Nursing Open最新文献

Aim: This study aimed to explore the level of nursing professional commitment and its influencing factors among graduating nursing students in Taiwan.

Design: This was a cross-sectional study.

Methods: This study was conducted with 359 graduating nursing students at a technological university in northern Taiwan. The data were collected using paper-and-pencil questionnaires. The Nursing Professional Commitment Scale (NPCS), Perceived Stress Scale (PSS), Coping Behaviour Inventory (CBI), and Clinical Competence Scale (CCS) were used. Multiple linear regression analysis was performed on the data. A p < 0.05 was considered statistically significant.

Results: The professional commitment of graduating nursing students was at a moderate level. The results of the regression analysis showed that the most significant factor associated with nursing professional commitment was engaging in nursing in the future, followed by clinical competence, interest in nursing, and avoidance behaviour.

Conclusions: Graduating nursing students demonstrate a moderate level of professional commitment that requires improvement. Therefore, it is imperative for nursing educators to comprehensively consider and understand the various factors influencing nursing students' professional commitment and implement targeted interventions. Recommended interventions include competency-based instructional designs and the integration of professional values and emotional intelligence into the curriculum to strengthen students' core competencies, enhance adaptive coping skills, and reinforce beliefs in the professional roles.

Patient or public contribution: No patient or public contribution.

Introduction: Around 1.3 million US women enter menopause annually, with 75%-80% experiencing vasomotor symptoms (VMS) impacting mood, sleep, and cognition. VMS may contribute to chronic diseases like cardiovascular disease, a leading cause of female mortality. Limited research suggests behavioural interventions, especially Asian mind-body exercises, may alleviate VMS and other menopausal symptoms. This scoping review explores the literature on the effects of Asian mind-body exercises on VMS and related symptoms in this population.

Objective: This scoping review aims to map the current literature on the effects of Asian mind-body exercises on VMS and other menopausal symptoms in peri- and post-menopausal women, addressing the existing knowledge gap and providing recommendations for healthcare interventions and future research.

Methods: Guided by the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis, we will utilise the framework by Arksey and O'Malley, adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) reporting guidelines for transparency and reproducibility for scoping reviews and searches. We will use Covidence (Veritas Health Innovation) to screen and extract studies. Citation management and duplicate detection and removal will be accomplished with EndNote (Clarivate Analytics).

Discussion and research spin-offs: This research will identify gaps, clarify definitions, and inform future research directions, providing healthcare professionals with evidence-based insights to support the implementation of Asian mind-body exercises for women in peri- and post-menopause. By doing so, it aims to advance culturally responsive and effective strategies that address the specific health needs of women during this life stage.

Relevance to clinical practice: The findings from this scoping review may be used in clinical healthcare recommendations integrating traditional Asian mind-body exercise for vasomotor symptoms and other menopausal symptoms.

No patient or public contribution: This will be a scoping review study.

Aim: The Registered Undergraduate Students of Nursing (RUSON) employment model was implemented to recruit nursing students for the purpose of assisting with care and increasing clinical exposure. This study explored experiences of RUSONS working in this capacity.

Design: An exploratory descriptive qualitative design was employed using semi-structured focus group interviews.

Methods: Nine students working as RUSONs were interviewed. Thematic analysis was employed to uncover overarching themes. The consolidated criteria for reporting qualitative research (COREQ) were utilised to inform the study.

Results: Qualitative thematic analysis identified three themes: (i) A mutually beneficial relationship, (ii) Understanding a RUSON and (iii) The difference of a RUSON. Participants believed their role optimised time with patients, cemented their value as active agents in care delivery, and triggered a sense of gratefulness. The role contributed to learning, exposed students to nursing culture and enriched sense of belonging. The positive impact of being a RUSON on students' experience of increased clinical exposure was highlighted. Students' confidence in skills improved and opportunities to put theory into practise and develop their professional identity in readiness to transition to the workforce. Challenges were attributed to a lack of understanding of the role intricacies by nurses or patients. This study has implications for the promotion of future employment models similar to the RUSON model, which has the potential to enhance nursing students' learning experience, and subsequently patients and reduce the workload of registered nurses. A RUSON work model can foster a context where students can effectively transition to practise.

Patient and public contribution: Student nurses working as RUSONs contributed to this study.

Purpose: Development of a measurement scale to assess the safe disposal of insulin pen needles in patients with diabetes.

Methods: In the preliminary stage, a pool of 35 items in four areas was generated through literature analysis, research group discussions and preliminary qualitative research. A Delphi study was then used. Experts in the relevant fields were invited to participate in a consultation, assessing each item's representativeness and clarity, after which the expert opinions were synthesised. The content of the items analysed was modified in order to finalise the prediction scale.

Results: 18 experts participated in the first round and 17 in the second round. Items of the scale were added, deleted, and amended based on experts' recommendations, statistical analysis, and study group discussions. After the second Delphi round, the experts reached a consensus on 26 items within four dimensions. In the two rounds of expert correspondence, the return rate of the questionnaire was 81.80% and 94.44%, respectively; the authority coefficients of the experts were 0.922 and 0.947, respectively; the Kendall coordination coefficients of the two rounds of the scale were 0.147 and 0.200, respectively (p < 0.05).

Conclusion: The Safe Disposal of Insulin Pen Needles Scale for Patients with Diabetes has been shown to have adequate content validity. In the future, further analysis of the scale's validity and reliability is necessary to prove its value in managing insulin pen needles.

Relevance to clinical practice: Using assessment tools for safely disposing of insulin pen needles has practical implications. The development of this scale can be used to assess the disposal behaviour of patients with diabetes towards discarded needles and provide a basis for intervention by health care professionals.

