Nursing Open最新文献

Aim: The present study was carried out in order to determine the effects of earthquakes on the sleep quality of earthquake survivors.

Design: The study is a cross-sectional and descriptive design.

Methods: The research was conducted in the provinces affected by the earthquake, which occurred in Türkiye on 6 February 2023. The study was completed with 428 individuals affected by an earthquake, who voluntarily agreed to participate. Data were collected by using Google Forms and face-to-face data collection. The data collection instruments used here were the Descriptive Information Form, Emotion Assessment Scale for Traumatic Events (EASTE) and Pittsburgh Sleep Quality Index (PSQI).

Results: It was determined that the average scores obtained from the PSQI scale by an individual affected by an earthquake were 11.10 ± 3.44 and they had poor sleep quality. The total EASTE score was 57.93 ± 16.3 points; the mean score from the trauma exposure subscale was 27.44 ± 8.14 points and the mean score from the trauma coping subscale was 30.50 ± 8.91 points, indicating that an individual affected by an earthquake was significantly affected by the trauma.

Conclusion: It was also determined that providing physical and psychosocial support for individuals who experienced the earthquake in the short and long term is crucial for their sleep quality, quality of life and overall well-being.

Relevance to clinical practice: It is an important study in terms of raising awareness that traumatic situations such as earthquakes affect both the physical and mental health of the individual, and nurses plan the care process on this issue.

Patient or public contribution: The scales were filled in by individuals who experienced the earthquake.

Aim: The study aimed to investigate the factors that influence parental self-efficacy and to examine the roles of psychological flexibility, mindful awareness, and self-compassion in promoting parental mental health outcomes and self-efficacy in providing care for children with or without congenital hearing loss (HL).

Design: A descriptive, cross-sectional study.

Methods: Cross-sectional data from 540 parents of children with (Sample 1; n = 204) or without (Sample 2; n = 336) congenital HL were collected through online questionnaires. The researchers constructed a mediation model and conducted various statistical analyses, including stepwise regressions, t tests, correlations, and mediation analyses.

Results: The results indicated that for parents of children both with and without congenital HL, parental mental health symptoms (e.g., parental stress, depression, and anxiety) were negatively associated with parental self-efficacy, psychological flexibility, mindful awareness, and self-compassion (r values ranged from 0.68 to 0.27, all p values < 0.01). The results revealed that parental mental health symptoms had direct (β ranging from -0.29 to -0.18) and indirect effects (β ranging from -0.85 to -0.33) on parental self-efficacy in both groups. Psychological inflexibility (β ranging from -0.39 to -0.18), mindful awareness (β ranging from -0.22 to -0.07), and self-compassion (β ranging from -0.29 to -0.08) mediated the relationship between mental health symptoms and parental self-efficacy. Among these factors, psychological inflexibility emerged as the strongest mediator and predictor (with the proportion mediated ranging from 32.50% to 38.10%).

Patient or public contribution: The participation of parents in this study provided valuable insights into the factors that influence parental mental health outcomes and self-efficacy in providing care for children with or without congenital HL. Nurses could develop interventions such as workshops, support groups, and individualised care plans that target psychological flexibility, mindful awareness, self-compassion, and mental health support, which have the potential to increase parental well-being and improve confidence in caregiving.

Aim: This study investigated knowledge and attitude towards Alzheimer's disease among nurses in China.

Design: A cross-sectional design.

Methods: A total of 186 nurses were recruited in Wuxi, China from January to March 2024. The Alzheimer's Disease Knowledge Scale and Dementia Attitudes Scale were used to evaluate nurses' knowledge and attitudes towards Alzheimer's disease. Descriptive statistics, univariate analysis and multivariate linear regression analysis were utilised to evaluate the levels and influencing factors of their knowledge and attitudes towards Alzheimer's disease.

Results: The participants' average the Alzheimer's Disease Knowledge Scale and Dementia Attitudes Scale scores were 20.82 ± 2.31 (approximately 69.4% correctly) and 86.23 ± 14.14 (approximately 61.6%), respectively. Professional titles and whether or not they had received previous training about Alzheimer's Disease were among the factors affecting their dementia knowledge. Education background and workplace were the influencing factors of nurses' attitude towards dementia.

Conclusion: Nursing personnel in the Wuxi region demonstrate a limited understanding of Alzheimer's disease, coupled with positive attitudes towards its care. It is imperative to implement effective strategies to enhance in-service training for nurses regarding dementia. This initiative aims to elevate their level of knowledge, improve their attitudes towards dementia care, and ultimately enhance the quality of nursing provided to individuals with dementia.

