SAGE Open Nursing最新文献

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.

Introduction: One of the global strategic direction and policy priorities in 2021 through 2025 is preservice education of nurses. Even though, quality education is the foundation to produce competent health workers, ensuring the competence of the health professionals is as imperative as maximizing their number. This study aims to fill the literature gap among nursing students in public universities.

Objectives: The purpose of this study is to assess the prevalence of clinical practice competence and its associated factors among graduating BSc nursing students in public universities from July 15 to August 15, 2022.

Methods: An institutional-based cross-sectional study was carried out in randomly selected public universities in eastern Ethiopia. A total of 143 students were systematically selected to fill out the questionnaire through multistage sampling. Frequency, mean, and standard deviations of independent variables and proportion of clinical practice competence were analyzed using descriptive statistics. AOR with a p-value of <.05 was used to declare a significant association.

Results: The study found that 69 (53.1%) of study participants were clinically competent. Students with good clinical instructors [AOR: 3.79, 95%CI: 1.56-9.21], learning in a conducive clinical setting [AOR: 3.59, 95%CI: 1.26-10.23] and assessed using measurable methods [AOR: 3.77, 95%CI: 1.53-9.30] were significantly associated.

Conclusion: In this study, almost one in two of the students was clinically incompetent. Respective stakeholders could enhance students' competence by monitoring and evaluating students during clinical practice, creating favorable learning settings, and developing comprehensive assessment methods.

Introduction: Healthy diets reduce the risk of several non-communicable diseases (NCDs) from diabetes to heart disease and hypertension to cancer. Given their busy lifestyles, it is difficult for individuals to routinely prepare healthy food. Therefore, healthy and ready meal products have been developed and commercially launched in Thailand.

Objectives: Considering ready and healthy meals as an innovative product line in the Thai market, the aim of this study was to identify the factors that influence NCD patients to adopt this product innovation.

Methods: This study used a mixed-methods approach based on Roger's model of innovation adoption. Two hundred and twenty NCD patients completed a questionnaire regarding their expectations towards healthy meal products. In-depth interviews were conducted with 20 respondents to explore the underlying reasons behind their scoring decisions in the questionnaires.

Results: The findings revealed that the highest rated items were the expectation that healthy meals reduce the severity of disease, help avoid high-cholesterol food, and comprise a variety of meal choices. Instead of celebrity marketing and corporate branding, the patients preferred healthy meals that are recommended by health professionals and produced by university research teams. The qualitative findings also demonstrated that most patients welcomed healthy menus as a preventive treatment, but still have concerns regarding the availability and quality of the products.

Conclusion: This study reveals the expectations of prospective consumers, specifically NCD patients, towards healthy and ready meal products. It adds key information for food producers, health professionals, and policymakers to foster healthy food innovation, especially in the context of emerging economies like Thailand where healthy food choices are limited.

Background: Surgical site infections (SSIs) are a frequent postoperative complication that nurses commonly need to provide asepsis-specific meticulous care for. The application of a closed-incisional negative pressure wound therapy (iNPWT) device is regarded as a novel technique that aims to lower the risk of external wound contamination.

Aim: The purpose of this review was to evaluate the effectiveness of iNPWT on high-risk closed laparotomy incisions with the aim to inform nursing practitioners and physicians engaged in multieffort wound care practices. Nursing professionals play a crucial role in mitigating the incidence of SSIs, from the time of application, through ongoing assessment tissue condition, and ensuring asepsis, thereby enhancing patient care and safety.

The research question: Is prophylactic negative pressure wound therapy effective in reducing the incidence of (closed) surgical site wound infections postlaparotomy?

Pico elements: The population studied included patients undergoing laparotomy surgery. The intervention under review included the application of iNPWT, compared to the use of standard gauze dressing. The expected outcome was SSI reduction.

Methods and results: A systematized literature search was conducted using various databases to identify published studies that address the PICO question. The PRISMA checklist and Critical Appraisal Skills Programme tools allowed to exclude irrelevant articles and to critically appraise the evidence, respectively. Eleven key articles were retrieved including four RCTs and seven systematic reviews and meta-analysis. The results indicated an overall positive association between iNPWT and a reduction in SSI in laparotomy surgeries when compared to standard dressings.

Linking evidence to action: Data across most studies reviewed support the benefits with the use of iNPWT as a preventive strategy to lower the rates of SSI, with some claiming no difference. Although heterogeneity in the studies precludes a definite conclusion, nurses may make a more informed decision when navigating the demands of SSI prevention targeted nursing care.

Introduction: The growing obstacles to balancing work and family caregiving responsibilities (work-family care obstacles) have led to heightened difficulties in work-life adjustment among employees, potentially resulting in decreased life satisfaction.

Objectives: The aims of this study were to investigate whether facing work-family care obstacles is associated with poor life satisfaction and whether it moderates the association between caregiver burden and life satisfaction among working family caregivers in Japan.

Methods: A cross-sectional descriptive study was conducted involving 141 family caregivers, all of whom were under 65 years old and living with older long-term care recipients. Multiple logistic regression analysis was conducted to examine the primary and moderating effects of work-family care obstacles on life satisfaction in the context of caregiver burden.

Results: Experiencing significant work-family care obstacles was associated with poor life satisfaction among employed family caregivers. Moreover, work-family care obstacles exacerbated the relationship between caregiver burden and poor life satisfaction. Family caregivers who faced work-family care obstacles and experienced two or more caregiver burdens exhibited poor life satisfaction (odds ratio = 5.51, 95% confidence interval = [1.97, 15.43]) compared to those who had one or fewer caregiver burden. For family caregivers without work-family care obstacle, the risk of poor life satisfaction did not vary depending on the number of caregiver burdens.

Conclusion: These findings suggest that work-life adaptation is more important than work-life balance for maintaining feelings of satisfaction in both life and work.

Introduction: Given the vital nature of their profession, ICU nurses endure significant psychological and physical stress. Burnout, low job satisfaction, and deteriorated patient care might result from the high-stress atmosphere.

Objectives: This study aims to assess the level of alarm fatigue and stress among nurses who work in acute care units.

Methods: A descriptive design was used to recruit nurses in acute care units. A self-administered questionnaire was used to collect the required data composed of three parts, namely demographical data; the alarm fatigue part, which was created by Torabizadeh et al. and composed of 13 items, and the perceived stress scale (PSS) which is a psychological diagnostic instrument created to assess how much people find their daily lives to be stressful. It was created by Cohen et al. and composed of 10 items.

Results: An average age of (35.3 ± 6.24) years, and an average number of years of experience of (7.63 ± 5.56), were found among the 128 nurses that were recruited. Acute care nurses had a significant degree of alarm fatigue, as indicated by the overall alarm fatigue score of (M = 30.1 ± SD = 7.47). A moderate degree of stress was also indicated by the overall perceived stress score, which was (M = 21.5 ± 5.02). Among nurses, alarm fatigue and felt stress are not correlated with any demographic feature, including sex, educational attainment, marital status, and working location.

Conclusion: Stress and alarm fatigue are serious problems for acute care units that can jeopardize nurse and patient safety. The implementation of methods that mitigate alarm fatigue and stress, such as alarm customization, adequate staffing, and support systems, can enhance the work environment in acute care units. Healthcare companies can raise the grade of care provided to patients and enhance the general well-being and job satisfaction of their nursing staff by addressing these challenges.