Nursing Research and Practice最新文献

Background: The integration of research into nursing practice is fundamental for advancing evidence-based healthcare. This study examines the factors influencing Saudi nursing students' attitudes toward evidence-based research. Methods: A cross-sectional survey was conducted among nursing students in Saudi Arabia from September 2023 to January 2024. Data were collected via an online questionnaire, which included demographic details and the attitudes toward research (ATR) scale. Statistical analyses employed descriptive and inferential statistics. Results: Of the 603 participants, 56.72% were male, predominantly aged 21-25 years (65.67%), and 76.12% attended public institutions. Most were pursuing a B.Sc. in nursing (85.07%). The overall mean score of the ATR scale was 3.13 ± 0.51 out of 5, indicating a moderately positive attitude level among the students. A significant negative correlation was found between research usefulness and research anxiety (r = -0.4, p < 0.001), and a strong positive correlation existed between research usefulness and positive ATR (r = 0.73, p < 0.001). Research anxiety was negatively correlated with positive ATR (r = -0.49, p < 0.001). Additionally, research difficulty was significantly correlated with both research anxiety (r = 0.78, p < 0.001) and positive ATR (r = -0.48, p < 0.001). Notably, a statistically significant association was observed between the type of institute and the overall mean score, with students from public institutes scoring higher than those from private institutes. Linear regression analysis further confirmed that the type of institute was a significant predictor of overall ATR. Conclusion: The study revealed a moderately positive attitude among students toward the utility of evidence-based research in their profession while highlighting concerns in areas such as research anxiety and difficulty. Compared with their private institute counterparts, students from public institutes displayed more favorable attitudes, indicating a need for educational policymakers to address disparities in research education. Addressing research anxiety and perceived difficulty through curriculum design and teaching methods could foster more positive ATR among nursing students, contributing to the advancement of evidence-based practices in nursing care.

Background: Aging causes a decline in various functions. Among older adults, deteriorations in oral function might interfere with their diet. However, the insight into whether oral function improvement affects older adults' diet remains unclear. Aim: To investigate whether oral function improvement by an intervention can affect the diet of community-dwelling aged people needing any care. Participants and Methods: This study enrolled 16 community-dwelling older people aged 65 years who were certified to require support care level 1 or 2. We measured the participants' oral function (tongue pressure, oral diadochokinesis, and masticatory force) and used questionnaires to collect data on attributes and diet before and after the intervention, which comprised four oral exercises once a day for 3 months at their own homes. The effect of the intervention was determined using the paired t-test and Wilcoxon signed-rank sum test. Results: Tongue pressure (p < 0.001), /pa/syllable (p = 0.027), /ta/syllable (p = 0.046), and masticatory force (p = 0.012) significantly improved after the intervention. Conversely, the/ka/syllable (p = 0.083) and ingestion frequency (p = 0.107 - 0.773) did not change significantly. Conclusions: Oral function training improved the oral function of older adults but could not change their dietary habits. Diet improvement may require dietary counseling together with oral exercise.

Background: The incidence of surgical site infection (SSI) following cesarean section (CS) is between 3% and 15% worldwide. There is a paucity of evidence regarding the incidence and risk factors of SSI following CS in Saudi Arabia. Globally, infection is the third greatest cause of maternal deaths. There are many risk factors associated with SSI post-CS such as age, previous history of CS, medical diseases, and a high number of vaginal examinations. Methods: A cross-sectional prospective descriptive study among women who underwent CS. Setting: Gynecology and obstetrics clinics in a maternity and children's hospital. Sample: A convenience sample of 124 mothers within 30 days after CS was used; data were collected from July 2021 to August 2021. This study found that the incidence of SSI after CS was 4% of the mothers who underwent CS operations in the Maternity and Children Hospital in Sakaka. Besides, the results showed that there is a significant association between the type of anesthesia (spinal) and SSI following CS (Chi = 4.288, p ≤ 0.05). To conclude that the incidence of SSI following CS was 4%, comparable to the international rate, and spinal anesthesia was the confirmed risk factor in our sample. Further studies should be carried out with larger samples and in more than one hospital in Sakaka, Saudi Arabia.

