SAGE Open Nursing最新文献

Introduction: Chronic heart failure (HF) is a global health issue, with telemonitoring emerging as a key strategy for elderly patient management, aligning with the Universal Health Care Law.

Objective: To assess the impact of telemonitoring on the quality of life, hospitalization rate, and mortality rate among elderly patients with chronic HF.

Methods: A rapid review of 11 studies, including randomized controlled trials, quasi-experimental, prospective, and retrospective studies from 2013 to 2023, was performed using CINAHL. The studies encompassed 14,993 elderly patients with chronic HF from hospital and homecare settings.

Results: The impact of telemonitoring on quality of life, hospitalization, readmission, and mortality among elderly patients with chronic HF varies widely across studies. Three studies reported quality of life improvements in the intervention group, one showed no significant change, and most studies revealed no difference in all-cause hospitalizations and readmissions between intervention and control groups. Mortality rate comparisons also showed no significant differences.

Discussion: The studies, conducted between 2013 and 2020 primarily in high-income regions, highlight telemonitoring's growing role in managing chronic heart failure (CHF) among elderly patients, yet its global applicability remains limited by a lack of research from Asia and Africa. While telemonitoring systems showed promise in improving patient adherence, engagement, and potentially reducing mortality, their effectiveness on quality of life, hospitalization, and readmission rates is inconsistent, likely influenced by variability in system design and patient characteristics. Limitations such as reliance on a single database, a small number of studies, and underrepresentation of mortality data further constrain the generalizability and conclusiveness of the findings.

Conclusion: Telemonitoring is a complex, yet promising tool for elderly CHF patient management. To enhance care quality and fulfill universal healthcare goals, policymakers and healthcare practitioners should consider these insights to create precise, effective telemonitoring strategies.

Introduction: Patient safety is a critical competency for nursing students, highlighting the need to equip them with the knowledge and skills required to foster a culture of safety in healthcare systems.

Aim: This study aimed to examine the mediating effect of patient safety confidence, moderated by campaign participation, on the relationship between nursing students' patient safety attitude and their willingness to participate in patient safety.

Methods: This study utilized a secondary data analysis approach, analyzing data from a patient safety study conducted in South Korea. The participants included 245 fourth-year undergraduate nursing students recruited using nonprobability convenience sampling. Data were collected in April 2023 through an online survey distributed to members of nursing student-focused online communities. The collected data were analyzed using SPSS PROCESS Macro (models 4 and 14) and bootstrapping method.

Results: The findings underscore the critical role of patient safety confidence as a mediating factor and highlight the positive impact of campaign participation in strengthening nursing students' engagement in patient safety activities. These insights emphasize the interplay between nursing students' patient safety attitudes, confidence, and experiential learning opportunities.

Conclusion: To enhance nursing students' willingness to actively participate in patient safety, fostering positive attitudes and confidence through a well-structured educational strategy is essential. Integrating patient safety topics into the nursing curriculum and providing experiential learning opportunities can prepare students to advocate for safety and contribute to a culture of safety in healthcare.

Nursing education and administration at long-term care (LTC) facilities do not pay sufficient attention to the socioeconomic and cultural diversity of the nursing staff. This commentary raises specific issues, such as lack of representation of marginalized staff members in nursing leadership and training that require immediate attention. Ignoring these issues can have detrimental effects on nursing staff and patients in LTC facilities, leading to cultural misunderstandings, biases, reduction in the quality of care, and more. This commentary adds to the current Equity, Diversity, and Inclusion (EDI) efforts in healthcare, and suggests specific measures for LTC workplaces, which are characterized by intersectionality and multiple marginality. The paper presents the CARE strategy for diversity, which encompasses: 1. C onfronting Inequality: Acknowledging inequality and discrimination at institutional and personal levels; 2. A dvancing Inclusive Nursing Curriculum through reform; 3. R epresenting Diversity in Nursing Leadership; and 4. E nhancing Nursing Staff Training and Mentorship Initiatives for marginalized staff members in LTC. There are many benefits to diversity in nursing leadership and training in LTC facilities. In the first place, attending to the special needs of senior adults from various backgrounds improves patient outcomes. Second, encouraging inclusive practices improves employee morale, builds a feeling of community of practice, lowers employee turnover, and eventually ensures the continuity of care by reducing employee disengagement. Third, healthcare professionals who undergo diversity and inclusion training acquire increased cultural sensitivity, which decreases prejudices and stereotypes and enhances relationships and communication with coworkers and patients. In conclusion, the CARE strategy for diversity presented here addresses these issues, offering actionable measures for nursing educators and LTC administrators. Because societies are aging and the nursing workforce is in great demand worldwide, it is necessary to establish a vision of LTC that transforms the marginality of the workforce by promoting the ethos of diversity and inclusion.

Background: Sickle-cell disease is a common genetic red blood cell disorder with global concern. Sub-Saharan Africa, including Ghana, is most predominantly affected. Improvement in medicine has enhanced children's survival into adulthood; hence the need to transition them into adult care services. Well-transitioned patients manage the condition without undue disruptions in their quality of life.

