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How Diabetic Foot Ulcer Patients Can Self-Treat Wound Care: An Integrative Literature Review. 糖尿病足溃疡患者如何进行伤口自我护理?综合文献综述。
IF 2 Q2 NURSING Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241274219
Novita Verayanti Manalu, Esti Yunitasari, Siti Kotijah, Ah Yusuf, Evelin Malinti

Introduction: To improve the capacity of diabetic foot ulcer (DFU) patients for self-management of wound care, there is a renewed need for self-care on their part, as well as an increase in their readiness to deal with issues and heal their wounds. Therefore, this review empirically assessed contemporary evidence on how patients with DFU can perform self-treat wound care.

Methods: This integrative literature review assessed how patients with DFU could perform self-treat wound care. Whittemore and Knafl integrative information literature review involved searching four databases (Scopus, PubMed, Web of Science, and Google Scholar), which resulted in 2,595 published articles, between 2010 and 2023. Nineteen articles satisfied the requirements for inclusion and quality assessment, and the PRISMA review checklist was followed.

Results: No research has addressed DFU patients' self-treatment of wound care. The integration of evidence from quantitative and qualitative studies was achieved in three categories: (1) motivation, (2) self-wound care strategy, and (3) self-wound care performance by DFU patients.

Conclusion: To equip themselves to perform wound care independently, patients with DFU must receive training to clean wounds, apply wound medication, and perform dressings. There is a need for research that develops a self-treat wound care intervention model in patients with DFU.

导言:为了提高糖尿病足溃疡(DFU)患者自我管理伤口护理的能力,患者需要重新进行自我护理,并提高他们处理问题和愈合伤口的意愿。因此,本综述对有关 DFU 患者如何进行伤口自我护理的当代证据进行了实证评估:本综合文献综述评估了 DFU 患者如何进行自我伤口护理。Whittemore和Knafl的综合信息文献综述检索了四个数据库(Scopus、PubMed、Web of Science和Google Scholar),共检索到2010年至2023年间发表的2595篇文章。19篇文章符合纳入和质量评估要求,并遵循了PRISMA审查清单:没有研究涉及 DFU 患者的伤口护理自我治疗。将定量和定性研究的证据整合为三类:(1)动机;(2)自我伤口护理策略;(3)DFU 患者的自我伤口护理表现:结论:为了让 DFU 患者具备独立进行伤口护理的能力,他们必须接受清洗伤口、使用伤口药物和进行包扎的培训。有必要对 DFU 患者进行伤口自我护理干预模式的研究。
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引用次数: 0
Nursing Students' Experiences and Challenges in Their Education During COVID 19 Pandemic: A Mixed-Method Study. 护理专业学生在 COVID 19 大流行期间的教育经历和挑战:混合方法研究。
IF 2 Q2 NURSING Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241272484
Puvaneswari Kanagaraj, Judie Arulappan, Arpita Pradhan, Shimmaa Mansour Moustafa Mohammed

Introduction: The COVID-19 outbreak disrupted the nursing education across the world. The nursing students faced many challenges in their learning process.

Objective: The study explored the experiences and challenges faced by nursing students who had virtual education in India.

Methods: The study adopted an exploratory sequential mixed-methods design. The study was conducted as two phases. Phase 1: Qualitative data were collected using direct focus group interview with 18 students. Phase 2: Quantitative data were collected from 477 students using a Likert scale prepared by the investigators of the study on challenges experienced by nursing students on their education. The analysis was done using the descriptive and inferential statistics and thematic analysis.

Results: Phase 1: The analyzed data produced seven themes and 10 sub-themes; (1) technical issues-a concern, (2) regular rhythm in educational training-but not complete, (3) stress and strain, (4) evaluation-a concern, (5) communication, (6) comfort zone, and (7) easy distraction. Phase 2: Majority of the students (54.71%) experienced high-level challenges with the nursing education during pandemic. The overall mean and SD of all the domain-wise challenges were 103.39 + 7.11 with the range from 30 to 150. The mean and SD with educational challenges were (20.27 + 3.04), environmental challenges (6.92 + 1.66), communication challenges (17.61 + 4.01), technical challenges (17.39 + 3.75), evaluation challenges (7.09 + 1.94), physical and mental challenges (20.47 + 4.33), career challenges (7.06 + 1.91), and financial challenges (6.61 + 2.1). The demographic variable gender (P = 0.045) showed a statistically significant association with the challenges.

