SAGE Open Nursing最新文献

Introduction: Nursing students experience significant academic and clinical stress due to challenging coursework, assessments, and educational demands, as well as the pressures associated with gaining practical healthcare experience. These challenges can lead to anxiety, fear of making errors, and concerns about patient well-being, ultimately impacting students' mental health and their preparation for a nursing career.

Objective: assesses the predictors of academic and clinical stress among nursing students.

Method: A cross-sectional study design was used with a convenience sample of 113 nursing students. The study team conducted the study at the Faculty of Applied Medical Science, Nursing Department at Prince Sattam bin Abdulaziz University. The researchers used three instruments for data collection and asked all nurse students to complete the online questionnaires, which utilized perceived clinical settings and academic stress.

Results: The mean age of the studied nursing students was 21.2 years old. The study observed students had moderate perceived stress levels furthermore, the total levels of the academic stress domain's mean and standard deviation in students were 90.5 ± 32. Also, a significant relationship between perceived stress and clinical setting hours per week in nursing students, and hospital clinical setting type in nursing students. There was a correlation between academic stress and the ages of students. Students' academic stress was statistically significantly correlated with their educational level.

Conclusion: Academic and clinical stress significantly impacts nursing students; the most common reasons that increase stress are fear of making mistakes and harming the patient.

Recommendation: Accordingly, the study advocates for developing educational strategies and a structured course curriculum before student nurses are sent to clinical areas to enhance their capabilities and reduce academic and clinical stress.

Introduction: Behavioral Activation (BA) is a short-term cognitive behavioral therapy modality that stimulates activities that increase patients' reinforcement experiences. Recent research verified the effect of brief BA. However, despite the short intervention time per session, BA is difficult to implement during hospitalization due to its long implementation period.

Objectives: To evaluate the clinical effectiveness of a brief BA program for people with depression in an inpatient setting.

Methods: This study employed a single-group pre-post design. Fifteen patients who met the inclusion criteria participated in the trial after providing oral and written informed consent. In addition to their usual care, participants received four weekly sessions administered by a nurse. The primary outcome measures included the Beck Depression Inventory (BDI-II), which indicated patients' subjective depression severity. Clinical outcomes were measured at preintervention, immediate postintervention, and one-month postintervention.

Results: Fourteen participants completed the BA program and were receptive to treatment. For the primary endpoint, BDI-II, there was an improvement in scores (25.60 to 22.73 to 22.06) between the baseline, postintervention, and 1-month postassessment, but not a significant change. For EQ VAS score, there was no significant change, but there was an improvement in EQ VAS score (51.53 to 52.20 to 55.13) between the baseline, postintervention, and 1-month postassessment. The mean total Global Assessment of Functioning score increased from 40.20 to 57.00 across the pre- and postassessment points (p < .0001).

Conclusion: The study comprised a brief BA intervention, with results suggesting that participants could complete the program without feeling burdened. Although there was no significant improvement in the general outcome, depression levels, and other outcomes improved. Thus, while there is a need to rethink BA intervention, this program may be a practical approach to improving depression and other outcomes.

Introduction: Nursing education continues to evolve with the integration of innovative technologies aimed at enhancing student engagement and understanding of complex medical concepts. Gamification, the application of game elements in nongame contexts, emerges as a promising tool in nursing education.

Method: Faculty members collaborated with instructional designers to develop, The Treasures of the Renal Isles, a gamified module for nursing education. Drawing upon their expertise, faculty provided content knowledge and identified key gaming elements, while designers crafted a virtual world and storyline to contextualize the learning experience. The module was implemented within the curriculum, and student feedback was solicited through the Gameful Experience Scale (GAMEX), a validated tool for assessing gamified learning experiences. Additionally, exam scores were analyzed to determine the gamified module's impact on learning outcomes.

Results: Analysis of student responses to the GAMEX tool revealed favorable perceptions of the gamified renal module. Specifically, 77.3% of students believed that the module facilitated their understanding of renal content, indicating its efficacy in knowledge acquisition. Moreover, 71% of students expressed a desire for additional gamified modules, highlighting their engagement and interest in this instructional approach. However, despite positive feedback, no significant differences in test scores were observed postimplementation.

Conclusion: The findings of this project highlight the potential of gamification as an interactive learning method in nursing education. While the gamified renal module received positive feedback from students regarding its effectiveness in facilitating understanding, the lack of significant improvement in test scores warrants further refinement. By incorporating student feedback and revising the module accordingly, nursing educators can utilize gamification to bridge the gap between theoretical knowledge and clinical judgment. The development of additional gamified modules holds promise for enriching the learning experience and preparing nursing students for the complexities of clinical practice.

