Nursing Reports最新文献

Background/Objectives: Quiet quitting, defined as employees fulfilling only the minimal requirements of their roles without extra effort or engagement, poses unique challenges in high-stress environments like hospitals where commitment directly impacts patient care. This study investigates the phenomenon of "quiet quitting" within the healthcare sector, with a specific focus on hospital staff in Greece. Methods: A cross-sectional design was employed, surveying 186 healthcare professionals from the General Hospital of Argos using the Questionnaire for Conflicts in Healthcare Organizations and the Quiet Quitting Scale (QQS). Results: Descriptive and inferential statistical analyses revealed that 62% of participants exhibited characteristics of quiet quitting, with "lack of motivation" scoring highest (M = 2.80, SD = 0.987) among QQS subscales. Significant correlations were observed between perceived reward fairness and motivation levels (r = -0.194, p < 0.01) and between management awareness of contributions and both motivation (r = -0.313, p < 0.01) and initiative (r = -0.192, p < 0.01). Logistic regression identified perceptions of management awareness as a key predictor of quiet quitting (p < 0.05). Conclusions: The findings emphasize the critical role of equitable reward systems and managerial recognition in reducing disengagement. Strategies to enhance employee engagement and resolve workplace conflicts are essential for fostering a resilient healthcare workforce.

Background: The complex nature of the work-family interaction process means special ethical considerations are required in its study. Symphonology can guide ethical analysis in this area, as it pertains to the study of agreements and the elements necessary to form them. Objective: Our objective was to analyze the ethical considerations involved in the development of research on the work-family interaction process via symphonological bioethical theory. Methods: A scoping review was conducted by consulting the following databases: Web of Science (WoS), SCOPUS, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Business Source Ultimate. Given the small number of studies identified in the field, we did not discriminate by years of publication and included articles of any design that addressed ethical considerations in research on the work-family interaction process or that were related to the topic, including manuscripts in Spanish, English, and Portuguese. Results: The ethical analysis of research on the work-family interaction process requires us to consider the participant's multi-role status as a "worker," including their inherent relationships with their environment, such as colleagues and supervisors, and as a member of a "family" unit. The various factors involved in the work-family interaction "context" must be analyzed within the context of situation, knowledge, and awareness. Based on the review findings, a list of recommendations was developed focused on planning, data collection, and result presentation. Key points include the provision of psychological support when the research involves sensitive data; the notification of authorities upon identifying offenses such as workplace abuse or domestic violence; and ensuring confidentiality of participation. Conclusions: This review provided answers to the proposed objective, concluding that the symphonological nursing bioethics theory, through its conception and statements, guides researchers to make decisions in the context of research development in the work-family interaction process.

Background: Atrial fibrillation, the most frequent and prevalent cardiac arrhythmia, often requires external cardioversion to ensure rhythm control. As healthcare professionals, nurses play a key role in autonomous intervention implementation. The aim was to update current evidence on the efficacy of nurse-led external direct current cardioversion. Methods: A systematic review of primary quantitative studies in English or Italian was conducted with no temporal filter. Seven database searches were interrogated. A total of nine articles were included, for which validity was evaluated and analysed. The review was performed using PRISMA guidelines for systematic reviews. Study characteristics were examined to determine if a meta-analysis was possible, and odds ratio was used as the effect size measure. Results: Data analysis led to the development of selected topics. The success rate of nurse-led direct current cardioversion appears to be high, at >80% (eight out of nine studies) in safe conditions. High-level professional training was required of nurses. There seemed to be no clear consensus on the management of anaesthetic aspects and medical support during the procedure. Meta-analyses of three studies found that there was no risk (M1-OR 0.89, CI [0.58, 1.36]; M2-OR 0.90, CI [0.59, 1.37]) difference between nurse-led DCCV and that performed by other clinicians. Few studies reported data on patient satisfaction, cost effectiveness, and waiting time. Conclusions: This review confirms that nurse-led external direct current cardioversion appears to be successful and safe in restoring sinus rhythm. A high level of nurse training and definition of a shared protocol could allow for effective implementation in more countries and settings.

Background: This study aimed to adapt and validate the Attitudes to Patient Safety Questionnaire (APSQ-III) for Brazilian Portuguese and to compare patient safety attitudes between medical and nursing students. Given the critical role of assessing safety attitudes in shaping future healthcare professionals, this research addresses a significant gap in the Brazilian educational context. Materials and Methods: The cross-cultural adaptation process adhered to the guidelines of for the Process of Cross-Cultural Adaptation of Self-Report Measures, encompassing translation, synthesis, back-translation, and expert committee evaluation. The adapted APSQ-III was administered to a sample of 423 undergraduate students from medicine and nursing courses. Confirmatory factor analysis (CFA) was conducted to verify the factor structure, while reliability was assessed using Cronbach's alpha, McDonald's omega, and composite reliability measures. Results: The CFA supported an acceptable fit for the nine-factor model with 26 items, following the exclusion of 4 items (χ²/df = 1.92; CFI = 0.90; TLI = 0.89; RMSEA = 0.05; SRMR = 0.07). Factor loadings ranged from 0.30 to 0.82, with satisfactory reliability indices, except for factors 4 (α = 0.47; ω = 0.48) and 9 (α = 0.54; ω = 0.54). Significant differences were discovered between medical and nursing students in four factors, and gender differences were noted in five items, highlighting the diverse perceptions of patient safety across these groups. Conclusions: The Brazilian version of the APSQ-III demonstrated adequate validity and reliability for seven out of the nine original factors. It is recommended to use the scale with modifications, such as developing a reduced version excluding factors with low reliability, to enhance its applicability. This study contributes to advancing patient safety research and education in Brazil, providing a robust tool for evaluating and improving safety attitudes among healthcare students. Future research should focus on refining the instrument and exploring its application in diverse healthcare educational settings across Brazil.

