Okochi

Objective

Currently, 65.3% of older adults in Japan live in couple households. If one partner dies, the other may be unable to reconstruct their lifestyles, have health problems, or become isolated. Participation in community activities helps them maintain physical, mental, and social health. This study aimed to clarify the meaning of participation in community activities among older adults in couple households.

Methods

Semi-structured individual interviews were used to collect data. In February 2019, six adults aged 65 and above who had lived with their spouses for at least one year and continuously participated in community activities were interviewed in Miyazaki City, Japan. Data were analyzed using the KJ method (a qualitative method that organizes ideas in a bottom-up fashion developed by Kawakita Jiro), supervised by a professional instructor.

Results

The results revealed seven symbols using this method: 1) building a cooperative relationship with a spouse: respect the willingness to work hard for members; 2) consideration for relationships with other organizations: pay attention to every detail; 3) proactive attitude: don’t leave everything to others, 4) attitude of questioning one’s way of being: myself in connection to others, 5) connection among participants: increased awareness directed toward others, 6) spiritual fulfillment: time, place, and opportunity for outings, 7) physical and mental self-control for continued community activities: growing awareness of health care.

Conclusions

For older adults in couple households, it is found that participation in community activities helps them receive support from their spouses and gain a proactive attitude, and the connection between participants contributes to physical and mental control and also improves their health.

目前,日本65.3%的老年人生活在夫妻家庭中。如果一方死亡,另一方可能无法重建生活方式、出现健康问题或变得孤立。参与社区活动有助于他们保持身体、心理和社会健康。本研究旨在阐明夫妻家庭中老年人参与社区活动的意义。方法采用半结构化的个体访谈法收集数据。2019年2月,在日本宫崎市采访了6名65岁及以上、与配偶生活至少一年并连续参加社区活动的成年人。在专业讲师的监督下,使用KJ方法(Kawakita Jiro开发的一种以自下而上的方式组织思想的定性方法)对数据进行分析。结果运用该方法揭示了七个符号:1)与配偶建立合作关系:尊重为成员努力工作的意愿;2) 考虑与其他组织的关系:注意每一个细节;3) 积极主动的态度:不要把一切都留给别人,4)质疑自己的存在方式的态度:我与他人的联系,5)参与者之间的联系:提高对他人的意识,6)精神满足感:外出的时间、地点和机会,7)持续社区活动的身心自我控制:提高医疗保健意识。结论对于夫妻家庭中的老年人来说,参与社区活动有助于他们获得配偶的支持,并获得积极主动的态度,参与者之间的联系有助于身心控制,也有助于改善他们的健康。
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引用次数: 0
A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers 泰国版护理者对慢性疾病自我护理的贡献的心理测量学评估
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.021
Nuntaporn Klinjun , Jom Suwanno , Kannika Srisomthrong , Juk Suwanno , Matthew Kelly

Objectives

To evaluate the psychometric characteristics of the Thai version of Caregiver Contribution to Self-Care (CC-SC) of Chronic Illness Inventory version 2 (CC-SC-CII-v2) in stroke caregivers.

Methods

We conducted a multicenter, cross-sectional study following the COSMIN guidelines, evaluating validity and reliability of three separate scales, CC-SC Maintenance, CC-SC Monitoring, and CC-SC Management, as well as overall CC-SC-CII-v2. From September to December 2022, we enrolled 422 stroke caregivers from primary care centers in southern Thailand. Structural validity was assessed through confirmatory factor analysis (CFA), while concurrent validity was evaluated using Pearson’s correlation r coefficients between CC-SC-CII-v2 and the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). Internal coherence reliability was assessed using Cronbach’s α coefficient, the composite reliability index, and the McDonald’s ω coefficient. Additionally, test-retest reliability was assessed with intraclass correlation coefficients (ICCs).

Results

The study included mostly middle-aged women who cared for their parent. CFA supported the two-factor structure of the CC-SC Maintenance and Management scales and the one-factor structure of the CC-SC Monitoring scale. A simultaneous CFA on the combined set of items supported the more general model. The concurrent validity of CC-SC-CII-v2 with CSE-CSC was established (r ranging 0.47–0.65, all P < 0.001). Reliability estimates supported adequate Cronbach’s α coefficient (ranging 0.83–0.89), composite reliability (ranging 0.84–0.85), McDonald’s ω coefficients (ranging 0.83–0.85), and ICCs (ranging 0.86–0.90) across the three scales.