Introduction: Although bariatric surgeries have been linked to improved mental health, yet, some individuals develop depression.

Objectives: The present study aimed to assess the levels of depression and examine factors linked to depression among individuals with laparoscopic sleeve gastrectomy (LSG) in Saudi Arabia.

Methods: A cross-sectional design using a digital online survey was used to collect data. Depression was assessed using the Patient Health Questionnaire among individuals with LSG.

Results: A total of 344 eligible participants were included in the study. A significant percentage of the participants, almost one-third, were suffering from depression 27% (n = 94). Moderate to severe depression levels among participants were significantly associated with postoperative complications [odds ratio, OR: 2.92 (95% CI: 1.42-6.01, p = .003)] and having preoperative psychological disorders before LSG [OR: 3.68 (95% CI: 1.88-7.26, p < .001)]. In contrast, lower levels of depression were significantly associated with believing LSG has achieved its goals [OR: 0.46 (95% CI: 0.22-0.97, p = .014)] and recommending LSG to family or friends [OR: 0.15 (95% CI: 0.05-0.44, p = .001)].

Conclusion: There is an evident link between depression and experiencing postoperative complications and suffering from psychological disorders before LSG. The findings of the current study would pave the road for the development of psychological strategies designed to break the cyclic pattern of occurrence of depression as well as optimize the success and maintenance of this treatment modality and support recovery for individuals undergoing LSG.

Introduction: Post-neurosurgery patients often experience pain and anxiety. Handheld finger-grip relaxation helps the body, mind, and spirit to achieve relaxation.

Objective: This study investigated the effect of a handheld finger-grip relaxation technique on pain and anxiety in post-neurosurgery patients.

Method: A quasi-experimental study of 160 patients was randomly assigned to either the intervention group (received the handheld finger-grip relaxation technique) or the control group (received standard care). The intervention group received the handheld finger-grip relaxation technique for 15 min twice daily for 3 days. The control group received standard care. Pain and anxiety were assessed using a visual analog scale and a Spielberger State-Trait Anxiety Inventory, respectively.

Results: The results showed that the intervention group had a highly statistically significant difference between pre and post-phase (p < .0000) regarding the severity of pain and anxiety level. Meanwhile, there was a statistically significant difference (p < .05) between pre and post-phase among the control group.

Conclusion: It is suggested that the handheld finger-grip relaxation technique may be an effective intervention for reducing pain and anxiety in post-neurosurgery patients.

Introduction: Physical activity and social engagement protect older adults against functional decline and improve their quality of life. Physical inactivity poses an increased risk for noncommunicable diseases. Globally, one in four adults is physically inactive. Enhancing the physical activity of older adults is crucial not only for increasing their life expectancy but also for improving their functional status and quality of life.

Objective: This study aimed to evaluate the physical activity, functional status, and quality of life of older adults attending the medical outpatient department of a tertiary care hospital in Chennai, Tamil Nadu, India.

Methods: The study adopted a descriptive cross-sectional research design. A total of 100 female and male patients above 65 years of age with comorbid conditions attending the medical outpatient department participated in the study. The sociodemographic and clinical characteristics of these patients were assessed. In addition, the Rapid Assessment of Physical Activity, Katz Index of Independence in Activities of Daily Living, Lawton Instrumental Activities of Daily Living Scale, and Older People Quality of Life Questionnaire were used to measure the physical activity, functional status, and quality of life of patients. The data were analyzed using descriptive and inferential statistics.

Results: Among the participants, only 17% were active, and 35% were underactive for regular light activities. Approximately 81% did not perform any activity to improve their muscle strength or flexibility. In 56% of the participants, disability was present. The majority mentioned that they experienced difficulties in preparing food and shopping. Regarding the quality of life of the participants, the mean ± standard deviation score was 77.38 ± 9.03. Significant results were found in the domains of independence, control over life, and freedom. The overall quality of life was not related to leisure and activities, financial circumstances, the Instrumental Activities of Daily Living Scale score, the Rapid Assessment of Physical Activity 2 score, and the Rapid Assessment of Physical Activity 1 score. The quality of life was weakly related to emotional and psychological well-being, control over life, home and neighborhood, freedom, independence, and social relationships.

Conclusion: Limited physical activity and poor functional status impact the quality of life of older adults. Therefore, educational and physical interventions should be implemented at the hospital and community levels to improve the physical activity, functional status, and quality of life of older adults.

Introduction: In the last decade, disasters increased by 60% worldwide. These occurrences have resulted in approximately two million deaths and 4.2 million injuries and left 33 million people homeless. Nurses are part of the front-line response team and should be critical during disasters. For nurses to respond competently, they must have the knowledge and skills to provide comprehensive and holistic care to the populations affected by disasters.

