SAGE Open Nursing最新文献

Introduction: Leadership style and employee behavior has long been a topic of interest in organizational research.

Objectives: To explore levels of despotic leadership, supervisor-employee value congruence, and organizational deviance among the studied nurses. Furthermore, to explore the connection between the three variables.

Methods: The study employed a cross-sectional quantitative design. The researchers used three tools as follows: the despotic leadership survey, an organizational deviance scale, and a perceived supervisor-employee value congruence scale. The first of April 2023 to the first of July 2023 were the 3 months that were used to collect the data from 250 nurses. The data were analyzed using descriptive statistics, Spearman's correlation, Kruskal-Wallis test, and Mann-Whitney U test.

Results: Nurses perceived a moderate level of despotic leadership as mean ± SD, 16.80 ± 3.01, also a moderate level for organizational deviance (30.63 ± 4.65). The studied nurses perceived a moderate level of supervisor-employee value congruence (10.93 ± 1.32) Furthermore, there is a solid positive significant relationship between despotic leadership and organizational deviance where p = .001. There is a negative significant relationship between despotic leadership and supervisor-employee value congruence where p = .001. Also, there is a negative significant relationship between organizational deviance and supervisor-employee value congruence where p = .001.

Conclusion: Nurse managers need to retain leaders to inspire subordinates' uncluttered communication networks, stirring nurses' partaking in nursing committees' assemblies, and decision-making. Hospital administrators ought to focus more on the role that value congruence plays as a buffer for subordinates who exhibit organizational deviance and high levels of mistrust. Strategies should be employed to create and maintain value congruence and reinforce desired nondeviant behaviors to foster a positive work environment.

Introduction: Multiple studies have reported the association between balance performance and cognitive function among older adults. However, few studies have been conducted in low-income settings.

Objectives: This cross-sectional study examined the relationships of dynamic and static balance with cognitive function in community-dwelling low-income older adults in Orlando, Florida.

Methods: Dynamic balance was assessed with a Short Physical Performance Battery (SPPB) and static balance with BTracks Balance System. Rowland Universal Dementia Assessment Scale (RUDAS) assessed cognition and Patient Health Questionnaire-9 assessed depressive symptoms.

Results: Multiple regression analysis showed dynamic balance was significantly associated with cognition, but static balance was not, controlling for depressive symptoms (N = 89, M _age  = 72.70, SD ± 6.95; females = 79). Specifically, higher dynamic balance was associated with better cognitive function. Cognitively healthy participants (RUDAS scores ≥23) scored 2.526 points higher in SPPB than those with possible cognitive impairment (RUDAS scores <23).

Conclusions: Findings provide the evidence to suggest dynamic balance and cognitive function health disparities affecting older adults from low-income community. By implication, dynamic balance and cognitive function should be part of routine screening with older adults living in low-income communities.

Introduction: One of the biggest challenges to public health is increasing knowledge of the early warning signs (EWS) of bipolar disorder recurrence. The recurrence incidence is still high despite multiple attempts to improve the awareness level. The awareness level is still ambiguous and insufficient.

Objective: The purpose of this study was to assess the degree of awareness of EWS of bipolar disorder recurrence among patients and their main caregivers in Jordan.

Methods: A descriptive cross-sectional design was used to recruit 275 patients and their main caregivers to fill out the adapted version of the Awareness of the EWS of Relapse Questionnaire.

Results: The analysis showed that patients and their main caregivers' awareness of the EWS of bipolar disorder recurrence was low and inadequate (patients, mean = 2.61 (SD = 2.6); main caregivers, mean = 3.84 (SD = 2.2); scores range from 0 to 10).

Conclusion: According to the study, the awareness level of these signs is still vague and inadequate. This means that ensuring long-term positive results for patients and their main caregivers requires a high degree of awareness regarding the warning signs and symptoms of bipolar disorder recurrence. To engage in standard practice, EWS of bipolar disorder recurrence awareness necessitate adequate resources, support, and an empowered and well-communicated multidisciplinary team.

Introduction: Thinking skills are important concepts that have been discussed by various researchers. Improving and enhancing students' thinking skills has become a fundamental goal of educational systems. There are several methods used to promote inclusive critical thinking in individuals.

Objectives: This study aimed to assess the correlation between emotional intelligence (EI) and critical thinking disposition skills in undergraduate Saudi nursing students.

Methods: This descriptive correlational study design used a convenience sample of 300 undergraduate nursing students. The respondents were selected from King Khaled University. The study utilized the Schutte Self-Report Emotional Intelligence Test (SSEIT) and the Critical Thinking Disposition Scale (CTDS).

Results: The results demonstrated a positive correlation between the two variables (r = .60, p < .001). The variables differed among the nursing students depending on their academic year of study (F = 52.000, p < .001).

