Journal of Research in Nursing最新文献

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.

Background: Environmental changes are drastically influencing way of life and healthcare, and are considered a global health emergency. Nursing professionals stand as a great opportunity to positively influence this situation.

Aims: To understand the role of nursing and its importance within the health field for sustainability in global healthcare.

Methods: An integrative review was carried out searching for the PubMed, Web of Science, CINAHL and SCOPUS databases in the last 5 years of research. Keywords and synonyms relating to sustainable development and nursing were used. Papers published in the last 5 years in English and Spanish were included. Exclusion criteria were studies showing data before 2019 and, studies on non-health-related sustainability. The Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) was followed.

Results: From a total of 2909 references, 17 were included. Our findings revealed that nursing can be considered a key agent for the incorporation of sustainability into the health system. The role of nurses is highly influenced by the context, political decisions and research. The current nursing education system was analysed together with the new visions that are emerging and provide a conception of nursing that is more resilient with the world.

Conclusions: The incorporation of sustainability into the health system is taking time, despite nurses being positioned as a key factor in this change. There is need for changes in politics, education and research to facilitates nurses' agency in this domain.

Background: Health education materials are vital resource for health improvement for those with cardiometabolic diseases (CMD). Health education resources can be a valuable aid in nursing practice, reinforcing health education messages and as a structured approach to health education with the patient; and a resource for patients as they self-manage in the community.

Aims: To develop and validate a nurse-led health education resource for those with CMD.

Methods: The study, carried out from March to September 2022, included four stages: a systematic literature review, a qualitative exploratory study, construction of the health education resource, and validation of content and appearance by experts and the target audience. Content validity index (CVI) and Binomial tests were used to analyse each validation stage. Values of CVI equal to or greater than 0.80 were considered as valid.

Results: The health education booklet consists of 26 pages, and it approaches educational content including understanding CMD, healthy eating, physical activities, weight management, stopping smoking and alcohol use, medication use, sleep importance, stress management, and multidisciplinary healthcare team follow-up. In the content validation, experts and target audience assigned a global CVI of 0.92 and 0.99, respectively, which was considered adequate.

Conclusion: The health education booklet proved to be a valid educational tool in content and appearance. It was considered understandable by patients and experts, having feasible use in health education on lifestyle.

[This corrects the article DOI: 10.1177/17449871251357097.].