Background/Objectives: The uneven distribution of nurses in Albania is a major problem that compromises equitable access to health services. Rural and less developed regions suffer from a chronic shortage of nursing staff, while urban areas attract health professionals. This study aims to quantify the inequalities in the distribution of nurses in Albania, analyzing the nurse-to-population ratio and its impact on the quality of healthcare. The main objective of this study is to examine the distribution of the nursing workforce in Albania and assess regional disparities, using the Gini coefficient and the Human Development Index (HDI) to measure and compare inequalities between regions. Methods: This descriptive-analytical study was conducted in 2024. The data were collected from official sources, including the Albanian Ministry of Health and the World Health Organization (WHO). The Gini coefficient and the Lorenz curve were used to analyze the distribution of nurses in relation to the population and HDI of the different regions. The analysis included data on the number of nurses, population, and regional socioeconomic conditions. Results: The average nurse-to-population ratio in Albania is 28 nurses per 10,000 inhabitants, with significant variations between regions. Tirana has the highest ratio (60 nurses per 10,000 inhabitants), while Kukës and Dibër have the lowest values (10 per 10,000 inhabitants). The calculated Gini coefficient is 0.0228, indicating a very low level of inequality in the distribution of the nursing workforce. Conclusions: Inequalities in the distribution of nurses in Albania require targeted policy interventions. Policies are needed that incentivize health workers to work in less developed regions, through economic incentives, infrastructure improvements, and lifelong learning programs. These interventions are essential to reduce disparities and ensure equitable access to health services across the country.

Background/Objectives: Decreased well-being may be a precursor to mental health challenges. Mental health visits for 5-11-year-old children increased by 24% from 2019 to 2020. COVID-19 led to record high levels of anxiety and depression in young children. This highlights the need for early identification and intervention of decreased well-being to prevent progression to potential mental health issues. The purpose of our research was to develop the Pediatric Well-Being Picture Scale© (PWBPS©), the first picture-based screening tool for ages 8-11 years, accessible to children regardless of their literacy, language skill, and developmental levels, allowing for quick screening for early referral and intervention. Methods: The mixed-methods research design included focus groups and one-on-one interviews for content and face validity, test/retest reliability, convergent validity, and exploratory factor analysis. Subjects were recruited from public elementary schools. Results: The numbers of participating subjects were as follows: N = 17 for focus groups; N = 12 for one-on-one interviews; N = 50 for test/retest reliability; and N = 237 for convergent validity. Thematic analysis resulted in a 10-item, 3-point picture-based Likert scale. The test/retest reliability demonstrated strong correlations, with an ICC of 0.823 (95% CI [0.690, 0.905]). The Cronbach's alpha for all the administrations was 0.74, 0.74, 0.84, and 0.89. The convergent validity demonstrated correlation with the validated KIDSCREEN-10. The Spearman's correlation was 0.64 (95% CI as [0.55, 0.71]). The cutoff for the PWBPS© was 18.5, which correlated to a score of 22 on the KIDSCREEN-10. All the items loaded on one component. Conclusions: These findings demonstrate that the PWBPS© is valid and reliable, allowing for quick and accurate assessments of children's well-being and allowing for early intervention, which is key to reducing the negative effects of poor mental well-being.

Background: Mothers and their newborns experiencing caesarean birth often receive delayed or interrupted skin-to-skin care (SSC) despite the intervention being well recognised as beneficial to both mother and baby, with no associated risk for increased morbidity or mortality. Maternal birth satisfaction is recognised as an indicator of quality maternity care; however, most of the research has focused on early intraoperative SSC initiation and breastfeeding outcomes. Objectives: To collate and synthesise evidence for maternal satisfaction of intraoperative and early postpartum SSC during and immediately following caesarean birth. To identify timelines of implementation, barriers, and facilitators of SSC. Methods: An integrative review was conducted guided by the 5-stage Wittemore and Knalf's framework. Four electronic databases (CINAHL, Medline, PsycINFO, Web of Science) were searched. Key terms were 'Caesarean birth', 'skin-to-skin care', 'maternal satisfaction'. Studies published from 2014 to 5 September 2024 in English language were included. A hand search of potential inclusion articles was also searched to undertake a comprehensive review. The JBI critical appraisal checklist was used to assess the quality of inclusion studies. Results: 17 studies met the selection criteria and were included in this review. Intraoperative and early SSC during caesarean birth is associated with positive maternal birth satisfaction and contributes to improved birth experience for mothers with no negative implications. Conclusions: Increased access to intraoperative SSC will likely contribute to increased maternal satisfaction and positive birthing experience. Compliance with policy recommendations regarding SSC may improve with access to a flow chart tool identifying expectations of women's intraoperative and postoperative care for caesarean birth.

