SAGE Open Nursing最新文献

Background: Neonatal near-miss refers to conditions in which a newborn is on the verge of dying, but survived within 28 days of life. Although the study of neonatal near miss has emerged in many countries, there is limited data about the condition in Garowe, Somalia. Hence, the study aimed to assess the magnitude of neonatal near miss and its associated factors among neonates in Garowe City, Puntland.

Methods: Institution based cross-sectional study was conducted from June 01-29 2024 among randomly selected 375 neonates. Data were collected by trained nurses through face-to-face interview of the mothers or guardians using a pre-tested standard questionnaire. Neonatal near miss was defined as having any of the pragmatic (birth weight <1750g, <33 weeks gestational age,or <5 fifth minute APGAR score) or management criteria (mechanical ventillation, cardiopulmonary resuscitation, nasal continous positive airway pressure, parentral antiobiotics, parentral nutrition, use of vasoactive drugs, or phototherapy within 24 hours of birth). Data were entered into Epidata version 3.1 and exported to Stata version 14.0 for analysis. Bivariable and multivariable logistic regression were done to identify factors associated with neonatal near miss. Level of statistical significance was declared at p-value < 0.05.

Results: The magnitude of neonatal near miss was found to be 48.2% (95% CI: 43%, 53%). Neonates born from daily laborer mothers (AOR = 5.72; 95% CI: 1.73-18.89), from women with history of abortion (AOR = 2.75; 95% CI: 1.37-5.53), and those admitted to the neonatal intensive care unit (AOR = 13.99; 95% CI: 7.36-26.59) were more likely to have neonatal near miss.

Conclusion: Nearly half of neonates in Garowe experienced a near miss event. Maternal occupation, history of abortion, and admission to neonatal intensive care unit were found to be key associated factors. Health care professionals should enhance early identification and follow-up of high-risk pregnancies and newborns, particularly in mothers with a history of abortion or those engaged in physically demanding jobs.

By integrating climate change concepts and skills in the nursing curriculum, regulatory bodies, faculty development, resources, and models of nursing education in the Philippines, Filipino nurses can emerge as climate-resilient and competent healthcare professionals-capable not only of delivering care but also leading community adaptation, advocating for policy change, and fostering environmental sustainability. This aligns with the global shift toward planetary health, ensuring that nurses in the Philippines remain relevant, competent, and prepared to act in a changing climate. Given their significant presence in domestic and international healthcare systems, they can become global leaders in climate and health advocacy. By doing so, Filipino nurses not only protect their communities but also make meaningful contributions to global health resilience. Moving forward, Filipino nurses and nursing educators may need additional focus on vulnerable populations, including LGBTQ + individuals, indigenous people, women, and those with disadvantaged socioeconomic backgrounds. Likewise, they can investigate the factors influencing health outcomes related to climate change. They can also develop culturally appropriate interventions to improve the health outcomes amidst climate-related events.

Introduction: Iatrogenic pseudoaneurysms resulting from mispuncture into adjacent arteries, though uncommon, represent a serious complication. In this study, the authors reported a nursing case where a peripheral pseudoaneurysm with associated thrombosis that developed following an accidental arterial puncture were successfully cured after effective nursing procedures.

Case presentation: A 55-year-old female patient arrived at the dialysis center for plasma exchange therapy due to anti-neutrophil cytoplasmic antibodies-related vasculitis. A 17 G puncture needle was used for cannulation of the left median cubital vein to establish the venous access, while the needle penetrated into the adjacent artery by mistake and resulting in a pseudoaneurysm. The needle was promptly withdrawn, followed by immediate pressure bandaging, ice application, and magnesium sulfate wet compresses. After adequate evaluation, percutaneous intra-arterial balloon dilatation and left brachial artery repair were performed, and the patient achieved near-complete resolution without any complications.

