Journal of Research in Nursing最新文献

Background: Peripheral arterial disease (PAD) affects between 3% and 10% of the global population. Transitional care programmes (TCPs) aim to ensure continuity between hospital-based acute care and primary healthcare. Nurses play a pivotal role in supporting this transition. TCPs may reduce hospital readmissions, emergency department (ED) attendances and improve patients' quality of life (QoL). This scoping review examines whether nurse-led TCP improves the management of patients undergoing lower limb vascular surgery, including the effectiveness of remote (telehealth) delivery.

Methods: This review followed the Joanna Briggs Institute (JBI) methodology. Eligible studies included adults hospitalised with peripheral vascular disease who had undergone major surgery. A comprehensive search of PubMed, CINAHL, Web of Science, Scopus, JBI Evidence Synthesis and grey literature via Google Scholar was conducted for studies published between 1 January 2000 and 30 June 2024.

Results: Of 888 papers screened, 6 met the inclusion criteria. Nurse-led TCPs were associated with reduced hospital readmissions and improved patient reported QoL. No significant differences were observed in unplanned surgery, major amputation, or mortality.

Conclusion: TCPs are associated with improved patient QoL outcomes and reduces hospital readmissions when incorporating education, telenursing, and a multiprofessional approach - led by a transition nurse.

Background: The transition from student nurse to newly registered professional can be challenging, sometimes leading newly qualified nurses to reconsider their career choice. Workforce shortages and the experience and aftermath of the COVID-19 pandemic may have exacerbated the pressures on recent cohorts.

Aim: To gain understanding of experiences of transition into professional practice in an English NHS Trust during the COVID-19 pandemic.

Methods: The objectives of this study were met using a qualitative, exploratory, intrinsic case study design. A convenience sample of 16 newly qualified nurses were recruited. Transcripts were analysed as individual interviews then subjected to across group analysis. Data analysis was conducted independently by the research team members. Data were subjected to qualitative content analysis.

Results: The findings describe the nurses' experiences of transition to professional practice during the pandemic, there were two main themes: the transition experience and growing into the role.

Conclusions: The study offers insights into experiences of transition in the context of the COVID-19 pandemic. The study demonstrates that workplace culture has a significant impact on transition experiences. Emotionally safe, supportive environments are a prerequisite for an effective transition, allowing development of the confidence and skills necessary for independent practice and a successful career.

Background: Patient satisfaction is vital in healthcare, influencing treatment adherence, health outcomes, occurrence of complications, and the likelihood of returning for care.

Aims: This study aimed to assess the impact of the nursing workforce's nationality diversity, years of service, and staffing levels on patient satisfaction in a tertiary hospital, in Saudi Arabia.

Methods: A retrospective analysis was conducted, correlating patient satisfaction scores from Press Ganey^® reports with nursing data from hospital manpower reports collected from 1 July 2019 to 30 June 2023. Descriptive statistics were used, with significance set at p ⩽ 0.05.

Results: Pearson's correlation coefficient yielded no relationship between: the nurses' years of service versus mean patient satisfaction scores (r = -0.02, p = 0.695), nursing staff levels versus mean patient satisfaction scores (r = 0.04, p = 0.49; Figure 2) and number of nationalities in the care units versus mean patient satisfaction scores (r = -0.057, p = 0.27).

Conclusions: These findings suggest that factors beyond nurse numbers, tenure, or nationality diversity might significantly influence patient satisfaction. Improving other aspects of care and addressing diverse patient needs can allow nursing to further enhance patient satisfaction, health outcomes, and the quality of nursing services provided.

Background: Pre-pandemic studies highlight burnout among early career nurses, with environmental and interpersonal factors contributing to high turnover rates. The Dr Lorna Breen Health Care Provider Protection Act, enacted in the United States (U.S.) in 2022, catalysed the formation of this investigatory team, which used a socio-ecological approach to address nurse burnout and mental health in Nebraska, United States.

Aims: This study evaluated the effectiveness of a webinar series designed to address key drivers of nurse burnout through evidence-based content. The series focused on equipping participants with knowledge and practical strategies to promote systems-level change and improve workforce well-being.

