Nursing Research and Practice最新文献

Background: The Dementia Attitude Scale (DAS) is one of the most widely used instruments for measuring attitudes towards dementia, yet there is some debate about its factor structure, as deviations from the suggested two-factor model have been observed and alternative structures have been proposed. This study aimed to analyse and compare the different factor structures of the DAS and examine the consistency of these structures over time.

Methods: A cross-sectional series design was used to collect longitudinal data from a census of nursing students over a 2-year period. The DAS was administered at three time points (Time Point 1 [baseline]: n = 247; Time Point 2 [Year 1]: n = 239; Time Point 3 [Year 2]: n = 216). Descriptive statistics were calculated using SPSS, and structural equation modelling was performed in JASP to assess structural validity. Confirmatory factor analysis was conducted on the DAS and on each alternative structure proposed at each time point to evaluate fit and stability.

Results: The findings indicated that the two-factor model demonstrated the best fit and stability across all time points, suggesting it is the most effective model for capturing the DAS constructs within this population. Reliability analysis showed that the two-factor model maintained strong internal consistency for 'dementia knowledge' and 'social comfort'.

Conclusion: The DAS provides valuable insights into the effectiveness of educational interventions, enabling educators to identify and address areas where students may require additional support. This study highlights the need for future research to explore the translation of these shifts into clinical behaviours, as well as the cultural and contextual factors influencing attitudes towards dementia.

Introduction: Design, implementation, and evaluation of prehospital exercises are some of the important steps to prepare and deploy natural disaster risk management programs, particularly concerning earthquake hazards. This study aimed to identify and provide valid operational indicators and components that can be utilized in the management and assessment of prehospital preparedness exercises in earthquakes.

Method: A qualitative conventional content analysis constituted the methodological approach for this study. Data were systematically gathered through in-depth, semistructured interviews with 11 paramedic nurses that were purposefully selected based on their demonstrated expertise in prehospital exercise management. Data analysis was done in five steps based on Granheim and Lundman's approach, and for the trustworthiness of the data, this study used Lincoln and Guba's recommendations.

Result: After multiple rounds of analyzing and summarizing the data and taking into consideration similarities and differences, 375 initial codes, 12 subcategories, and 3 main categories were created based on the results of data analysis. The main categories included (A) "Strategic Organization of the Exercise"; (B) "Empowerment and Self-Efficacy Enhancement of Exercise Personnel"; and (C) "Improvement and Development of Effective Exercise Drivers."

Conclusion: This research establishes a crucial knowledge framework that empowers exercise planners in prehospital settings to design scientifically sound and standardized exercises aimed at enhancing disaster response processes. The primary finding is that the successful implementation and evaluation of both discussion-based and operation-based exercises, when informed by these identified quality indicators, significantly fosters knowledge development and promotes essential behavioral change among prehospital paramedic nurses, thereby facilitating a standardized emergency response.

Objective: This study aimed to investigate the dyadic relationship between illness perception, emotion regulation strategies, and posttraumatic growth in patients with lung cancer undergoing chemotherapy and their family caregivers.

Methods: This study used a cross-sectional approach to collect data from 332 pairs of lung cancer patients receiving chemotherapy and family caregivers from China. Participants completed the Brief Illness Perception Questionnaire, the Emotion Regulation Questionnaire, and the Posttraumatic Growth Inventory. The actor-partner interdependence effects were used to analyze how illness perception and emotion regulation strategies affect posttraumatic growth in the patients themselves and their family caregivers.

Results: Both illness perception and emotion regulation strategies had significant actor and partner effects on posttraumatic growth in patients with lung cancer undergoing chemotherapy and their family caregivers. Emotion regulation strategies were categorized as cognitive reappraisal and expressive suppression, and patients had lower scores than caregivers for posttraumatic growth, illness perception, and expressive suppression, except for cognitive reappraisal scores, which were higher than caregivers. In patient-caregiver dyads, cognitive reappraisal was positively associated with posttraumatic growth in themselves and each other, whereas both illness perception and expressive suppression were negatively associated with posttraumatic growth.

Conclusion: Reducing negative illness perceptions and expressive suppression may promote posttraumatic growth in patients with lung cancer undergoing chemotherapy and their family caregivers. Facilitating cognitive reappraisal may be useful in enhancing posttraumatic growth, which provides direction for future intervention research. Healthcare professionals should view lung cancer chemotherapy patients and their family caregivers as a whole and develop dyadic interventions.

Background: Effective communication in clinical handovers is critical for promoting patient safety and care quality. Healthcare professionals lack interprofessional training on clinical handovers.

Aims: To identify educational strategies used to enhance clinical handover competence in clinical settings, map outcomes used to evaluate training effectiveness, and explore methods suitable for interprofessional education.

Design: A scoping review guided by the PRISMA-ScR checklist.

Methods: A systematic search of seven electronic databases was conducted.