Management and outcome: Immediate hemostasis should be achieved by simultaneously withdrawing the needle and applying an elastic tourniquet. The prompt application of an ice compress is recommended to induce vasoconstriction, thereby reducing local hemorrhage and edema. Furthermore, magnesium sulfate wet compress was believed to facilitate the absorption of interstitial fluid and reduce capillary pressure. These combined measures are considered effective in preventing the formation and progression to a puncture-related pseudoaneurysm. Meticulous nursing care throughout is paramount to minimizing the risk of this complication and promoting patient recovery.

Discussion: Enhancing nurses' puncture proficiency is the cornerstone of preventing iatrogenic pseudoaneurysms and the pseudoaneurysms can be cured by efficient nursing that should include elastic tourniquet compression, ice compression, magnesium sulfate wet compression. Although a rare event, pseudoaneurysm can result from a commonly performed procedure such as vascular puncture. Therefore, it is imperative for nursing staff to be proficient in its early recognition and initial management.

Introduction: Migration from Albanian healthcare professionals to Western countries has been widespread since Albania emerged from communism in 1991. The migration of Albanian physicians and nurses has significant impacts on the country's healthcare system.

Objective: The manuscript addresses the migration intentions of Albanian healthcare professionals, including physicians and nurses focusing on their inclination to emigrate to Western countries.

Methods: This cross-sectional study included 315 participants from two municipalities, Fier and Vlore, examining various factors that impact their desire to seek employment abroad. A structured, culturally adapted questionnaire (18 items; four subscales: migration intention, social worth, teamwork climate, financial dissatisfaction) adapted from Goštautaitė et al. was used; internal consistency was high (Cronbach's α = 0.885).

Results: Results indicate a moderate-to-high level of migration intention, particularly pronounced among younger healthcare workers, those with fewer years of professional experience, and individuals working in high-stress departments such as emergency medicine and intensive care. Statistically significant associations were found between migration intention and key variables, including age (p < .01), ward of employment (p < .05), and self-reported financial dissatisfaction (p < .01). Participants citing greater dissatisfaction with income and professional growth opportunities were more likely to express a desire to emigrate. Additionally, poor teamwork climate and low perceived social worth were moderately associated with higher migration intentions, though not all associations reached statistical significance. These findings highlight a widespread perception of undervaluation and burnout, particularly in public sector facilities and among early-career professionals.

Conclusions: Financial dissatisfaction and stressful work settings were associated with higher migration intention; policy measures may mitigate these risks. Several systems have piloted targeted retention levers (remuneration, career ladders, dual practice), offering transferable options. Similar interventions could mitigate the brain drain in Albania, improving job satisfaction and financial stability for healthcare workers.

Introduction: Effective home care is critical to preventing complications and promoting recovery after Coronary Artery Bypass Grafting (CABG) surgery. In low- and middle-income countries like Pakistan, limited professional home care services place the responsibility for post-CABG care largely on family caregivers (FCGs), often without training or support. Understanding their challenges is essential for improving recovery outcomes.

Objective: This study aimed to explore the challenges faced by FCGs in providing post-CABG care at home after hospital discharge.

Methods: This qualitative exploratory descriptive study included 19 FCGs of Post-CABG patients, purposively recruited from cardiac outpatient department in a public hospital in Pakistan. Data were collected through face-to-face semi-structured interviews and analyzed using Creswell's content analysis.

Results: Six categories emerged: learning curve and adaptation, lack of information and guidance, physical and emotional strain, financial strain, hospital and healthcare challenges, and family support. FCGs felt unprepared for managing diet, wound care, and pain, while reporting fatigue, emotional distress, and high costs. Though family support offered some relief, gaps in medical support, communication barriers, and difficulties with follow-up intensified their burden.

Conclusion: FCGs of post-CABG patients in Pakistan face significant informational, emotional, physical and financial challenges worsened by healthcare system gaps. Nurses can play a central role by providing structured predischarge education, ongoing follow-up and culturally appropriate, family-centered support to strengthen FCGs capacity and improve patient recovery.

