Journal of Research in Nursing最新文献

Background: Chemotherapy plays an important role in cancer treatment. Peripherally inserted central catheter (PICC) is an important vascular access device used in cancer patients undergoing chemotherapy.

Objective: This review entailed an evaluation of the effects of self-management education on the occurrence of complications in patients with PICC placement.

Methods: PubMed, Embase, the Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP database and Chinese Biomedical Literature database were searched for randomised controlled trials on the effects of self-management education on patients with PICC placement. Meta-analysis was performed on the studies meeting the inclusion criteria using RevMan5.4 software.

Results: A total of 12 quantitative studies were included in the meta-analysis and the results showed that self-management education reduced the incidence of total catheter-related complications (95% CI (0.17, 0.32), p < 0.00001); catheter dislodgement (95% CI (0.07, 0.40), p < 0.0001); catheter-associated infections (95% CI (0.11,0.41), p < 0.00001); catheter obstruction (95% CI (0.14,0.53), p = 0.0002); phlebitis (95% CI (0.11,0.47), p < 0.0001) and thrombosis (95% CI (0.07,0.57), p < 0.0001) in patients with PICC placement.

Conclusion: Available research evidence suggests that self-management education is effective in reducing PICC catheter-related complications in patients with PICC placement. However, more high-quality studies need to be included for analysis.

Background: Clinical decision-making is an essential part of the nursing role and has implications for both patient care and nurses' well-being.

Aim: This study aimed to explore the relationship between nurses' perceptions of clinical decision-making ability and moral distress across a nursing population, and the potential link to self-compassion and health-promoting behaviours.

Methods: A self-report questionnaire was distributed to a sample of nurses (N = 152) from April to September 2022. The survey explored nurses' perceptions of clinical decision-making ability, moral distress, physical activity, grazing, stress-eating, burnout and self-compassion.

Results: Perceived clinical decision-making ability was associated with moral distress experience, and both self-compassion and grazing moderated this relationship, independently.

Conclusion: Findings highlight the link between nurses' perceptions of clinical decision-making ability and moral distress experience. Both eating behaviours and self-compassion influence the relationship between these two factors and identify potential areas that may support (and hinder) nurses' well-being through clinical decision-making. These findings reinforce the importance of healthy eating habits and being self-compassionate to prevent moral distress arising as a result of clinical decision-making.

Background: Asthma is one of the most common chronic diseases in childhood.

Aims: This study explores the experiences of participating in everyday activities among children with asthma.

Methods: The study employed a qualitative design and was grounded in a hermeneutic-phenomenological approach. The data were collected through in-depth interviews with four children aged 9-12 diagnosed with asthma.

Results: One theme was 'heavy breathing stopping the body in motion', and subthemes were as follows: 'experiencing intrusive wheezing', 'calming one's breath to participate' and 'being sick and refraining from participating'. Another theme was 'help in everyday life and support to participate', and subthemes were as follows: 'taking the necessary asthma medicine', 'being understood and met as sick' and 'adapting one's leisure activities'.

Conclusions: To participate in everyday activities, children with asthma require insight into and an understanding of the importance of taking asthma medicine as recommended. They also need help in everyday life and support to participate in everyday activities. Children taking care of their own illnesses and listening to their bodies provide them with the greatest degree of participation in activities in their everyday lives. These findings represent an important contribution to the understanding of nursing care for children with asthma.

Background: Pain and anxiety during arteriovenous fistula (AVF) puncture are crucial factors affecting haemodialysis (HD) patients' quality of life.

Aim: The aim of this study is to assess the effect of virtual reality (VR) distraction on pain, anxiety, satisfaction and haemodynamics during AVF puncture.

Methods: This randomised controlled trial study was conducted in a Haemodialysis unit at Mansoura University Hospital. Ninety-six patients were randomly divided into the intervention (n = 48) and control (n = 48) groups. Six minutes prior to the puncture, patients in the intervention group used VR glasses to experience a 360° 'Relax River VR tour', whereas patients in the control group received no intervention.

Results: Following the intervention, pain, anxiety, systolic blood pressure and heart rate were significantly lower, and satisfaction scores were significantly higher in the intervention group than in the control group (p < 0.05).

Conclusion: VR distraction may help alleviate pain, anxiety and increase satisfaction. It may be considered a safe and cost-effective non-pharmacological therapy for HD patients undergoing AVF puncture.

Background: Parenteral nutrition (PN) provides the body with essential nourishment through intravenous infusion. Home parenteral nutrition (HPN) has a significant impact on the lives of its users; however, very few studies explore the phenomenon of homecare nurse provided assistance for the management and administration of HPN.

Method: The phenomenological approach, Reflective Lifeworld Research, was utilised. Data were collected through semi-structured interviews with five patients with intestinal failure. The analysis was performed according to the instructions of Reflective Lifeworld Research.

Results: Four constituents were identified: (1) balanced nursing experience, (2) correct handling of procedures, (3) reversed expert roles and (4) the homecare nurse as a lifeline. Control was found to be the essence of the phenomenon, multi-faceted and characterised by the participants' ambivalent feelings.

Conclusion: The participants were ambivalent about receiving assistance from the homecare nurses. HPN is a complex treatment in which demands are placed on the homecare nurses' competencies to deliver a high quality of care. The patients live with a constant fear of complications and hospitalisations. The participants felt compelled to perform control, monitoring the homecare nurses' work, to ensure that errors did not occur. As more assistance was received from homecare nurses, the participants experienced a loss of control. However, the assistance did also give a sense of security, whereby the homecare nurse was perceived as a lifeline.From a sociological perspective, the need for control can be a result of the constant development of society, where greater demands were placed on citizens' commitment and responsibility for their own treatment, prompting a larger need for individual control.