SAGE Open Nursing最新文献

Introduction: Pregnant women require social support and healthcare treatments that are specifically designed to address their quality of life (QoL) during this time, as this will help them get through this crucial stage with more resilience and comfort.

Objective: This study aimed to assess the relationship between the QoL of pregnant women and social support.

Methods: A cross-sectional study was conducted involving 423 pregnant women. Data were gathered through the SF-36 scale and the "Multidimensional Scale of Perceived Social Support" in the period of June 1 to September 1, 2023.

Results: The physical health level was moderate (M = 46.22 ± 16.1), and the mental health level was also moderate (M = 46.12 ± 21.8). Social support was rated high (M = 5.3 ± 1.0), with the highest score in the significant other subscale (M = 5.9 ± 1.2) and the lowest in the friend's subscale (M = 4.4 ± 1.6). Furthermore, the analysis revealed a significant positive association between the QoL scores and social support (p < .05).

Conclusions: The study confirmed that Palestinian pregnant women had a moderate level of QoL and a high level of perceived social support. Additionally, it established a significant small positive relationship between the QoL scores and social support among pregnant women.

Background: Nurse staffing remains an ongoing issue in healthcare worldwide. However, a Dutch urology ward has hardly any staffing difficulties. Nevertheless, it remains challenging to grasp what exactly is the success formula of the ward. Investigating a practical example of a successful ward will facilitate a deeper understanding of the application of current knowledge. Furthermore, novel concepts offer potential solutions to current problems. There is a need of putting the knowledge into practice.

Objective: The objective is to identify the factors that contribute to the success of the urology ward in engaging, binding, and retaining nurses, to provide practical insights and opportunities for other wards.

Methods: The Dutch Model for Excellent Care forms the basis of a prospective, qualitative research study with focus groups. Twelve nurses were divided into three focus groups, based on work experience. They were asked about why they love working on the ward. Analysis was performed using Braun and Clarke's method for thematic analysis. Emerged themes were presented, substantiated by quotes.

Results: Four themes and twelve subthemes became apparent: (a) Supportive structures: nursing governance, professional development, and quality of leadership. (b) Optimal work environment: working with skilled nurses, a professional relationship with physicians and professional autonomy. (c) Team culture: feeling seen, good ambiance, and equality. (d) Specialty of urology: variation in work, workload, and the type of patient.

Conclusions: Nurses are uniquely positioned to provide invaluable insight into their needs. They illuminated the crucial importance of fostering a work environment that prioritizes both professional as well as personal needs.

Introduction: Childhood diarrhea remains a leading cause of death in children under 5 years of age worldwide, although the disease is both preventable and treatable. Effective caregiver involvement, rotavirus vaccinations, and parallel diarrhea prevention are critical.

Objectives: This study aimed to assess caregiver's knowledge of childhood diarrheal disease prevention, rotavirus vaccination knowledge, and associated factors in Dodoma, Tanzania.

Methods: A hospital-based analytical cross-sectional study was conducted at Makole Health Center, Dodoma. Data were collected from 274 caregivers of children under 5 years of age who attended a routine immunization clinic. Respondents were interviewed using a semi-structured, pretested questionnaire. Data were analyzed for frequency, percentages, and mean, followed by multivariable linear logistic regression to examine the association between sociodemographic factors and caregiver's knowledge.

Results: A total of 274 subjects were involved in the study. The majority (93.8%) were women, all had formal education, (62.8%) knew that diarrhea in children can be prevented by proper handwashing, and only (9.9%) knew about the rotavirus vaccine. Educational level (β = 0.565 CI; 0.490, 0.873) p-value < .001, age of parents (β = 0.738 CI; 0.427, 1.050) p-value .022 and age of child (β = -0.306 CI; - 0.490, -0.122), p-value <.001 and the fact that the child was male (β = 1.116, 95% CI = 0.712, 1.520) p-value < .001) were the factors associated with participants' knowledge.

Conclusion: The results highlight the great need for public health programs to increase awareness of rotavirus vaccines and parallel diarrhea prevention interventions, which in turn will significantly improve caregivers' knowledge and therefore the prevention of diarrhea in children.

Introduction: The competency of a nurse in integrating knowledge, skills, attitudes, and values in various healthcare areas depends on their ability to apply these elements. It is a basic indicator of performance in nursing, and its assessment is a necessity among nursing students.

Objective: The present study was conducted to determine the psychometric properties of the Persian version of the nursing competence tool for Iranian nursing students in 2023.

Methods: This is a methodological study in which the Nursing Student Competence Scale (NSCS) was translated into Persian using the forward-backward translation method. A total of 321 nursing students were selected for construct validity by the exploratory factor analysis (EFA) (the first 190 nursing students) and confirmatory factor analysis (CFA) by convenience sampling method. Cronbach's alpha coefficient was used to evaluate the internal consistency, and the test-retest method was used to check the instrument's reliability.

