SAGE Open Nursing最新文献

Introduction: Adherence to supportive periodontal care (SPC) is essential for preventing disease recurrence and maintaining oral health. Psychological and emotional support from family members may play a vital role in sustaining long-term adherence, yet the influence of family function on SPC adherence and outcomes remains underexplored.

Objective: To evaluate the impact of family function on adherence to SPC and its subsequent effect on periodontal prognosis.

Methods: This retrospective study included 400 patients aged 20-73 years who received active periodontal therapy between January 2018 and January 2020 and entered SPC for at least one year. Family functioning was assessed using the Apgar score. Patient adherence was evaluated based on adherence to scheduled follow-up visits within a 3-month period. Clinical parameters, including probing depth and bleeding on probing, were recorded at baseline and follow-up visits. Multivariable logistic regression was used to assess the relationship between family functioning, patient adherence, and treatment outcomes.

Results: The regular adherence group had an adherence rate of 38%, and their family care index was significantly higher than that of the irregular group (9.58 ± 0.58 vs. 9.00 ± 0.90, p < .01). Both groups showed improvements in periodontal prognosis following SPC (p < .01). Patients with a higher family care index exhibited better adherence, with a more pronounced improvement in prognosis (p < .01). Logistic regression analysis identified gender (odds ratio [OR] = 2.730, 95% CI [1.683, 4.430], p < .01), age (OR = 0.999, 95% CI [0.970, 1.02], p < .01), and orthodontic history (OR = 7.941, 95% CI [1.497, 42.116], p < .05) as significant factors influencing SPC adherence.

Conclusion: Patients with higher family function scores demonstrate better adherence with SPC, resulting in more favorable treatment outcomes. The involvement of family members plays a critical role in enhancing patient adherence to treatment protocols, thereby improving both oral health and overall quality of life.

Introduction: Prone positioning is an established therapeutic intervention for acute respiratory distress syndrome (ARDS) patients. However, its utilization in ARDS treatment remains low, despite recommendations and evidence of its benefits.

Objective: This study aims to explore the phenomenon of performing prone position for ARDS patients in the intensive care unit (ICU), especially from the nurses' perspective of the facilitators and the barrier.

Methods: A qualitative phenomenological approach was employed. Fifteen ICU nurses from a referral hospital in Surabaya, Indonesia, who had performed at least 10 prone positions on intubated patients, were interviewed. Thematic analysis was conducted to identify emerging themes.

Results: The facilitator factors are the availability of specially designed tool, the knowledge about benefit for the patient, and the availability of plan to mitigate complication. The barrier factors are the heavy maneuver during the process, the needs of lots of manpower, and the agitating patient. The facilitators lead the nurse to following way, the availability of specialized design tools enhances nurse confidence and patient safety. Then, the knowledge related to prone positioning benefit reinforced prone position importance. Additionally, a planning and proactive measures are necessary since the prone positioning is posed risk. The barrier holds the nurse performance in the following way: the physical demand may lead to musculoskeletal problems, such as back pain; inadequate staffing results in procedure delays or cancellations. Patient agitation, especially in intubated and mechanically ventilated patients, posed additional challenges, including the risk of extubating and increased congestion.

Conclusion: ICU setting needs to be supportive to promote safe and effective prone positioning practices. This can be achieved through addressing the facilitator and the barrier of prone position. Additionally, prone positioning guideline development should involve the nurse.

Introduction: Nursing college education aims to provide students with professional competence in nursing care practices (e.g., critical thinking, problem-solving, and clinical evaluation knowledge). The practice readiness of nursing college graduates is crucial for new nurses' successful role transition.

Objective: To determine the practice readiness of nursing college graduates in Korea and explore related factors.

Methods: A cross-sectional descriptive study was conducted using convenience sampling. Participants were newly licensed nurses who graduated from 10 nursing colleges in South Korea in 2023 and had not yet begun clinical practice. Inclusion criteria were: age 20-30 years, possession of a nursing license, and informed consent to participate. Individuals with psychiatric histories or clinical work experience were excluded. The required sample size was calculated as 172; 178 participants were included. Study instruments included the Tromsø Social Intelligence Scale, the Korean Undergraduate Clinical Education Environment Measure, and the Korean version of the Readiness for Practice Survey.

