SAGE Open Nursing最新文献

Introduction: The healthcare sector is well known for being demanding and stressful, leading to high rates of burnout and decreased job satisfaction among healthcare professionals. Self-compassion has been identified as a potential preventive factor against burnout and may improve job satisfaction.

Objective: The current study aimed to assess the level of self-compassion, burnout, and job satisfaction among healthcare professionals; to explore the relationship between self-compassion, burnout and job satisfaction; and to examine the predictors of self-compassion.

Methods: A descriptive correlational design. A convenience sample of 403 healthcare professionals, including doctors and nurses, participated. Data were collected using a printed questionnaire. Correlation analyses and ANOVA were conducted.

Results: The study found moderate levels of self-compassion, burnout, and job satisfaction among healthcare professionals. Self-compassion was moderate, with a mean of 3.10, while burnout was 3.48, Job satisfaction was 2.88. A positive correlation was found between self-compassion and job satisfaction, while a negative correlation was found between burnout and self-compassion. The results show statistically significant differences in self-compassion based on educational attainment and years of experience.

Conclusion: The study found a positive correlation between self-compassion and job satisfaction, while a negative one was found with burnout. Education and experience significantly influenced self-compassion, with participants holding a bachelor's degree and those with less experience reporting higher levels.

Introduction: Although rare, operative vaginal delivery (OVD) can lead to various fetal/neonatal complications, particularly in resource-limited settings. Numerous factors have been identified as being associated with unfavorable fetal outcomes following OVD. However, studies examining unfavorable outcomes were highly varied and inconsistently reported in Ethiopia. Therefore, this systematic review and meta-analysis aims to estimate the trend, pooled prevalence, and its associated factors of unfavorable fetal outcomes following to OVD.

Methods: All pertinent articles released before September 2024, were methodically gathered from scientific data bases (PubMed, Hinari, Scopus, web of science, Science direct and Google scholar).The Joanna Briggs institute tool was used to assess the quality of the study. Data were extracted in Microsoft excel 2013 format and analyzed using Stata software version 17. I2 tests were used to assess the heterogeneity of the studies. Subgroup analysis was done based on sample sizes and year of publication to determine how pooled estimates of unfavorable fetal outcomes vary across the study events including time. The pooled effect of the factors influencing unfavorable fetal outcomes was estimated using an odds ratio (OR) with a 95% confidence interval (CI), and a p-value <0.05 was considered statistically significant.

Results: The meta-analysis of eight studies revealed, a lower odds of unfavorable fetal outcomes among mothers who gave birth by OVD with prolonged labor than those with other indication (pooled odd ratios (POR): 0.4, 95% CI: 0.04, 0.84); vacuum delivery (POR: 0.3, 95% CI: 0.0407, 0.53); birth weight (POR: 0.42, 95% CI: 0.15, 0.68); and delivery attendant (POR: 0.4, 95% CI: 0.14, 0.94). The pooled prevalence of unfavorable fetal outcomes among mothers who gave birth by OVD in Ethiopia was 29% (95%: CI: 22, 35); (I2 = 91.74%, p < 0.01).

Conclusion: The pooled prevalence of unfavorable fetal outcomes following OVD was high in Ethiopia. Prolonged second stage of labor, use of vacuum as type of OVD, birth weight, and the type of delivery attendant were the factors associated with unfavorable fetal outcomes. Therefore, we recommend the ministry of health and other stakeholders to emphasize the identified modifiable factors to further reduce unfavorable fetal outcome following OVD among mothers who gave birth in Ethiopia.

Systematic review registration: CRD42024561713.

Introduction: The most common type of nosocomial infection among neonates on mechanical ventilation in neonatal intensive care units (NICUs) was ventilator-associated pneumonia (VAP). An Evidence-Based Practice Module for preventing VAP was highly recommended and crucial for enhancing nurses' knowledge levels and improving their practices in this domain.

Objective: This study was designed to examine the impact of the Evidence-Based Practices Module on nurses' knowledge and their practices for preventing VAP among high-risk neonates in NICUs.

Methods: This research employed a quasi-experimental (pre/post-test) design at two NICUs in Egypt-Banha Specialized Children's Hospital (Banha City) and Ain Shams University Hospital (Cairo)-to recruit a convenience sample (consisting of 200 male and female nurses) that served as a pre-/post-test group. The researchers employed three specific tools: a pre-test interview questionnaire (which was also utilized post-test), an Evidence-Based Practices Module for preventing VAP questionnaire, and an observational checklist concerning the nurse participants' knowledge and practices in preventing VAP (pre- and post-demonstration of an Evidence-Based Practices Module).

