Pub Date : 2024-04-18eCollection Date: 2024-01-01DOI: 10.1177/23779608241245196
Ika Nur Pratiwi, Nursalam Nursalam, Ika Yuni Widyawati, Vimala Ramoo
Introduction: The marked increase in the number of individuals with diabetes mellitus (DM) worldwide each year has resulted in the importance of the spouse's contribution to the promotion and support of patient self-management programs.
Objectives: This study aimed to systematically explore the role or involvement of spouses in collaborative management and glycemic behavior change in DM.
Methods: Five databases including Scopus, PubMed, Cumulative Index of Nursing and Allied Health Literature, SAGE, and Web of Science were reviewed for relevant articles retrieved from 2017 to 2022. Literature search used keywords, including "Spouse," "Support," "Self-management," "Glycemic Control," and "Diabetes mellitus." The Joanna Briggs Institute guidelines were used for appraisal review of journals. The component of partner support in the self-management of patients with DM is associated with an increase in the patient's glycemic level.
Results: Twenty-five studies were identified that describe the different spousal roles and strategies in the promotion and support of DM management. Overall, spouses' involvement positively impacted healthy diets, higher self-efficacy, improved quality of psychological well-being, increased perceived support, and changes in glycemic-influenced behavior. Adaptation in the spouse patient relationship including maintaining cohesiveness can result in positive coping is essential in normalizing and contextualizing the chronic condition of DM. Partner-based collaboration is important for diabetes management, overcoming management barriers, and generating communal coping.
Conclusion: This systematic review observed that the involvement of a spouse is important in improving collaborative management and results in better glycemic behavior in patients with DM. A better understanding of the relationship between spousal involvement, coping strategies, and adherence in daily management and the subsequent use of this information are highly useful for creating targeted and effective interventions.
导言:全球糖尿病(DM)患者人数每年都在显著增加,因此配偶在促进和支持患者自我管理计划方面的贡献非常重要:本研究旨在系统探讨配偶在糖尿病患者合作管理和血糖行为改变中的作用或参与情况:查阅了 Scopus、PubMed、Cumulative Index of Nursing and Allied Health Literature、SAGE 和 Web of Science 等五个数据库,检索了 2017 年至 2022 年期间的相关文章。文献检索使用的关键词包括 "配偶"、"支持"、"自我管理"、"血糖控制 "和 "糖尿病"。期刊评估审查采用乔安娜-布里格斯研究所(Joanna Briggs Institute)指南。结果:在糖尿病患者的自我管理过程中,合作伙伴的支持与患者血糖水平的提高有关:结果:共发现 25 项研究描述了配偶在促进和支持糖尿病管理中的不同角色和策略。总体而言,配偶的参与对健康饮食、自我效能感的提高、心理健康质量的改善、支持感的增强以及血糖影响行为的改变都有积极影响。调整配偶与患者之间的关系,包括保持凝聚力,可以产生积极的应对措施,这对糖尿病慢性病的正常化和情景化至关重要。以伴侣为基础的合作对于糖尿病管理、克服管理障碍和产生共同应对非常重要:本系统综述发现,配偶的参与对于改善糖尿病患者的合作管理非常重要,并能改善患者的血糖行为。更好地了解配偶参与、应对策略和坚持日常管理之间的关系,以及随后对这些信息的利用,对于制定有针对性的有效干预措施非常有用。
{"title":"Spousal Involvement in Collaborative Management and Glycemic Behavior Change among Patients with Diabetes Mellitus: A Systematic Review.","authors":"Ika Nur Pratiwi, Nursalam Nursalam, Ika Yuni Widyawati, Vimala Ramoo","doi":"10.1177/23779608241245196","DOIUrl":"https://doi.org/10.1177/23779608241245196","url":null,"abstract":"<p><strong>Introduction: </strong>The marked increase in the number of individuals with diabetes mellitus (DM) worldwide each year has resulted in the importance of the spouse's contribution to the promotion and support of patient self-management programs.</p><p><strong>Objectives: </strong>This study aimed to systematically explore the role or involvement of spouses in collaborative management and glycemic behavior change in DM.</p><p><strong>Methods: </strong>Five databases including Scopus, PubMed, Cumulative Index of Nursing and Allied Health Literature, SAGE, and Web of Science were reviewed for relevant articles retrieved from 2017 to 2022. Literature search used keywords, including \"Spouse,\" \"Support,\" \"Self-management,\" \"Glycemic Control,\" and \"Diabetes mellitus.\" The Joanna Briggs Institute guidelines were used for appraisal review of journals. The component of partner support in the self-management of patients with DM is associated with an increase in the patient's glycemic level.</p><p><strong>Results: </strong>Twenty-five studies were identified that describe the different spousal roles and strategies in the promotion and support of DM management. Overall, spouses' involvement positively impacted healthy diets, higher self-efficacy, improved quality of psychological well-being, increased perceived support, and changes in glycemic-influenced behavior. Adaptation in the spouse patient relationship including maintaining cohesiveness can result in positive coping is essential in normalizing and contextualizing the chronic condition of DM. Partner-based collaboration is important for diabetes management, overcoming management barriers, and generating communal coping.</p><p><strong>Conclusion: </strong>This systematic review observed that the involvement of a spouse is important in improving collaborative management and results in better glycemic behavior in patients with DM. A better understanding of the relationship between spousal involvement, coping strategies, and adherence in daily management and the subsequent use of this information are highly useful for creating targeted and effective interventions.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-18eCollection Date: 2024-01-01DOI: 10.1177/23779608241247434
Areej Ghalib Al-Otaibi, Ahmad E Aboshaiqah, Fatimah Ali Aburshaid
Introduction: Staff turnover is a major obstacle to the success of Saudi Arabia's health transformation agenda and the realization of Saudi Vision 2030. Nurses' and midwives' intentions to remain with the organization are heavily influenced by their sense of structural empowerment and resilience.