Conclusions

The Thai CC-SC-CII-v2 demonstrated strong psychometric properties among stroke caregivers. It can be a valuable instrument to investigate the role of caregivers in contributing to stroke patients’ self-care in diverse cultural contexts like Thailand.

目的评估泰国版慢性病护理人员自我护理贡献量表(CC-SC)第2版(CC-SC-CII-v2)在中风护理人员中的心理测量特征。方法我们根据COSMIN指南进行了一项多中心、横断面研究,评估了三种独立量表的有效性和可靠性,即CC-SC维护、CC-SC监测和CC-SC管理,以及总体CC-SC-CII-v2。2022年9月至12月,我们招募了422名来自泰国南部初级保健中心的中风护理人员。结构有效性通过验证性因素分析(CFA)进行评估,同时有效性使用CC-SC-CII-v2和护理人员对患者自我护理的自我效能量表(CSE-CSC)之间的Pearson相关系数进行评估。内部连贯可靠性使用Cronbachα系数、复合可靠性指数和McDonaldω系数进行评估。此外,用组内相关系数(ICCs)评估重测的可靠性。结果该研究主要包括照顾父母的中年妇女。CFA支持CC-SC维护和管理量表的双因素结构和CC-SC监测量表的单因素结构。对合并项目集同时进行CFA支持更通用的模型。建立了CC-SC-CII-v2与CSE-CSC的同时有效性(r范围为0.47–0.65,均P<;0.001)。在三个量表中,可靠性估计支持适当的Cronbachα系数(范围为0.83–0.89)、复合可靠性(范围为0.85)、McDonaldω系数(范围0.83–0.85)和ICCs(范围0.86–0.90)。结论泰国CC-SC-CII-v2在脑卒中护理人员中表现出较强的心理测量特性。这可能是一个有价值的工具,可以调查照顾者在泰国等不同文化背景下对中风患者自我护理的贡献。
{"title":"A psychometrics evaluation of the Thai version of Caregiver Contribution to Self-Care of Chronic Illness Inventory Version 2 in stroke caregivers","authors":"Nuntaporn Klinjun ,&nbsp;Jom Suwanno ,&nbsp;Kannika Srisomthrong ,&nbsp;Juk Suwanno ,&nbsp;Matthew Kelly","doi":"10.1016/j.ijnss.2023.09.021","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.021","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the psychometric characteristics of the Thai version of Caregiver Contribution to Self-Care (CC-SC) of Chronic Illness Inventory version 2 (CC-SC-CII-v2) in stroke caregivers.</p></div><div><h3>Methods</h3><p>We conducted a multicenter, cross-sectional study following the COSMIN guidelines, evaluating validity and reliability of three separate scales, CC-SC Maintenance, CC-SC Monitoring, and CC-SC Management, as well as overall CC-SC-CII-v2. From September to December 2022, we enrolled 422 stroke caregivers from primary care centers in southern Thailand. Structural validity was assessed through confirmatory factor analysis (CFA), while concurrent validity was evaluated using Pearson’s correlation <em>r</em> coefficients between CC-SC-CII-v2 and the Caregiver Self-Efficacy in Contributing to Patient Self-Care Scale (CSE-CSC). Internal coherence reliability was assessed using Cronbach’s α coefficient, the composite reliability index, and the McDonald’s ω coefficient. Additionally, test-retest reliability was assessed with intraclass correlation coefficients (ICCs).</p></div><div><h3>Results</h3><p>The study included mostly middle-aged women who cared for their parent. CFA supported the two-factor structure of the CC-SC Maintenance and Management scales and the one-factor structure of the CC-SC Monitoring scale. A simultaneous CFA on the combined set of items supported the more general model. The concurrent validity of CC-SC-CII-v2 with CSE-CSC was established (<em>r</em> ranging 0.47–0.65, all <em>P</em> &lt; 0.001). Reliability estimates supported adequate Cronbach’s α coefficient (ranging 0.83–0.89), composite reliability (ranging 0.84–0.85), McDonald’s ω coefficients (ranging 0.83–0.85), and ICCs (ranging 0.86–0.90) across the three scales.</p></div><div><h3>Conclusions</h3><p>The Thai CC-SC-CII-v2 demonstrated strong psychometric properties among stroke caregivers. It can be a valuable instrument to investigate the role of caregivers in contributing to stroke patients’ self-care in diverse cultural contexts like Thailand.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"10 4","pages":"Pages 456-467"},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial 基于家庭的卒中后患者及其家庭项目的有效性:一项随机对照试验
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.020
Saisunee Deepradit , Arpaporn Powwattana , Sunee Lagampan , Weena Thiangtham

