Nursing Research and Practice最新文献

Occupational role stress is one of the important factors affecting nurses' occupational stress and quality of life (QOL). This study aimed to explore occupational role stress and associated factors among nurses in Zahedan, Southeast Iran. This cross-sectional study was conducted from April to June 2023. The study sample consisted of 260 nurses from hospitals affiliated with Zahedan University of Medical Sciences selected through a multistage sampling method. Data on nurses' occupational role stress, sociodemographic characteristics, lifestyle, sleep quality, and work-related factors were collected. A general linear regression model was applied to determine the factors associated with occupational role stress. The findings revealed that the mean total occupational role stress score was 141.41. Among the occupational role stress subscales, nurses had higher mean scores in role overload, role inadequacy, and responsibility. Total occupational role stress score was significantly higher in university graduate nurses than in those holding a high school diploma (p=0.005). Moreover, occupational role stress was significantly higher in nurses who slept for 4-6 h (p=0.011) and more than 8 h (p=0.017) compared to those who slept for 7-8 h a day. In addition, occupational role stress was also significantly higher in nurses with poor sleep quality (p=0.03). In addition, nurses who worked more than 8 h a day reported significantly higher occupational role stress (p=0.008). There was no statistically significant association between occupational role stress with age, gender, marital status, BMI, exercise, having a second job, shift work, ward assignment, and work experience. The findings emphasize the necessity of tailored interventions for managing occupational role stress in nurses with higher education and longer work hours. Improving work conditions, along with promoting healthy sleep habits, is a crucial step in reducing occupational role stress.

Background: Regular on-the-job training and educational courses may improve nurses' knowledge and practice regarding pain assessment and initial treatment. Objectives: To assess the impact of a newly developed educational course in terms of improvement in knowledge regarding pain assessment and initial treatment by using pretest and posttest multiple-choice question scores and to determine the retention of knowledge 3 months after the educational course and perceived change in clinical practices among nurses working in adult surgical and medical wards at the Aga Khan University Hospital. Methods: After getting approval from the institutional review committee, an education course was developed and conducted. A total of 86 participants attended both online and physical components. Teaching methodologies included online lectures, small group tutorials and hands-on workshops using demonstrations of locally developed videos. Pretests and posttests were conducted to assess the knowledge. All participants were requested to complete an online questionnaire to know the impact of the course on their clinical practice. Results: Eighty-six participants completed the course, of which 52 (60.5%) were female and 34 (39.5%) were male. The mean difference between the pretest and posttest scores of participants was 4.72 (39.66%), which was statistically significant (p ≤ 0.001). The mean posttest multiple-choice question score of participants was 16.70 ± 3.56, and the mean posttest multiple-choice question score of participants after 3 months was 15.60 ± 4.09 with a mean difference of 1.10 (6.59%), which was not statistically significant (p=0.121). Conclusion: The hybrid educational course had a significant learning impact on the knowledge of participants and their clinical practice.

Artificial intelligence (AI) is constantly improving the quality of medical procedures. Despite the application of AI in the healthcare industry, there are conflicting opinions among professionals, and limited research on its practical application in Saudi Arabia was conducted.

Aim: To assess the nurses' knowledge regarding the application of AI in practice at one of the Ministry of Health hospitals in Saudi Arabia.

Methods: Descriptive cross-sectional research using convenience sampling in January 2023 involving 307 staff nurses, using a single 11-item questionnaire. In addition, 6 closed-ended questions were used to assess the knowledge, possible risks, and advantages of AI.

Results: All 307 participants completed the survey and used it for data analysis using SPSS V.25. Kruskal-Wallis and Whitney tests and descriptive statistics were used to identify the significant differences among groups. The study results reveal significant differences between age groups and working locations regarding familiarity with AI and future use of AI. In contrast, a considerable difference exists between licensed years groups regarding familiarity with AI. Surprisingly, education level does not affect AI knowledge. Additionally, the future use of AI is significantly affected by the nurse's gender.

Limitation: Nurses were not included in previous studies on AI, and most nursing participants need more interest in AI.