Aim: This study aimed to investigate associations between the nurse practice environment and nurse-sensitive patient outcomes in Hong Kong.

Design: This was a 4-wave repeated cross-sectional study.

Methods: The sample comprised 71 adult general medical, surgical and orthopaedic wards recruited from four public hospitals. Data on nurses' practice environment and nurse-sensitive patient outcomes were collected quarterly from each hospital over a one-year period from January 2016 to December 2018. The number of participating nurses per survey wave ranged from 604 to 865. Measures comprised the Practice Environment Scale of the Nursing Work Index and four nurse-sensitive patient outcomes identified from the National Quality Forum-endorsed nursing-sensitive care measure set. The associations between each outcome and the practice environment were examined using multiple regression analysis.

Results: Nurse practice environments were rated favourably. The 'Nursing foundations for quality of care' subscale received the highest score (59.6) while the 'Staffing and resource adequacy' subscale received the lowest score (36.7). Though no significant associations were found between the overall practice environment and nurse-sensitive patient outcomes, the subscale of 'Staffing and resource adequacy' was significantly associated with the incidence of inpatient falls and catheter-associated urinary tract infections.

Conclusions: Our findings suggest that staffing is a core nurse workplace concern which impacts the outcomes of inpatient falls and catheter-associated urinary tract infections. However, the overall nurse practice environment was not significantly associated with any patient outcomes, and further studies are needed to corroborate these results. Additional mediating factors such as nurse resilience, which may potentially affect patient outcomes, should also be explored.

No patient or public contribution: Patients or the general public were not involved in the design, analysis, or interpretation of the data in this study.

Aim: The existing literature typically reports an association between Gaming Disorder (GD) and psychopathological outcomes. However, evidence linking positive psychological attributes with the risk of GD is rarely explored. The present study aimed to investigate the associations between resilience, positive mental health and self-compassion and the risk of GD in young adults.

Design: The study was cross-sectional, collecting data online in four cities across China and one city in Thailand.

Methods: Potential participants were recruited through social media, gaming platforms and tertiary institutions or universities. The online survey sought information on demography, gaming behaviours, risk of GD, level of self-compassion, resilience and positive mental health. A General Linear Model was used to compute the associations between the study variables. A p value less than 0.05 is regarded as statistically significant.

Results: A total of 1750 young adults were recruited. The results showed that self-compassion and positive mental health were negatively associated with GD but that was not the case for resilience. Young adult gamers with lower levels of self-compassion and moderate mental health had a greater risk of gaming addiction as compared to those with a higher level of self-compassion and flourishing mental health. This is the first study to report the association between GD and three positive psychological factors. The preliminary findings suggest that self-compassion and positive mental health could be protective mechanisms against GD. Primary healthcare professionals could include self-compassion and positive mental health in health screening for the early identification of gamers at risk of GD before they manifest psychopathological symptoms. Future studies of GD should explore the effect of positive psychological factors in managing GD in addition to the psychopathological approach.

Patient or public contribution: No patient or public contribution.

Aims: To explore the perceptions and experiences of parents raising children with special educational needs, focusing on the impact of the COVID-19 pandemic and its aftermath.

Design: A descriptive qualitative approach was conducted using a photovoice design.

Methods: Individual interviews were conducted with 17 parents of children with special educational needs. These parents were asked to take photos that reflected their caring experiences of their children, especially during the COVID-19 pandemic, and to add captions to each photo. Data were analysed using an inductive thematic analysis.

Results: The analysis revealed four themes: flashbacks of COVID-19 memories, impacts that last beyond the pandemic, lessons learnt, and services needed. Our findings suggested that the experience of life under lockdown during the pandemic has created lasting memories for parents. It has had positive and negative impacts on family relationships and children's learning, extending beyond the pandemic's immediate effects. Despite their numerous challenges, parents expressed gratitude for discovering their own solutions, recognising the importance of quality time spent with their children, and acknowledging the growth experienced by both their children and themselves. However, they also emphasised the crucial need for comprehensive and continuous psychological support and services to be provided to them.

Conclusions: This study sheds light on the unique caregiving experiences of parents raising children with special educational needs, particularly during the challenging times of the COVID-19 pandemic and its aftermath. It revealed both positive and negative aspects of their experiences, offering a new perspective on their caregiving journeys and highlighting their ongoing needs.

Implications for the profession and/or patient care: It suggests the need to consider the well-being and needs of parents who engage in complex caregiving-children interactions at home.

Impacts: Insights gained from this study serve as a foundation for community service planning and developing supportive interventions that recognise the unique needs of parents of children with special care needs, ultimately improving the overall quality of life for parents and their children.

Reporting method: The study followed the Consolidated Criteria for Reporting Qualitative Research guideline.

Patient or public contribution: No patient or public contribution.

Aims: This study aims to investigate the barriers encountered by specialised nurses working in nurse-led clinics at a tertiary hospital and to identify strategies for enhancing service delivery and operational management.

Design: A descriptive qualitative study, conducted in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ).

Methods: Purposeful sampling was employed to select 20 specialty nurses providing outpatient care at nurse-led clinics in a tertiary hospital in Fujian Province, China. Semistructured in-depth interviews were conducted, and data were analysed using conventional content analysis.

Results: The strategies and barriers identified in nurse-led clinics can be categorised into four main themes: (1) Challenges and Difficulties in Work, (2) Resource Support and Optimisation, (3) Advantages of Specialty Integration, and (4) Innovations and Development.

Conclusions: The development of nurse-led clinics requires risk protection and robust support, underscoring the importance of managerial attention and collaboration among healthcare professionals. Additionally, enriching professional content and implementing innovative service models are essential for the long-term advancement of specialty nursing outpatient practice.