Conclusion: Considering the experiences and challenges faced by the nursing students, the nursing administrators shall design educational strategies to mitigate these challenges in nursing education during a pandemic.

Implication: Virtual nursing education offers flexibility in teaching and learning, self-paced learning opportunity, lower the costs, career advancement, comfortable learning environment, more opportunities for participation, easier to track documentation and improves skills in technology. Therefore, the challenges in virtual nursing education should be lessened to have successful teaching learning experiences.

简介COVID-19 的爆发扰乱了全球的护理教育。护理专业学生在学习过程中面临许多挑战:本研究探讨了在印度接受虚拟教育的护理专业学生所面临的经验和挑战:研究采用探索性顺序混合方法设计。研究分两个阶段进行。第 1 阶段:对 18 名学生进行直接焦点小组访谈,收集定性数据。第 2 阶段:使用研究人员就护理专业学生在教育过程中遇到的挑战编制的李克特量表,从 477 名学生中收集定量数据。分析采用了描述性和推论性统计以及主题分析法:第 1 阶段:分析数据产生了 7 个主题和 10 个子主题:(1)技术问题--令人担忧;(2)教育培训的正常节奏--但不完整;(3)压力和紧张;(4)评估--令人担忧;(5)沟通;(6)舒适区;(7)容易分心。第二阶段:大多数学生(54.71%)在大流行病期间的护理教育中遇到了高水平的挑战。所有领域挑战的平均值和标差为 103.39 + 7.11,范围在 30 至 150 之间。教育挑战的平均值和标差分别为(20.27 + 3.04)、环境挑战(6.92 + 1.66)、沟通挑战(17.61 + 4.01)、技术挑战(17.39 + 3.75)、评估挑战(7.09 + 1.94)、身心挑战(20.47 + 4.33)、职业挑战(7.06 + 1.91)和经济挑战(6.61 + 2.1)。人口统计学变量性别(P = 0.045)与这些挑战有显著的统计学关联:考虑到护理学生所面临的经验和挑战,护理管理者应设计教育策略,以减轻大流行病期间护理教育所面临的这些挑战:虚拟护理教育提供了灵活的教学方式、自定进度的学习机会、较低的成本、职业发展、舒适的学习环境、更多的参与机会、更容易跟踪记录和提高技术技能。因此,应减少虚拟护理教育中的挑战,以获得成功的教学经验。
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引用次数: 0
Learning Outcomes of Nursing Students' Experience With Cadaveric Dissection: A Scoping Review. 护理专业学生体验尸体解剖的学习成果:范围审查。
IF 2 Q2 NURSING Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241274543
Miwa Horiuchi-Hirose, Tomoko Fukuoka, Shinji Saito

Introduction: Cadaver dissection in anatomy, a cornerstone of medical school education, has been replaced by digital technologies. This study aimed to determine the learning outcomes nursing students could achieve through cadaveric dissection practice (CDP).

Methods: This scoping review was carried out using the checklist outlined in the Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews through August 2023. Articles from PubMed, ERIC, and CINAL were included. This scoping review included studies that focused on the learning effects of nursing students' experiences with cadaver dissection, written in English, and covered all study types.

Results: The cadaveric dissection exercise resulted in a strong interest in the human body and a thorough understanding of anatomy and physiology. It also allows for creating an image of care for the patient before death, the meaning of existence after death, acceptance that death is not frightening, and an understanding of the afterlife. Furthermore, the cadaveric dissection exercise has been reported to improve confidence in patient care, lead to a better understanding of what other professions practice, and involve the development of professional identity.

Conclusions: Studies on the learning effects of CDP have differed in subject matter and educational methodologies. In the future, while determining how the experience of CDP is related to nursing practice of nursing students and graduates, we must explore effective CDP and develop educational methodologies that can achieve similar learning effects.