Objective

To examine the effectiveness of a family-based program for post-stroke patients and their families.

Methods

A cluster randomized controlled trial design was used. Participants were randomly selected in the experimental group (3 districts) and the comparison group (3 districts), with 62 families recruited. Sixty-two persons with new stroke and families (family caregivers and family members) who met the inclusion criteria were assigned to two groups, 31 in each group. Using the Neuman System Model as a framework, we implemented the stressors assessment and family-based intervention into the program. Participants in the comparison group received usual care, and those in the experimental group underwent a stressors assessment and received the family-based program. Measurement of functional status, depression, and complications in post-stroke patients and family function in family caregivers and family members, as well as caregiver burden and caregiver stress in family caregivers, were assessed at baseline, 4 weeks, and 12 weeks after enrollment. Data analysis included descriptive statistics, the chi-square test, Bonferroni test, and repeated measures analysis of variance.

Results

After participating in a 12-week family-based program, post-stroke patients in the experimental group showed statistically significant improvements in their functional status and decreased depression compared to the comparison group (P < 0.05). The family function of the experimental group was significantly improved, and caregivers’ burden and stress were decreased compared to the comparison group (P < 0.05). Three patients in the experimental group and seven in the comparison group experienced complications.

Conclusions

The study findings suggest that the present family-based program improved family function in family caregivers and family members and decreased caregiver burden and stress in family caregivers. The program also improved functional status and reduced depression in post-stroke patients. It is suggested the duration of the program be extended to assess its sustainable effectiveness.

目的探讨以家庭为基础的脑卒中患者及其家属计划的有效性。方法采用整群随机对照试验设计。参与者被随机选入实验组(3个区)和对照组(3区),共招募了62个家庭。62名新中风患者和符合纳入标准的家庭(家庭护理人员和家庭成员)被分为两组,每组31人。以Neuman系统模型为框架,我们在项目中实施了压力源评估和基于家庭的干预。对照组的参与者接受了常规护理,实验组的参与者进行了压力源评估并接受了基于家庭的计划。在入组后的基线、4周和12周评估卒中后患者的功能状态、抑郁和并发症、家庭护理人员和家庭成员的家庭功能,以及家庭护理人员的护理人员负担和护理人员压力。数据分析包括描述性统计、卡方检验、Bonferroni检验和重复测量方差分析。结果与对照组相比,实验组脑卒中后患者在参加为期12周的家庭项目后,其功能状态和抑郁情绪均有统计学意义的改善(P<;0.05),与对照组相比,护理人员的负担和压力减轻(P<0.05)。实验组有3名患者和对照组有7名患者出现并发症。结论研究结果表明,目前以家庭为基础的计划改善了家庭照顾者和家庭成员的家庭功能,减轻了照顾者的负担和压力。该项目还改善了脑卒中后患者的功能状态,减少了抑郁情绪。建议延长该项目的持续时间,以评估其可持续有效性。
{"title":"Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial","authors":"Saisunee Deepradit ,&nbsp;Arpaporn Powwattana ,&nbsp;Sunee Lagampan ,&nbsp;Weena Thiangtham","doi":"10.1016/j.ijnss.2023.09.020","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.020","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the effectiveness of a family-based program for post-stroke patients and their families.</p></div><div><h3>Methods</h3><p>A cluster randomized controlled trial design was used. Participants were randomly selected in the experimental group (3 districts) and the comparison group (3 districts), with 62 families recruited. Sixty-two persons with new stroke and families (family caregivers and family members) who met the inclusion criteria were assigned to two groups, 31 in each group. Using the Neuman System Model as a framework, we implemented the stressors assessment and family-based intervention into the program. Participants in the comparison group received usual care, and those in the experimental group underwent a stressors assessment and received the family-based program. Measurement of functional status, depression, and complications in post-stroke patients and family function in family caregivers and family members, as well as caregiver burden and caregiver stress in family caregivers, were assessed at baseline, 4 weeks, and 12 weeks after enrollment. Data analysis included descriptive statistics, the chi-square test, Bonferroni test, and repeated measures analysis of variance.</p></div><div><h3>Results</h3><p>After participating in a 12-week family-based program, post-stroke patients in the experimental group showed statistically significant improvements in their functional status and decreased depression compared to the comparison group (<em>P</em> &lt; 0.05). The family function of the experimental group was significantly improved, and caregivers’ burden and stress were decreased compared to the comparison group (<em>P</em> &lt; 0.05). Three patients in the experimental group and seven in the comparison group experienced complications.</p></div><div><h3>Conclusions</h3><p>The study findings suggest that the present family-based program improved family function in family caregivers and family members and decreased caregiver burden and stress in family caregivers. The program also improved functional status and reduced depression in post-stroke patients. It is suggested the duration of the program be extended to assess its sustainable effectiveness.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"10 4","pages":"Pages 446-455"},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The feasibility and preliminary efficacy of narrative exposure therapy on post-traumatic stress disorder among Syrian refugees in Jordan 叙事性暴露疗法治疗约旦叙利亚难民创伤后应激障碍的可行性及初步疗效
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.007
Nadeen Smaik , Leigh Ann Simmons , Bayan Abdulhaq , Latefa Ali Dardas