Aim: To explore the challenges faced by nurses in transitioning pediatric patients to adult care.

Method: The study adopted a phenomenological descriptive qualitative design to describe and interpret the difficulties nurses encounter when providing transition care to adolescent patients. Purposive sampling and convenience sampling methods were used to select 15 professional nurses from the pediatric department. Thematic content analysis was used to analyze the data. The interview transcripts were read to identify emerging themes and sub-themes and exported into Nvivo 12 software.

Results: Nurses working at the pediatric department of the regional health facility had no education on how to transition children from pediatric to adult care, leading to poor evidence-based transition care. In addition, there was a lack of transitional care protocol, staff training, care collaboration, transition planning, follow-up initiatives to track and monitor progress, difficulty in tracking the transition process, increased workload, and transition resource constraints.

Conclusion: Nurses at the regional health facility have inadequate education on transitional care of adolescent patients, in-service training and workshop on transitional care on the management of patients, and formulating a policy on transitional care to guide nurses at the pediatric unit.

Background: Problem-based learning (PBL) was introduced over half a century ago and accepted as a cornerstone in many medical education curriculums. Since there was no similar study in Ethiopia, this study assessed the gap of acceptance and associated factors among a school of nursing students at Wachemo University, Central Ethiopia.

Objective: To assess PBL acceptance and associated factors among school of nursing students at Wachemo University, Central Ethiopia.

Method and material: This study used a quantitative design with a cross-sectional approach among 200 students who were enrolled in PBL at Wachemo University School of Nursing from July 30, 2023 to August 30, 2023. Data were collected using a pre-tested self-administered questionnaire. The data were entered using Epi-Data version 3.1 and analyzed using SPSS version 22.0. A descriptive analysis was done by computing proportion and cross-tabulation. Then the findings were described by using frequency, tables, and figures. Binary logistic regression was employed at p-value <.25 to identify variables that had a statistical association with PBL acceptance. Considering the candidate variables that were statistically significant in bivariate analysis, multivariate analyses were performed to determine the association between the outcome variable and each independent variable. Multivariable logistic regression analyses were done to identify factors having an association with PBL acceptance. Variables whose p < .05 are considered for statistical significance.

Results: In this study, 58.5% [95% CI 52.5-65.5] of the respondents accepted PBL as a teaching-learning strategy. Being female (AOR = 4.8 [95% CI 2.80-10.11]), study year (AOR = 2.92 [95% CI 1.85-5.65]) and computer access in the learning environment (AOR = 2.42 [95% CI 1.01-5.43]) were found to be associated with PBL.

Conclusion: The result of this study revealed that PBL acceptance among nursing students was high. Being female, study year and Computer access in the learning environment were factors associated with PBL.

Introduction: Globally, chronic kidney disease (CKD) has emerged as one of the leading causes of mortality and it is one of a small number of noncommunicable diseases that have shown an increase in associated deaths over the past two decades. Chronic kidney disease affects approximately 50% of patients with type 2 diabetic mellitus (DM).

Objective: To determine CKD preventive attitude, practices, and associated factors among type 2 DM (T2DM) patients attending follow-up in a diabetic clinic at Asella Referral and Teaching Hospital.

Methods: Institutional based cross-sectional study was conducted at Asella Referral and Teaching Hospital among T2DM patients from December 23, 2021, to January 23, 2022. Data were entered into EpiData 4.2.00 and analyzed by Statistical Package for the Social Sciences version 23.0.

Result: A total of 216 study participants were included in to this study. The level of good preventive attitude and practice toward CKD among T2DM patients were 61.6% (n = 133, 95% CI: 55.6-68.0) and 54.6% (n = 118, 95% CI: 47.7-60.6), respectively. Age (50-59 years) (adjusted odds ratio [AOR] = 0.351, 95% CI: 0.125-0.988, p = .047), married (AOR = 4.423, 95% CI: 1.366-14.314, p = .013), urban residents (AOR = 0.321, 95% CI: 0.152-0.680, p = .003), and governmental employed (AOR = 0.269, 95% CI: 0.076-0.954, p = .042) were significantly associated with CKD preventive attitude. Formal education (AOR = 1.686, 95% CI: 1.416-5.502, p = .043), an average monthly income of ≥8000 ETB (AOR = 4.048, 95% CI: 1.129-14.520, p = .032), family history of CKD (AOR = 1.417, 95% CI: 1.231-7.136, p = .045) were significantly associated with CKD preventive practice.

Conclusion: The level of good preventive attitude and practice toward CKD among T2DM patients was 61.6% and 54.6%, respectively. Age, marital status, residence, and occupation were significantly associated with good preventive attitude of T2DM patients. Whereas educational status, average monthly income, and duration since diagnosed with T2DM were significantly associated with good CKD preventive practice. Health educational program needs to occur to improve the preventive attitude and practice toward CKD among T2DM patients.

Introduction: It is well-established in research that clinical learning during nursing education is a foundational preparation for future practice. However, the role of academic tasks, such as writing a bachelor's thesis, is less recognized for its contributions to nurses' working lives and overall professional development.