Objectives: To gain insight into the perspectives of nurses and midwives working in the Obstetrics and Gynecology departments of a selection of Saudi Arabian governmental hospitals about structural empowerment, resilience, and intentions to stay in their current positions.
Methods: Qualitative Descriptive Phenomenology. Purposive sampling was used to choose eighteen nurses and midwives working in the OB/GYN department in three government hospitals in the Eastern Province of Saudi Arabia. Semi-structured interviews were conducted to gather the participants' perceptions. Colaizzi's steps were used as a data analysis method.
Results: The narratives of the selected participants generated five major themes: (a) "nurturing physical and physiological," (b) "developing psychological," (c) "managing financial," (e) "restructuring organizational," and (f) "enriching professional and occupational."
Conclusions: The emerging major themes highlighted the perceptive elements of nurses and midwives that keep them empowered, resilient, and determined to stay in their organization. A failure to fulfill any one of these elements will affect the others. To improve organizational outcomes, empowerment and resilience must be obtained.
{"title":"Structural Empowerment, Resilience, and Intent to Stay Among Nurses and Midwives in Obstetrics and Gynecology Departments: A Phenomenological Inquiry Study in Saudi Arabia.","authors":"Areej Ghalib Al-Otaibi, Ahmad E Aboshaiqah, Fatimah Ali Aburshaid","doi":"10.1177/23779608241247434","DOIUrl":"https://doi.org/10.1177/23779608241247434","url":null,"abstract":"<p><strong>Introduction: </strong>Staff turnover is a major obstacle to the success of Saudi Arabia's health transformation agenda and the realization of Saudi Vision 2030. Nurses' and midwives' intentions to remain with the organization are heavily influenced by their sense of structural empowerment and resilience.</p><p><strong>Objectives: </strong>To gain insight into the perspectives of nurses and midwives working in the Obstetrics and Gynecology departments of a selection of Saudi Arabian governmental hospitals about structural empowerment, resilience, and intentions to stay in their current positions.</p><p><strong>Methods: </strong>Qualitative Descriptive Phenomenology. Purposive sampling was used to choose eighteen nurses and midwives working in the OB/GYN department in three government hospitals in the Eastern Province of Saudi Arabia. Semi-structured interviews were conducted to gather the participants' perceptions. Colaizzi's steps were used as a data analysis method.</p><p><strong>Results: </strong>The narratives of the selected participants generated five major themes: (a) \"nurturing physical and physiological,\" (b) \"developing psychological,\" (c) \"managing financial,\" (e) \"restructuring organizational,\" and (f) \"enriching professional and occupational.\"</p><p><strong>Conclusions: </strong>The emerging major themes highlighted the perceptive elements of nurses and midwives that keep them empowered, resilient, and determined to stay in their organization. A failure to fulfill any one of these elements will affect the others. To improve organizational outcomes, empowerment and resilience must be obtained.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-15eCollection Date: 2024-01-01DOI: 10.1177/23779608241246871
Hiba Wehbe-Alamah, Myrna A A Doumit, Joshua Bernstein, Basil H Aboul-Enein
Introduction: Twenty-two Arab countries comprise the League of Arab States. While united in Arab identity, diversities among these countries exist at many levels. Conducting and publishing research in the Arabic speaking countries is an essential pillar for improving the status of the nursing profession.
Purpose: The purpose of this study is to assess the current status, trends, challenges, and opportunities of nursing research in Arab countries.
Methodology: An integrative review was conducted using (1) Index Medicus for the Eastern Mediterranean Regional Office Database Journals Directory (IMEMR), (2) the Iraqi Academic Scientific Journals Database (IASJD), (3) Ulrichsweb (UW), (4) The Geneva Foundation for Medical Education and Research/Middle Eastern Journals (GFMER), (5) the Nursing Journal Directory (NJD), (6) the Directory of Open Access Journals (DOAJ), and (7) Google Scholar. Journals and articles that met inclusion criteria were accessed, retrieved, reviewed, and subjected to content analysis by three authors, two of which were fluent in English, French, and Arabic languages. A third author fluent in all three languages confirmed the findings.
Results: Nursing research in Arabic-speaking countries has evolved over the past decades but is still lacking compared to global nursing research. Moreover, it was found to be largely situated within academic institutions and linked to tenure and promotion requirements.
Conclusion: Nursing journals in Arabic-speaking countries do not adequately represent that overall region and are limited in access.