Objectives: This study aims to assess the level of competencies among nurses providing disaster care and identify their predictors.

Method: A descriptive correlation design was utilized to measure and predict nursing competencies in providing care to individuals amid disasters. An electronic form of disaster response competencies assessment survey was distributed to 400 nurses working at three public hospitals in the central region of Jordan.

Results: Jordanian nurses reported a moderate level of competencies in providing care for individuals. Furthermore, multiple regression analysis revealed that disaster training, disaster education, sex, and real disaster experience significantly predict nurses' competencies.

Conclusion: With the increasing frequency of disasters, nurses should be adequately prepared to respond to disasters competently to relieve the negative consequences of these events on the affected individuals.

Introduction: Caring for patients who have schizophrenia in tidal floods requires more effort than patients who have schizophrenia in non-tidal flood areas. Family caregivers are required to manage stress and burden through adaptation to roles and the environment.

Objective: The purpose of this study was to explore the meaning of family adaptation experiences of those who care for patients with schizophrenia in a tidal flood area.

Methods: This research is a qualitative research with a descriptive phenomenology. The sampling technique used purposive sampling, and the number of participants was 10. The data collection used in-depth interview techniques. The Colaizzi method was used to analyze data.

Results: The adaptation experience meaning of family caregivers obtained four themes: (1) forms of family caregiver responses; (2) patient engagement as a way to provide quality care at home by family caregivers; (3) family caregivers' difficulties in utilizing health services; and (4) resources for family caregivers.

Conclusion: The meaning of adaptation is whether the family caregivers feel the impact of their role and have difficulty utilizing health services in caring for patients. Despite this, family caregivers still try to continue to involve patients in daily activities and look for sources of support that are useful for them.

Recommendation: The physical and psychological well-being of family caregivers also need to be improved to support optimal care for patients who have schizophrenia by family caregivers at home.

Introduction: Hypertension is the most common older adults' health problem in Indonesia. Older adults experience various changes in their life that often contribute to their ability to manage health problems, especially in chronic diseases.

Objectives: This study aimed to understand the problems and needs of self-management of older adults with hypertension.

Methods: This was a qualitative exploratory descriptive design. Data collection was conducted among 62 participants. Participants were 15 older adults with hypertension and 11 older adults' families, 12 primary care nurses, seven medical doctors, 11 health volunteers, three heads of primary care, and three district health officials selected by purposeful sampling. Data were collected using semistructured, face-to-face interviews (older adults and their families) and focus group discussion (healthcare workers). Data analysis was carried out qualitatively descriptively using an inductive thinking process; Colaizzi's measures were used for analysis.

Results: This study identified eight main themes: (1) complaints related to aging and hypertension, (2) knowledge and beliefs about hypertension, (3) behavior changes after hypertension, (4) disease management support; access to health services for older adults, (5) the need to manage hypertension for older adults, (6) disease management support, (7) hypertension self-management behavior, and (8) compliance with medication.

Conclusion: This study provided evidence regarding older adults' problems and needs in managing hypertension. These findings should be considered while providing nursing care at the community level to initiate the self-management of hypertension in older adults.

Introduction: Nursing-sensitive indicators measure and evaluate nursing care quality and its contribution to patient care. The identification of indicators that demonstrate nursing care contribution and the quality of care delivered locally is of paramount importance, and national indicators that demonstrate this are essential. This paper aims to provide an evidence base of nursing-sensitive indicators that can facilitate the conceptualization of local nursing national indicators.

Method: A multifaceted and iterative approach incorporating literature review, and stakeholder engagements was utilized in evidence synthesis. A review of indicators present internationally complemented by the inclusion of context-specific local NSIs through stakeholder engagements was performed. Secondary data analysis of documents from an environmental scan was also included to highlight areas of concern for nursing-sensitive indicator prioritization from the viewpoint of nurses.

Results: A total of 64 articles were reviewed and indicators were coded according to the Nursing Care Performance Framework subsystems, dimensions, and variables. All papers reviewed had documented outcome indicators. From our secondary data analysis, nurses identified areas of concern such as nursing staff supply, staff maintenance, nursing processes and risk outcomes, and safety to be prioritized for developing quality indicators.

Conclusion: This paper provides a list of NSIs coded systematically with definitions to aid stakeholders in prioritizing indicators for national indicator development. The inclusion of areas of concern provides insight into NSIs that nurse practitioners find relevant to the local context. To our knowledge, this is the first paper that includes evidence available in the literature and incorporates stakeholders' perspectives in synthesizing evidence needed to guide the development of national nursing indicators. This iterative approach is crucial because it enhances the likelihood of knowledge translation.