Introduction: Stoicism is a way of life that brings peace and happiness to humans as it shifts individuals' perspectives on existence. From the Stoics' perspective, suffering originates from beliefs, desires, and emotions, and can be reduced by managing them. This study aimed to systematically collect and analyze Stoic-related research in nursing care and allied health, to further the understanding of its practical applications in clinical settings.

Method: This scoping review was conducted using the PRISMA-ScR checklist and the following five stages were followed: (1) Identifying the research question; (2) Identifying relevant studies; (3) Selecting studies; (4) Charting the data; (5) Collecting, summarizing, and reporting the results. Five main databases including PubMed, Web of Science, Cochrane, Scopus, and Google Scholar were searched up to February 2025. Articles published from the year 2000 and onward were considered if they met the eligibility criteria. The data charted based on the type of studies, publication year, and population under the studies. Also, the researchers conducted a content analysis to synthesize the results.

Results: Twenty-eight studies were included in the final analysis. These included theoretical (42.85%), interventional (7.14%), cross-sectional (25%), longitudinal (3.57%), mixed-methods (10.71%), and qualitative studies (10.71%). Based on the content analysis six main themes emerged, including stoicism and its applications, philosophy of nursing and ethics, mental health and psychological stress, healthcare worker and patient interactions, cultural and gender influences, evolutionary biology and sexual selection.

Conclusion: Stoicism is influenced by culture, gender, economic, and social status. Since Stoic teachings appear to improve the psychological indicators of healthcare professionals, chronic patients, and students, it is recommended that more evidence-based interventional studies be conducted in this field rather than relying solely on theoretical studies based on historical reports. This would enable health policymakers to prioritize the inclusion of these teachings in educational and training programs, especially for students and frontline healthcare staff.

Introduction: Organ donation and transplantation can be lifesaving. Many donors are older adults. National Donor Registries can promote adherence to patients' rights and safeguard patient integrity if the question about organ donation arises. However, a majority have not entered the National Donor Registry in Sweden.

Objective: Investigate how sociodemographic factors, health-related factors, and attitudes toward organ donation are associated with whether or not older adults in Sweden are registered in the National Donor Registry.

Methods: A cross-sectional survey design was chosen to explore associations between individual characteristics and registration behavior among older adults. Data was collected through the Swedish National Study on Ageing and Care (SNAC)-IT survey in 2023, a sub-study to the SNAC. 436 participants 60 years old or older answered the survey. The survey included questions on sociodemographic and health-related factors and attitudes toward organ donation. Data was analyzed using descriptive statistics, Spearman's rank correlation, and the Chi-square test.

Results: Registration in the Swedish National Donor Registry was low among older adults, with only 25.5% of participants listed despite 70.4% expressing a positive attitude toward organ donation. Among those who oppose organ donation only 6.9% were in the registry. Younger age, higher self-rated health, better health-related quality of life (EQ-5D VAS), being unmarried, being a previous smoker, and having a positive attitude toward donation were all significantly associated with being registered (p < 0.05). These findings demonstrate a gap between supportive beliefs and registration behavior among older adults.

Conclusion: There is a gap between beliefs and actions regarding organ donation among older adults. While most have a positive attitude toward organ donation, they are not registered in the National Donor Registry. Additionally, the vast majority who oppose organ donation after death are not registered, raising the risk that their actual wishes may be disregarded due to presumed consent.

Introduction: : The academic preparation of nurses is crucial to meet the needs of the global population. Doctoral education is imperative for nurses to conduct research and to develop evidence-based practices to ensure that nurses contribute to the health of populations. There are considerable differences between countries in the PhD nursing programs offered.

Objective: To describe the state of PhD nursing education in three West-European countries, including Finland, Lithuania, and the Netherlands, as compared to the Central-Asian Republic of Kazakhstan in terms of organizational structure, entry requirements, supervision, and the required competencies.

Methods: A descriptive survey design was used, including a comparative analysis of data extracted from PhD nursing programs of universities in Finland, Lithuania, the Netherlands, and Kazakhstan.