介绍:解剖学中的尸体解剖是医学院教育的基石,现已被数字技术所取代。本研究旨在确定护理专业学生通过尸体解剖实践(CDP)可获得的学习成果:本范围界定综述采用了《系统综述和荟萃分析扩展报告项目》(Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews)中概述的核对表(至 2023 年 8 月)。文章来自 PubMed、ERIC 和 CINAL。本次范围界定综述纳入了以护理专业学生尸体解剖经历的学习效果为重点、以英语撰写、涵盖所有研究类型的研究:尸体解剖练习使学生对人体产生了浓厚的兴趣,并对解剖学和生理学有了透彻的了解。它还能让学生树立起生前照顾病人的形象,了解死后存在的意义,接受死亡并不可怕的观点,并理解来世。此外,据报道,尸体解剖练习可提高对病人护理的信心,让学生更好地了解其他专业的做法,并培养学生的专业认同感:关于 CDP 学习效果的研究在主题和教育方法上各有不同。今后,在确定 CDP 的体验与护理专业学生和毕业生的护理实践之间的关系的同时,我们必须探索有效的 CDP,并开发能达到类似学习效果的教育方法。
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引用次数: 0
Influence of eHealth Literacy and Health Promotion Behavior on Body Mass Index of Workers in the Public Sector. 电子健康知识和健康促进行为对公共部门工人体重指数的影响。
IF 2 Q2 NURSING Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241274253
Cecilia Bukola Bello, Mary Omolara Balogun, Laofe Ogundipe, Simeon Kayode Olubiyi, Theresa Olaitan Bamigboye, Deborah Tolulope Esan

Background: Adequate eHealth literacy and health promotion behavior (HPB) are important to achieve good health-related quality of life. There is limited information on the influence of eHealth literacy and HPB on body mass index (BMI) in our setting and among public service workers.

Objectives: This study assessed the eHealth literacy, HPB, and BMI of public service workers and determined the influence of eHealth literacy and HPB on BMI.

Design: A descriptive cross-sectional design was adopted.

Methods: A simple random sampling technique was used to select 440 public service workers from civil service of redacted. A structured questionnaire was used to collect data on socio-demographics, eHealth literacy, and HPB. Weight and height were measured and BMI was calculated. Data were analyzed using frequency, percentage, mean, standard deviation, and logistic regression analysis. The significant level was set at 0.05.

Results: More than one quarter (28.2%) of respondents had low eHealth literacy, and more than one third (42.5%) had inadequate (30.0% fair and 12.5% poor) HPB. An average (50.5%) had a level of obesity that ranged from preobesity to type 2 obesity. There was a significant association between eHealth literacy and HPB with the BMI of respondents at p < .05.

Conclusion: There was inadequate eHealth literacy and HPB among public service workers. An average of the workers had a level of obesity that ranged from pre-obesity to type 2 obesity. There was a significant association between eHealth literacy and BMI and also between HPB and BMI of respondents. Community health professionals should assist public service workers to develop competencies and skills useful in evaluating health information on the Internet and applying such information to make informed decisions.

