SAGE Open Nursing最新文献

Introduction: The intensive care unit is a distinct environment that emphasizes the importance of professional and skilled nursing practice.

Purpose: This study aims to assess the relationship between the nurse practice environment and perceived patient-centered care (PCC) among nurses in intensive care units (ICUs) in Palestinian southern West Bank hospitals.

Methods: A cross-sectional, descriptive correlational design was employed for this study. The sample composed of 150 ICUs nurses. Data were collected using scales that assessed the practice environment and PCC.

Results: The practice environment scores ranged from 2.1 to 3.2, with a mean of 2.7 (±0.3), reflecting a moderately favorable environment. The PCC competency scores ranged from a mean 1.9 to 4.1, with of 3.4 (±0.5), indicating a generally high level of competency. A positive correlation was found between the practice environment and PCC competency (r = .397, p = .001). Predictors of PCC included the practice environment (B = .836, p = .001), age (B = .027, p = .006), and educational level (B = .154, p = .015).

Conclusion: The study found a moderately favorable practice environment and a generally high level of competency in PCC among nurses. Additionally, there were significant positive correlations between the practice environment and PCC competency. Age, educational level, and the practice environment were identified as predictors of PCC.

Introduction: Emotional intelligence (EI) is crucial for managing stress, enhancing well-being, and improving clinical decision-making (CDM). In neonatal intensive care units (NICUs), where rapid decisions, emotional demands, and complex interactions are common, understanding how EI supports CDM is key to ensuring high-quality care and effective outcomes.

Objective: This study aimed to explore the relationship between EI and CDM among NICU nurses.

Methods: The study was cross-sectional in design and used a convenience sample of 178 NICU nurses. Data collection gathered by paper-based between 10 January and 10 April 2024, employing the "Schutte Self-Report Emotional Intelligence Test" and the "CDM Scale."

Results: The analysis revealed that the average EI score among participants was 151.9 ± 1.7 (range: 33-165, CI = 151.613-152.096), reflecting a high level of EI. High EI in the NICU context is characterized by nurses' ability to manage their own stress effectively, empathize with families facing emotional distress, and maintain composure in high-pressure situations. Similarly, participants demonstrated a high level of CDM, with an average score of 179.6 ± 8.6 (range: 40-200, CI = 178.349-180.770). High CDM involves making accurate and timely clinical decisions, such as assessing neonatal conditions, prioritizing interventions, and collaborating with interdisciplinary teams to ensure optimal outcomes. A significant positive relationship was found between EI and CDM (r = 0.53, p < .001, effect size = 0.8). Furthermore, EI was a significant predictor of enhanced accuracy, timeliness, and prioritization in CDM (p < .001, CI = 1.991-3.337).

Conclusion: Nurses in NICUs demonstrated both high EI and strong CDM skills. A positive association between these two variables was evident.

Introduction: College presents students with various new challenges, including changes in environment, learning methods, friendships, and other unfamiliar situations, potentially triggering mental health issues. Recent epidemiological data show that the prevalence of depression and stress among college students aged 18-24 years is 37.2% and 23.7%, respectively.

Objective: This study aimed to determine the circumstances and factors affecting the quality of life, self-esteem, and stress of first-year undergraduate nursing students in Indonesia.

Methods: In total, 300 nursing students were recruited to participate in a quantitative descriptive cross-sectional mental health survey to determine the quality of life, self-esteem, and stress levels of first-semester students across multiple nursing education centers. The instruments used in this study were the WHOQOL-BREF, Rosenberg Self-Esteem Scale (RSES), and Perceived Stress Scale (PSS). Multiple linear regression was conducted to identify significant relationships between the variables. Data were analyzed using univariate and bivariate analyses with Microsoft Excel and SPSS, presenting results as regression coefficients and 95% confidence intervals.

Results: The results of bivariate analysis in this study showed that health status, relevance of expectations, goals, and standards had a significant influence on quality of life (p < .05). In addition, our study found that self-esteem had a significant relationship with quality of life in first-semester student nurses (p = .010).