Objectives

Post-traumatic stress disorder (PTSD), anxiety, and depression are common mental health disorders among refugees, and all require immediate mental health support to prevent short- and long-term detrimental health outcomes. The purpose of this study was to evaluate the feasibility and preliminary efficacy of narrative exposure therapy (NET) in reducing symptoms of PTSD, depression, and anxiety among Syrian refugees residing in Jordan.

Methods

A two-arm randomized control trial was utilized. A total of 40 Syrian refugees aged 18 to 64 diagnosed with PTSD were randomly allocated to either the NET intervention group (n = 20) or the waitlist control group (n = 20) using a computer-generated allocation list with 1:1 allocation. PTSD symptoms were evaluated using the Arabic rendition of the Harvard Trauma Questionnaire, while depression and anxiety symptoms were appraised using the Arabic adaptation of the Hopkins Symptoms Checklist-25. Descriptive statistics were employed to characterize the sample and survey data. Independent t-tests were conducted to assess mean score differences in PTSD, anxiety, and depression between the intervention and control groups.

Results

Post NET intervention, significant reductions in PTSD (t = −10.00, P < 0.001), anxiety (t = −9.46, P < 0.001), and depression (t = −6.00, P < 0.001) scores were observed in the intervention group compared to the control group. Effect sizes were moderate for the trauma (Cohen’s d = 0.73) and depression (Cohen’s d = 0.79) symptoms and notably large for anxiety symptoms (Cohen’s d = 0.97). There were no adverse events related to study participation. The intervention achieved a 100% participant retention rate.

Conclusions

The results pertaining to retention rate, adherence to the study protocol, data completeness, cultural congruence, and participants’ satisfaction provided strong support for the future implementation of the full-scale RCT. NET may be a feasible and helpful approach for refugees and other patients with PTSD, anxiety, and depression.