Conclusion: The study's results showed that nurses have positive opinions of AI in the healthcare industry, which will help them speed up procedures and reduce medical errors. AI applications can expand in healthcare by increasing the use of AI in the healthcare industry to improve care quality and encourage academic institutions to develop best practices for deploying AI applications in the healthcare industry.

Purpose: This study aimed to investigate the independent association between the fear of falling (FOF) and frailty in Korean older adults after hip fracture surgery. Methods: The study included 149 participants. Participants were asked to provide general characteristics and complete walking speed, grip strength, frailty, and Short Falls Efficacy Scale-International assessments. A binary logistic regression model was used to investigate the independent association of the FOF with frailty. Results: Among the participants, 49% were found to be prefrail and 24.8% were frail. Additionally, 86.5% reported a moderate to severe FOF. Participants with a FOF were 1.23 times more likely to be frail, and those aged 85 years and older were 13.25 times more likely to be frail. Conclusion: This study's findings serve as a basis for developing and applying interventions to reduce frailty in older adults after hip fracture surgery. These interventions should consider the oldest-old (≥ 85 years) age group when they are designed.

Aim: The aim of this study is to explore children's depictions of nursing professionals, identifying shared and differential visual and symbolic elements as a function of gender, the period during which the drawing was made (pre-/postpandemic) and whether or not one has a relative who works in the same profession. Background: Drawing circumnavigates the limits imposed by literacy and gives a voice to children who are able to express their personal feelings and subconscious through the drawn object. Theories of social representations and identity strive to explore the way in which children perceive and value the role of nurses in society. Methods: With the question, 'what is nursing to you?' providing the foundation, qualitative visual analysis was performed based on bottom-up inductive logic, analysing 105 drawings through the software CAQDAS Atlas-ti. Results: Nine categories emerged that corresponded to uniform, typically used tools, represented functions, decorative elements, associated individuals, work setting and facial expression. Differences were identified as a function of the gender of the child respondent, familiarity with the profession and the period during which the drawing was made (pre-/postpandemic). Conclusion: The present research strives to contribute towards understanding of perceptions of nursing figures in the symbolic world of children, taking a more complete look at the view children have of nursing and the way in which they conceive and value healthcare and caring for health.

Aims: To summarize the morphological characteristics and development and healing processes of severe radiodermatitis for examining the factors contributing to the development of severe radiodermatitis in patients with head and neck cancer. Methods: This scoping review was conducted in accordance with PRISMA extension for Scoping Reviews. Data were extracted from selected references describing detailed conditions of severe radiodermatitis in patients with head and neck cancer. The data were organized separately for radiotherapy, chemoradiotherapy, and bioradiotherapy. Data Sources: Medline, PubMed, CINAHL, and Cochrane Central Register of Controlled Trials databases were used to search for papers from 2000 to December 2023. Results: 11 out of 658 references met the criteria for this review. The morphological characteristics of severe radiodermatitis were categorized by symptoms, site, and shape, and a condition in which moist desquamations and associated crusts spreading to the anterior and lateral neck areas were extracted. In bioradiotherapy, the process of keratinocyte degeneration and formation of blisters under the epidermis leading to moist desquamations was extracted. In chemoradiotherapy, the process of epithelization was extracted 1 week following the occurrence of moist desquamations. Conclusions: Moist desquamations are more likely to occur in severe radiodermatitis in patients with head and neck cancer. Since they can fuse and spread, preventative measures to mitigate spreading are important. However, there is insufficient information to examine the causes of widespread moist desquamations. For preventing moist desquamations and establishing care methods to heal moist desquamations, it may be necessary to identify the symptoms, site, and shape, including the color tone and depth, and healing process during their occurrence.

Background: Patients in critical care units who are connected to mechanical ventilators (MV) often face the risk of ventilator-associated pneumonia (VAP). Therefore, the aim of current study is to describe critical care nurses' knowledge and adherence to evidence-base guidelines (EBGs) for preventing the occurrence of VAP. Methodology: A cross-sectional study was applied. Data were collected through a self-administered questionnaire completed by all critical care nurses (n = 213) working at Palestinian hospitals. Descriptive and inferential statistic was utilized to describe ICU nurse's knowledge and adherence to VAP prevention EBGs. Results: The study revealed that the mean knowledge score for critical care nurses was (50.8%). Overall, the findings indicated that nurses' knowledge of VAP guidelines was at an average level. A statistically significant difference (p value = 0.049) in the knowledge level was observed based on nurses' qualifications. On the other hand, the study found that nurses' adherence to EBGs was an acceptable (mean = 8.3, 69.2%). No substantial differences in adherence level were identified based on respondents' characteristics. Conclusion: Critical care nurses possess an average level of knowledge regarding EBGs for preventing VAP, alongside demonstrating an acceptable level of adherence to these guidelines.