Conclusion: Based on the findings that first-semester nursing students experience moderate stress yet generally exhibit good self-esteem and quality of life, universities should prioritize assessments of students' physical and psychological well-being during their adaptation period. It is recommended to implement counseling services, enhance support from guardian lecturers, and foster positive engagement with parents to address the expectations and goals influencing students' quality of life. These strategies aim to improve overall well-being and academic success among new nursing students.

Introduction: Antenatal care involves specialized expert care for pregnant women from the onset of pregnancy until delivery.

Objective: To examine delayed initiation of the 2016 WHO antenatal care contact and associated factors among pregnant women at public health facilities of Kamba Zuria district, south Ethiopia, 2023.

Methods: A facility-based cross-sectional study was conducted among 380 systematically selected pregnant women from May 1 to May 30, 2023. Data were entered using Epi-Data 7.1 Version and exported to SPSS version 25 for analysis. Binary logistic regression was performed and all variables with a p < .25 in bivariable analysis have been shifted in multivariable logistic regression evaluation. Statistical significance was declared at a p < .05 in adjusted odds ratio with a 95% confidence interval.

Result: The magnitude of delayed initiation of the 2016 WHO antenatal care contact was 43.4% [95% CI: 38.4-48.4%]. Being a rural residence [AOR: 2.12, 95% CI: 1.24-3.62], having a history of abortion [AOR: 0.27, 95% CI: 0.14-0.45], unplanned being pregnant [AOR: 2.56, 95% CI: 1.50-4.35], having illness during present-day pregnancy [AOR: 0.20, 95% CI:0.09-0.39], now not being a member of women's health development army [AOR: 2.73, 95% CI: 1.63-4.57], transportation get entry to hassle [AOR: 1.97, 95% CI: 1.18-3.29] and own family length of 1-2 [AOR: 0.38, 95% CI: 0.17-0.85], and 3-5 [AOR: 0.43, 95% CI: 0.22-0.84] have been appreciably associated.

Conclusion: Two in five pregnant women are not on time receiving their first antenatal care services. Being a rural resident, having a record of abortion, unplanned pregnancy, infection at some stage in pregnancy, transportation troubles, being a member of the women's health development army, and circle of relatives length were substantially related. Therefore, providing health education during early antenatal contact, proper gynecological and obstetric care, and strengthening women's health development might enhance the initiation of antenatal care.

Background: Pressure injury is a preventable public health problem. It may develop due to intense force or force combined with shear. Pressure injuries may be associated with pain and increased length of hospital stay. Adequate knowledge and a positive attitude of nurses are required to prevent pressure injuries. Evidence on pressure injury prevention in Ghana among nurses is limited.

Aims and objectives: The study examined factors associated with nurses' knowledge and perceived barriers toward pressure injury prevention in the Tamale metropolis, Ghana.

Methods: This was a multi-center descriptive cross-sectional study that recruited 216 nurses using systematic random sampling method. Data were collected using a self-administered questionnaire and analyzed using the R package and Statistical Package for Social Scientists (SPSS) version 27.0. After controlling for covariates, regression analysis determined the predictors of knowledge and attitude toward pressure injury prevention.

Results: More than two-thirds (79%) of nurses demonstrated good knowledge regarding pressure injury prevention. However, a significant majority (94%) exhibited poor attitudes. Notably, nurses employed in teaching hospitals [aRR = 2.09 (95%CI: 1.31, 3.44), p = .002] and those with 2-4 years of work experience [aRR = 1.96 (95%CI: 1.23, 3.22), p = .004] were significantly more likely to possess good knowledge about pressure injury prevention. Conversely, nurses without prior education on pressure injury prevention [aRR = 0.48(95%CI: 0.23, 0.98), p = .041) were less likely to prevent it. The most perceived barriers were inadequate equipment and logistics and insufficient time/increased workload.