目的创伤后应激障碍(PTSD)、焦虑和抑郁是难民中常见的心理健康障碍,所有这些都需要立即的心理健康支持,以防止短期和长期的有害健康结果。本研究的目的是评估叙事暴露疗法(NET)在减少居住在约旦的叙利亚难民的PTSD、抑郁和焦虑症状方面的可行性和初步疗效。方法采用双臂随机对照试验。共有40名年龄在18岁至64岁之间被诊断患有创伤后应激障碍的叙利亚难民被随机分配到NET干预组(n=20)或等待名单对照组(n=20),使用计算机生成的1:1分配名单。PTSD症状使用哈佛创伤问卷的阿拉伯语版本进行评估,而抑郁和焦虑症状则使用霍普金斯症状检查表-25的阿拉伯语版本评估。采用描述性统计来描述样本和调查数据。进行独立的t检验来评估干预组和对照组在创伤后应激障碍、焦虑和抑郁方面的平均得分差异。结果与对照组相比,网络干预后,干预组的PTSD(t=−10.00,P<;0.001)、焦虑(t=–9.46,P<!0.001)和抑郁(t=-6.00,P>;0.001)得分显著降低。创伤(Cohen’s d=0.73)和抑郁(Cohen‘s d=0.79)症状的影响程度中等,焦虑症状的影响幅度较大(Cohen′s d=0.97)。没有与参与研究相关的不良事件。干预实现了100%的参与者保留率。结论保留率、对研究方案的依从性、数据完整性、文化一致性和参与者满意度的结果为未来全面随机对照试验的实施提供了有力的支持。NET对于难民和其他患有创伤后应激障碍、焦虑和抑郁的患者来说可能是一种可行且有用的方法。
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引用次数: 0
Perceived HIV risk and factors associated with condom use among women aged 40 and older: A cross-sectional survey 在40岁及以上的妇女中,与避孕套使用相关的艾滋病毒风险和因素:一项横断面调查
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.017
Xueyuan Zhong , Shuying Chen , Hong Xiao , Xueling Xiao , Simin Yu , Yan Shen , Chen Chen , Honghong Wang

Objectives

A noticeable increase in HIV-positive cases among women, particularly those of middle and old age, has been observed worldwide. This study aimed to describe women’s perceived HIV risk, HIV/Acquired Immunodeficiency Syndrome (AIDS) knowledge, attitude, and sexual behaviors to determine factors associated with condom use among these women in Hunan, China.

Methods

A cross-sectional study was conducted from July 2019 to August 2020 among 958 women aged 40 and older in four regions of Hunan, China. We collected data on sociodemographic characteristics, perceived HIV risk, HIV/AIDS knowledge and attitude, condom use, and sexual behaviors. Univariate and multivariate logistic regression were performed to identify factors related to condom use.

Results

Out of 958 participants, 60.6% perceived no risk of HIV infection, and 46.8% reported they had never used a condom during their past sexual life. Those who were older, had lower monthly household income for family, had not received HIV education in the past year, were unwilling to use condoms, could not determine condom use during sexual activity, and had more negative attitudes towards HIV/AIDS and HIV-positive people were less likely to use condoms in their past sexual behaviors.

Conclusions

In Hunan Province, most women aged 40 and older perceived themselves as having a low or no risk of HIV infection; their rate of condom use was low, and six factors were associated with condom use. It is imperative to strengthen HIV prevention and control programs among women aged 40 and above, particularly focusing on those who may use condoms infrequently or not at all.

目的全世界妇女,特别是中老年妇女中艾滋病毒阳性病例明显增加。本研究旨在描述中国湖南地区女性的HIV感知风险、HIV/获得性免疫缺陷综合征(AIDS)知识、态度和性行为,以确定这些女性使用避孕套的相关因素。方法于2019年7月至2020年8月在中国湖南四个地区的958名40岁及以上女性中进行了横断面研究。我们收集了有关社会人口特征、感知的艾滋病毒风险、艾滋病毒/艾滋病知识和态度、避孕套使用和性行为的数据。采用单变量和多变量logistic回归分析来确定与安全套使用相关的因素。结果在958名参与者中,60.6%的人认为没有感染艾滋病毒的风险,46.8%的人表示他们在过去的性生活中从未使用过避孕套。年龄较大、家庭月收入较低、在过去一年中没有接受过艾滋病毒教育、不愿意使用避孕套、在性活动中无法确定避孕套的使用情况、对艾滋病毒/艾滋病持更消极的态度,而艾滋病毒阳性者在过去的性行为中使用避孕套的可能性较小。结论在湖南省,大多数40岁及以上的女性认为自己感染艾滋病毒的风险很低或没有;他们的安全套使用率较低,有六个因素与安全套的使用有关。必须加强40岁及以上妇女的艾滋病毒预防和控制计划,特别是关注那些可能很少使用避孕套或根本不使用避孕套的人。
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引用次数: 0
Refining core competencies of first-line nurse managers in the hospital context: A qualitative study 在医院环境中提炼一线护士管理者的核心能力:一项定性研究
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.08.001
Joko Gunawan , Yupin Aungsuroch , Mary L. Fisher , Colleen Marzilli , Nazliansyah , Ety Hastuti