Background: The nursing profession has traditionally been dominated by females, with male nurses comprising a small minority. The labor and delivery unit is one area of nursing that is particularly associated with female care providers. Male nursing students face unique challenges and experiences while completing their clinical rotations in this setting. Understanding these challenges is vital to help support them during their clinical rotation. With the nursing shortage being a global concern, all students must be supported to achieve academic success, regardless of gender. Purpose: This study uses social role theory to explore the experiences of male nursing students during their clinical rotations in the L&D unit. Method: This study used a phenomenological qualitative approach to gather data through in-depth interviews with male nursing students who had completed their labor and delivery unit clinical rotations. The data were thematically analyzed. Findings: The analysis identified five main themes: Culture, Exclusion from the Learning Experience, Different Expectations for Men in Labor and Delivery Units, Men are not Equipped to Deal with Emotions in Labor and Delivery Units, and (Mis)interpretation of Touch. Conclusion: This study explored the experiences of male nursing students during their clinical rotations in the labor and delivery unit. The findings will add to the body of knowledge on gender and nursing education and provide valuable insight into the experiences of male nursing students, which can be used to support and improve nursing education in this area.

Background: The nursing education sector has felt the impact of the shortage of nursing clinical instructors (CI) or faculty members. This phenomenon became more profound with the pandemic experience along with the global shortage of nurses in the hospitals. Objective: The study was conducted to explore the lived experiences on learning among undergraduate nursing students in a higher education institution amidst the nursing faculty shortage. Methods: The study was undertaken using a descriptive phenomenological design with seven informants, using Colaizzi's approach for data analysis. Findings: The findings of the study generated three main themes: disruptions in the learning process and platforms, responses to learning disruptions, and learners' call to action. It uncovered substantial disruptions in scheduled lectures, activities, and clinical rotations due to the nursing faculty shortage. Conclusion: The findings underscore the critical need for immediate and comprehensive measures to address the nursing faculty shortage. Despite compensatory efforts by the institution, the impact on learning experience remains significant. This study calls for prompt and effective strategies to rectify the nursing faculty shortage, ensuring optimal learning experiences for student nurses.

Background: Despite the fact that several triage tools have been implemented globally, emergency care, including the triage system, is often one of the weakest parts of the health system in developing countries, as compared to developed countries. Moreover, emergency centers in African countries are very busy, often flooded by high load of trauma patients, chronic medical conditions, acute medical emergencies, and HIV-related conditions. These disease conditions precipitate the reasons for the prioritization of patients. In South Africa, studies conducted on the use of triage by nurses revealed that most patients are satisfied with the Nurse-led triage service provided in emergency departments (EDs). At the same time, some Nurses also see the South African Triage Scale (SATS) as one of the easiest Nurse-led triage tools. Aim: The study aimed at identifying the factors hindering the effective process of triage during care provision at a selected public hospital in KwaZulu-Natal (KZN). Methods: This study utilized a cross-sectional survey, employing a nonprobability convenience sampling to recruit its respondents. The recognition primed decision model formed the framework of the study. Ethical clearance was obtained from the University of KwaZulu-Natal Ethics Review Board, and ethics principles were carefully observed throughout the study. Results: Out of the 100 respondents, 89% (89) of the respondents perceived that various factors still impede the progress of triage, while 11% (11) of the respondents perceived that no factor impedes the progress of triage. Conclusion: The study indicates that several factors still hinder the effective process of triage. Based on the findings of the study, factors like overcrowding, Nurses waiting for doctors when they know what to do, lack of continuous professional development on triage system, inadequate experience, lack of confidence, and lack of adequate training on triage still impede the efficient triage system.