Results: Although the study showed similarities between the countries, like all countries offer research-oriented PhD programs for nurses, the following differences were identified: The organizational structure is different, as PhD nursing education in European countries is provided by independent nursing science departments chaired by a professor in nursing, while nurses in Kazakhstan can follow PhD education from other disciplines. PhD students in European countries have supervisors with strong expertise in nursing science and research, while supervisors in Kazakhstan are from other disciplines, lacking nursing science expertise.

Conclusion: PhD supervisors' lack of expertise in nursing science threatens the development of PhD education in nursing in Kazakhstan. Universities in Kazakhstan should develop independent PhD education for nurses with a focus on nursing and to strengthen the supervision of PhD students with well-qualified supervisors having expertise in nursing science. For Kazakhstan to meet the demands of tomorrow's health care, it is critical to develop a greater pool of PhD-prepared nurses with strong competencies in nursing, health care, research, and supervision, to educate a sustainable nursing workforce that contributes to the health and well-being of the Kazakhstani population.

Introduction: As Saudi Arabia faces a growing ageing population, the demand for gerontologically competent nurses is increasingly critical. Yet, nursing students often enter clinical practice with limited exposure to older adults, perpetuating ageist views and inadequate preparedness.

Objective: This study aimed to explore how a geriatric nursing course influenced perceptions of ageing among Saudi nursing students and to identify attitudinal and emotional shifts before and after course completion.

Methods: A qualitative longitudinal design was used with 19 undergraduate nursing students who completed pre- and postcourse reflection activities. Data were collected between January and April 2025 and were analyzed thematically using Braun and Clarke's six-step framework.

Results: Five key themes revealed: (1) from pity to empathy, (2) valuing strengths and resilience, (3) busting ageing myths, (4) holistic, person-centred care intentions, and (5) educational compounds. Precourse reflections revealed deficit-based perceptions of ageing, while postcourse reflections demonstrated greater emotional sensitivity, corrected misconceptions, and a commitment to dignified elder care.

Conclusion: The findings highlight the transformative impact of even a single semester of structured gerontological education and support the integration of experiential, myth-challenging content to foster age-inclusive care, informing curriculum development in Saudi nursing programs.

Introduction: Evidence-based practice (EBP) is vital for improving healthcare quality and patient outcomes, yet its successful implementation often depends on organizational factors such as perceived organizational support (POS). Nurses, as frontline healthcare providers, require both professional and organizational support to translate evidence into practice effectively. In Jordan, despite recognition of EBP's importance, its implementation among nurses faces challenges, with organizational support playing a pivotal role.

Objectives: This study aimed to examine the association between POS and EBP implementation and to identify the predictors of EBP practice, attitudes, and knowledge among nurses in Jordan.

Methods: A cross-sectional descriptive correlational design was employed. Data were collected from 188 registered nurses working in three major governmental hospitals in Jordan. POS was measured using the Perceived Organizational Support Scale, while EBP implementation was assessed using the Evidence-Based Practice Questionnaire. Descriptive statistics, Pearson's correlation, and multivariate regression analyses were conducted to determine relationships and predictors.

Results: The findings revealed low-to-moderate levels of POS among participants (M = 17.52, SD = 3.78). For EBP, nurses reported moderate attitudes (M = 9.44, SD = 2.92) and knowledge/skills (M = 33.06, SD = 7.80), but relatively weak implementation in practice (M = 14.45, SD = 3.79). POS total score significantly correlated with EBP practice and implementation (r = .30, P = .002), EBP attitude (r = .81, P < .001), and EBP knowledge and skills (r = .50, P = .006). Age, participation in decision-making, autonomy in clinical practice, gender, and POS total score were significant predictors of EBP implementation. Female nurses and those reporting higher autonomy and organizational support demonstrated greater EBP engagement.

Conclusion: The findings of this study empirically demonstrate that fostering an organizational culture of support-particularly by enhancing nurse autonomy and involvement in decision-making-is a critical lever for bridging the knowledge-to-practice gap in EBP.