Results: Participants' general knowledge improved significantly with VAP (p < .001) across all areas evaluated: the participants' performance improved markedly from a mean score of 9.010 ± 2.894 (pre-intervention) to 13.640 ± 1.285 (post-intervention) (t = -18.954, p < .001). Furthermore, the participants' pre-intervention mean score for an Evidence-Based Practices Module (related to VAP prevention) was 9.300 ± 0.997, reflecting an almost total lack of knowledge; however, their post-intervention scores increased significantly to 17.745 ± 1.268. Additionally, their performances on an Evidence-Based Practices Module (related to VAP prevention) before intervention were 12.280 ± 3.143, which increased to 21.620 ± 1.615 post-intervention (t = -31.009, p < .001).

Conclusions: This study highlighted how the introduction of an Evidence-Based Practice Module positively impacted the nursing staff's knowledge and practices regarding the prevention of VAP in NICUs. It was recommended that the nursing staff implement the Ventilator-Associated Pneumonia Evidence-Based Practices Module to enhance their professional development, promote safe and proper practices, and improve the quality of care provided to high-risk neonates.

Introduction: Patients awaiting heart surgery often experience reduced physical activity, leading to decreased muscle mass, strength, and endurance.

Objectives: This study aimed to evaluate the effects of cardiopulmonary pre-rehabilitation (CPPR) on physical performance, balance, and fear of falling (FOF) in candidates for coronary artery bypass graft (CABG) surgery.

Methods: This randomized clinical trial was conducted in 2022. Ninety-two candidates for CABG surgery were recruited and randomly allocated to two 46-person groups using block randomization with a block size of 4. Participants in the intervention group received a 1-month CPPR program consisting of Otago exercise, incentive spirometry, walking, and modification of lifestyle and cardiovascular risk factors. Physical performance, balance, and FOF were assessed before and after the intervention and 4 weeks after surgery. Data collection instruments were a demographic and clinical characteristics questionnaire, the Short Physical Performance Battery, Berg Balance Scale, and Falls Efficacy Scale-International. The validity and reliability of these instruments have been established in previous literature and were also confirmed in the present study (Cronbach's alpha > 0.85 for all).

Results: No significant differences were observed between the groups at baseline regarding the mean scores of physical performance, balance, and FOF (p > 0.05). Following the intervention, the CPPR group demonstrated significantly greater improvements in physical performance (p < 0.001) and balance (p < 0.001), and a significantly greater reduction in FOF (p < 0.001) compared to the control group. These significant between-group differences were maintained at the 4-week postoperative assessment.

Conclusion: This study concludes that CPPR is effective in significantly improving physical performance and balance and significantly reducing FOF among the candidates for CABG surgery. Therefore, it can be used to prepare the candidates for CABG surgery and improve postoperative outcomes.

This letter highlights the necessity of nursing engagement in artificial intelligence (AI) research and its potential impact on healthcare. As AI transforms patient care, diagnostics, and operational efficiency, it is crucial for nurses, the largest healthcare workforce, to engage in AI development actively. Nurses' experiential knowledge and ethical perspectives can enhance AI tools, ensuring they are patient-centered and practically applicable. This letter underscores the importance of interdisciplinary collaboration and advocates for increased nursing involvement in AI research to achieve better healthcare outcomes.

Dementia is an emerging public health concern in Zimbabwe, yet it remains widely misunderstood, often attributed to aging, madness, or spiritual causes such as witchcraft. These cultural beliefs contribute to stigma, silence, delayed diagnosis, and lack of care for individuals and families affected by dementia. Nurses, as trusted professionals embedded within communities, are well-positioned to challenge these narratives and lead a transformative shift in dementia care. However, systemic gaps in education, training, and policy have limited their visibility and influence in dementia discourse. This commentary explores how Zimbabwean nurses can reclaim their voice and take on expanded roles as educators, advocates, cultural mediators, and policy influencers. Strategies include integrating dementia care into nursing curricula, promoting culturally sensitive public education, implementing community-based nursing models, and engaging in ethical leadership and policy advocacy. The article highlights the importance of reflective practice and the need for investment in specialist training, partnerships, and nursing-led research. By addressing stigma and promoting dignity, nurses can reshape how dementia is understood and experienced in Zimbabwe.

Introduction: Anxiety is a prevalent and distressing symptom experienced by cancer patients undergoing chemotherapy, which can adversely affect treatment adherence and quality of life.