Objectives

As the world moves towards a new normal, challenges continue to emerge while simultaneously inspiring us with new solutions. Strengthening the skills of first-line nurse managers (FLNMs) to fulfill a wide range of complex roles and responsibilities effectively necessitates refining core competency guidelines or standards. This study aimed to explore the perceived core competencies of Indonesian FLNMs within the context of the post-pandemic era.

Methods

The study employed a qualitative descriptive design. Face-to-face interviews were conducted in a public hospital in Indonesia from January 2022 through August 2022. Seven head nurses with direct experience managing a unit during the COVID-19 pandemic were selected. The interviews were audio-recorded, transcribed verbatim, and validated by re-listening. Data were analyzed using thematic analysis.

Results

Four main themes of the core competencies developed, including 1) managerial core competencies, 2) clinical core competencies, 3) technological core competencies, and 4) socio-emotional skills/personal traits consisting of the following: be brave, fast, patient, optimistic, consistent, and responsible.

Conclusions

The findings demonstrate that the managerial and clinical core competencies of the FLNMs must be aligned, while technological core competencies are the mediating component of both. Personal traits are essential for FLNMs as they undergird the other three core competencies and the success of the FLNMs.

目标随着世界走向新常态,挑战不断出现,同时用新的解决方案激励我们。加强一线护士管理人员(FLNMs)的技能,以有效履行广泛的复杂角色和职责,需要完善核心能力指南或标准。本研究旨在探讨后疫情时代背景下印尼FLNMs的核心竞争力。方法采用定性描述性设计。2022年1月至2022年8月,在印度尼西亚的一家公立医院进行了面对面采访。选出了7名在新冠肺炎大流行期间有管理单位直接经验的护士长。采访是录音的,逐字逐句转录,并通过重新聆听进行验证。数据采用专题分析法进行分析。结果核心能力的四个主要主题得到了发展,包括1)管理核心能力,2)临床核心能力,3)技术核心能力,以及4)社会情感技能/个人特征,包括:勇敢、快速、耐心、乐观、始终如一和负责任。结论研究结果表明,FLNMs的管理核心能力和临床核心能力必须一致,而技术核心能力是两者的中介组成部分。个人特质对FLNMs至关重要,因为它们支撑着FLNMs的其他三项核心能力和成功。
{"title":"Refining core competencies of first-line nurse managers in the hospital context: A qualitative study","authors":"Joko Gunawan ,&nbsp;Yupin Aungsuroch ,&nbsp;Mary L. Fisher ,&nbsp;Colleen Marzilli ,&nbsp;Nazliansyah ,&nbsp;Ety Hastuti","doi":"10.1016/j.ijnss.2023.08.001","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.08.001","url":null,"abstract":"<div><h3>Objectives</h3><p>As the world moves towards a new normal, challenges continue to emerge while simultaneously inspiring us with new solutions. Strengthening the skills of first-line nurse managers (FLNMs) to fulfill a wide range of complex roles and responsibilities effectively necessitates refining core competency guidelines or standards. This study aimed to explore the perceived core competencies of Indonesian FLNMs within the context of the post-pandemic era.</p></div><div><h3>Methods</h3><p>The study employed a qualitative descriptive design. Face-to-face interviews were conducted in a public hospital in Indonesia from January 2022 through August 2022. Seven head nurses with direct experience managing a unit during the COVID-19 pandemic were selected. The interviews were audio-recorded, transcribed verbatim, and validated by re-listening. Data were analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>Four main themes of the core competencies developed, including 1) managerial core competencies, 2) clinical core competencies, 3) technological core competencies, and 4) socio-emotional skills/personal traits consisting of the following: be brave, fast, patient, optimistic, consistent, and responsible.</p></div><div><h3>Conclusions</h3><p>The findings demonstrate that the managerial and clinical core competencies of the FLNMs must be aligned, while technological core competencies are the mediating component of both. Personal traits are essential for FLNMs as they undergird the other three core competencies and the success of the FLNMs.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"10 4","pages":"Pages 492-502"},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effects of the small private online course combined with simulation-based training in a patient safety education program among nursing students: A quasi-experimental study 小型私人在线课程结合模拟培训在护理学生患者安全教育计划中的效果:一项准实验研究
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.014
Hui Li , Wenzhong Zhao , Bo Li , Yanhong Li