Background/Objectives: Team-based learning is an educational strategy that promotes active learning and student engagement through structured team activities. It contrasts with traditional teaching models by emphasizing student preparation and collaboration. The TBL-SAI is a reliable and valid instrument designed to evaluate students' attitudes towards TBL, assessing dimensions such as accountability, preference for lecture or team-based learning, and satisfaction with TBL. Validating the TBL-SAI in different languages ensures its applicability and accuracy in diverse educational contexts, supporting the global adoption of TBL methodologies. Thus far, no Italian validation of this tool has been performed. The aim of this study is to validate the Italian version of the Team-Based Learning Student Assessment Instrument (TBL-SAI) among nursing students. Methods: A methodological-driven translation process and a cross-sectional study design were used. The study was conducted from November 2022 to March 2023 and involved 202 nursing students from the University of Modena and Reggio Emilia (Italy). Convenience sampling was employed to recruit participants who had experienced at least one TBL session during the academic year 2022/2023. The validation process included translation, back-translation, and expert panel review, followed by a pilot test to ensure clarity and comprehension. Data were collected using the self-administered TBL-SAI. The responses were analyzed using Exploratory Structural Equation Modeling (ESEM) to assess the scale's validity and McDonald's ω to evaluate internal consistency. Results: The ESEM results supported the validity of the Italian TBL-SAI, maintaining the factor structure proposed in the original instrument. The model fit indices indicated a good fit (χ²(318) = 384.097, p = 0.0065; RMSEA = 0.032; CFI = 0.974; TLI = 0.957). McDonald's ω values exceeded 0.70 for all factors, confirming adequate internal consistency. Conclusions: This study successfully validated the Italian version of the TBL-SAI, demonstrating its reliability and validity for assessing perceptions of TBL among Italian undergraduate nursing students. However, future studies should employ Confirmatory Factor Analysis to further test the proposed factor structure and explore the instrument's applicability in various educational settings. The validated TBL-SAI is recommended for use in evaluating students' attitudes towards TBL, providing actionable feedback for educators to improve teaching methods and integrate TBL methodologies effectively.

Background: Ukrainian refugees fleeing the conflict between Russia and Ukraine may face significant challenges to their physical, psycho-emotional, social, and spiritual wellbeing.

Aim: To identify the health needs of Ukrainian refugees seen in primary care facilities in Tenerife, Canary Islands, Spain.

Methods: A mixed-methods design was employed. Quantitative data were obtained through a descriptive analysis of health records, while qualitative data were collected via focus group interviews and thematic analysis of testimonies.

Results: The sample comprised 59 individuals (45.4% of all patients seen). Eight participants from five family groups took part in the focus group. The typical profile of a Ukrainian refugee in the Canary Islands is female (79.7%), relatively young, with a high socio-cultural background, generally in good health, travelling alone or with her minor children. The main reasons for consultation were routine health check-ups and control blood tests. The NANDA-I nursing diagnoses indicated a need for psycho-emotional care, with the most prevalent being Risk for Relocation Stress Syndrome (27.1%); Interrupted Family Processes, Disturbed sleep pattern, Risk for Impaired Resilience (13.6% each); and Anxiety (11.9%). Participants rated the healthcare system positively, but language barriers and long waiting times for access to specific services were noted as limitations. The primary social demands include seeking employment, learning the language, and increasing support groups among Ukrainians themselves.

Conclusions: This study underscores the need for a tailored approach to refugee care, considering their unique circumstances and needs. Early provision of information about available healthcare services and protocols can facilitate access, manage expectations, and aid decision-making.

Introduction: Mass media play a crucial role not only in informing the public but also in shaping public perception, educating, and enhancing the visibility of various professions, including nursing. Despite being the most populous healthcare profession, nursing remains underrepresented in media coverage. This imbalance affects the social status of the nursing profession and its public perception. Methods: This cross-sectional study utilized a validated questionnaire with high internal reliability (Cronbach's alpha coefficients) to assess nurses' perceptions of the media's role in society and the nursing profession. Data were collected from 203 participants using an online survey employing the snowball sampling method. Statistical analyses included Welch ANOVA, t-tests, and hierarchical regression to predict the importance of media education. Results: Participants demonstrated positive perceptions of the media's societal influence but identified a lack of adequate representation of nurses. Younger nurses and those with higher education levels emphasized the need for media education. Regression analysis revealed that perceptions of the media's power and self-assessed media competencies were significant predictors of valuing media education. Conclusions: The findings highlight the need for integrating media literacy training into nursing education to enhance professional visibility and public engagement. This can empower nurses to actively contribute to shaping their professional image and addressing public misconceptions. Future research should expand the sample size and explore diverse healthcare settings to validate these findings.