导言:22 个阿拉伯国家组成了阿拉伯国家联盟。虽然这些国家的阿拉伯特征是一致的,但在许多层面上却存在差异。在阿拉伯语国家开展和发表研究是提高护理专业地位的重要支柱。目的:本研究旨在评估阿拉伯国家护理研究的现状、趋势、挑战和机遇:研究使用以下数据库进行了综合审查:(1) Index Medicus for the Eastern Mediterranean Regional Office Database Journals Directory (IMEMR);(2) Iraqi Academic Scientific Journals Database (IASJD);(3) Ulrichsweb (UW);(4) The Geneva Foundation for Medical Education and Research/Middle Eastern Journals (GFMER);(5) Nursing Journal Directory (NJD);(6) Directory of Open Access Journals (DOAJ);(7) Google Scholar。符合纳入标准的期刊和文章由三位作者访问、检索、审阅并进行内容分析,其中两位作者精通英语、法语和阿拉伯语。第三位精通所有三种语言的作者对研究结果进行了确认:阿拉伯语国家的护理研究在过去几十年中不断发展,但与全球护理研究相比仍显不足。此外,研究主要集中在学术机构内部,并与终身职位和晋升要求相关联:结论:阿拉伯语国家的护理期刊不能充分代表该地区的整体情况,而且获取渠道有限。
{"title":"Nursing Research in Arab Countries: Current Status, Trends, Challenges, and Opportunities.","authors":"Hiba Wehbe-Alamah, Myrna A A Doumit, Joshua Bernstein, Basil H Aboul-Enein","doi":"10.1177/23779608241246871","DOIUrl":"https://doi.org/10.1177/23779608241246871","url":null,"abstract":"<p><strong>Introduction: </strong>Twenty-two Arab countries comprise the League of Arab States. While united in Arab identity, diversities among these countries exist at many levels. Conducting and publishing research in the Arabic speaking countries is an essential pillar for improving the status of the nursing profession.</p><p><strong>Purpose: </strong>The purpose of this study is to assess the current status, trends, challenges, and opportunities of nursing research in Arab countries.</p><p><strong>Methodology: </strong>An integrative review was conducted using (1) Index Medicus for the Eastern Mediterranean Regional Office Database Journals Directory (IMEMR), (2) the Iraqi Academic Scientific Journals Database (IASJD), (3) Ulrichsweb (UW), (4) The Geneva Foundation for Medical Education and Research/Middle Eastern Journals (GFMER), (5) the Nursing Journal Directory (NJD), (6) the Directory of Open Access Journals (DOAJ), and (7) Google Scholar. Journals and articles that met inclusion criteria were accessed, retrieved, reviewed, and subjected to content analysis by three authors, two of which were fluent in English, French, and Arabic languages. A third author fluent in all three languages confirmed the findings.</p><p><strong>Results: </strong>Nursing research in Arabic-speaking countries has evolved over the past decades but is still lacking compared to global nursing research. Moreover, it was found to be largely situated within academic institutions and linked to tenure and promotion requirements.</p><p><strong>Conclusion: </strong>Nursing journals in Arabic-speaking countries do not adequately represent that overall region and are limited in access.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11020728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-11eCollection Date: 2024-01-01DOI: 10.1177/23779608241242889
Mehd Abdu, Tariku Daniel, Mohammed Yesuf
Introduction: Elderly individuals are the segment of the population that needs special care. The quality of care provided for elderly individuals is highly determined by the knowledge of nurses in elderly care. Hence, there are limited studies conducted to determine the level of knowledge of nurses regarding elderly care. Therefore, this study aimed to assess determinant factors of nurses' knowledge of elderly care.
Methods: A facility-based cross-sectional study design was employed from April 1 to 10, 2021, among 345 nurses. Respondents were selected by a simple random sampling technique. The data were collected through a self-administered structured questionnaire. The collected data were entered and analyzed by using Statistical Package for Social Science software version 25.0. A multivariable binary logistic regression was used to identify factors significantly associated with the knowledge of nurses about elderly care.
Result: The response rate of this study was 98.3%. More than half of the respondents were female (51.6%) and 38.3% were single in marital status. Being knowledgeable among nurses about elderly care was 51.9%. Ever living with the elderly (adjusted odd ratio [AOR]: 3.62; 95% CI: 1.661, 7.89) and taking geriatric care training (AOR: 5.209, 95% CI: 2.771, 9.79) were positively associated with the knowledge of nurses toward elderly care while work experience <5 years (AOR: 0.305; 95% CI: 0.134, 0,696), and work experience 5-10 years (AOR: 0.359; 95% CI: 0.15, 0.864) were negatively associated with the knowledge of nurses toward elderly care.
Conclusion: The knowledge of nurses about elderly care was moderate. Ever lived with the elderly, work experience, and taking geriatric care training contributed to nurses' knowledge about elderly care. Therefore, hospital administrators and the Ministry of Health should facilitate training, design, and implement standard guidelines on nursing practice for elderly care.