Conclusion: While nurses exhibited a good knowledge about pressure injury prevention, their attitude toward its prevention was poor, indicating significant gaps that need addressing. Developing a comprehensive pressure injury management document and promoting attitudinal change through continuing professional capacity development may prove timely. The findings highlight the need for addressing organizational barriers that hinder effective nursing practice to improve the quality of care and positive patient outcomes.

Background: Clinical education is crucial in nursing programs for preparing students to deliver compassionate, high-quality care. However, research on nursing students' perceptions and expressions of caring behaviors in clinical settings is limited, particularly in Indonesia. This study aims to explore Indonesian nursing students' views on caring behaviors in clinical settings, addressing a significant gap in nursing education research within the Indonesian context.

Methods: A descriptive phenomenology research design was employed in this study. Nursing students' views and perceptions of caring were obtained through telephone interviews with semistructured questions. The research participants comprised 20 undergraduate nursing students undergoing clinical education at nursing education institutions in Surabaya, Indonesia, obtained through purposive sampling. The recorded interviews were transcribed and analyzed using a phenomenological method. To ensure reliability and validity in the data analysis process, grounded in Husserlian phenomenology and Giorgi's phenomenological method were employed.

Results: Seven key themes related to the perceptions of caring behavior emerged from the phenomenological analysis: (1) Caring as trying one's best to meet patients' needs; (2) Caring as a central value of nursing practice; (3) Caring as compassion; (4) Caring as helping each other; (5) Caring as awareness of patients' individual needs; (6) Caring as professionalism; and (7) Caring as support.

Conclusion: The findings of this study are expected to significantly improve nursing student application of caring behavior in the clinical setting. Increasing understanding and application of caring behavior in nursing students can have a positive impact on clinical practice. This study is useful as a guide for educators to help nursing students improve their caring practice in the clinical setting.

Introduction: Although COVID-19 may no longer be a global public health emergency, it is imperative to continue to reflect on the lessons learned from it, especially from the front-line nurses and nurse educators, to ensure effective nursing workforce response to disasters and emergencies of all kinds. The COVID-19 pandemic has disproportionately affected the new graduate nurses (NGNs) by altering their transition to practice (TTP) experiences. Many studies have examined perceptions and voices of educators from nursing education programs and NGNs about their experiences of transitioning to practice during the pandemic. However, clinical nurse educators' voices are lacking.

Method: This qualitative descriptive study explored clinical nurse educators' perspectives on the differences in TTP before and during the pandemic.

Results: The preliminary results encompassed two themes No hands on and Used to interacting with mannequins that point to root causes of greater struggles NGNs who transitioned to practice during the pandemic faced compared to their pre-pandemic counterparts.

Conclusion: Safely maintaining clinical access to learners during public health emergencies will be imperative to ensure NGNs enter practice prepared to provide safe and high-quality care.

Background: The presence of depression among hypertensive patients leads to a lack of adherence to treatment and poor compliance with lifestyle adjustments.

Objectives: To assess the magnitude and associated factors of depression among hypertensive patients attending hospitals in Arba Minch town, Gamo zone, south Ethiopia, 2024.

Methods: An institution-based cross-sectional study was employed from 1 May to 30 June 2024. The total sample size was 395. A systematic random sampling technique was used. Data was collected through face-to-face interviews. Data was entered into Epi Data version 3.1 and then exported to the SPSS version 25 statistical package for analysis. Logistic regression analysis tested the association between the independent and the outcome variables. Finally, a significant independent association was interpreted at a P-value of less than 0.05 with 95%CI.

Result: The magnitude of depression among hypertensive patients was 43.6% with 95% CI (38.2-48.7). Taking multiple antihypertensive medications [AOR: 2.19, 95%CI: 1.16-4.16], history of admission [AOR: 0.24, 95%CI: 0.12-0.46], blood pressure status [AOR: 0.07, 95%CI: 0.03-0.16], body mass index <18.5 kgm2 [AOR: 0.12, 95%CI: 0.02-0.83], 18.5-24.9 kgm2 [AOR: 0.14, 95%CI: 0.04-0.52], 25-29.9 kgm2 [AOR: 0.23, 95%CI: 0.06-0.91], family history of hypertension [AOR: 3.06, 95%CI: 1.27-7.37], family history of depression [AOR: 5.01, 95%CI: 2.02-12.43], ever alcohol drinker [AOR: 3.37, 95%CI: 1.32-8.58], and ever smoke cigarette [AOR: 3.44, 95%CI: 1.26-9.34] were associated with depression among hypertensive patients.