Results: Seventeen studies were included in this review, which yielded the following major themes: (1) education strategies were evidence-based program structured with communication frameworks; (2) diverse outcomes were measured in clinical handover training; (3) inadequacy in interprofessional training on clinical handovers. Training programs encompassed various learning activities to improve clinical handover practices. Few studies highlight effective training methods enhanced communication, confidence, and operational efficiency.

Conclusions: There is a need for more robust, longitudinal, and randomized studies to evaluate long-term effects. Future research should expand interprofessional training, incorporate innovative technologies, and develop standardized curricula to better prepare healthcare professionals for effective clinical handovers. Results indicate that no single tool has been universally recommended. There remains a need to recommend a universal handover tool through interprofessional education and promote its use within diverse healthcare disciplines.

This study examines depression and intimate partner violence (IPV) among Israeli women during the COVID-19 pandemic's second wave (which took place between June and October 2020). The participants were 240 pregnant and 310 nonpregnant women of childbearing age. No statistically significant differences were found between these groups with respect to the levels of stress, depression, and IPV. Forty percent (n = 220) of participants were classified within the clinical range of depression, and two-thirds (n = 376) reported experiencing IPV. Muslim women reported IPV at higher rates compared to Jewish women. Factors related to an elevated risk of depression included being Muslim, having lower income, being unemployed, having higher stress, and IPV. IPV mediated the stress-depression relationship. The findings emphasize the need for accessible screening tools and targeted intervention programs, particularly for minority populations.

Background: Clinical alarms serve as vital safety mechanisms in Critical Care Units (CCUs); however, alarm fatigue and ineffective management remain global safety concerns. Evidence from Palestine is scarce, where staffing shortages and limited resources may further affect alarm management practices.

Aim: This study aimed to assess critical care nurses' practices regarding clinical alarm management, identify perceived barriers, and examine predictors influencing these practices in the southern West Bank, Palestine.

Methods: A cross-sectional design was used, involving 146 critical care nurses who completed a structured questionnaire assessing alarm management practices and barriers, with two open-ended questions. Quantitative data were analyzed using SPSS for descriptive and inferential statistics, while qualitative responses were thematically analyzed.

Results: The mean alarm-practice score was 3.56 out of 5. The majority of participating nurses had poor alarm management practices (65.8%). Female (β = 0.31, p < 0.001), alarm training (β = 0.22, p = 0.004), and younger age (β = -0.21, p = 0.025) significantly predicted better practices. Major barriers were inadequate staffing and frequent false alarms. Four themes emerged: alarm fatigue, workload issues, limited training/support, and environmental or technical obstacles.

Conclusion: Alarm management practices among critical care nurses were below the expected standard. Addressing staffing limitations, strengthening training programs, and implementing supportive policies are essential to enhance alarm safety in Palestinian CCUs.

Background: The application of AI in nursing research is increasing, enhancing objectivity and productivity while raising concerns about liability and scientific integrity.

Aim: To explore predictors and differences in nursing educators' perceptions of the risks and benefits of using AI in nursing research.

Methods: A cross-sectional study surveyed 311 nursing educators from various universities.

Results: 27% used ChatGPT, and 61.58% were from governmental universities. High perceived risks included liability (M = 3.78, SE = 0.036), unregulated standards (M = 3.76, SE = 0.035), and communication barriers (M = 3.74, SE = 0.036). Perceived benefits included reduced costs (M = 3.88, SE = 0.045) and improved outcomes (M = 3.81, SE = 0.045). Predictors included marital status (B = 7.67, p = 0.001), age (B = -14.65, p = 0.001), level of education (B = 13.80, p = 0.001), academic rank (B = -1.755, p = 0.001), and teaching experience (B = 2.793, p = 0.001). The model was significant (F (df = 7) = 86.82, p = 0.001, R ² = 0.660) and explained 66.00% of the variance in the mean score of the perceived use of AI in nursing research. There are significant differences in nursing educators' use of AI in nursing research based on their age (F-test = 27.63, df = 4, p = 0.001), academic rank (F-test = 60.79, df = 5, p = 0.001), and teaching experience (F-test = 17.02, df = 4, p = 0.001).

Conclusions: Educators recognize both risks and benefits of AI in nursing research. Tailored training and institutional support are essential for responsible adoption. Tackling these issues can pave the way for nursing research to flourish in a rapidly changing digital world. Nursing educators need the tools they need to critically interact with AI in research.

Reporting method: The authors of this manuscript have adhered to the STrengthening the Reporting of OBservational Studies in Epidemiology (STROBE) checklist, which was used to guide the study.

Patient or public contribution: There was no patient or public contribution, as the sample included nursing educators from two governmental universities and one private university.

Background: Noninvasive female urination devices are widely used for bedridden women with urinary continence, yet concerns persist about usability, dignity and safety-especially in the supine position.