Aim: Family resilience plays a crucial role in cancer recurrence patients and their caregivers. However, there are few studies that have studied the family resilience of patients with recurrent cancer and their caregivers at the same time. Guided by the framework of family resilience, this study explored the status, influencing factors and interactions of family resilience between patients with recurrent cancer and their caregivers.

Design: Observational cross-sectional study.

Method: Selecting 204 patients with recurrent tumors and their caregivers from October to November 2023 as the study subjects, and the actor-partner interdependence model of the family resilience of patients with recurrent tumors and their caregivers was established to analyze the current status, influencing factors and interactions of the family resilience of patients and caregivers.

Result: There was a significant correlation between the level of family resilience with the level of perceived social support, the level of Herth's hope, the level of patients' self-perceived burden and the level of burden on the caregiver. The actor-partner interdependence model revealed the direct impact of the patients' and caregivers' social support and hope level on their own family resilience. The indirect effect of the caregivers' social support on the patients' family resilience, in which the caregivers' hope level plays a significant mediating role.

Conclusion: The family resilience of patients with recurrent cancer and their caregivers is affected by the level of social support and hope. In order to help patients and caregivers better cope with the disease, it is recommended that clinical medical staff pay attention to improving the social support and hope level of disease treatment of patients and caregivers, and regard the two as a community, and explore intervention programs focusing on improving family resilience.

Aim: The aim of the study was to explore how students conceptualise and operationalise dignity with confidence in practice through a human rights lens.

Design: A quantitative study using an online survey questionnaire.

Methods: Data were collected using an online survey with 33 questions in three parts: students' conceptualisation of dignity, understanding of human rights and human rights law; students' operationalisation of dignity using a case study designed for this purpose [a fictional character named John]; lastly, students' preferred approaches to dignity education.

Results: Survey findings revealed students' ambiguity or lack of agreement around dignity being associated with human rights and person-centred care. There was a sense of students feeling disempowered or lacking confidence in responding to dignity breaches in care, whilst some participants felt equipped to challenge this by most usually referring to clinical staff such as mentors and charge nurses due to the hierarchy in nursing systems within clinical contexts.

Conclusion: Informed by the findings from this survey, the research team has developed DigniSpace (2024), the first online interactive space for Dignity Education co-produced with students focusing on the concept of dignity (through a consideration of human rights) that has been designed to help students learn more about the concept and to confidently promote and advocate dignity in practice. This is the first such resource to empower students to interrogate the concept of Dignity using the human rights lens and become change agents to promote and advocate dignity in care as a fundamental human right in any practice context.

Implications for nursing: Findings and outputs from this research have used the context of nursing education as a critical opportunity by placing students at the heart of developing DigniSpace (2024) to support the sustainable development of a culture of confidence to provide person-centred care embedded with dignity.

Patient or public contributions: Findings from this first phase of the study were presented to our project advisory group that included experts with lived experience and their family care partners, who then participated in the co-design workshops in the second phase of the study to develop DigniSpace-a key output from this project.

Objective: To determine the level of nurses' competency in providing spiritual care and factors influencing the same.

Design: A systematic review and meta-analysis of cross-sectional studies.

Data sources: The electronic databases PubMed, Embase, Cochrane Library, Web of Science, China Biomedical Literature service systems, China National Knowledge Infrastructure, Chinese Scientific Journal Database and WanFang Data were systematically searched from the inception of the respective databases to 13 April 2024.

Review methods: Two reviewers were independently involved in the selection of the included studies, quality evaluation, and data extraction. Meta-analysis of the study outcomes was performed using RevMan 5.2 and STATA 15 software.

Results: Sixteen cross-sectional studies conducted across three countries met the inclusion criteria, with 1111 participants. The meta-analysis revealed that the pooled scores for spiritual care competencies were 70.51 (95% CI: 70.23-70.79). The following were identified as factors influencing competency in providing spiritual care: educational background, spiritual education courses, religious belief, working hours, working environment, hospital grade, marital status, emotional intelligence, nursing age, income, position and empathy level (p < 0.01).

Conclusion: Nurses are the primary providers of spiritual care and should focus on the relevant factors affecting their ability to provide such care. Recognition of the factors influencing the provision of spiritual care can aid managers in taking appropriate corrective measures as well as help nurses avoid adverse situations and provide better care for patients. No Patient or Public Contribution.