Background: Infertility affects millions worldwide, and gender biases can shape perceptions of both infertility and treatment, ultimately influencing the quality of care. Aim: This study explores gender biases in male infertility and their impact on affected women. Methods: Conducted in Iran between June and November 2023 by nurse researchers, this qualitative study involved in-depth interviews with six couples whose male partners had primary infertility, a fertility lawyer, and a midwife. The collected data were analyzed using Graneheim and Lundman's inductive content analysis method. Results: The central theme of the findings is "Female Perception of Male Infertility," guided by three categories: the feminization of infertility, the weight of male infertility treatment on female shoulders, and the pressure of masculinity on women. Conclusion: The findings highlight the existing gender biases regarding male infertility and its treatment and how they affect women with infertility. It is recommended that health policymakers and healthcare providers provide culturally sensitive care and support to reduce the stigma associated with male infertility that affects women and address gender biases regarding male infertility.

Background: A working environment designed for employee comfort and safety reduces occupational risks. In hospitals, the health of service providers should be protected as much as the patients' health. During care practices, nurses interact with their environment and the equipment as well as the patients. Protecting nurses' health and welfare in the working environment is related to the protection of individual, family, and community health. The study was conducted to determine the risks of operating room nurses' body postures and working conditions in the operating room in terms of musculoskeletal disorders and the effects of these risks on nurses. Method: This descriptive study examined the ergonomic risk assessments of operating room nurses' intraoperative positions and their musculoskeletal problems. The "Nurse Introductory Characteristics Form," "Extended Nordic Musculoskeletal Questionnaire," and "Rapid Entire Body Assessment Tool" were used to collect data. Results: It was determined that the intraoperative body positions of nurses carry a medium-high level of ergonomic risk; they mostly experience musculoskeletal disorders between the ages of 23.5 and 25.03, and the most affected regions are the neck and lower back. A significant difference was determined between the incidence of musculoskeletal disorders and total working time, working style, receiving undergraduate ergonomics training, and participating in regular sports (p < 0.05). An increase in working years increased the risk, while receiving undergraduate ergonomics training decreased it. Conclusions: Nurse-specific recommendations should be developed to prevent ergonomic risks in the operating room and their negative consequences. Undergraduate training including these recommendations is effective in developing positive behaviors regarding the management of ergonomic risks.

Objective: This research evaluated the translation and validation of the Daily Record of Severity of Problems (DRSP) scale in the Indonesian version. This study aimed at providing a measuring tool that can be used in nursing practice, especially in detecting and managing premenstrual syndrome (PMS) in Indonesian women. Methods: This study involved 315 girls in Indonesia. The DRSP used Cronbach's alpha and convenience sampling. In this study, the intraclass correlation coefficient (ICC) was utilized to assess test-retest reliability. This study used exploratory factor analysis (EFA) to evaluate factor structure and to investigate the structural model fit, and confirmatory factor analysis (CFA) was used in this study. Results: The study's overall Cronbach's alpha score was 0.90. The range of the test-retest reliability ICC score was 0.72-0.90. The results of CFA for this study showed the goodness-of-fit index. The comparative fit index (CFI) was 0.90, the related fit index (RFI) was 0.81, and normed fit index (NFI) was 0.84. The value of the Kaiser-Meyer-Olkin test was 0.873, and the Bartlett's test value of sphericity was statistically significant and indicated adequate of EFA. Conclusion: The result of this study showed that the DRSP scale has satisfactory reliability and validity for evaluating DRSP in Indonesia.

Competence-Based Didactic Approach (CBDA) supported students in developing their ability to integrate knowledge, skills, and attitudes. The study aimed to evaluate the effectiveness of CBDA in pediatric nursing education by establishing a CBD Model (CBDM) and examining the nursing students' scores and grades. The exploratory sequential mixed methods research design was used to explore the CBDM and its effect on the students' performance through their scores. Six hundred eighteen undergraduate nursing students were involved in the study. Purpose sampling was adopted to identify the CBDA impact on the nursing students score and grades. CBDM was established in parent and child nursing course to emphasize the application of didactic principles with nursing competencies. Study findings proved the highly nursing performance of CBDA among undergraduate nursing students' scores and grade. The comparison of students' scores between traditional and CBDA groups (two and three semester system) revealed highly statistically significant improvement (p < 0.001) which justified the research hypotheses of CBDA implementation. The total average of student scores increased from 84.54 ± 3.21 in the traditional group to 88.29 ± 1.59 in the CBDA groups. In addition to the improvement of communication skills which increased from 3.83 ± 0.36 in traditional groups to 5.88 ± 0.22 in CBDA groups. CBDA improved students' performance by emphasizing their active participation in the learning processes through the application of didactic principles in the nursing education with clear plans that clarified teaching strategies and assessment methods. CBDM is more applicable in nursing courses and improve learning outcomes and curriculum design.