Objective: To map and synthesise evidence on usability, acceptability and safety of noninvasive devices for supine female urination and to contextualise safety with handling/reprocessing practices.

Methods: A scoping review following JBI and PRISMA-ScR used a PCC framework and comprehensive searches (MEDLINE, CINAHL, Scopus, Embase, CUIDEN; Google Scholar/OpenGrey; March 2025), plus handsearching. Records were screened in duplicate; data were charted with a piloted form and narratively synthesised by device type and experience/safety domains.

Results: Twenty-one records met inclusion criteria: 17 core device-focused studies and 4 contextual safety/handling sources. Core studies consistently reported discomfort, awkward posture, pain, embarrassment and dependence with traditional bedpans, alongside caregiver burden. Comparative evidence showed a clear preference for female urinals in eligible patients and greater acceptability for some alternative designs (e.g., disposable or inflatable variants); interventions that mobilised to the toilet or promoted respectful, skilled bedpan use were associated with reduced catheterisation. Safety findings indicated low adherence to education/reprocessing protocols and mixed signals regarding manual wiping versus automated disinfection. Contextual evidence documented persistent metal bedpan use in some health systems, wide variability in washer-disinfector/macerator availability and validation, and frequent manual emptying/rinsing-conditions linked to environmental contamination and antimicrobial-resistant organism risk.

Conclusions: Improving care for bedridden women requires a dual approach: (1) woman-centred device redesign explicitly for supine use (fit, comfort, leakage control, dignity) with robust clinical validation and (2) system-level implementation that minimises manual handling and assures validated, documented reprocessing (or fit-for-purpose disposable pathways), supported by staff training, zoning, PPE and auditing.

Implications: Standardised outcome measures for comfort, dignity, leakage and contamination proxies, along with comparative effectiveness studies in supine populations, are needed to guide safe, dignified and sustainable practice.

Background: Depressive symptoms in the elderly have become a growing public health problem as the population ages rapidly and the imbalance between supply and demand of mental health resources exists. This study aims to explore the predictive power of physical performance on depressive symptoms in Chinese older adults, examine the mediating role of cognitive function, and analyze its variations across genders.

Methods: In this study, we included 3779 older adults aged 60 years and above who participated in the 2015 China Health and Retirement Longitudinal Study and completed follow-up in 2018. We employed binary logistic regression and three-knotted restricted cubic spline regression to examine the association between physical performance and depressive symptoms, assessed the mediating effect of cognitive function using the SPSS PROCESS macro, and analyzed the data separately in male and female subgroups.

Results: The development of depressive symptoms during follow-up (n = 982) was preceded by significantly lower physical performance scores at baseline. After adjusting for confounding factors, the presence of the lowest baseline short physical performance battery (SPPB) scores was independently associated with an increased risk of incident depressive symptoms (OR, 1.972; 95% CI: 0.91-4.26), similar to the trend of restricted plots. Meanwhile, cognitive function is an intermediate variable between physical performance and depressive symptoms, and the mediating effect of men is stronger, at 14.92%.

Conclusion: This study confirms that poor physical performance is independently associated with depressive symptoms in Chinese older adults at the 3-year follow-up and further reveals that cognitive function serves as a mediator in this association with gender-specific differences. These findings provide an important theoretical basis and potential clinical value for implementing targeted cognitive interventions in populations with declining physical function to alleviate depressive symptoms.

Aims: Intimate partner violence (IPV) is a significant yet underreported public health issue in Thailand. This study culturally adapted and piloted the World Health Organization (WHO) IPV training curriculum for Thai healthcare providers, evaluating its feasibility and preliminary effects on attitudes, subjective norms, perceived behavioral control, and screening behavior, guided by the theory of planned behavior (TPB).

Design: Quasiexperimental, single-group pilot study.

Methods: A structured adaptation process (ADDIE model) localized the WHO curriculum to Thai cultural and healthcare contexts. Twenty-two providers completed a 5-day blended program (12-h online theory, 18-h practice with mentored sessions). Outcomes were measured at baseline, immediately post-training, and 1-month follow-up using validated TPB-based instruments. Analyses employed Wilcoxon signed-rank tests, McNemar's tests, and logistic regression.

Results: Attitudes improved significantly (mean difference = 0.34; p = 0.005), and IPV screening behavior increased from 22.7% pretraining to 72.7% at 1 month (p < 0.001), with no decline between post-training and follow-up. Changes in subjective norms (p = 0.070) and perceived behavioral control (p = 0.416) were not statistically significant. Prior screening experience predicted screening at follow-up (OR = 8.08; 95% CI: 1.53-42.78). Participants identified persistent barriers, including workload, time constraints, and family presence during consultations.

Conclusion: The culturally adapted WHO IPV curriculum was feasible and acceptable and showed promising effects on attitudes and screening behavior among Thai providers. However, sustaining changes in subjective norms and perceived control requires post-training organizational reinforcement.