Journal of Research in Nursing最新文献

Background: Understanding the reasons for delays in leaving hospital once an in-patient is considered ready for discharge is important to inform the development of interventions to improve patient flow through resource-stressed healthcare systems.

Aims: To identify risk factors for delayed discharge from hospital during the COVID-19 pandemic.

Methods: The study population was all patients admitted with COVID-19 infection from February 2020 to September 2021 to a large UK teaching hospital.

Results: Data were available from 7929 admission events with a median delay of 0.20 days from being considered medically safe for discharge and the discharge date. Age older than 60 years (+2.23 days), White ethnicity (+1.58 days compared to SE Asian), living in an area of increased affluence (+0.13 days per decile decrease in deprivation) and having two or more comorbidities (+1.82 days; compared to no comorbidities) were associated with delayed discharge.There was a total potential saving of over 22,000 bed-days if all patients had been discharged when they were considered medically safe.

Conclusions: Early identification of patients at an increased risk of a delayed discharge may allow development of appropriate anticipatory interventions, and inform policymakers to help identify and minimise bottlenecks at the institutional level.

Background: Despite being a university-educated, evidence-based profession, nursing's social image often lags behind its professional reality, particularly in Italy.

Aims: To translate and validate the Scale for the Image of the Nursing Profession (SINP) for the Italian context.

Methods: This study followed a six-phase process. A single sample was randomly split for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Internal consistency was assessed using Cronbach's alpha. Test-retest reliability was evaluated using Pearson's correlation coefficient (r) on a convenience sample.

Results: The demographic characteristics of the two sub-groups (sub-group A: N = 874; sub-group B: N = 873) were uniformly distributed (p > 0.05). EFA on 42 items in sub-group A identified five dimensions explaining 54.7% of the variance, removing 12 items with low factor loadings (<0.50). CFA in sub-group B confirmed the robustness of the five-dimensional structure. The overall questionnaire showed strong internal consistency (α = 0.84) and excellent test-retest reliability (r = 0.99, p < 0.001).

Conclusions: The I-SINP is a reliable, culturally sensitive tool for assessing public perceptions of nursing in Italy. It provides a valuable resource for policymakers, educators and organisations in enhancing the visibility and recognition of the nursing profession, providing a solid foundation for improving its societal image and, thereby, supporting recruitment and retention within the profession.

Background: The double-J (DJ) stent is an indispensable device in urology, a rudimentary part of numerous procedures and a management tool for patients with ureteric calculi. However, some issues connected to its usage still arise. The issues include patient discomfort, urinary symptoms (such as urgency and frequency), hematuria, infection, stent migration, and encrustation with prolonged indwelling time.

Aim: The study aims to determine whether awhether a nursing instructional module has a positive effect on the acute side effects of DJ stent removal for ureterolithiasis patients.

Methods: The study employed a quasi-experimental research design on 50 patients (25 in the study group, with a nursing instuctional model, and 25 in the control group, with support as usual). The patient's knowledge about ureteral stones, the ureteral DJ stent assessment chart and the Ureteral Stent Discomfort tools were used to measure the patient's knowledge about ureteral stones and appraise the ureteral stent discomfort and acute side effects after removal in the two groups.

Results: Most studied patients were males (64.0, 56.0%) and married (80.0, 76.0%). There was a 100% satisfactory knowledge level for the study group and highly statistically significant differences in all domains of the ureteral stent discomfort test of urinary symptoms among ureterolithiasis patients after the nursing instructional module implementation for the studied patients.

Conclusion: Implementing the nursing instructional module effectively refined patients' knowledge and reduced ureteral stent discomfort and acute side effects.

Background: Lymphoedema, a chronic and visible condition, can significantly impact men's perception of support and masculinity. The absence of research in this area, along with increased interest in men's health, led to this study, which explores men's perceptions of support and their sense of masculinity while living with lymphoedema.

Method: This qualitative study used narrative inquiry with 12 participants through online semi-structured interviews (45-90 minutes) via Zoom. Data were analysed using linguistic narrative analysis, focusing on hegemonic masculinity and the Health, Illness, Men and Masculinities (HIMM) framework.

Results: The analysis revealed three main themes. All men perceived disruption following their initial diagnosis of lymphoedema, exacerbated by limited support, such as peer support groups and timely information. They then adapted and managed changes in their lives and masculinity using available behaviours and resources, such as gaining expertise and depending on partners. Their perception of masculinity evolved, incorporating their past masculine baseline with present and future expectations.

Discussion: Findings suggest that hegemonic masculinity persists amid multiple masculinities disrupted by chronic conditions like lymphoedema. Some men uphold traditional masculinity, whereas others adapt their expressions of masculinity. Recognising lymphoedema's impact on health and masculinity could inform more tailored approaches in services, policies and strategies.

Background: Effective dissemination of scientific knowledge through publication is vital for advancing nursing and healthcare. However, nurse researchers often encounter challenges that impede their ability to publish in reputable journals.

Aim: To identify the perceived challenges and support needs related to research publication among nurse researchers at health universities across Karnataka, India.

Methods: A multicentre web-based cross-sectional survey was conducted from January to May 2024 across 33 nursing institutes with 319 nurse researchers.

Results: Of the 319 respondents, 58.6% had published papers, but only 15% had published in indexed journals. The most frequently reported barriers to publication were lack of time (53.3%), funding constraints (42.9%) and difficulty in initiating writing (27.9%). Limited writing skills were significantly associated with academic designation (χ² = 11.9, p = 0.003) and difficulty starting writing (χ² = 15.9, p < 0.001). A substantial majority expressed a need for technical support in areas such as manuscript formatting (87.9%), submission (85%) and responding to reviewers (84.6%). The primary motivations for publication included career advancement (67.7%) and meeting institutional requirements (50.2%).

Conclusion: This study underscores the pressing need for targeted interventions, including structured training, technical assistance and mentorship, to support nurse researchers in overcoming publication challenges and enhancing scholarly productivity.

Background: Cold application is a non-pharmaceutical method that has been shown to be effective in relieving pain by slowing down or blocking the conduction of peripheral nerves.

Aim: This study aimed to evaluate the effect of cold needle use during arteriovenous fistula cannulation on cannulation-related invasive pain.

Methods: A semi-experimental, self-controlled, and double-blind study was used. The cannulation procedure was performed with room temperature needles during the first three haemodialysis sessions and with cold needles during the next three sessions. Patients were those treated in the haemodialysis unit with arteriovenous fistula of a state hospital in Turkey between April and May 2024.

Results: The study was completed with a total of 33 patients. The mean pain score of the three sessions was found to be statistically significantly lower when a cold needle was used (5.08 ± 0.67) compared to the use of a room temperature needle (6.68 ± 0.68; 1.78 ± 0.94; 95%CI: 1.45-2.12; p < 0.001).

Conclusions: Cold needle use is recommended during arteriovenous fistula cannulation to reduce invasive pain. Cannulation with cold needle is a non-pharmacological, easy to apply, and cost-effective method. These findings have potential for informing policy and procedure in effective pain management.