Journal of Research in Nursing最新文献

Background: Older adults receiving home care often face complex decisions. This study explored how home care nurses in South Korea perceive these decisions and their involvement in shared decision-making (SDM), aiming to inform better support strategies for both clients and care providers.

Methods: A cross-sectional study was conducted with 154 home care nurses between August and September 2023. Descriptive statistics, ANOVA, Pearson correlation and multiple linear regression analyses were used, with significance set at p < 0.05.

Results: Nurses identified 'whether to stay at home or move' as the most difficult decision faced by older adults. Although nurses reported a moderate-to-high level of self-perceived SDM involvement (3.73 ± 0.80), they were less involved than family caregivers. Factors significantly predicting higher SDM involvement included job field (β = 0.31, p < .001), duration of home care experience (β = 0.17, p = .04) and the frequency of decisions encountered by older adults (β = 0.27, p < 0.001).

Conclusion: Results highlighted the need for support for nurses to address the difficulties faced by older adults in making healthcare-related decisions about their place of residence and indicated comparable involvement in SDM between nurses working in long-term care centres and hospital home visiting centres.

Background: Workplace violence (WPV) is an occupational hazard to which nurses are often exposed, which can be a risk factor for severe mental health problems including post-traumatic stress disorder (PTSD). Therefore, understanding the prevalence of WPV and its association with PTSD among nurses may be important for developing effective workplace safety and support.

Objective: This paper examined the prevalence of WPV and PTSD among nurses in Germany and analyses the association between them.

Methods: A cross-sectional online survey was conducted among nurses across all clinical settings in Germany (May-June 2024). WPV and PTSD symptoms were measured with standardised scales, and logistic regression tested their association.

Results: In total, 411 participants (61.0%) were hospital-based nurses. Non-physical violence was more prevalent than physical violence. Suspected PTSD was found among 8.5% of the participants. PTSD symptoms were significantly higher among participants exposed to WPV (OR 3.378; 95% CI: 2.096; 5.445). Availability of employer-provided support following WPV incidents was found to decrease suspected PTSD with an odds ratio of 0.122 (95% CI: 0.031; 0.483).

Conclusions: In order to lessen the PTSD effects of WPV, present findings emphasise the necessity of reporting mechanisms, employer assistance, and targeted interventions. These steps are also crucial to promoting workforce retention.

Background: Mothers of children with hydrocephalus often face increased caregiver burden and anxiety due to shunt-related complications, These challenges may be exacerbated without adequate training in their child's chronic disease care.

Aim: This study evaluated the impact of an educational programme for mothers of children with hydrocephalus on caregiving burden and anxiety.

Methods: A two-group, single-centre, randomised controlled trial was conducted with mothers of children aged 0-1. The intervention group received structured education beginning preoperatively, based on a comprehensive training booklet covering shunt care, infection prevention, feeding, mobility, medication administration and hygiene. The control group received only routine nursing care during the perioperative period. Data were collected at baseline, post-intervention, and follow-up using the Personal Information Form, Zarit Caregiver Burden Scale (ZCBS), State-Trait Anxiety Inventory (STAI-S, STAI-T) and a Child Follow-up Form.

Results: Both groups showed mild caregiver burden and moderate anxiety. A positive correlation was found between ZCBS and STAI-S scores. Mothers in the control group faced more caregiving challenges, and their children had significantly higher rates of shunt infections.

Conclusion: Structured educational programmes help reduce complications and improve caregiver outcomes. Educating mothers on shunt care lowers caregiver burden and anxiety, highlighting the value of early parental education.

Background: Patient falls are a persistent safety issue in acute care settings, particularly in resource-limited healthcare environments. Nurses play a critical role in fall prevention, yet their effectiveness can be hindered by insufficient training, low self-efficacy, and lack of institutional support.

Aim: To examine the relationships between nurses' fall prevention knowledge, self-efficacy, and structural empowerment; and to assess how these factors collectively influence fall prevention outcomes in Jordanian hospitals.

Methods: A quantitative, cross-sectional study was conducted with 78 registered nurses from medical, surgical, and geriatric units. Validated instruments - the Fall Prevention Knowledge Test (FPKT), Self-Efficacy for Preventing Falls Scale (SEPFN) and Conditions of Work Effectiveness Questionnaire II (CWEQ-II) - were used for data collection. Descriptive statistics, Pearson correlation, and multiple regression analyses were performed using the Statistical Package for the Social Sciences (SPSS) (v25).

Results: A significant positive correlation was found between fall prevention knowledge and self-efficacy (r = 0.294, p = 0.017). Structural empowerment did not moderate this relationship. A negative correlation was identified between self-efficacy and perceived institutional support (r = -0.249, p = 0.047). Units with higher average nurse self-efficacy had lower fall rates (2.1 vs 3.4 per 1000 patient days), though this difference was only marginally significant (p = 0.089).

Conclusion: Nurses' knowledge and self-efficacy are key to effective fall prevention. However, institutional support structures may not align with the needs of confident and experienced nurses. Targeted training, mentorship, and workload management are essential to improve patient outcomes. Policymakers should prioritise personalised support systems and standardised fall prevention protocols.