Results: The results of EFA and CFA confirmed the instrument with six factors and 28 items. The results showed that the fit indices of the model in CFA included (CFI = .91, NNFI = .90, goodness of fit index = .83, root mean square error of approximation = .075, standardized root mean square residual = .047). Pearson's correlation coefficient between items and subscales showed a direct and significant relationship with the main scale. Also, Cronbach's alpha coefficient (0.9) and test-retest (0.88) confirmed the reliability of the Persian version of (NSCS).

Conclusion: Generally, the Persian version of the NSCS with 28 items and six factors is a valid and reliable scale. This instrument has good internal consistency, validity, and reliability, which can be used to evaluate nursing students' competence in bachelor training.

Background: Nursing instructors play an important role in improving the clinical experience of nursing students. Despite this, little is known about the characteristics of effective clinical instructors.

Objective: Identifying the perceptions of nursing students, faculty, and preceptors of effective clinical instructors.

Method: A descriptive cross-sectional study was conducted using a convenience sample of nursing students, faculty, and preceptors from different nursing departments. Participants were invited to respond to sociodemographic and Nursing Clinical Teacher Effectiveness Inventory questionnaires from April 2022 to September 2022. The data were analyzed using descriptive and inferential statistics using SPSS.

Result: A total of 715 participants responded to the survey, of whom 510 were students. Students valued interpersonal relations (5.57 ± 1.261) as the most important clinical instructor characteristic, while nursing competence was perceived as the least important (5.51 ± 1.298). Faculty scored the highest mean in the evaluation subscale (6.21 ± 1.170) and the lowest in nursing competence (6.07 ± 1.221). Preceptors scored the highest mean in the evaluation subscale (5.98 ± 0.904) and the lowest in personality (5.80 ± 0.928). One-way ANOVA showed significant mean differences between the perceptions of nursing students, faculty, and preceptors in personality (M: 5.54 vs. 6.10 vs. 5.80, respectively; p < .001), evaluation (M: 5.56 vs. 6.21 vs. 5.98; p < .001), teaching ability (M: 5.57 vs. 6.12 vs. 5.86; p < .001), nursing competence (M: 5.51 vs. 6.12 vs. 5.86; p < .001), and interpersonal relationship (M: 5.57 vs. 6.17 vs. 5.88; p < .001). There were significant mean differences in students' perceptions across academic levels.

Conclusion: Students, faculty, and preceptors perceived effective clinical instructors' characteristics differently. Therefore, nursing schools should establish and promote a program to develop and promote unified, effective clinical teaching characteristics.

Introduction: Suicide is defined as the deliberate taking of one's own life with either implicit or explicit proof; however, it can also refer to the contemplation or actualization of suicide. Suicide is a mental illness with several contributing factors. It is frequently linked to sex, age, health problems, substance misuse, and traumatic life experiences.

Objective: The purpose of this study was to evaluate the prevalence of suicide thought and attempts among glaucoma patients and its contributing factors in Gondar, Ethiopia, 2022.

Methods: An observational cross-sectional study was conducted on 422 glaucoma patients at the Tertiary Eye Care Clinic, University of Gondar Comprehensive and Specialized Hospital. Suicidal ideation and attempts were assessed using the suicidality module of the World Mental Health Survey Initiative version of the World Health Organization's Composite International Diagnostic Interview. Bivariate and multivariate logistic regressions were conducted to identify factors associated with suicidal ideation and attempts. The variables with a p-value less than 0.05 and a 95% CI were considered statistically significant.

Results: The overall prevalence of suicidal ideation and attempt was 6.4% with a 95% CI of 4.3-9.2% and 2.4% with a 95% CI of 1.1-4.3%, respectively. In multivariate analysis, severe psychological distress, moderate psychological distress, mild psychological distress, and current substance use were identified as risk factors for suicidal ideation, whereas living alone, co-morbid chronic medical disease, and ever-present substance use were identified as risk factors for suicidal attempts.

Conclusion: Based on this study finding, the prevalence of suicidal ideation and attempts was high among glaucoma patients. This study may provide further information to pay much attention to the physical health care of patients with glaucoma. More representative samples, or rather, a cross-sectional study design, should be used in future studies aiming for more precise data.

Objectives: This study explores the factors leading to decreased professional commitment among nurses and proposes actionable solutions to mitigate the challenges posed by this phenomenon in nursing.

Methods: This research was conducted by employing the scoping review methodology. To this end, the relevant studies were obtained by two researchers independently searching over Scopus, Medline (via PubMed), Proquest, SID, Magiran, and Web of Science databases. The extracted data from the primary studies were organized into a table, including author names, publication year, study population, study objectives, study methodology, and key findings.

Results: Based on the primary research question, seven main themes contributing to the decline in professional commitment to nursing were determined as follows: professional and organizational challenges, human relations, personal wellbeing and coping, work-life balance and success, organizational culture, the nature of the nursing profession and beliefs, human emotions, values, and ethics. Also, the secondary question of the research was responded to by identifying four main themes: (1) empowering nurses, (2) nursing leadership and support, (3) safety concerns and interactions with patients, and (4) welfare facilities.