{"title":"Determinants of Nurses' Knowledge Toward the Elderly Care, Southwest, Ethiopia.","authors":"Mehd Abdu, Tariku Daniel, Mohammed Yesuf","doi":"10.1177/23779608241242889","DOIUrl":"https://doi.org/10.1177/23779608241242889","url":null,"abstract":"<p><strong>Introduction: </strong>Elderly individuals are the segment of the population that needs special care. The quality of care provided for elderly individuals is highly determined by the knowledge of nurses in elderly care. Hence, there are limited studies conducted to determine the level of knowledge of nurses regarding elderly care. Therefore, this study aimed to assess determinant factors of nurses' knowledge of elderly care.</p><p><strong>Methods: </strong>A facility-based cross-sectional study design was employed from April 1 to 10, 2021, among 345 nurses. Respondents were selected by a simple random sampling technique. The data were collected through a self-administered structured questionnaire. The collected data were entered and analyzed by using Statistical Package for Social Science software version 25.0. A multivariable binary logistic regression was used to identify factors significantly associated with the knowledge of nurses about elderly care.</p><p><strong>Result: </strong>The response rate of this study was 98.3%. More than half of the respondents were female (51.6%) and 38.3% were single in marital status. Being knowledgeable among nurses about elderly care was 51.9%. Ever living with the elderly (adjusted odd ratio [AOR]: 3.62; 95% CI: 1.661, 7.89) and taking geriatric care training (AOR: 5.209, 95% CI: 2.771, 9.79) were positively associated with the knowledge of nurses toward elderly care while work experience <5 years (AOR: 0.305; 95% CI: 0.134, 0,696), and work experience 5-10 years (AOR: 0.359; 95% CI: 0.15, 0.864) were negatively associated with the knowledge of nurses toward elderly care.</p><p><strong>Conclusion: </strong>The knowledge of nurses about elderly care was moderate. Ever lived with the elderly, work experience, and taking geriatric care training contributed to nurses' knowledge about elderly care. Therefore, hospital administrators and the Ministry of Health should facilitate training, design, and implement standard guidelines on nursing practice for elderly care.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-09eCollection Date: 2024-01-01DOI: 10.1177/23779608241244677
Rawan Nedal Abu Obied, Basma Salameh, Ahmad Ayed, Lobna Harazni, Imad Fashafsheh, Kefah Zaben
Introduction: The use of electrocardiograms (ECGs) is widespread among emergency room (ER) nurses for diagnosis and triage, making it crucial for them to have the appropriate level of competency in interpreting ECGs. This can lead to better healthcare and patient outcomes.
Objectives: This study aims to assess the competency level of emergency nurses in Palestine in interpreting normal ECG and certain cardiac arrhythmias, and to explore the association between socio-demographic characteristics and their ECG interpretation competency.
Methods: The study used a cross-sectional descriptive design, and 196 ER nurses were conveniently recruited to fill out a self-administered questionnaire based on previous literature. The data collected were analyzed using SPSS with strict adherence to ethical considerations.
Results: The results showed that 70.9% of the nurses were males, 65.3% held a bachelor's degree in nursing, 46.9% had 1-5 years of experience, and 60.7% had received previous courses on ECG interpretation. The mean competency level of the ER nurses was satisfactory at 60.714%, but 38.8% had a poor level of competency. This was significantly higher among nurses with higher educational levels (p-value < 0.001), those who had taken previous ECG courses (p-value = 0.045) and life support (p-value < 0.05), and those who were exposed to more ECG interpretations per day (p-value = 0.001).
Conclusion: There is a need to focus more on ECG competency levels in Palestinian literature and compare them between different departments. It is also essential to evaluate nurses' needs for continuous education.
{"title":"Assessing the Level of Electrocardiographic Interpretation Competency among Emergency Nurses in Palestine.","authors":"Rawan Nedal Abu Obied, Basma Salameh, Ahmad Ayed, Lobna Harazni, Imad Fashafsheh, Kefah Zaben","doi":"10.1177/23779608241244677","DOIUrl":"https://doi.org/10.1177/23779608241244677","url":null,"abstract":"<p><strong>Introduction: </strong>The use of electrocardiograms (ECGs) is widespread among emergency room (ER) nurses for diagnosis and triage, making it crucial for them to have the appropriate level of competency in interpreting ECGs. This can lead to better healthcare and patient outcomes.</p><p><strong>Objectives: </strong>This study aims to assess the competency level of emergency nurses in Palestine in interpreting normal ECG and certain cardiac arrhythmias, and to explore the association between socio-demographic characteristics and their ECG interpretation competency.</p><p><strong>Methods: </strong>The study used a cross-sectional descriptive design, and 196 ER nurses were conveniently recruited to fill out a self-administered questionnaire based on previous literature. The data collected were analyzed using SPSS with strict adherence to ethical considerations.</p><p><strong>Results: </strong>The results showed that 70.9% of the nurses were males, 65.3% held a bachelor's degree in nursing, 46.9% had 1-5 years of experience, and 60.7% had received previous courses on ECG interpretation. The mean competency level of the ER nurses was satisfactory at 60.714%, but 38.8% had a poor level of competency. This was significantly higher among nurses with higher educational levels (<i>p</i>-value < 0.001), those who had taken previous ECG courses (<i>p</i>-value = 0.045) and life support (<i>p</i>-value < 0.05), and those who were exposed to more ECG interpretations per day (<i>p</i>-value = 0.001).</p><p><strong>Conclusion: </strong>There is a need to focus more on ECG competency levels in Palestinian literature and compare them between different departments. It is also essential to evaluate nurses' needs for continuous education.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11005491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-09eCollection Date: 2024-01-01DOI: 10.1177/23779608241245502
Ellinor Rydhamn Ledin, Andrea Eriksson, Janet Mattsson
Introduction: A growing number of parents are navigating parenthood influenced by medical complexity and technological dependency as the group of children with long-term tracheostomy grows. However, little is known regarding the parental experiences of parenthood for this heterogeneous group of children now surviving through infancy and intensive care.