背景:充足的电子健康知识和健康促进行为(HPB)对于实现良好的健康相关生活质量非常重要。在我们的环境中以及在公共服务人员中,有关电子健康知识和健康促进行为对体重指数(BMI)的影响的信息很有限:本研究评估了公共服务人员的电子健康素养、HPB 和体重指数,并确定了电子健康素养和 HPB 对体重指数的影响:设计:采用描述性横断面设计:方法:采用简单随机抽样技术,从政府公务员中抽取 440 名公务员。采用结构化问卷收集有关社会人口统计学、电子健康知识和 HPB 的数据。测量了体重和身高,并计算了体重指数(BMI)。数据分析采用频率、百分比、平均值、标准差和逻辑回归分析。显着水平设定为 0.05:超过四分之一(28.2%)的受访者电子保健知识水平较低,超过三分之一(42.5%)的受访者保健知识不足(30.0%一般,12.5%较差)。平均(50.5%)受访者的肥胖程度从肥胖前期到 2 型肥胖不等。电子健康知识普及率和 HPB 与受访者的体重指数(BMI)之间存在显着关联,p 为 结论:电子健康知识普及率和 HPB 与受访者的体重指数(BMI)之间存在显着关联:公共服务人员的电子健康知识和 HPB 不足。工作人员的平均肥胖程度从肥胖前期到 2 型肥胖不等。受访者的电子健康知识水平与体重指数(BMI)之间以及肥胖指数(HPB)与体重指数(BMI)之间存在明显关联。社区卫生专业人员应协助公共服务人员提高能力和技能,以评估互联网上的健康信息,并应用这些信息做出明智的决定。
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引用次数: 0
Physical Activity Barriers Among Adolescents in Jordan: A Cross-Sectional Study. 约旦青少年的体育锻炼障碍:一项横断面研究。
IF 2 Q2 NURSING Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241272688
Nisser Alhroub, Ishraq Al-Sarairhe, Rana Al Awamleh, Ibrahim Ayasreh, Abdullah Alkhawaldeh, Mohammed ALBashtawy, Islam Ali Oweidat, Sa'd ALBashtawy, Ahmad Ayed, Zaid ALBashtawy, Asem Abdalrahim, Hasan Alkhawaldeh

Introduction: Physical activity is critical for health promotion and the prevention of noncommunicable illnesses, especially among teenagers. However, teenagers' active participation in physical exercise may be hampered by perceived impediments to physical activity.

Objective: This study aimed to identify the external and internal barriers to physical activities among adolescents, as well as any differences in these barriers between males and females.

Methods: A cross-sectional study was carried out among 600 adolescent students (aged 11-16) from a public school in Jordan. A self-administered questionnaire with 12 items assessed barriers to physical activity. Internal and external barriers were identified, and statistical analyses were performed using SPSS.

Results: Male adolescents reported more perceived hurdles to physical exercise than female adolescents, with lack of time and lack of self-confidence being the most significant impediments. External impediments were more prominent than internal barriers, particularly a lack of resources. The total score for external barriers was significantly higher than that for internal barriers. "Lack of resources" was the most important external barrier (mean = 3.49), and "lack of self-confidence" was the most significant internal barrier (mean = 3.47). Male and female teenagers differed in the obstacles of "lack of self-confidence" (p = .045) and "lack of time" (p = .040). The most significant perceived hurdles included a lack of awareness of the health benefits of exercise, concerns about appearance while exercising, limited access to fitness centers, lack of exercise equipment at home, and insufficient spare time due to a packed class schedule.

Conclusion: It is critical to implement interventions that address the identified barriers to physical activity, particularly among female adolescents, such as improving opportunities for physical activity and providing social support for participation.

导言:体育锻炼对于促进健康和预防非传染性疾病至关重要,尤其是对青少年而言。然而,青少年积极参加体育锻炼可能会受到体育锻炼认知障碍的阻碍:本研究旨在确定青少年体育锻炼的外部和内部障碍,以及这些障碍在男性和女性之间的差异:在约旦一所公立学校的 600 名青少年学生(11-16 岁)中开展了一项横断面研究。通过一份包含 12 个项目的自填式问卷对体育锻炼的障碍进行了评估。研究确定了内部和外部障碍,并使用 SPSS 进行了统计分析:结果:与女性青少年相比,男性青少年在体育锻炼方面遇到的障碍更多,其中缺乏时间和缺乏自信是最主要的障碍。外部障碍比内部障碍更为突出,尤其是缺乏资源。外部障碍的总分明显高于内部障碍。"缺乏资源 "是最重要的外部障碍(平均分=3.49),"缺乏自信 "是最重要的内部障碍(平均分=3.47)。男女青少年在 "缺乏自信"(p = 0.045)和 "缺乏时间"(p = 0.040)这两个障碍上存在差异。认为存在的最主要障碍包括:缺乏对运动有益健康的认识、担心运动时的外表、前往健身中心的机会有限、家中缺乏运动器材,以及因课表排得满满的而没有足够的课余时间:实施干预措施以解决已发现的体育锻炼障碍至关重要,尤其是在女性青少年中,例如增加体育锻炼的机会和为参与体育锻炼提供社会支持。
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引用次数: 0
Barriers and Facilitators Experienced by Undergraduate Nursing Faculty Teaching Clinical Judgment: A Qualitative Study. 本科护理教师在教授临床判断时遇到的障碍和促进因素:定性研究。
IF 2 Q2 NURSING Pub Date : 2024-08-18 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241274728
Carolyn Kerns, Monika Wedgeworth

