Journal of Research in Nursing最新文献

This year JRN has introduced an extra Veronica Bishop Paper of the Year award category focusing on innovative study design and the paper's potential to influence research and learning. As usual, award winners' papers are re-presented as a graphic depiction. We hope you enjoy this graphic paper and re-reading the original work. We have inserted the original paper's abstract below with links to that paper and its associated commentary.

Background: The ability to generalise research generated findings to different contexts is a significant, yet overlooked, feature in qualitative studies conducted in nursing, where evidence-based clinical practice is highly regarded. The multiple case narrative is a constructivist-narrative approach, claimed to not only have the potential for analytical and case-to-case generalisation but also sample-to-population generalisation.

Methods: This paper provides an overview of multiple case narrative by comparing it with similar methodologies, reviewing studies that have used this approach and critically evaluating its capacity for producing generalisable results.

Results: The multiple case narrative approach addresses limitations of collective case study, case survey and meta-ethnography by employing greater sample sizes and more generalisable results. Most studies previously using this approach have been performed in the education field and with the purpose of overcoming sample size limitations in qualitative research. The approach offers a uniquely systematic approach to analysis by finding associations between categories generated from collective analysis of large number of cases and providing the potential for sample to population generalisation.

Conclusion: Multiple case narrative, which to date has been underutilised, is a systematic approach with characteristics that make it an efficient research technique to provide valid qualitative evidence.

JRN is delighted to present a graphic depiction of the 2023 JRN Veronica Bishop Paper of the Year award winners' paper. This paper won the award for its potential to impact policy, practice and/or research. We hope you enjoy this graphic paper and rereading the original work. We have inserted the original paper's abstract below with links to that paper and its associated commentary.

Background: Significant social and health issues are associated with homelessness. Negative experiences with the healthcare system are also frequent and cause people experiencing homelessness to avoid health services.

Aims: The purpose of this study was to (1) explore participants' health needs concerning outreach nursing services and (2) describe the perceptions and preferences of people who access this form of community-based intervention.

Methods: We conducted a critical ethnography with semi-structured interviews of 12 people experiencing homelessness who receive the services of a nurse-led mobile clinic, and 60 hours of observation during the provision of these services.

Results: Our results describe the perspectives of people experiencing homelessness in three main categories: (1) worrisome health and social needs, (2) non-use of healthcare and (3) what connects us to health services.

Conclusions: Timely access to healthcare is an important issue for people experiencing homelessness. Nurse-led clinics meet needs that go far beyond health issues.

Background: The incidence of diabetes mellitus (DM) and its complications is increasing in Indonesia. The patient's quality of life will decrease due to this condition. Diabetes self-management is a viable tactic for improving quality of life and reducing blood sugar levels. A key element of diabetes self-management education for nurses and health professionals is self-efficacy. However, a valid and reliable scale to assess self-efficacy in Indonesia is necessary.

Aims: 'The Diabetes Mellitus Self-Efficacy Scale (DMSES)' is translated into Indonesian for the psychometric assessment of diabetes patients there.

Method: DMSES was translated into the Indonesian version (DMSES-I) using the forward-backward translation method. In addition, 227 adult patients with type 2 diabetes completed the scale which underwent internal consistency, construct validity and content validity tests.

Results: The item content validity and scale validity were 0.955 and 0.955, respectively. Exploratory factor analysis showed a Kaiser-Meyer-Olkin index of 0.922 and a Cronbach's alpha coefficient of 0.928. The confirmatory factor analysis results were chi-square = 76.610, probability = 0.009 and root mean square error of approximation (RMSEA) = 0.049.

Conclusion: To assess diabetes self-efficacy in Indonesia, the DMSES-I is a valid and reliable tool. To educate diabetes self-management effectively, nurses must assess their patients' diabetes self-efficacy.

Background: Nursing students face significant academic stress, often surpassing that of other disciplines, due to exposure to diverse clinical settings and challenging patient conditions. This stress can lead to psychological issues like anxiety and depression, impacting their well-being.

Aim and methods: This study aimed to assess resilience and social support levels among 160 Generic BS Nursing students in five Public and Private nursing education institutions of Lahore, Pakistan and explore their relationship with psychological well-being by using a cross-sectional correlational study. A p-value of 0.05 was considered significant.

Results: Results showed 47.5% of participants were aged 17-21, and 52.55% were older than 22. Most (88.8%) were female. Resilience scores were low-to-moderate (mean: 66.50 ± 14.7), psychological well-being was moderate (mean: 56.35 ± 18.98) and social support was low (mean: 5.07 ± 1.21). Notably, no significant differences were found between third and fourth-year students.

Conclusion: This study highlighted the positive relationship between resilience, social support and psychological well-being among nursing students. Resilience plays a vital role in mitigating stress's adverse effects, and strong support from family and friends contributes to positive psychological health.

Aims: To explore nurses' attitudes towards safety and their association with nurses' perceptions of adverse events and quality of care in Saudi Arabian hospitals.

Design: A cross-sectional study using a web-based survey.

Methods: A web-based survey was administered to nurses working in five hospitals in Saudi Arabia. Nurses' attitudes regarding safety, nurses' perceptions of the frequency of seven adverse events, and nurses' views on quality of care were collected. Descriptive and predictive analyses were performed.

Results: Nurses' attitudes regarding safety (n = 653) were classified as less than positive, with an overall score of 68.96%. The highest subscale mean score was for safety behaviour (73.1%), which was followed by job satisfaction (72.6%); the lowest subscale mean score was for working conditions (61.7%). Positive attitudes towards safety were associated with a lower frequency of pressure injuries, patient falls, healthcare-associated infections and unexpected deaths due to deterioration; positive attitudes towards safety were also associated with higher quality of care.

Conclusion: Nurses' attitudes towards safety contribute to preventing avoidable adverse events and to improving quality of care. This study builds on the growing body of evidence that demonstrates fostering a strong safety culture is essential for improving patient outcomes.