Objective: This study aimed to analyze how parents of children who have received a tracheostomy adapted to parenthood.
Methods: Interviews were conducted and analyzed following a constructivist grounded theory approach. Ten parents of seven children living with a tracheostomy in Sweden were recruited via the long-term intensive care unit (ICU).
Results: The core variable of parenthood "Stuck in survival" was explained by two categories and six subcategories. The category "Unaddressed previous history" describes the experiences from being in the ICU environment and how the parents are not able, due to insufficient time and resources, to address these stressful experiences. The category "Falling through the cracks of a rigid system" describes how the parents found themselves and their children to be continuously ill-fitted in a medical system impossible to adapt to their needs and situation. Parents placed the starting point of parenthood with the birth of the child, whilst the tracheotomy only constituted a turning point and would lead to the loss of any previously held expectations regarding parenthood.
Conclusion: This study identified a previously undescribed period prior to tracheostomy placement, which may have long-lasting effects on these families. The care provided in ICUs following the birth of a child who will require tracheostomy may not be tailored or adapted to accommodate the needs of these families leading to long-lasting effects on parenthood.
{"title":"\"What choice do you have knowing your child can't breathe?!\": Adaptation to Parenthood for Children Who Have Received a Tracheostomy.","authors":"Ellinor Rydhamn Ledin, Andrea Eriksson, Janet Mattsson","doi":"10.1177/23779608241245502","DOIUrl":"https://doi.org/10.1177/23779608241245502","url":null,"abstract":"<p><strong>Introduction: </strong>A growing number of parents are navigating parenthood influenced by medical complexity and technological dependency as the group of children with long-term tracheostomy grows. However, little is known regarding the parental experiences of parenthood for this heterogeneous group of children now surviving through infancy and intensive care.</p><p><strong>Objective: </strong>This study aimed to analyze how parents of children who have received a tracheostomy adapted to parenthood.</p><p><strong>Methods: </strong>Interviews were conducted and analyzed following a constructivist grounded theory approach. Ten parents of seven children living with a tracheostomy in Sweden were recruited via the long-term intensive care unit (ICU).</p><p><strong>Results: </strong>The core variable of parenthood \"Stuck in survival\" was explained by two categories and six subcategories. The category \"Unaddressed previous history\" describes the experiences from being in the ICU environment and how the parents are not able, due to insufficient time and resources, to address these stressful experiences. The category \"Falling through the cracks of a rigid system\" describes how the parents found themselves and their children to be continuously ill-fitted in a medical system impossible to adapt to their needs and situation. Parents placed the starting point of parenthood with the birth of the child, whilst the tracheotomy only constituted a turning point and would lead to the loss of any previously held expectations regarding parenthood.</p><p><strong>Conclusion: </strong>This study identified a previously undescribed period prior to tracheostomy placement, which may have long-lasting effects on these families. The care provided in ICUs following the birth of a child who will require tracheostomy may not be tailored or adapted to accommodate the needs of these families leading to long-lasting effects on parenthood.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11005490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Critically ill patients experience various stressful symptoms of discomfort, including dyspnea, pain, and sleep disruption. Notably, ventilated patients have difficulty self-reporting discomfort symptoms. Nurses need to assess discomfort symptoms to alleviate them, but limited research exists on discomfort symptom assessment and management in critically ill patients.
Objective: To identify the practices, attitudes, and barriers among nurses related to the assessment of discomfort symptoms in mechanically ventilated patients.
Methods: Using a cross-sectional, descriptive study design, a web-based survey was conducted between May and June 2022 with critical care nurses sampled through Japanese academic societies and social networking services. The survey contained questions relative to the above-stated objective. Descriptive statistical analysis was performed without sample size calculation because of the descriptive and exploratory nature of this study.
Results: There were 267 respondents to the questionnaire. The discomfort symptoms that nurses perceived as important to assess were pain (median 100 [interquartile range, IQR 90-100]), insomnia (99 [80-100]), and dyspnea (96.5 [75-100]). Most participants (89.8%) routinely assessed pain in mechanically ventilated patients using a scale; however, other discomfort symptoms were assessed by less than 40% (dyspnea [28.4%], fatigue [8.1%], thirst [13.1%], insomnia [37.3%], and anxiety [13.6%]). Two major barriers to assessing discomfort symptoms were lack of assessment culture within the intensive care unit and lack of knowledge of the relevant evaluation scales.
Conclusions: Nurses were aware of the importance of using scales to assess the discomfort symptoms experienced by mechanically ventilated patients. However, except for pain, most nurses did not routinely use scales to assess discomfort symptoms. Barriers to routine discomfort symptom assessment included the lack of an assessment culture and the lack of knowledge of the assessment scales. Clinicians should be educated regarding the existence of validated rating scales and develop additional rating scales utilizable for minor discomforts in mechanically ventilated patients.