Background: Clinical judgment is declining in new graduate nurses, which affects patient safety and is therefore tested on the Next Generation NCLEX. There is limited research describing barriers and facilitators impacting nursing faculty's experiences teaching clinical judgment.

Aims: The purpose of this study was to explore barriers and facilitators affecting undergraduate nursing faculty's clinical judgment teaching methods.

Methods: Sixteen qualitative interviews were conducted with full-time nursing faculty at seven universities in the Northeast and Southeast regions of the United States.

Results: The findings revealed program, student, and faculty factors affecting clinical judgment teaching methods. Subthemes included time, class size, students' class preparation, critical thinking, task orientation, professional development, and faculty resistance.

Conclusion: Minimizing barriers and strengthening facilitators based on participants' practices and previous research can support more effective clinical judgment pedagogy, which has the potential to achieve Next Generation NCLEX success and potentially increase patient safety.

背景:新毕业护士的临床判断力正在下降,这会影响患者的安全,因此在下一代 NCLEX 考试中要对其进行测试。关于影响护理教师临床判断教学经验的障碍和促进因素的研究有限。目的:本研究旨在探讨影响本科护理教师临床判断教学方法的障碍和促进因素:对美国东北部和东南部地区七所大学的全职护理教师进行了 16 次定性访谈:结果:调查结果揭示了影响临床判断教学方法的课程、学生和教师因素。分主题包括时间、班级规模、学生备课、批判性思维、任务导向、专业发展和教师抵制:结论:根据参与者的实践和先前的研究,最大限度地减少障碍和加强促进因素可支持更有效的临床判断教学法,这有可能实现下一代 NCLEX 的成功,并有可能提高患者的安全性。
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引用次数: 0
Knowledge and Associated Factors Towards Sepsis Management Among Nurses Working in the Emergency Department of Public Hospitals in Addis Ababa. 亚的斯亚贝巴公立医院急诊科护士对败血症管理的认识及相关因素。
IF 2 Q2 NURSING Pub Date : 2024-08-18 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241274224
Michael Geletu Alaro, Taye Mezgebu Ashine, Sofia Kebede, Heyria Hussien, Melaku Geletu Alaro, Temesgen Kechine Tibore

Background: Sepsis is a major cause of mortality worldwide and an important public health problem. The quality of patient care is negatively impacted when nurses lack adequate knowledge regarding the management of sepsis. On the other hand, little is known regarding Ethiopian nurses' knowledge of sepsis management.

Objective: To assess the level of knowledge and the associated factors towards sepsis management among nurses working in emergency departments in public hospitals in Addis Ababa, Ethiopia.

Method: From March 18 to April 18, 2022, a health facility-based cross-sectional study was conducted. A simple sampling technique (lottery method) was used to select the hospitals. The data was analyzed using SPSS version 25. The study employed logistic regression analysis to examine the association between the independent variables and the level of knowledge. Variables were significantly associated with a level of knowledge if they had a p-value of less than 0.05 and a 95% confidence interval.

Result: Of the 127 participants, more than half (56.7%) had poor knowledge. Nurses' knowledge of managing sepsis was significantly associated with not having regular training, a low level of education, and working experience of less than five years. The findings of the multivariable regression analysis revealed that the following variables were associated with a nurse's knowledge of sepsis management: low level of education (AOR = 3.2 (95% CI, 1.16-8.77), lack of training adjusted odd ratio (AOR = 2.5 (95% CI, 1.07-5.93), and less than five years of work experience (AOR = 3.6 (95% CI, 1. 29-9.830).