Objective: In recent years, the incidence of oesophageal squamous cell carcinoma has been increasing, becoming a major focus of public attention. Despite surgery being the primary treatment method, the long-term prognosis after surgery is also of significant importance. Therefore, this study aims to investigate the impact of dietary behaviour changes on the long-term prognosis of patients with oesophageal squamous cell carcinoma after surgery.

Methods: A retrospective cohort study was adopted, involving patients with oesophageal squamous cell carcinoma who underwent surgery at the Department of Thoracic Surgery, Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University from January 1, 2018, to December 31, 2019. Data collected included characteristics of dietary behaviour, complications, postoperative quality of life scores and survival periods. Data were gathered through review of clinical pathological characteristics and patient survey questionnaires.

Results: Patients with oesophageal squamous cell carcinoma who changed their dietary behaviours had a significant reduction in the risk of postoperative complications, higher quality of life scores (mean QoL score NDC: 9.8 vs. DC: 21.1; p < 0.001) and a slightly prolonged overall survival period (univariate hazard ratio: 0.58, 95% CI: 0.40-0.83, p = 0.003). Study findings also indicated age as a significant independent risk factor influencing patient prognosis.

Conclusion: To improve postoperative prognosis in patients with oesophageal squamous cell carcinoma, guidance and management of dietary behaviour should be emphasised. Appropriate changes in dietary behaviour are expected to reduce the risk of postoperative complications, improve the quality of life and extend the survival period of patients.

Patient or public contribution: The findings of this study have important implications for both patients and the public. By investigating the impact of dietary behaviour changes on the long-term prognosis of patients with oesophageal squamous cell carcinoma after surgery, this study provides valuable insights into potential strategies to improve patient outcomes. For patients, the study emphasises the importance of adopting healthy dietary behaviours after surgery. The results demonstrate that dietary behaviour changes can have a significant impact on the long-term prognosis of postoperative oesophageal squamous cell carcinoma patients. By following a healthy diet, patients may improve their overall quality of life, decrease complications and potentially increase their survival period.

Aim: To describe the experience and understanding of paediatric acute pain management practices by parents/guardians' of hospitalised children in Botswana.

Design: Descriptive qualitative study.

Methods: Face-to-face semistructured interviews were conducted in two public hospitals. Data were transcribed verbatim and analysed using thematic analysis.

Results: A convenience sample of 19 parents/guardians, two fathers, one grandmother and 16 mothers who were recruited in 2019. Six major themes were identified with several subthemes. The themes were as follows: 'soldiering on with hope'-representing the parents/guardians overall general positive outlook; 'facing adversity'-highlighting parents/guardians responses to acute pain management; 'acceptance to nonacceptance of the reality of care'-parents/guardians view on the quality of pain care they received measured against their expectations; 'smiles to unending nightmares'-parents/guardians visualisation of the pain treatment outcomes; 'perceptions of child pain'-parents/guardians' knowledge of pain assessment and treatment strategies that they used or were being used by healthcare providers to their children and 'guarded empathy'-highlighting the intricacies of each child's response to pain. Parents/guardians in Botswana have both positive and negative experiences regarding child pain management in referral hospitals and recognise the need to adequately manage paediatric pain.

Patient or public contribution: The results show that parents/guardians in LMIC equally understand the children's pain management and should be involved in decision-making regarding pain management as equal partners. It further highlights the challenges faced by parents due to poorly and inadequately treated acute paediatric pain in hospital units and pushes for hospital policies that ensure that pain is adequately managed for all children.

Aim: This study aims to ascertain whether social support exerts an indirect influence on physical activity through the mediation of fear of falling in pregnant women with gestational diabetes mellitus (GDM).

Design: A questionnaire-based, descriptive cross-sectional study was conducted.

Methods: A total of 385 participants were collected from May to August 2023 from a tertiary maternity hospital in China using a convenience sampling method. Measures included the Social Resource Support Scale for Pregnant Women with Gestational Diabetes, Chinese translations of the Falls Efficacy Scale International, and the Pregnancy Physical Activity Questionnaire.

Results: Both social support and fear of falling were significantly correlated with physical activity. The indirect effect of social support on physical activity through the fear of falling was positive, accounting for 62.40% of the total effect.

Patient or public contribution: A total of 385 pregnant women with gestational diabetes mellitus were invited to complete the questionnaire.