Journal of Research in Nursing最新文献

Background: Stroke remains a major global health issue, especially for younger women, who often face poorer rehabilitation outcomes. While current stroke rehabilitation programmes address general recovery needs, they may not fully meet the unique physical, psychological and long-term challenges encountered by younger women.

Aims: This study aimed to develop a stroke rehabilitation framework specifically for younger women, incorporating insights from both stroke survivors and healthcare professionals.

Methods: A qualitative, multi-phase study utilising Arksey and O'Malley's framework methodology gathered data from younger women stroke survivors (18-64 years old) through snowball sampling and healthcare professionals via purposive sampling. Focus groups and interviews were conducted, and thematic analysis synthesised the insights to inform a tailored stroke rehabilitation framework.

Results: Five younger women stroke survivors (mean age = 40) and five healthcare professionals participated in the study. The MENTOR HUB framework was developed, incorporating key components: Monitoring, Education, Navigation, Tools, Ongoing Support, Recovery, Holistic Care, User-centred Approach and Be-continuous.

Conclusions: The MENTOR HUB framework integrates the lived experiences of stroke survivors with professional healthcare insights, offering a holistic, user-centred approach to rehabilitation. It emphasises the importance of continuous support and personalised care. Further research is necessary to evaluate its effectiveness in clinical practice.

Background: Suboptimal adherence to guidelines is a common phenomenon in clinical settings. Studies regarding the complexity of tasks, cognitive load, and adherence to guidelines among clinical nurses are noteworthy, but limited.

Purpose: To investigate whether cognitive load mediates the association between task complexity and guideline adherence in clinical nurses.

Methods: In total, 580 clinical nurses from 8 tertiary hospitals were included in the cross-sectional survey. A self-reported survey included guideline adherence, task complexity, and cognitive load. We conducted correlation and multiple linear regression analysis and performed a mediation effect analysis using PROCESS with 5000 resamples.

Results: The linear regression showed that task complexity significantly predicted intrinsic cognitive load (a₁  = 0.322, p < 0.001), intrinsic cognitive load significantly predicted guideline adherence (b₁  = -0.113, p < 0.001), and task complexity had a direct impact on guideline adherence (c' = 0.126, p < 0.001). Both intrinsic cognitive load (effect size = -0.037, 95%CI: -0.061, -0.019) and germane cognitive load (effect size = 0.180, 95%CI: -0.269, -0.171) played a partial mediating effect between task complexity and guideline adherence among nurses, contributing to 53.16% of the overall effect.

Conclusions/implications for practice: Nursing administrators should prioritise the cognitive load for clinical nurses when allocating intricate assignments.

Background: Humanisation in health services, central to global healthcare systems, emphasises making care more person-centred and compassionate. Person-centred care is central to nursing practice. The transpersonal Caritas relationship exemplifies such person-centred care, and can be evaluated using the Watson Caritas Patient Score (WCPS), which captures patients' subjective perceptions of nursing behaviours.

Aims: To evaluate the validity and reliability of the WCPS instrument in a Spanish context, with hospitalised patients. An analysis was undertaken using the Rasch methodology to test the robustness of the tool in diverse conditions and populations.

Methods: A validation study was undertaken to assess the WCPS tool's cultural adaptation, reliability, and validity. Ethical approval was obtained, alongside authorisation to use the instrument. The Rasch methodology was chosen as it provides a robust and theoretically grounded approach to instrument validation.

Results: The global content validity index was 0.80. Cronbach's α was 0.84 in the first and 0.86 in the second. Factor analysis extracted a single factor with an explanatory power of 65%. The Rasch reliability was 0.88 for items with adequate fit.

Conclusions: The Spanish version of the WCPS has been validated and is a useful tool for measuring the Caritas transpersonal relationship in hospitals, promoting person-centred nursing care. However, the Rasch model validation highlighted the need for further refinement, including adding more questions to address measurement gaps and collapsing categories to reduce data variability under a unidimensional construct.

Background: The timing of cancer treatment initiation is a critical factor impacting cancer metastasis, recurrence, morbidity, mortality and overall survival rates. Based on the Health Belief Model, health beliefs and cues to action may influence treatment initiation in women with breast cancer.

Aim: This study aimed to explore health beliefs and cues to initiate treatment among breast cancer survivors.

Methods: Breast cancer survivors undergoing cancer treatment were recruited for a descriptive qualitative study. Semi-structured interviews were conducted. A content analysis was undertaken.

Results: Breast cancer survivors (N = 25) had a mean age of 51.6 years, were primarily Caucasian (n = 17; 68%), and on average 31 months post-diagnosis. Health belief subcategories emerged: (1) personal, social and cancer-related benefits; (2) personal, social, physical/health, financial/health insurance-related, treatment-related, facility-related and community-related barriers; (3) perceived threats involving death, cancer spreading, recurrence and more aggressive treatments and (4) self-efficacy influenced by a support system, trusted healthcare professionals, and life responsibilities. The cues to initiate treatment were social, mental, individual, and healthcare-related.

Conclusion: Women's health beliefs and cues to initiate treatment could be assessed by nurses and other disciplines working collaboratively to minimise the challenges that may cause delayed treatment initiation. Advocating for policies is recommended.

Background: Older people are often viewed as a vulnerable group, particularly during the COVID-19 pandemic, with associated images of passivity and lack of agency. In contrast, we know that older people are resilient and have ways of managing adversity. This study aimed to explore how older people managed their well-being during the COVID-19 pandemic in New Zealand.

Methods: This study applied a unique approach by following up a sample of older people from our previous research exploring their well-being and how they managed their well-being. Semi-structured interviews were conducted building on the participant's previous interviews and earlier responses.

Results: Fourteen participants participated in the follow-up study. Despite the challenges associated with lockdown, participants were creative in adapting to their situation, maintaining their positivity, connecting with others using social media, and continuing to engage in activities they valued.

Conclusions: Understanding the approaches and factors that influenced older people's well-being can be a guide for nurses working with older people, providing health communication and adapting approaches to meet their needs. The need for access to technology and being able to use the technology to enhance well-being practices are important factors. As disparities can arise, in for example access and ability to use technology, individualised assessments by nurses are required.