{"title":"Nurses' Attitudes, Practices, and Barriers to Assessing Symptoms of Discomfort in Mechanically Ventilated Patients: A Cross-Sectional Study.","authors":"Tomohiko Takahashi, Yusuke Oyama, Hideaki Sakuramoto, Mitsuhiro Tamoto, Tomoo Sato, Yuko Nanjo, Sayaka Hosoi, Takeshi Unoki","doi":"10.1177/23779608241245209","DOIUrl":"https://doi.org/10.1177/23779608241245209","url":null,"abstract":"<p><strong>Introduction: </strong>Critically ill patients experience various stressful symptoms of discomfort, including dyspnea, pain, and sleep disruption. Notably, ventilated patients have difficulty self-reporting discomfort symptoms. Nurses need to assess discomfort symptoms to alleviate them, but limited research exists on discomfort symptom assessment and management in critically ill patients.</p><p><strong>Objective: </strong>To identify the practices, attitudes, and barriers among nurses related to the assessment of discomfort symptoms in mechanically ventilated patients.</p><p><strong>Methods: </strong>Using a cross-sectional, descriptive study design, a web-based survey was conducted between May and June 2022 with critical care nurses sampled through Japanese academic societies and social networking services. The survey contained questions relative to the above-stated objective. Descriptive statistical analysis was performed without sample size calculation because of the descriptive and exploratory nature of this study.</p><p><strong>Results: </strong>There were 267 respondents to the questionnaire. The discomfort symptoms that nurses perceived as important to assess were pain (median 100 [interquartile range, IQR 90-100]), insomnia (99 [80-100]), and dyspnea (96.5 [75-100]). Most participants (89.8%) routinely assessed pain in mechanically ventilated patients using a scale; however, other discomfort symptoms were assessed by less than 40% (dyspnea [28.4%], fatigue [8.1%], thirst [13.1%], insomnia [37.3%], and anxiety [13.6%]). Two major barriers to assessing discomfort symptoms were lack of assessment culture within the intensive care unit and lack of knowledge of the relevant evaluation scales.</p><p><strong>Conclusions: </strong>Nurses were aware of the importance of using scales to assess the discomfort symptoms experienced by mechanically ventilated patients. However, except for pain, most nurses did not routinely use scales to assess discomfort symptoms. Barriers to routine discomfort symptom assessment included the lack of an assessment culture and the lack of knowledge of the assessment scales. Clinicians should be educated regarding the existence of validated rating scales and develop additional rating scales utilizable for minor discomforts in mechanically ventilated patients.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-07eCollection Date: 2024-01-01DOI: 10.1177/23779608241245220
Moustaq Karim Khan Rony, Mst Rina Parvin, Md Wahiduzzaman, Mitun Debnath, Shuvashish Das Bala, Ibne Kayesh
Background: The rapid integration of artificial intelligence (AI) into healthcare has raised concerns among healthcare professionals about the potential displacement of human medical professionals by AI technologies. However, the apprehensions and perspectives of healthcare workers regarding the potential substitution of them with AI are unknown.
Objective: This qualitative research aimed to investigate healthcare workers' concerns about artificial intelligence replacing medical professionals.
Methods: A descriptive and exploratory research design was employed, drawing upon the Technology Acceptance Model (TAM), Technology Threat Avoidance Theory, and Sociotechnical Systems Theory as theoretical frameworks. Participants were purposively sampled from various healthcare settings, representing a diverse range of roles and backgrounds. Data were collected through individual interviews and focus group discussions, followed by thematic analysis.
Results: The analysis revealed seven key themes reflecting healthcare workers' concerns, including job security and economic concerns; trust and acceptance of AI; ethical and moral dilemmas; quality of patient care; workforce role redefinition and training; patient-provider relationships; healthcare policy and regulation.
Conclusions: This research underscores the multifaceted concerns of healthcare workers regarding the increasing role of AI in healthcare. Addressing job security, fostering trust, addressing ethical dilemmas, and redefining workforce roles are crucial factors to consider in the successful integration of AI into healthcare. Healthcare policy and regulation must be developed to guide this transformation while maintaining the quality of patient care and preserving patient-provider relationships. The study findings offer insights for policymakers and healthcare institutions to navigate the evolving landscape of AI in healthcare while addressing the concerns of healthcare professionals.