Methods: A mixed methods survey design was employed to analyse changes in knowledge, subjective competence, intention to implement skills, perceived barriers, and impact on team performance.

Results: Attendees who completed the webinar evaluations (N = 277 unique respondents) reported enhancements in knowledge and subjective competence post-webinar(s). Thematic content analysis of qualitative responses identified themes related to problem-solving, awareness, advocacy, and education. Barriers included organisational structure, financial constraints, and resistance to change.

Conclusions: The webinar series showed promise as a scalable, systems-level intervention for nurse well-being, highlighting the need to address organisational and cultural factors beyond individual behaviour change.

Background: Missed nursing care is a significant factor influencing patient safety and the overall quality of care, with direct implications for health outcomes.

Objective: The aim of this study is to conduct an exploratory analysis to examine complex perceptions of missed nursing care through metaphorical expressions of nursing professionals.

Methods: Utilising a phenomenological methodology, and one to one interviews, this investigation applies metaphor analysis to capture the nuanced understanding of missed care among clinicians. The study was conducted with a sample of 79 nurses employed at a public hospital. The research adheres to the COREQ checklist for qualitative studies.

Results: The analysis yielded 39 distinct metaphors, which were categorised into 6 thematic areas: neglected nature, dysfunction, deviation from health, emotional deprivation, dangers, and risks and disappointment. These thematic categories reveal the multifaceted nature of missed nursing care as perceived by nurses and underscore the detrimental effects it has on patient outcomes.

Conclusion: The findings of this study provide valuable insights into the underlying dynamics of missed nursing care, and offer potential pathways for improving nursing practices and enhancing the quality of patient care.

Background: Restless legs syndrome (RLS) is a prevalent neurological condition affecting daily life. Symptoms can vary and worsen during the evening and night, with sleep problems as a common consequence. Few, if any, qualitative studies have explored how patients with RLS experience their sleep problems.

Aim: The aim was to explore and describe how patients with RLS experience their sleep problems, the subsequent daytime consequences, and self-care activities used to improve sleep.

Methods: An inductive, descriptive, qualitative design was used, including semi-structured interviews with 28 strategically selected patients from a national RLS organisation. Data were analysed with manifest qualitative content analysis and reported according to the COREQ checklist.

Results: RLS-related ailments affecting sleep were: noticing initial symptoms in the evening, enduring stressful RLS symptoms at night, and being concerned about not having symptom-relieving treatment. Struggles with daytime consequences of poor sleep were: feeling excessive fatigue and managing social interactions. Self-care actions to improve sleep included trust in daily routines, benefiting from the use of various distractions, and actively seeking effective medical treatment.

Conclusions and contribution to nursing: Knowledge about various RLS-related ailments affecting sleep can be used by nurses to provide adequate education about the disease and potential nursing interventions to improve sleep.

Memoing in research serves many purposes. In qualitative studies in particular, memoing supports research functions that facilitate decision-making, capture methodological activities, and propel a study forward. In 2008, we presented a framework for the use of memos in qualitative research, along with guidelines for developing and maintaining memoing as a practical strategy. In this paper, we revisit that original piece and consider the concept of memoing in support of research two decades on.

Background: As the population ages and more older adults require support either in Residential Aged Care or through community-based services, the demand for skilled Registered Nurses in this field continues to rise.

Aim: This scoping review aimed to identify undergraduate nursing educational interventions co-designed, developed and delivered in partnership with Residential Aged Care and/or an aged care service in the community.

Design/method: Nine databases were searched: Education Research Complete, ERIC, Academic Search Premier, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with Full Text, OVID, APA PsycINFO, PubMed, Web of Science, and Scopus. This scoping review sought to collate and synthesise primary and peer-reviewed published data in English between 2014 and 2024, using keywords aligned with 'service learning' and 'undergraduate nursing students'. In total, 287 records were initially reviewed, and 10 were included in data extraction and analysis.

Results: Three central themes were identified: (i) partnerships can create innovative and engaging learning experiences; (ii) collaborative models have the potential to challenge and reduce negative stereotypes about aged care and (iii) the success of these initiatives relies on thoughtful planning and context-specific implementation.

Conclusion: Partnerships between universities and aged care providers can enhance the learning environment for undergraduate nursing students.