Objective: This study aimed to evaluate the effectiveness of color therapy in reducing anxiety in patients undergoing chemotherapy.

Methods: A randomized clinical trial was conducted involving 190 patients with oncology diagnoses who were admitted to the chemotherapy department. Participants were randomly assigned to either the intervention group, which was exposed to a blue therapeutic room, or the control group, which was placed in a standard hospital setting. Anxiety levels were assessed using the Beck Anxiety Inventory before the intervention and again after a 20-minute exposure. Data were analyzed using SPSS Version 25.

Results: The intervention group demonstrated a significant reduction in anxiety scores, decreasing from 57.70 ± 10.14 to 50.03 ± 8.49 (p < .05), while the control group showed no significant change (56.48 ± 5.09-55.83 ± 9.15).

Conclusion: Color therapy effectively reduces anxiety in chemotherapy patients as a cost-effective and noninvasive complementary method. To implement these findings, oncology units should integrate structured color-based interventions into routine care. Training healthcare staff and conducting pilot studies are essential to ensure proper application and assess feasibility.

Introduction: Although leaders can foster psychological safety by encouraging moral behaviors, the link between the two remains unclear. Despite its importance in clinical education and patient safety, empirical research has not adequately explored the unique impact of nursing leaders' moral character and actions.

Objectives: This study not only examined the relationships between nursing leaders' moral leadership, nurses' psychological safety, team learning behaviors, and teams' psychological safety but also assessed whether moral leadership and sample characteristics predict nurses' and teams' psychological safety.

Methods: A quantitative cross-sectional design was employed. After a pilot study, an online survey using Google Forms was conducted over 1 month in 2024. To assess the concepts studied, 365 nurses were recruited from different hospitals using convenience snowball sampling, yielding a response rate of 73%.

Results: Responses were rated on a 5-point Likert scale. Nurses rated their leaders as moral. Individualized means varied across variables. Most leaders showed high integrity and temperament, but moderate courage and prudence. Nurses' respect was the highest moral subscale, followed by team learning. Teams' psychological safety was high, especially in risk-taking and expectations, but moderate in learning from failure and support. Moral leadership correlated with nurses' psychological safety and teams' safety. Moral leadership and work area predicted nurses' and teams' psychological safety.

Conclusions: These findings suggest that although moral leadership is perceived positively, its impact on psychological safety may vary depending on contextual factors such as organizational culture and leadership style. Nursing leaders' moral leadership and area of work were the shared determinants of nurses' and teams' psychological safety. Moral nursing leaders make a difference in the work environment. When nurses and nursing teams admire the qualities of their moral leaders, their psychological safety, including team learning behaviors, improves, resulting in several positive outcomes. Moral leadership contributes to psychologically safe environments by promoting openness, respect, and learning from failure. Future research should explore cross-cultural applications of moral leadership and its impact on team dynamics.

Introduction: Nurses' ability to understand and manage emotions may offer insight into why certain aspects of care are missed, alongside operational aspects, including staffing and workload. The current body of nursing literature has examined the structural and procedural dimensions of missed nursing care (MISSNCARE), frequently neglecting the significant influence of emotional factors in the provision of healthcare. Specifically, emotional intelligence (EI) may influence clinical decision-making by enhancing prioritization, stress management, and interpersonal communication, thereby reducing care omissions.

Objectives: This study aimed to examine the relationships and differences between the perceived types and reasons for MISSNCARE and registered nurses' (RNs) levels of EI. In addition, predictors of MISSNCARE were identified.

Methods: A quantitative cross-sectional design was used in the current study. A convenience sample of 285 RNs was recruited from different hospitals. Descriptive and inferential statistics were applied to analyze the data.

Results: The most frequent type of MISSNCARE activities was patient ambulation, and the most common reason for MISSNCARE was related to labor resources. Nurses perceived that they had higher-than-average levels of EI. A statistically significant, strong negative correlation was found between the perceived EI levels and types of MISSNCARE. The results also indicated that 42.90% of the variance in MISSNCARE was explained jointly by the role of EI, hospital type, gender, and marital status. Single and female nurses with higher EI levels and who worked in private hospitals reported lower incidences of MISSNCARE compared to their counterparts.

Conclusions: Nurses with higher levels of EI reported a lower incidence of MISSNCARE. Future research should consider more robust methods to enhance a more comprehensive understanding of the relationship between MISSNCARE and nurses' EI. The findings underscored the potential for strategic improvement in EI as a means to reduce instances of MISSNCARE and enhance the overall quality of patient care.