Conclusion: The majority of nurses had inadequate knowledge of managing sepsis. On the other hand, the majority of nurses had a favourable attitude toward sepsis management. Lack of prior training, a low level of education, and less than five years of work experience were all significantly associated with nurses' poor knowledge regarding sepsis management. This study recommends that hospital managers should provide on-the-job and long-term training for nurses working in the emergency department to enhance the level of nurses' knowledge towards sepsis management at their institutions.

背景:败血症是全球死亡的主要原因,也是一个重要的公共卫生问题。如果护士缺乏足够的败血症管理知识,病人护理的质量就会受到负面影响。另一方面,埃塞俄比亚护士对败血症管理的知识知之甚少:评估在埃塞俄比亚亚的斯亚贝巴公立医院急诊科工作的护士对败血症处理的知识水平和相关因素:方法:2022 年 3 月 18 日至 4 月 18 日,开展了一项以医疗机构为基础的横断面研究。采用简单抽样技术(抽签法)选择医院。数据使用 SPSS 25 版进行分析。研究采用逻辑回归分析法来检验自变量与知识水平之间的关联。如果变量的 p 值小于 0.05,且置信区间为 95%,则该变量与知识水平有明显关联:结果:在 127 名参与者中,一半以上(56.7%)的知识水平较低。护士对败血症处理知识的掌握程度与未接受定期培训、教育程度低和工作经验少于五年有显著相关性。多变量回归分析结果显示,以下变量与护士的败血症管理知识相关:受教育程度低(AOR = 3.2(95% CI,1.16-8.77))、缺乏培训调整奇数比(AOR = 2.5(95% CI,1.07-5.93))和工作经验不足五年(AOR = 3.6(95% CI,1.29-9.830)):结论:大多数护士对败血症的处理知识不足。结论:大多数护士对败血症的处理缺乏足够的了解,另一方面,大多数护士对败血症的处理持积极态度。缺乏前期培训、受教育程度低、工作经验少于 5 年都与护士对败血症管理知识掌握不足有很大关系。本研究建议,医院管理者应为急诊科护士提供在职培训和长期培训,以提高本机构护士对败血症管理的认知水平。
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引用次数: 0
Evaluating Clinical Skill Competence and Professional Behaviors in Nursing Students Following Simulation Training at the University of Tabuk. 评估塔布克大学护理专业学生在模拟训练后的临床技能能力和职业行为。
IF 2 Q2 NURSING Pub Date : 2024-08-18 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241274194
Muna Mutlag Albalawi, Khulud Ahmad Rezq

Introduction: Simulation training has become an integral component of nursing education, offering students opportunities to develop and refine their clinical skills in a controlled and safe environment.

Objective: This study aimed to evaluate the clinical skill competence and professional behaviors of undergraduate nursing students following simulation training.

Design: A descriptive cross-sectional design was employed for this study.

Setting: The study was conducted in the simulation center at the University of Tabuk using the Clinical Competency Questionnaire (CCQ), with data collected between January 1, 2023 and February 28, 2023. Participants were enrolled using a convenience sampling method, including nursing students in the 3rd and 4th years who trained in the simulation center and agreed to participate.

Results: The study results indicate that a majority of students demonstrated strong theoretical knowledge and practical competence in performing sterile techniques and administering oral medications with minimal or no supervision, with percentages of 74.7% and 73.3%, respectively. A significant proportion of students reported uncertainty or lack of skill in performing shift reports using SBAR (38.4%) and assessing gastrostomy tube placement (32.9%). Students exhibited satisfactory knowledge and competence in maintaining appropriate appearance, attire, and conduct (71.2%), understanding, and supporting group goals (71.2%), and comprehending patients' rights (69.9%).

Conclusion: The findings suggest that nursing students attain a relatively high level of clinical competence and self-confidence after simulation training. This study recommends incorporating simulation training in nursing education, which enhances professional behaviors like appearance, group goals, and patient rights, but requires improvement in constructive criticism, problem prevention, and cultural competence.