Results: The overall mean score for practice readiness was 2.81 ± 0.37. Among subfactors, professional identity scored highest (2.96 ± 0.47), while trials and tribulations scored lowest (2.61 ± 0.45). Social intelligence (r = .61, p < .001) and clinical education environment (r = .53, p < .001) were positively correlated with practice readiness. In the final regression model, satisfaction with simulation practice (β = .20, P = .001), satisfaction with overall university education (β = .15, p = .041), social intelligence (β = .49, p < .001), and clinical education environment (β = .28, p < .001) were significant factors.

Conclusion: Enhancing social intelligence and satisfaction with simulation and overall educational experiences are key to improving graduates' readiness for clinical practice. Investing in high-quality clinical environments and simulation programs may foster smoother transitions to professional nursing roles. These findings highlight the need for curriculum and policy initiatives that support individual development and systemic improvements in nursing education.

Background and aims: Emotional intelligence (EI) and spiritual intelligence (SI) are critical for nursing students, enabling them to manage stressors effectively and deliver high-quality, compassionate care. Pranayama, a yogic breathing technique, is known to enhance psychological well-being. This study investigates the effects of ujjayi pranayama on EI and SI in final-year nursing students.

Methods: This quasi-experimental study was conducted among employed 46 final-year nursing students from Kerman University of Medical Sciences in southeastern Iran The participants were included in the study via a census method and were randomly assigned to either an intervention group (n = 23) or a control group (n = 23). The intervention group engaged in 15 min of guided pranayama daily for 20 consecutive days. The control group received no intervention during this period. Both groups completed the King Spiritual Intelligence Questionnaire, and the Schering Emotional Intelligence Questionnaire before and after the intervention. Descriptive statistics (frequency, percentage, mean, standard deviation) and analytical statistics (chi-square, independent t-test, and paired t-test) were used.

Results: EI significantly improved in the intervention group (from 100.17 ± 15.69 to 126.11 ± 16.81; p = .02; Cohen's d = 0.66), whereas the control group showed no improvement. No significant changes were found in SI (p > .05).

Conclusions: These findings suggest that short-term Ujjayi Pranayama practice is an effective, low-cost strategy to enhance EI in nursing students, potentially improving their readiness for emotionally demanding clinical environments. Incorporating such practices into nursing curricula may foster emotional resilience in future professionals.

Background: Spinal pain is a prevalent occupational health issue, particularly among bank workers who often experience prolonged sitting and poor ergonomic conditions. Despite the increasing occupational-related burden of spinal pain, data specific to bank workers in study setting, remains limited.

Objective: This study aimed to determine the prevalence of spinal pain and its associated factors among bank workers in Harar, Eastern Ethiopia.

Methods: An institution-based cross-sectional study was conducted among 322 bank workers from July 20 to August 20, 2023. Participants were selected using a simple random sampling technique to ensure unbiased representation. The standardized Nordic Musculoskeletal survey was interviewer-administered for data collection. Data were entered in EpiData version 3.1 and exported to STATA version 17.0 for analysis. Descriptive statistics, including frequencies and percentages, were applied to calculate the proportion. Bivariate and multivariable binary logistic regression was conducted to identify factors associated with spinal pain, with an alpha level of 0.05 defining statistical significance. Adjusted odds ratios with their 95% confidence intervals were used to assess the strength and direction of associations.

Results: The study found that lower back pain (45.4%), neck pain (37.14%), and upper back pain (34.92%) were the most frequently reported spinal complaints among bank employees in the past 12 months. Neck pain was associated with female gender, job stress, and high workload. Lower back pain showed association with alcohol consumption, longer duration of service, managerial roles, and workload intensity. Upper back pain was associated with being in a managerial position.