{"title":"\"I Wonder if my Years of Training and Expertise Will be Devalued by Machines\": Concerns About the Replacement of Medical Professionals by Artificial Intelligence.","authors":"Moustaq Karim Khan Rony, Mst Rina Parvin, Md Wahiduzzaman, Mitun Debnath, Shuvashish Das Bala, Ibne Kayesh","doi":"10.1177/23779608241245220","DOIUrl":"https://doi.org/10.1177/23779608241245220","url":null,"abstract":"<p><strong>Background: </strong>The rapid integration of artificial intelligence (AI) into healthcare has raised concerns among healthcare professionals about the potential displacement of human medical professionals by AI technologies. However, the apprehensions and perspectives of healthcare workers regarding the potential substitution of them with AI are unknown.</p><p><strong>Objective: </strong>This qualitative research aimed to investigate healthcare workers' concerns about artificial intelligence replacing medical professionals.</p><p><strong>Methods: </strong>A descriptive and exploratory research design was employed, drawing upon the Technology Acceptance Model (TAM), Technology Threat Avoidance Theory, and Sociotechnical Systems Theory as theoretical frameworks. Participants were purposively sampled from various healthcare settings, representing a diverse range of roles and backgrounds. Data were collected through individual interviews and focus group discussions, followed by thematic analysis.</p><p><strong>Results: </strong>The analysis revealed seven key themes reflecting healthcare workers' concerns, including job security and economic concerns; trust and acceptance of AI; ethical and moral dilemmas; quality of patient care; workforce role redefinition and training; patient-provider relationships; healthcare policy and regulation.</p><p><strong>Conclusions: </strong>This research underscores the multifaceted concerns of healthcare workers regarding the increasing role of AI in healthcare. Addressing job security, fostering trust, addressing ethical dilemmas, and redefining workforce roles are crucial factors to consider in the successful integration of AI into healthcare. Healthcare policy and regulation must be developed to guide this transformation while maintaining the quality of patient care and preserving patient-provider relationships. The study findings offer insights for policymakers and healthcare institutions to navigate the evolving landscape of AI in healthcare while addressing the concerns of healthcare professionals.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-05eCollection Date: 2024-01-01DOI: 10.1177/23779608241245212
Kun Yun Lee, Nursyahda Zakaria, Norhaniza Zakaria
Introduction: Shift workers follow nonstandard schedules that encompass overnight duty, rotational timetables, or permanent night work which can lead to misaligned core circadian physiology. Shift work has been associated with sleep deprivation, burnout, and metabolic syndrome among healthcare workers.
Objective: We aimed to examine if shift nurses working in Malaysian public hospitals are more predisposed to burnout and to determine the predictors of burnout in this profession.
Method: This national-level cross-sectional study was conducted among nurses in public hospitals in Malaysia between July and November 2019 using self-administered questionnaires. Maslach Burnout Inventory-Human Service Survey was used to determine burnout. Multistage stratified sampling was used to recruit nurses from 32 hospitals. A complex sampling analysis was performed.
Results: Among the 1,491 hospital nurses, more than half (70.8%) of them followed shift work schedules. Shift nurses were mostly below 40 years old (80.9%), diploma holders (87.2%), and of lower professional grades (64.2%). The prevalence of overall burnout, as well as the domains of emotional exhaustion and depersonalization, was higher among shift nurses (27.1%) as compared to their counterparts (22.4%). Nurses who performed more than six night shifts per month were 2.6 times more predisposed to burnout.
Conclusion: Shift work is integral to ensure round-the-clock nursing care for patients. However, nurses are increasingly faced with more shift duties due to heavy patient loads and staff shortages. Modified work schedules must be implemented to provide sufficient rest time for shift nurses to mitigate burnout. Additionally, proper human resource projection and distribution are imperative to prevent worsening burnout.
{"title":"Examining the Impact of Burnout on Hospital Nurses Engaged in Shift Work: Insights From a Nationwide Cross-Sectional Study in Malaysia.","authors":"Kun Yun Lee, Nursyahda Zakaria, Norhaniza Zakaria","doi":"10.1177/23779608241245212","DOIUrl":"https://doi.org/10.1177/23779608241245212","url":null,"abstract":"<p><strong>Introduction: </strong>Shift workers follow nonstandard schedules that encompass overnight duty, rotational timetables, or permanent night work which can lead to misaligned core circadian physiology. Shift work has been associated with sleep deprivation, burnout, and metabolic syndrome among healthcare workers.</p><p><strong>Objective: </strong>We aimed to examine if shift nurses working in Malaysian public hospitals are more predisposed to burnout and to determine the predictors of burnout in this profession.</p><p><strong>Method: </strong>This national-level cross-sectional study was conducted among nurses in public hospitals in Malaysia between July and November 2019 using self-administered questionnaires. Maslach Burnout Inventory-Human Service Survey was used to determine burnout. Multistage stratified sampling was used to recruit nurses from 32 hospitals. A complex sampling analysis was performed.</p><p><strong>Results: </strong>Among the 1,491 hospital nurses, more than half (70.8%) of them followed shift work schedules. Shift nurses were mostly below 40 years old (80.9%), diploma holders (87.2%), and of lower professional grades (64.2%). The prevalence of overall burnout, as well as the domains of emotional exhaustion and depersonalization, was higher among shift nurses (27.1%) as compared to their counterparts (22.4%). Nurses who performed more than six night shifts per month were 2.6 times more predisposed to burnout.</p><p><strong>Conclusion: </strong>Shift work is integral to ensure round-the-clock nursing care for patients. However, nurses are increasingly faced with more shift duties due to heavy patient loads and staff shortages. Modified work schedules must be implemented to provide sufficient rest time for shift nurses to mitigate burnout. Additionally, proper human resource projection and distribution are imperative to prevent worsening burnout.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10998483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Despite nurses representing the largest healthcare professional group, the number is not enough for global health coverage. Understanding Generation Z students' intrinsic and extrinsic motivations, internal and external influences, and beliefs in choosing nursing education is crucial. This knowledge empowers universities to enhance nursing program enrollment through targeted promotion and recruitment strategies.