介绍:模拟训练已成为护理教育不可或缺的组成部分,为学生提供了在可控和安全的环境中发展和完善临床技能的机会:本研究旨在评估护理专业本科生在模拟训练后的临床技能能力和职业行为:设计:本研究采用描述性横断面设计:研究在塔布克大学的模拟中心进行,使用临床能力问卷(CCQ),数据收集时间为 2023 年 1 月 1 日至 2023 年 2 月 28 日。参与者采用方便抽样法,包括在模拟中心接受培训并同意参与的三年级和四年级护理学生:研究结果表明,大多数学生在执行无菌技术和在极少或无人监督的情况下进行口服药物管理方面表现出较强的理论知识和实践能力,比例分别为 74.7% 和 73.3%。在使用 SBAR 进行交班报告(38.4%)和评估胃造瘘管置入情况(32.9%)方面,相当一部分学生表示不确定或缺乏技能。学生在保持适当的外表、着装和行为(71.2%)、理解和支持团体目标(71.2%)以及理解患者权利(69.9%)方面表现出令人满意的知识和能力:研究结果表明,护理专业学生在模拟训练后获得了较高的临床能力和自信心。本研究建议在护理教育中加入模拟训练,以提高学生的专业行为,如仪表、团体目标和患者权利,但需要改进建设性批评、问题预防和文化能力。
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引用次数: 0
Virtual Healthcare Revolution: Understanding Nurse Competencies and Roles. 虚拟医疗革命:了解护士的能力和角色。
IF 2 Q2 NURSING Pub Date : 2024-08-18 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241271703
Ibrahim Mubarak Al Baalharith, Ahmad Eissa Aboshaiqah

Introduction: Digital healthcare, especially virtual health, has changed nurses' jobs and skills. In the evolving healthcare landscape, nurses healthcare landscape is increasingly required to have diverse competencies to navigate the world of virtual health effectively.

Objective: This study aims to qualitatively explore the role of nurses in virtual health and the competencies required to work in virtual health in Saudi Arabia, with a specific focus on SEHA virtual hospital.

Methods: An online open survey with nursing experts was employed as the qualitative method approach during the initial phase of an online Delphi study design.

Results: Twelve core competencies were identified: digital technology proficiency, professionalism, clinical expertise, leadership, legal and ethical considerations, care coordination, documentation, effective communication, patient assessment and diagnosis, patient safety, patient-centered care, and remote patient monitoring.

Conclusions: The research emphasizes the crucial role of nurses in virtual hospitals and clinics, contributing to the expansion of the virtual healthcare environment. It presents a thorough competency framework that can guide the development of training programs and policies, enhancing the effectiveness of virtual healthcare delivery.

Impact: The study provides a foundational competencies list that can guide the development of comprehensive training programs for nurses in virtual healthcare. Policymakers and educational leaders are encouraged to use these findings to create standardized practices and policies, enhancing the effectiveness and efficiency of virtual healthcare delivery.

引言数字医疗,尤其是虚拟医疗,改变了护士的工作和技能。在不断发展的医疗保健领域,护士越来越需要具备各种能力,以有效地驾驭虚拟医疗世界:本研究旨在定性地探讨沙特阿拉伯护士在虚拟医疗中的角色以及在虚拟医疗中工作所需的能力,特别关注 SEHA 虚拟医院:方法:在在线德尔菲研究设计的初始阶段,采用了护理专家在线公开调查的定性方法:结果:确定了 12 项核心能力:数字技术熟练程度、职业精神、临床专业知识、领导力、法律和伦理因素、护理协调、文件记录、有效沟通、患者评估和诊断、患者安全、以患者为中心的护理以及远程患者监控:这项研究强调了护士在虚拟医院和诊所中的关键作用,有助于扩大虚拟医疗环境。它提出了一个全面的能力框架,可以指导培训计划和政策的制定,提高虚拟医疗服务的有效性:该研究提供了一份基础能力清单,可指导虚拟医疗中护士综合培训计划的制定。我们鼓励政策制定者和教育领导者利用这些研究成果制定标准化的实践和政策,提高虚拟医疗服务的有效性和效率。
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引用次数: 0
Knowledge and Practice of Intestinal Ostomy Care Among Nurses in Bahir Dar City, Ethiopia: A Cross-Sectional Study. 埃塞俄比亚巴哈达尔市护士对肠道造口护理的认识和实践:一项横断面研究。
IF 2 Q2 NURSING Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI: 10.1177/23779608241274205
Destaw Endeshaw, Tadesse Dagget Tesfaye, Sahileslassie Afewerk, Ousman Adal, Asnake Gashaw Belayneh, Eyob Ketema Bogale, Senay Yohannes