Conclusion: The study highlights a high burden of spinal pain among bank workers, with distinct associations across neck, upper back, and lower back regions. Ergonomic strain, occupational stress, behaviors, and job roles significantly contributed to pain. These findings underscore the need for targeted workplace interventions that address both physical and psychosocial risk factors to enhance employee wellbeing in banking environments.

Introduction: The majority of hospitalized patients require vascular access for intravenous medical treatment. A peripherally inserted central catheter (PICC) may be indicated for long-term treatment. In many Norwegian hospitals, this is a nurse anesthetist-led initiative.

Objective: The aim of this study was to examine the use of PICCs from insertion to completed treatment and to assess potential risk factors for the development of catheter-related complications.

Methods: A quantitative prospective, longitudinal design was used. Data were collected via electronic patient records, as well as through telephone surveys with patients every fourth week until the catheter was discontinued. The Statistical Package for the Social Sciences version 28 was used for analysis.

Results: In total, 401 PICCs were included. The primary indications were antibiotic treatment (n = 272), nutrition (n = 46), or chemotherapy (n = 42). A total of 163 PICCs were used for a period of over 30 days. Overall, 41 catheter-related complications were identified through patient records. Erythema at the insertion site (n = 12) was the most common complication, and the most severe complications were deep venous thrombosis (n = 5) and confirmed catheter-related infection (n = 4). After 4 weeks, 12 patients reported complications, with pain/numbness (n = 4) being the most frequent. The study demonstrated no statistically significant covariation between the occurrence of complications and age, length of time the catheter was in use, primary indication, venous diameter, or the number of insertion attempts.

Conclusion: The study showed a low incidence of severe PICC-related complications. Peripherally inserted central catheters were inserted and used according to local guidelines. The study indicates that nurse anesthetists' knowledge and experience can be utilized in the future selection and insertion of vascular access for patients, as well as in training and education on PICCs.

Introduction: Adolescent pregnancy is considered a global public health problem that affects both developed and developing countries. While the obstetric and perinatal outcomes of adolescent pregnancies have been extensively studied, there is not much available data comparing the obstetric and perinatal outcomes of younger and older adolescents.

Objective: The objective of this study is to compare the obstetric and perinatal outcomes between two groups of adolescent pregnancy.

Methods: This unmatched case-control study was conducted at Gadarif Maternity Hospital in eastern Sudan. The cases (n = 141) were young/middle-aged adolescents (13-17 years), who were compared with older adolescents (18-19 years) as the controls (n = 159).

Results: Compared with controls, cases had a lower level of education (78.0% vs. 62.3%; P = .003). There was no significant difference between the cases and controls in terms of antenatal follow-up (56.0% vs. 57.9%; odds ratio [OR] = 0.92; 95% confidence interval [CI]: 0.58-1.46), maternal anemia (46.8% vs. 39.0%; OR = 0.72; 95% CI: 0.45-1.15), preterm delivery (11.3% vs. 10.7%; OR = 0.93; 95% CI: 0.45-1.92), a cesarean delivery (13.5% vs. 15.1%; OR = 1.14; 95% CI: 0.59-2.18), low birth weight (10.6% vs. 13.8%; OR = 0.74; 95% CI: 0.36-1.49), neonatal intensive care unit admission (10.6% vs. 7.5%; OR = 1.45; 95% CI: 0.65-3.23), or neonatal deaths (5.0% vs. 5.0%; OR = 0.98; 95% CI: 0.34-2.79).

Conclusion: Young/middle-aged pregnant Sudanese adolescents are not at increased risk of obstetric and perinatal complications compared to older pregnant adolescents.

Background: Ensuring good health and well-being for children requires a high quality of life (QOL). Sustainable development has led to the elimination of many chronic and epidemic diseases. QOL is a multifaceted system encompassing several dimensions, including social, physical, and psychological functioning, which has emerged as a necessary outcome for children with chronic disorders.

Objectives: This study aimed to understand QOL in Egyptian school-age children with type 1 diabetes mellitus (T1DM). It examined sociocultural, economic, and healthcare issues faced by these children, revealing unique determinants such as family dynamics and community perceptions in Egypt, which differ from global data.