Background: Medication adherence is critical for the recovery of patients after thyroid cancer surgery. Therefore, this study investigated the current medication adherence status in Chinese postoperative thyroid cancer patients and analysed the influencing factors. Methods: A cross-sectional descriptive survey of postoperative thyroid cancer patients at a tertiary-level hospital in Shandong Province, China, from January to June 2019 was conducted, and 266 postoperative thyroid cancer patients were included. The patient's medication adherence was assessed with the Chinese version of the Morrissey Medication Adherence Scale, and the related influencing factors were measured with the General Information Questionnaire and the Rational Medication Self-Efficacy Scale. Finally, factors associated with medication adherence were explored using multiple linear regression analysis. Results: The medication adherence for postoperative thyroid cancer patients is at an intermediate level with a score of (6.25 ± 1.57). Patients' rational medication self-efficacy was positively correlated with medication adherence, with a correlation coefficient (r) of 0.536 (p < 0.001). Multiple linear regression analyses revealed that education level, disease duration and self-efficacy for rational medication use were the main factors affecting medication adherence in postoperative thyroid cancer patients. Conclusion: Improving patients' self-efficacy in rational medication and strengthening patients' health education are important ways to enhance patients' medication adherence.

Aims and Objectives: To provide a comprehensive report on the development and implementation of peer ambassador support to patients newly diagnosed with hematological malignant disease and their caregivers within a clinical setting. Methods: The continued development and implementation of the peer ambassador support program took place between October 2022 and January 2024 at the Department of Hematology, Copenhagen University Hospital, Rigshospitalet. Grol and Wensing's 5-step model of implementation guided the process. Results: This paper demonstrates the successful adaptation and implementation of the peer ambassador program and provides valuable insights into the enabling factors and obstacles encountered. In total, 48 peer ambassadors were recruited, and 27 patients and seven caregivers received support. Over 90% of patients and caregivers reported high satisfaction with the support, and the majority (70%) noted that the support improved their understanding and provided new insights into their disease and treatment journey. Conclusion: The development and implementation of the intervention are complex and demanding long-term processes that require applying theoretical knowledge, understanding patient and caregiver's experiences, and collaboration with the interdisciplinary team in clinical practice. Implications: This paper provides knowledge for implementing future peer ambassador support initiatives. It has potential transferability and value in a broader context for patients with life-threatening illnesses and their caregivers. Impact: It contributes to research and transparency in the development and implementation of evidence-based nursing interventions. It confirms that implementation of a peer support intervention is complex and requires theoretical knowledge, application of that knowledge, and interdisciplinary collaboration in clinical practice. Finally, it provides evidence-based knowledge applicable to the implementation of future peer support initiatives. Patient Contribution: Patients and their caregivers have been actively involved throughout the development and implementation of the peer ambassador support program. Trial Registration: ClinicalTrials.gov identifier: NCT03493906 and NCT04039100.

Objectives: First, to examine the effects of household food insecurity discordance status on adolescent antisocial behavior. Second, to determine if adolescents' gender moderates the association between household food insecurity discordance and adolescent antisocial behavior. Design: Cross-sectional data of Latino parents and adolescents from the same household were collected in Tulsa, Oklahoma, between January 1, 2013, and January 1, 2014. Using a general linear model (GLM), we examined associations between household food insecurity discordance and adolescents' antisocial behavior. Sample: The sample includes Latino parent and adolescent dyads (N = 69 dyads, 138 individuals), where parents were 89.9% women, Mage = 38.46, and adolescents were 43.5% girls, Mage = 14.3. Measurements: Food security assessed using the 18-item US Food Security Survey for adults, the 9-item Self-Administered Food Security Module for children aged 12 and older for adolescents. Adolescents were asked to complete a modified 24-item version of the Problem Behavior Frequency Scale to assess antisocial behavior. Results: Findings showed that adolescent food insecurity discordance was associated with greater antisocial behavior for girls. Parental food insecurity discordance was associated with greater antisocial behavior for boys. Conclusions: Findings provide insight into the negative implications of household food insecurity discordance on Latino adolescents' antisocial behavior.