Objective: This study aimed to explore registered nurses' perceptions of the process of bachelor's thesis and its perceived usefulness in professional nursing careers.

Methods: Semistructured interviews with ten registered nurses was employed. A thematic analysis of the data and the framework of sustainable learning were used.

Results: The findings showed that the process of writing a bachelor's thesis during nursing education was perceived as a valuable learning experience and a source of continuing development. The main themes, professional knowing and professional agency, demonstrate the knowing applied in the healthcare contexts and for understanding nurse-patient relationships. The nurses stated that professional agency in research dissemination and a critical approach in their daily patient care was important and that the bachelor's thesis had provided a foundation for these practices.

Conclusion: Writing a bachelor's thesis during nursing education is justified as it may contribute to a critical understanding of nursing phenomena and the care taking place in clinical contexts. Bachelor's theses align with sustainable learning and are one of the prerequisites for readiness for change and development in professional practice.

Introduction: Sleep disturbances among nurses engaged in night duty and their spouses need to be improved to ensure their ability to provide care and perform daily tasks. Therefore, an objective investigation is needed to establish a sleep improvement strategy.

Objective: To investigate the utility of a sleep tracker to assess sleep quality in nurses and spouses.

Method: Nurses (n = 30) and spouses (n = 30) wore a sleep tracker for 14 days to investigate sleep scores. Sleep quality and number of steps were evaluated by Fitbit. They responded to the Richards-Campbell Sleep Questionnaire and Pittsburgh Sleep Quality Index. A multiple regression analysis was performed to identify the factors affecting sleep quality.

Results: Factors affecting sleep scores in nurses were hypnotic medication, night duty, and steps, while those in spouses were mental instability, hypnotic medication, alcohol, night duty, and steps. Factors affecting the Richards-Campbell Sleep Questionnaire in nurses were household chores, night duty, and steps, while those in spouses were hypnotic medication and steps.

Conclusion: The sleep quality of nurses was affected by household chores, hypnotic medication, night duty, and steps. Besides the factors of nurses, spouses were affected by mental instability and alcohol. Night duty affected negativity in both nurses and spouses. Steps exerted positive effects in both the sleep tracker and the Richards-Campbell Sleep Questionnaire. The sleep tracker may be useful for identifying factors that improve sleep quality.

Background: Geriatric nurses provide end-of-life care based on the five pillars of aging. This systematic review assesses the emotions and feelings of geriatric nurses during end-of-life care. It considers the prevalence, triggers, and intensity of emotional responses among geriatric nurses. It also expounds on the strategies for overcoming the emotional challenges.

Methods: The study embarked on a systematic review of literature materials on nurses' emotions and feelings. The eligibility criteria involve literature materials published in the past 5 years, peer reviews, English language, geriatric nurses, and nurses in emergency department, primary care, and intensive care unit. Three databases (Cochrane Library, PubMed, and CINAHL) and Google Scholar were used.

Results: Using a PRISMA flow chart, the literature search led to the discovery of nine significant writings on the emotions and feelings of nurses attending to geriatric patients. Sample sizes in these studies varied from 6 to 126 nurses while three articles involved integrated, scoping, and literature review of published studies. The common emotions and feelings among nurses caring for elderly patients in the geriatric center are compassion fatigue, burnout, grief, and moral distress.

Conclusion: These emotions and feelings affect the performance of nurses. They also influence their physical and mental wellbeing. This situation calls for developing effective coping strategies to address this challenge.

Background: Predicted nursing deficits and low nursing student retention rates highlighted the need to investigate cultivation of grit, a malleable trait involving perseverance and passion to achieve long-term goals amidst challenges and difficulties.

Objective: The objective of this study was to identify how cultivation of grit and additional academic and non-academic strategies aided gritty second-year associate degree-seeking nursing students in addressing nursing program challenges and completing their nursing program.

Methods: Twenty-two second-year associate degree-seeking nursing students in rural central Arizona completed demographic and Grit-O Scale questions using Survey Monkey™ and participated in semi-structured interviews or focus group discussions held from September through December 2022. Research questions provided study foundation: RQ1: How do second-year nursing students with high levels of self-perceived grit of greater than 3.5 out of 5 as measured on the Grit-O Scale describe how grit was cultivated during their associate degree-seeking nursing program? RQ2: How do second-year nursing students with high levels of self-perceived grit describe how additional academic and non-academic strategies added to them in dealing with the challenges of their associate degree-seeking nursing program?

Design: Qualitative Descriptive Research.

Results: Inductive thematic analysis revealed six themes: importance of perseverance and passion, facets of grit; identification of program challenges and strategies used to deal with challenges; and the significance of support from nursing cohort, family, and friends, and nursing instructors.

Conclusions: Effective strategies for participating nursing student retention and program completion involved cultivation of grit and its facets of perseverance and passion and additional academic and non-academic strategies of nursing cohort and instructor support aided students in dealing with challenges faced during their associate degree-seeking nursing program at a rural, central Arizonan community college.