Methods: A cross-sectional study was used at the Hospital of Health Insurance outpatient clinics in Banha, Egypt. A group of healthy peers was compared with another group from the outpatient clinic. 412 school children, ages 6 to 12 years, had T1DM, and 412 healthy peer groups with the same child age and gender, the researchers interviewed. Three tools were used: a demographic data sheet, a socioeconomic scale, and the Pediatric Quality of Life Inventory 4.0 Generic Core Scale.

Results: The mean age of children was 12.9 ± 3.2. More than 60% of diabetic children had uncontrolled blood glucose levels, and 60% had poor socioeconomic levels. Children with diabetes had a significantly lower QOL than healthy peers in all dimensions. For the duration of the disease, where emotional function from the QOL was only affected, males revealed significantly higher scores related to school functioning. Children with middle and high socioeconomic status showed a highly significant relationship to school, social, and total QOL.

Conclusion: T1DM had a negative effect on all QOL domains of the school children. The researchers recommended establishing protocols integrated between children's homes, schools, and health insurance hospitals and clinics for providing comprehensive health education.

Introduction: Although registered nurses are expected to treat patients with care and compassion, a variety of characteristics may influence their ability to express compassion.

Objectives: (1) To assess registered nurses' level of compassion competence and compassion satisfaction, and; (2) to explore how individual-level, employment-related, and organization-level characteristics are associated with their level of compassion competence and compassion satisfaction.

Methods: Registered nurses working in any practice setting in Ontario, Canada, completed a cross-sectional electronic survey of valid and reliable measures. Descriptive statistics and multiple linear regression analyses were used to address study objectives.

Results: One hundred eighty-one registered nurses participated. Most identified as female (n = 157; 96.3%), Caucasian (n = 144; 88.3%), and completed baccalaureate training as their highest level of education (n = 80; 50.6%). Participants' average compassion competence score was higher than average (4.18 on a 5-point scale), and most participants (n = 171, 98.3%) reported moderate to high levels of compassion satisfaction. Compassion satisfaction was the only significant predictor of compassion competence, which indicated a positive relationship (β = 0.344, p < .001). Compassion competence was among a variety of significantly positive predictors of compassion satisfaction (β = 0.652, p < .001). The other positive significant predictors of compassion satisfaction were higher than baccalaureate education (β = 0.363, p < .001), full-time work status (β = 0.253, p = .012), working in organizations with greater compassion practices (β = 0.114, p = .005), and organizations with higher climate for change (β = 0.292, p < .001).

Conclusions: Study findings illuminate varying degrees of significance for individual-level, employment-related, and organization-level characteristics and how these predict registered nurses' levels of compassion. These distinctions have important implications for intervention development and future research in understanding compassionate care among nurses.

Introduction: More than a third of diabetes patients undergo surgery at least once in their lifetime. However, there is limited research on managing the needs of these patients after hospital discharge.

Objective: This study aimed to determine the effect of home care on glycosylated hemoglobin (HbA1C) and quality of life in type 2 diabetes patients discharged from hospitals.

Methods: This study was a randomized clinical trial. About 69 type 2 diabetes patients undergoing surgery were assigned to intervention and control groups after discharge orders. Home care was provided for three months with an interprofessional approach. Data collection tools included diabetes-related quality of life questionnaire and laboratory tests. Data were analyzed using SPSS version 23 with parametric and non-parametric tests.

Results: HbA1C levels decreased significantly in the intervention group over the three-month period (P < 0.05), whereas this decrease was not significant in the control group (P > 0.05). The mean quality of life scores improved in satisfaction and future concern domains in the intervention group and in the social concern domain in the control group (P < 0.05). The mean changes in total quality of life scores over three months post-discharge were not significant in both groups (P > 0.05).

Conclusions: The findings of this study indicate that structured home care delivered through a team-based approach contributes not only to improved glycemic control but also to enhancing specific dimensions of quality of life-particularly satisfaction with life despite diabetes and reduced concerns about the future-in post-surgical diabetic patients. These results emphasize the importance of incorporating such services into post-discharge care plans to support patient well-being and recovery.