Conclusion: The number of antihypertensive medications, history of admission, blood pressure status, body mass index, family history of hypertension, family history of depression, ever alcohol drinker, and ever smoked cigarette were significantly associated with depression among hypertensive patients. Therefore, limiting the number of medications, controlling blood pressure, reducing body mass index, screening and treating family-related hypertension and depression, and abstinence from alcohol and smoking might reduce the burden of depression among hypertensive patients.

Background: Involving husbands in pregnancy, childbirth, and postpartum care improves the outcomes for mothers and babies. In most developing countries involvement of husbands towards antenatal care follow up is influenced by different socio-cultural and traditional factors. In Ethiopia, the degree of husband involvement as indicated by several research varied greatly.

Objective: The aim of this study is to measure the overall prevalence of husband involvement during antenatal care follow up of pregnant women in Ethiopia.

Methods: Five databases including PubMed, Scopus, EMBASE, SAGE and Google Scholar were reviewed for relevant articles retrieved from 2011 to 2023. Literature search used keywords, including "male partner involvement," "husband involvement," "spouse involvement" "antenatal care," and "perinatal care" and "Ethiopia". The Joanna Briggs Institute guidelines were used for appraisal review of journals. Thirteen articles were included in the final systematic review and meta-analysis and random effect model was used to analyze. The presence of statistical heterogeneity was tested using I², and publication bias was examined by various factors.

Result: Thirteen studies were finally identified and included in this systematic review and meta-analysis. The pooled estimated proportion of husband involvement during antenatal care follow up in Ethiopia was found to be 39.3[95%-CI (38.2, 40.4)]. Cochran Q test indicates that there is heterogeneity since I² is 98.6%. Egger's and Begg's tests were conducted to check possible publication bias and p-value = 0.679 and 0.807 respectively, which indicates that there is no possible publication bias.

Conclusion: It was discovered that the total pooled proportion of Ethiopian husbands' involvement towards antenatal care follow up was low. This demands that the nation take action to evaluate the health care policy in order to encourage husbands to participate in antenatal care and yield positive outcomes for the health of mothers and children.

Introduction: Nursing students need to be prepared for the realities of acute situations or crises. Medical simulation training is a well-known pedagogical method for teaching acute care and teamwork. Despite that, there is a lack of knowledge about students' experiences with the training. Such knowledge could contribute to the development of the training program.

Objective: To describe nursing students' experiences of medical simulation.

Design: Mixed-method.

Method: A total of 175 nursing students in semesters three and five answered a questionnaire with quantitative questions and open-ended comments. The qualitative data from the open-ended questions were analyzed inductively using thematic analysis. Quantitative data from the closed-ended questions were analyzed using descriptive statistics. Finally, a mixed-method synthesis was conducted, in which the findings from the qualitative analysis guided the synthesis, while the quantitative data supported the themes and sub-themes that emerged from the qualitative analysis.

Result: An overall theme in the results emerged, which was: "Students need and want more simulation in their curriculum." This theme was then divided into five sub-themes: "Well-structured model," "Being prepared by practical training," "Enhanced knowledge," "Reflection gives self-awareness," and "Feelings of fun and positive nervousness."

Conclusions: The result highlights medical simulation as a reliable pedagogic method because it was a well-structured model which made them prepared, gave them enhanced knowledge, and helped their self-reflection. Students recognize the need for additional medical simulation training and express a desire for both longer sessions and more opportunities. They believe that simulation training is beneficial for their future roles as nurses because it enhances their competence in acute care and improves their teamwork skills. Bloom's taxonomy is a valuable framework for designing and developing curricula, particularly when medical simulation plays a key role in achieving all levels of high cognitive skills.