Background: Globally, ostomy creation rates are rising. Stomas, while life-saving, pose significant challenges. Nurses are vital in providing care and support to stoma patients. However, ostomy care practice and knowledge among Ethiopian nurses remain understudied. This study aimed to assess these aspects among nurses in Bahir Dar City, Ethiopia, in 2022.

Methods: An institutional-based cross-sectional study was conducted in three public hospitals in Bahir Dar City from September 19 to September 30, 2022. A simple random sampling technique was used to select 423 nurses. Binary logistic regression analysis was employed to identify associated factors toward dependent variables by considering p-value <0.05 to be statistically significant.

Result: From the total samples, 382(90.3%) responded to the questionnaire. The overall good knowledge and practice level of nurses regarding ostomy care was 55.2% and 52.1%, respectively. Taking ostomy care training {AOR = 2.44; 95% CI (1.29, 4.61)} and high level of a monthly income of study participants {AOR = 2.90; 95% CI (1.72, 4.91)} had a significant association with knowledge of ostomy care. On the other hand, taking courses on ostomy care {AOR = 1.76; 95% CI (1.06, 2.93)}, receiving training on ostomy care {AOR = 4.15; 95% CI (2.12, 8.09)} and good knowledge level on ostomy care {AOR = 2.13; 95% CI (1.32, 3.45)} were significantly associated with expressed practice of ostomy care.

Conclusion: The study found that only half of nurses exhibit good knowledge and practice in ostomy care. Training and monthly income significantly influence nurses' knowledge, while practice level is associated with training, course attendance, and knowledge. These findings highlight the importance of targeted training programs and education initiatives to enhance nurses' competence in ostomy care. It is also crucial to address factors like nurses' income levels to ensure equitable access to educational resources and opportunities for professional development, thus enhancing their knowledge.

背景:在全球范围内,造口术的使用率正在上升。造口虽然能挽救生命,但也带来了巨大的挑战。护士在为造口患者提供护理和支持方面至关重要。然而,埃塞俄比亚护士的造口护理实践和知识仍未得到充分研究。本研究旨在评估 2022 年埃塞俄比亚巴哈达尔市护士在这些方面的情况:方法:2022 年 9 月 19 日至 9 月 30 日,在巴希尔达尔市的三家公立医院开展了一项以机构为基础的横断面研究。采用简单随机抽样技术选取了 423 名护士。研究采用二元逻辑回归分析来确定因变量的相关因素,并考虑了 P 值 结果:在所有样本中,有 382 人(90.3%)回答了问卷。护士对造口护理的总体良好认知和实践水平分别为 55.2% 和 52.1%。参加造口护理培训{AOR = 2.44;95% CI (1.29,4.61)}和研究参与者月收入水平高{AOR = 2.90;95% CI (1.72,4.91)}与造口护理知识有显著关联。另一方面,参加造口护理课程{AOR = 1.76;95% CI (1.06,2.93)}、接受造口护理培训{AOR = 4.15;95% CI (2.12,8.09)}和良好的造口护理知识水平{AOR = 2.13;95% CI (1.32,3.45)}与表达的造口护理实践显著相关:研究发现,只有一半的护士在造口护理方面表现出良好的知识水平和实践能力。培训和月收入对护士的知识有重大影响,而实践水平与培训、课程出席率和知识相关。这些发现凸显了有针对性的培训计划和教育措施对提高护士造口护理能力的重要性。此外,解决护士的收入水平等因素也至关重要,以确保公平获得教育资源和专业发展机会,从而提高护士的知识水平。
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引用次数: 0
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SAGE Open Nursing
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