Objective: The aim was to understand why Italian students of Generation Z choose the Nursing Degree Course.
Methods: In this pilot study, a cross-sectional design was used. A survey with closed and open answers analyzing demographics, opinions, and motivations among new enrolled nursing students was administered on the first day of the Bachelor of Nursing Degree course. Descriptive statistics were used. Quantitative data were analyzed with Chi-square and ANOVA tests and qualitative data underwent content analysis and coding. Correlation analysis explored relationships between qualitative and quantitative results.
Results: Forty first-year students (85% female, average age 22) completed the questionnaire. The choice of the degree pathway, as the first or second option, is influenced by intrinsic and extrinsic motivations, the student's opinions, and family and social influences. Significant positive and negative associations were evidenced. Negative factors affecting choice included location and the responsibility for nursing care, while positive factors included role models, family advice, passion, curiosity for healthcare, the desire to help others, and family influences on decision-making.
Conclusions: Among Italian generation Z students, the choice of the nursing degree pathway is influenced by social models, family advice, passion, the desire to help others, and curiosity. Universities should be more proactive in their recruitment and promotion efforts, transforming these events into vibrant meeting points for professionals from diverse nursing specialties. They should also implement robust information policies that highlight career possibilities spanning clinical practice, management, education, and research areas within the field.
导言:尽管护士是最大的医疗保健专业群体,但这一数字还不足以覆盖全球健康。了解 Z 世代学生选择护理教育的内在和外在动机、内部和外部影响以及信念至关重要。这些知识有助于大学通过有针对性的宣传和招生策略提高护理专业的入学率:旨在了解意大利 Z 世代学生选择护理学位课程的原因:本试验性研究采用横断面设计。在护理学士学位课程开课的第一天,对新入学的护理专业学生进行了一项调查,调查内容包括人口统计学、观点和动机,答案分为封闭式和开放式两种。采用了描述性统计方法。对定量数据进行了卡方检验和方差分析,对定性数据进行了内容分析和编码。相关分析探讨了定性和定量结果之间的关系:40 名一年级学生(85% 为女生,平均年龄 22 岁)完成了问卷调查。选择学位途径作为第一或第二选择,受到内在和外在动机、学生意见、家庭和社会影响的影响。这些因素之间存在着显著的正负关联。影响选择的消极因素包括地点和护理责任,而积极因素包括榜样、家庭建议、激情、对医疗保健的好奇心、帮助他人的愿望以及家庭对决策的影响:在意大利 Z 世代学生中,选择护理专业的途径受到社会榜样、家庭建议、激情、帮助他人的愿望和好奇心的影响。各大学应更积极地开展招生和宣传工作,将这些活动转变为来自不同护理专业的专业人士的活跃聚会点。它们还应该实施强有力的信息政策,突出该领域内跨越临床实践、管理、教育和研究领域的职业可能性。
{"title":"Factors Influencing Generation Z Bachelor of Nursing Students' Decision to Choose Nursing as a Career: A Pilot Study.","authors":"Marzia Lommi, Simona Ricci, Dhurata Ivziku, Lucia Filomeno, Sondra Badolamenti, Ippolito Notarnicola, Alessandro Stievano, Gennaro Rocco, Roberto Latina, Noemi Giannetta, Giuliana Covelli, Gaetano Romigi, Gianluca Pozzuoli, Davide Bove, Barbara Porcelli","doi":"10.1177/23779608241242246","DOIUrl":"https://doi.org/10.1177/23779608241242246","url":null,"abstract":"<p><strong>Introduction: </strong>Despite nurses representing the largest healthcare professional group, the number is not enough for global health coverage. Understanding Generation Z students' intrinsic and extrinsic motivations, internal and external influences, and beliefs in choosing nursing education is crucial. This knowledge empowers universities to enhance nursing program enrollment through targeted promotion and recruitment strategies.</p><p><strong>Objective: </strong>The aim was to understand why Italian students of Generation Z choose the Nursing Degree Course.</p><p><strong>Methods: </strong>In this pilot study, a cross-sectional design was used. A survey with closed and open answers analyzing demographics, opinions, and motivations among new enrolled nursing students was administered on the first day of the Bachelor of Nursing Degree course. Descriptive statistics were used. Quantitative data were analyzed with Chi-square and ANOVA tests and qualitative data underwent content analysis and coding. Correlation analysis explored relationships between qualitative and quantitative results.</p><p><strong>Results: </strong>Forty first-year students (85% female, average age 22) completed the questionnaire. The choice of the degree pathway, as the first or second option, is influenced by intrinsic and extrinsic motivations, the student's opinions, and family and social influences. Significant positive and negative associations were evidenced. Negative factors affecting choice included location and the responsibility for nursing care, while positive factors included role models, family advice, passion, curiosity for healthcare, the desire to help others, and family influences on decision-making.</p><p><strong>Conclusions: </strong>Among Italian generation Z students, the choice of the nursing degree pathway is influenced by social models, family advice, passion, the desire to help others, and curiosity. Universities should be more proactive in their recruitment and promotion efforts, transforming these events into vibrant meeting points for professionals from diverse nursing specialties. They should also implement robust information policies that highlight career possibilities spanning clinical practice, management, education, and research areas within the field.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10993666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}