Objective

This study aimed to explore the effects of the small private online course (SPOC) combined with simulation-based training in a patient safety education program among nursing students in China.

Methods

A quasi-experimental design was conducted. A total of 219 nursing students from four parallel classes were selected from the nursing department of a health vocational college in Zhengzhou, China, from November 2020 to June 2021 and allocated to the intervention group (n = 113) and control group (n = 106). Based on SPOC, nursing students in the intervention group implemented simulation teaching in small groups, with three class hours each time, a total of two times, divided into three stages: pre-class preparation, teaching implementation, and after-class reflection. The control group received theoretical patient safety education through SPOC, implemented on the DingDing platform for two class hours each time, four times. All participants were invited to complete a demographic questionnaire and the Chinese version of Patient Safety Competency Self-Evaluation (PSCSE) before and after the intervention.

Results

A total of 103 and 102 students from the intervention and control groups completed the study. The total scores of PSCSE in the post-test of the intervention group (176.24 ± 13.73 vs. 144.64 ± 13.75) and the control group (160.87 ± 14.88 vs. 142.57 ± 15.66) were higher than those in the pre-test (P < 0.01), and the total scores of PSCSE of the intervention group were higher than those of the control group (176.24 ± 13.73 vs. 160.87 ± 14.88, P < 0.01). After intervention, the scores of PSCSE in all dimensions were increased in the intervention group (P < 0.01); in the control group, the scores of patient safety competency in most dimensions were increased (P < 0.01), except for the dimensions of reporting and response to error and communication related to error (P> 0.05). Except for the dimensions of knowledge and attitude of error reporting and disclosing (P> 0.05), the scores of other dimensions in the intervention group were higher than those in the control group (P < 0.01).

Conclusion

The patient safety education program using the SPOC combined with simulation-based training can effectively improve the patient safety competency of nursing students in terms of attitude, skills, and knowledge.

本研究旨在探讨小型私人在线课程(SPOC)与模拟培训相结合在中国护理专业学生患者安全教育计划中的效果。方法采用准实验设计。2020年11月至2021年6月,共有219名护理专业学生从中国郑州一所卫生职业学院护理系的四个平行班中脱颖而出,分为干预组(n=113)和对照组(n=106)。基于SPOC,干预组的护生以小组为单位进行模拟教学,每次三个学时,共两次,分为课前准备、教学实施和课后反思三个阶段。对照组通过SPOC进行患者安全理论教育,在钉钉平台上进行,每次2学时,共4次。所有参与者被邀请在干预前后完成人口统计问卷和患者安全能力自我评估(PSCSE)的中文版。结果干预组和对照组分别有103名和102名学生完成了本研究。干预组(176.24±13.73 vs.144.64±13.75)和对照组(160.87±14.88 vs.142.57±15.66)PSCSE总分均高于测试前(P<0.01),干预组PSCSE总分高于对照组(176.24±13.73 vs.160.87±14.88,P<;0.01);对照组除报告和应对错误以及与错误相关的沟通维度(P>0.05)外,大多数维度的患者安全能力得分均有所提高(P<0.01),干预组其他维度得分均高于对照组(P<0.01)。
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引用次数: 0
Translation and validation study of the Indonesian version of the practice environment scale of the nursing work index 印尼语版护理工作指标实践环境量表的翻译与验证研究
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.018
I Gede Juanamasta , Yupin Aungsuroch , Mary L. Fisher , Siluh Nyoman Alit Nuryani , Ni Nyoman Ayuningsih

Objectives

This study aimed to translate and validate the Practice Environment Scale - Nursing Work Index (PES-NWI) among nurses in Indonesia.