Conclusion: The findings of this study highlight the necessity of implementing nurse empowerment programs and providing financial and moral support from the organization and nursing leaders to enhance professional commitment to nursing.

Background: Self-efficacy serves as a crucial predictor for successful breastfeeding. The standard practice in maternal wards is mother-baby rooming-in, which is believed to enhance breastfeeding rates post-delivery. However, in certain maternal wards, mother-baby separation continues to occur due to diverse factors.

Objectives: The objective of this study is to examine the self-efficacy levels of mothers in mother-infant separation wards and identify the factors that influence their self-efficacy.

Methods: A cross-sectional study was undertaken in 2022 at a hospital in Macau, involving 290 postpartum women in mother-infant separation wards. A self-designed questionnaire encompassing demographic details and breastfeeding information was utilized. Additionally, the Chinese version of the Breastfeeding Self-Efficacy Scale (BSES) and the Social Support Scale (SSRS) were employed. SPSS26.0 software was used to analyze the data. p < .05 indicated statistically significant differences.

Results: The average breastfeeding self-efficacy score among the women was 96.03 ± 23.07, which accounted for 64% of the total score. The factors influencing breastfeeding self-efficacy were ranked based on their impact power as follows: previous experience of breastfeeding, intended length of breastfeeding, employment status, and the number of breastfeeding sessions during hospitalization after childbirth (p < .05). These four factors collectively explained 34.7% (R2 = 0.347) of the variations in breastfeeding self-efficacy scores. A weak but positive correlation was observed between postpartum women's breastfeeding self-efficacy and social support for the mothers (r = .341, p < .001).

Conclusion: The breastfeeding self-efficacy scores of postpartum women were found to be at a moderate level. Mother-infant separation during the postpartum period has an impact on breastfeeding self-efficacy, but the impact can be managed. When developing programs to enhance postpartum mothers' breastfeeding self-efficacy, it is important to consider their individual and social circumstances, as well as the advantages and disadvantages associated with mother-infant separation during the postpartum period.

Introduction: Leadership style and employee behavior has long been a topic of interest in organizational research.

Objectives: To explore levels of despotic leadership, supervisor-employee value congruence, and organizational deviance among the studied nurses. Furthermore, to explore the connection between the three variables.

Methods: The study employed a cross-sectional quantitative design. The researchers used three tools as follows: the despotic leadership survey, an organizational deviance scale, and a perceived supervisor-employee value congruence scale. The first of April 2023 to the first of July 2023 were the 3 months that were used to collect the data from 250 nurses. The data were analyzed using descriptive statistics, Spearman's correlation, Kruskal-Wallis test, and Mann-Whitney U test.

Results: Nurses perceived a moderate level of despotic leadership as mean ± SD, 16.80 ± 3.01, also a moderate level for organizational deviance (30.63 ± 4.65). The studied nurses perceived a moderate level of supervisor-employee value congruence (10.93 ± 1.32) Furthermore, there is a solid positive significant relationship between despotic leadership and organizational deviance where p = .001. There is a negative significant relationship between despotic leadership and supervisor-employee value congruence where p = .001. Also, there is a negative significant relationship between organizational deviance and supervisor-employee value congruence where p = .001.

Conclusion: Nurse managers need to retain leaders to inspire subordinates' uncluttered communication networks, stirring nurses' partaking in nursing committees' assemblies, and decision-making. Hospital administrators ought to focus more on the role that value congruence plays as a buffer for subordinates who exhibit organizational deviance and high levels of mistrust. Strategies should be employed to create and maintain value congruence and reinforce desired nondeviant behaviors to foster a positive work environment.

Introduction: Multiple studies have reported the association between balance performance and cognitive function among older adults. However, few studies have been conducted in low-income settings.

Objectives: This cross-sectional study examined the relationships of dynamic and static balance with cognitive function in community-dwelling low-income older adults in Orlando, Florida.

Methods: Dynamic balance was assessed with a Short Physical Performance Battery (SPPB) and static balance with BTracks Balance System. Rowland Universal Dementia Assessment Scale (RUDAS) assessed cognition and Patient Health Questionnaire-9 assessed depressive symptoms.

Results: Multiple regression analysis showed dynamic balance was significantly associated with cognition, but static balance was not, controlling for depressive symptoms (N = 89, M _age  = 72.70, SD ± 6.95; females = 79). Specifically, higher dynamic balance was associated with better cognitive function. Cognitively healthy participants (RUDAS scores ≥23) scored 2.526 points higher in SPPB than those with possible cognitive impairment (RUDAS scores <23).

Conclusions: Findings provide the evidence to suggest dynamic balance and cognitive function health disparities affecting older adults from low-income community. By implication, dynamic balance and cognitive function should be part of routine screening with older adults living in low-income communities.