Conclusions: In conclusion, higher levels of EI and critical thinking skills in nursing students are associated with improved problem-solving skills and better judgment, which contribute to the future development of EI and critical thinking nursing professionals.

Introduction: Academic achievement in nursing students is significantly influenced by their self-esteem and goal orientation. Defensive pessimism, a strategy where students set low expectations to prepare for potential failure, helps them stay motivated and focused. While this cognitive strategy can boost effort and performance, its relationship with self-esteem and goal orientation remains underexplored among nursing students, revealing a gap in understanding how these factors interact to influence academic success.

Objective: Assess the level and relationship between defensive pessimism, goal orientation, and self-esteem among nursing students at the Faculty of Nursing.

Method: Four hundred students were included in the research using a stratified sampling method followed by a simple randomization sampling technique to select 100 students from each academic year. Tools: The Defensive Pessimism Questionnaire, the Goal Orientation Scale, and the Self-Esteem Scale were used.

Results: 56.28% of participants had a low level of defensive pessimism, about two-thirds (62.30%) had a low level of goal orientation, and 70.0% of the students had a mild level of self-esteem. In addition, higher levels of defensive pessimism are significantly associated with stronger goal orientation (r = .291, p < .001) but lower self-esteem (r = -.246, p < .001). Additionally, self-esteem is significantly positively correlated with mastery-performance approach goals (r = .335, p < .001; r = .142, p < .001) and significantly negatively correlated with mastery-performance avoidance goals (r = -.351, p < .001; r = -.041, p < .001).

Conclusion: These findings highlight the complex interplay between defensive pessimism, goal orientation, and self-esteem in nursing students. Understanding these relationships is crucial for developing targeted interventions to enhance academic achievement and psychological well-being among nursing students, potentially by fostering adaptive goal-setting strategies and addressing the impacts of defensive pessimism on self-esteem.

Introduction: Data on how the health belief model constructs might predict the self-care behavior of patients with cardiovascular disease (CVD) post-coronavirus disease (COVID-19) 2019 pandemic are scarce.

Objective: This study determines the predictors influencing patients' intention to adhere to self-care for CVD in the United Arab Emirates after the COVID-19 pandemic.

Methods: A descriptive cross-sectional design was used. A total of 222 patients with CVD were purposively selected. Three scales were used: Health Beliefs Related to Cardiovascular Disease, Physical Activity Measurement, and Behavioral Intention Measurement. Various socio-demographic and clinical characteristics and the participants' health belief components were considered potential factors in the multivariate analysis to identify the independent predictors of the intention of self-care behaviors.

Results: The participants had a high level of perceived CVD risk (M = 4.02, SD = 0.714) and high level of perceived benefits regarding adopting healthy behavior (M = 4.30, SD = 0.817). The multiple linear regression revealed that not performing regular sweating exercises (β = 0.230), not receiving smoking cessation instructions (β = 0.214, p = .005), being sufficiently active (β = 0.304), and having no history of heart surgery (β = 0.155) were the independent predictors of low intention scores. The perceived benefits and perceived cues to the action of the Health Belief Model (HBM) were significant independent predictors of behavior intention and were responsible for a 22% increase in the participants' intention variances.

Conclusions: In a post-COVID CVD, this investigation delineated perceived benefits and cues to action derived from the HBM as the most robust prognosticators of behavioral intention (accounting for 47% of the variance), superseding sociodemographic and clinical parameters (explaining 25% of the variance). These results advocate for tailored interventions accentuating individual advantages and explicit prompts for behavioral modifications within this demographic.

Introduction: Poor nursing performance is considered a threat to patient safety, affecting the quality of care provided and ultimately impacting patient outcomes.

Objectives: The main aim of this study was to identify the predictors of nursing performance.

Methods: A cross-sectional predictive design was used. A convenient sampling technique was used to recruit 251 emergency nurses in three health sectors. They were assessed using the secondary traumatic stress scale and the nursing performance scale. Data were collected between June and August 2022.

Results: Nurses experienced severe levels of secondary traumatic stress (M = 57.9, SD = 14.94). The nursing performance level was below average (M = 27.48, SD = 9.36), and the mental performance subscale received the lowest rating (M = 5.82, SD = 2.69). There was a strong negative association between the secondary traumatic stress total score and the total score of nursing performance (r = -.77). Additionally, factors such as high body mass index, smoking, the presence of chronic diseases, working overtime, and high levels of secondary traumatic stress were identified as significant predictors of nursing performance.

Conclusion: It is recommended that emergency nurses be provided with treatment programs and interventions to reduce their secondary traumatic stress to improve their performance, thereby ensuring high-quality patient care.