Methods

A scale translation and cross-sectional validation study was conducted. The English version was translated into Indonesian, which involved five steps: forward translation, compare the translation, backward translation, compare the translation, and pilot testing with a dichotomous scale (clear or unclear). Thirty inpatient department nurses were involved in checking readability and understandability. A cross-sectional study was conducted from August to October 2022 at 17 hospitals across Indonesia, involving 350 nursing professionals. The validity test included structural validity and convergent validity. The internal consistency reliability was tested by Cronbach’s α coefficient, item-total correlation, and composite reliability.

Results

Confirmatory factor analysis (CFA) showed an acceptable fit. The correlation of all dimensions was between 0.70 and 0.88, and all items had item loading higher than 0.6. Convergent validity of each dimension ranged from 0.61 to 0.74, internal consistencies with Cronbach’s α coefficient was 0.97, corrected item-to-total correlation ranged from 0.62 to 0.85, and composite reliability of each dimension was higher than 0.89.

Conclusions

Good homogeneity and construct validity have been demonstrated for the Indonesian version of the PES-NWI, nursing management can use it to measure the work environment.

目的本研究旨在翻译和验证印度尼西亚护士实践环境量表-护理工作指数(PES-NWI)。方法进行量表翻译和横断面验证研究。英语版本被翻译成印尼语,包括五个步骤:前向翻译、比较翻译、后向翻译、对比翻译,以及用二分法(清楚或不清楚)进行试点测试。30名住院部护士参与检查可读性和可理解性。2022年8月至10月,在印度尼西亚17家医院进行了一项横断面研究,涉及350名护理专业人员。有效性测试包括结构有效性和收敛有效性。内部一致性信度采用Cronbachα系数、项目总相关和综合信度进行检验。结果验证性因素分析(CFA)显示出可接受的拟合。所有维度的相关性在0.70和0.88之间,所有项目的项目负荷都高于0.6。各维度的收敛有效性在0.61至0.74之间,与Cronbachα系数的内部一致性为0.97,校正项与总相关度在0.62至0.85之间,各维度的综合信度高于0.89。结论印尼版PES-NWI具有良好的同质性和构念有效性,护理管理可以用它来衡量工作环境。
{"title":"Translation and validation study of the Indonesian version of the practice environment scale of the nursing work index","authors":"I Gede Juanamasta ,&nbsp;Yupin Aungsuroch ,&nbsp;Mary L. Fisher ,&nbsp;Siluh Nyoman Alit Nuryani ,&nbsp;Ni Nyoman Ayuningsih","doi":"10.1016/j.ijnss.2023.09.018","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.018","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to translate and validate the Practice Environment Scale - Nursing Work Index (PES-NWI) among nurses in Indonesia.</p></div><div><h3>Methods</h3><p>A scale translation and cross-sectional validation study was conducted. The English version was translated into Indonesian, which involved five steps: forward translation, compare the translation, backward translation, compare the translation, and pilot testing with a dichotomous scale (clear or unclear). Thirty inpatient department nurses were involved in checking readability and understandability. A cross-sectional study was conducted from August to October 2022 at 17 hospitals across Indonesia, involving 350 nursing professionals. The validity test included structural validity and convergent validity. The internal consistency reliability was tested by Cronbach’s α coefficient, item-total correlation, and composite reliability.</p></div><div><h3>Results</h3><p>Confirmatory factor analysis (CFA) showed an acceptable fit. The correlation of all dimensions was between 0.70 and 0.88, and all items had item loading higher than 0.6. Convergent validity of each dimension ranged from 0.61 to 0.74, internal consistencies with Cronbach’s α coefficient was 0.97, corrected item-to-total correlation ranged from 0.62 to 0.85, and composite reliability of each dimension was higher than 0.89.</p></div><div><h3>Conclusions</h3><p>Good homogeneity and construct validity have been demonstrated for the Indonesian version of the PES-NWI, nursing management can use it to measure the work environment.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"10 4","pages":"Pages 511-517"},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Journal of Nursing Sciences
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