Journal of Research in Nursing最新文献

Background: Compliance to treatment is often poor in ankylosing spondylitis (AS), and it is well known that treatment compliance has a significant impact on patient outcomes.

Purpose: This study was carried out to investigate the effect of a nurse-led disease management education programme on outcomes of patients with AS. The study was conducted as a randomised controlled experimental study.

Methods: A total of 122 patients, 61 in the intervention group and 61 in the control group, participated in this study. All patients were using TNF-α inhibitors. Patients were assessed using Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Compliance Questionnaire on Rheumatology (CQR), Ankylosing Spondylitis Quality of Life Scale (ASQoL) and Tampa Scale for Kinesiophobia (TSK).

Results: Mean age of the intervention and the control group were 42.6 (±9.9) and 44.8 (±8.6) years, respectively. Although all scale scores were similar at baseline, by the end of the study, the mean scores for BASDAI (p < 0.001), BASFI (p = 0.026), ASQoL (p < 0.001), TSK (p = 0.001) and CQR (p < 0.001) in the intervention group showed significant improvement.

Conclusions: Nurse-led disease management education is effective in improving patient outcomes. Continuous education and counselling should be provided to patients, their families and caregivers.

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.