Background: Nurses play an essential role as frontline caregivers, particularly in recognizing and responding to patient deterioration. This study addresses nurses' self-leadership in the face of challenging situations such as patient deterioration, emphasizing the importance of self-leadership skills in navigating complex patient care scenarios. Delayed recognition of subtle changes in patient's conditions has been linked to adverse outcomes, necessitating a closer examination of the role of self-leadership in nursing practice.

Objective: The objective of this research was to explore and understand the implications of self-leadership among nurses when confronted with challenging situations, specifically focusing on patient deterioration.

Methods: A qualitative, exploratory, and descriptive research design was employed, utilizing focus group discussions (FGDs) with nurses from a private hospital in Pretoria, South Africa. Semistructured interview guide facilitated the FGDs, and data saturation was achieved after the eight sessions. The sample included nurses with various qualifications and shifts, offering diverse perspectives on self-leadership in patient care. Rigorous data collection and trustworthiness measures, including member checking and verbatim transcriptions, were employed to enhance the conformability of the study.

Results: The findings revealed six overarching themes and 15 subthemes, demonstrating the interconnectedness of self-leadership and nursing practice. Themes included responsibility and autonomy, compassion and care, support and collaboration, learning from experience, teamwork, and appreciation and recognition. These themes explained how nurses actively engaged in self-observation, constructive thought patterns, and natural reward strategies to proactively address patient deterioration.

Conclusion: The study underlines the significance of integrating self-leadership principles into nursing practice. Embracing self-leadership in nursing holds promise for improving patient outcomes and nurturing a resilient and competent nursing workforce.

Background: Establishing a positive safety-culture environment is essential in healthcare settings to enhance patient care. This study aimed to determine the relationship between critical care nurses' perceptions of patient safety culture and adverse events.

Methods: A cross-sectional study was conducted among 200 nurses working in critical care units in the Damanhour Governorate in Egypt. Data were collected using a self-administered questionnaire, including the Hospital Survey of Patients' Safety Culture (HSOPSC) and information on adverse events (AEs).

Results: The study revealed areas for improvement in patient safety culture, with low positive response rates in staffing (26.6%), non-punitive response to errors (38%), handoffs and transitions (39.4%), teamwork across and within units (42.3%), and overall perception of patient safety (49.3%). The majority of critical care nurses had a moderate to high level of overall perception of patient safety at 42.5% and 42.0%, respectively. The most frequent adverse events reported daily were complaints from patients or their families (65.5%). Adverse drug events and patient falls occurred several times per week in 56.5% and 57.0% of patients, respectively. A significant association was found between low safety culture perception and higher rates of patient falls (p = .008), adverse drug events (p = .005), and patient/family complaints (p = .030).

Conclusion: The findings of the study indicate that nurses' perceptions of patient safety culture are moderate. Adverse medication responses, falls, and complaints from patients or their families were noted. Female nurses aged 31 to 40, especially divorced nurses, had more experience, worked fewer than 8 h daily, and had a higher education level, which appeared to influence overall safety culture perceptions. Furthermore, there was a correlation between the prevalence of adverse events and patient safety culture, with cooperation being the key factor.

Introduction: Despite a growing body of evidence on academic incivility, limited information exists on workplace incivility perceived by nursing students in nursing schools. This study, conducted amid the COVID-19 pandemic, explores nursing students' perceptions of workplace incivility in Jordanian nursing schools and investigates demographic-based differences.

Methods: This study employed a descriptive cross-sectional design, using an online survey for data collection. A convenience sample of 104 nursing students from diverse backgrounds and various Jordanian universities participated, allowing for a comprehensive examination of workplace incivility perceptions at a specific point in time. The online survey ensured efficient data collection, enhancing accessibility and ease of participation. This approach aimed to capture a snapshot of nursing students' perspectives on workplace incivility within a given time frame and across multiple educational institutions, efficiently gathering data from a geographically dispersed and demographically varied sample.

Results: Students perceived workplace incivility in nursing schools as "mild," with moderate confidence in schools' ability to address it. Workplace civility was rated between 60.00% and 70.00% on a 0-100 scale. The overall mean for uncivil behaviors was "sometimes," with criticism of expertise as the most common. Incivility in the past year was seen as "rare," with misusing authority being the most frequent. Male and low-GPA students reported higher perceptions of incivility. Stress was the most perceived contributing factor, and a lack of administrative support was the main barrier. Establishing codes of conduct was considered the key strategy for fostering workplace civility.

Conclusion: Workplace civility is prevalent in Jordanian nursing schools, even amid the COVID-19 pandemic. However, the occasional occurrence of incivility behaviors should be approached with caution. To enhance perceptions of workplace civility, nursing schools should prioritize effective teaching, a friendly environment, and respectful relationships. Encouraging faculty members to reassess their performance, starting with identifying academic workplace incivility, is crucial.