Journal of Research in Nursing最新文献

Background: Legacy mentors are experienced nurses, usually in their late career. There is little evidence exploring the impact of legacy mentors in practice.

Aim: To understand the impact of the legacy mentor role on the legacy mentors themselves, their mentees and the mentees' managers; and to provide recommendations to support future investment and development.

Methods: The evaluation was conducted in accordance with the first stages 'Design and Discover' of the qualitative design 'Appreciative Inquiry'. Six mentees, two managers, and four legacy mentors took part in three focus groups. Transcripts were analysed using thematic analysis.

Results: Three themes emerged from the data: characteristics and qualities, challenges associated with the role, and outcomes of the role.

Conclusion: The legacy mentors' interpersonal skills and experience enabled them to overcome barriers associated with implementing the role. Key attributes such as communication and listening skills, respect and empathy allowed the mentees to accept and welcome guidance. Other requirements for success included flexibility, clear and consistent communication about the role, and mutually agreed expectations about the outcomes, process and commitment required from managers, mentees, and mentors. More research is required to establish how this initiative could be reflected in future nursing policy and implemented more widely.

Background: The use of metaphor in qualitative research higher degrees can be a creative and effective outlet. Not only can metaphor make connections across concepts, but it can help to create a coherent theme within a wider body of research.

Aim: This paper provides a 'how to' of sorts, providing a pragmatic guide for the use of metaphor in research work, particularly in research higher degrees.

Methods: Drawing from contemporary metaphor theories, the paper articulates eight steps to assist users in the contemplation and application of metaphor in research.

Results: This paper provides not only a thought-provoking process for candidates and researchers to apply metaphor but also offers a pedagogical tool for supervision teams and research institutions to support learning in qualitative research methods, bolstering critical thinking, communication translation, and academic writing.

Background: The school nurse is tasked with promoting health for children. However, the school nurse's role in meeting the needs of children experiencing grief following the death of a family member remains unexplored.

Aim: The aim of this study was to investigate the experiences of school nurses in supporting children in grief following the death of a family member.

Methods: The study was conducted as a cross-sectional study employing qualitative and quantitative approaches through a web-based questionnaire (n = 62 school nurses).

Results: A majority (90%) of the school nurses felt secure in their professional role, most of them (93%) had experience of meeting children with grief. Qualitative findings revealed an overarching theme Creating security for the child including two themes: Security for the school nurse which included two subthemes- Feeling secure in the meeting and Feeling security in the team; and Security for the child which included two subthemes - Creating a secure environment for the child and Being there for the child.

Conclusion: Our findings indicate that school nurses can play an important role for the child in creating a secure place for the grieving child in school. Further research should focus on school nurses' more specific needs for preparational training and support.

Background: This study aimed to validate the content of a game focused on clinical supervision in nursing, with the collaboration of experts, and to assess its usability alongside a group of nurses. The development of SUPERVISE^® was grounded in theories of Experiential Learning, Self-Determination, Constructivist, and Social Cognitive.

Methods: A mixed study design was used. In the first phase, the content of the game was validated with the participation of experts using a modified e-Delphi method. In the second phase, the usability of SUPERVISE^® was tested with nurses.

Results: In the first phase, the content of the game was validated by 36 experts, reaching a consensus = 95.4% on the 128 questions on which the game was based. In the second phase, the SUPERVISE^® game was tested and evaluated by 39 nurses. It showed good usability and with a System Usability Scale score = 79.4 (above the cut-off of 68) and was recognised as an effective teaching strategy.

Conclusion: This study highlights the importance of combining rigorous content validation with practical evaluation to develop effective gamified educational tools for nursing practice.

Background: Stigma and discrimination from healthcare providers represent significant barriers to healthcare access for lesbian, gay, bisexual, transgender, and other sexual orientations and gender identities (LGBT+) people.

Aims: This study aimed to examine the clinical competence of Hong Kong nursing students in caring for LGBT+ clients, to inform nursing curricula development and promote inclusive care.

Methods: An online survey was conducted from June to September 2024 with nursing students from seven institutions. Demographics and personal experiences were collected. Attitudes were evaluated with the Attitudes Towards Lesbians and Gay Men and Genderism and Transphobia Scale. Clinical competence was measured using the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale.

Results: Among 336 participants, attitudes scores were generally positive. The mean clinical competence score was moderate (Mean = 4.52, SD = 0.615). Factors, such as younger age, females, identifying as homosexual, no religious affiliation, and higher household income were associated with more positive attitudes. Encounters with LGBT+ clients and relevant training were linked to enhanced clinical competence.

Conclusion: This study highlights gaps in nursing students' clinical competence regarding LGBT+ issues in Hong Kong. Integrating comprehensive LGBT+-related training into nursing education is essential to fostering an inclusive healthcare environment.

Background: The escalating aging trend and health challenges faced by older adult farmers in Indonesia underscore the need for targeted interventions, yet no study has evaluated behavioural support programmes. Integrating self-control and self-reflection (SCSR) as drivers of change may provide novel care management to enhance their physical, mental, and spiritual quality of life (QoL).

Aims: This study examined the effectiveness of care management using SCSR on the health status, spirituality and QoL among older adult farmers in Indonesia.

Methods: A two-group pre- and post-test quasi-experimental design was adopted among 120 participants. Participants in the intervention group completed a 4-week self-care programme and 8-weeks of healthcare self-management activities. Health status, spirituality, and QoL were assessed using physical parameters, the Geriatric Depression Scale (GDS), the Mini-Mental State Examination (MMSE), the Short Portable Mental Status Questionnaire (SPMSQ), the Daily Spiritual Experience Scale (DSES) and World Health Organization Quality of Life-BREF (WHOQOL-BREF).

Results: Compared to those in the control group, participants who received management of care using SCSR showed a significant reduction in blood pressure but not in body mass index and blood sugar. The ANCOVA test indicated significant positive effects, with lower GDS and fewer SPMSQ errors, as well as higher MMSE, DSES and WHOQOL scores.

Conclusions: Care management using SCSR emerges as a promising nursing intervention strategy for enhancing health status, spirituality, and QoL among older adult farmers. Since SCSR can be delivered by nurses through community-based services, these findings reinforce the value of nurse-led self-management support for older adults in agricultural settings.