Nursing Open最新文献

Aim: To examine the relationships among spirituality, happiness, life attitude and posttraumatic growth in haemodialysis patients, and to test whether life attitude and posttraumatic growth acted as potential mediators in the association between spirituality and happiness.

Design: A cross-sectional correlational study.

Methods: We recruited 299 maintenance haemodialysis patients from nine dialysis clinics in Taiwan using convenience sampling. Participants completed validated self-report questionnaires measuring spirituality, happiness, life attitude and posttraumatic growth. Pearson's correlation coefficients and mediation analyses using the PROCESS 4.2 macro for SPSS were conducted to test associations and mediating effects.

Results: The mean age of participants was 60.90 years (SD = 12.39), and the average duration of haemodialysis was 5.32 years (SD = 5.30). Spirituality was significantly positively correlated with happiness, life attitude, and posttraumatic growth (r = 0.571, 0.643 and 0.473; all p < 0.001). Mediation analysis revealed a significant total effect of spirituality on happiness (B = 0.196, 95% CI [0.164, 0.228]) and a direct effect (B = 0.060, 95% CI [0.024, 0.096]). Life attitude and posttraumatic growth significantly mediated this relationship (B = 0.082, 95% CI [0.055, 0.110]) and (B = 0.054, 95% CI [0.035, 0.075]), respectively.

Conclusions: Spirituality is associated with higher happiness in haemodialysis patients, and this pattern was consistent with potential indirect pathways via positive life attitudes and promoting posttraumatic growth. These findings offer insight into the psychological mechanisms linking spirituality and well-being in chronically ill patients.

Impact: Integrating spiritual assessment and tailored interventions into clinical care may be relevant for psychological well-being and overall quality of life in this population. This highlights the importance of addressing spiritual dimensions in chronic care settings.

Reporting method: Study methods and results were reported in accordance with the STROBE checklist.

Patient or public contribution: No patient or public contribution.

Trial registration: ClinicalTrials.gov: NCT06098924.

Aim: To explore the prerequisites for operating room nurses to carry out infection prevention interventions during the intraoperative phase.

Design: Integrative review.

Review method: Whittemore and Knafl's method guided this integrative review. Database searches were conducted in PubMed, CINAHL, EBSCO, Embase and Web of Science's Core Collection. The initial search took place on April 12, 2022, with complementary searches on November 11, 2024.

Results: Four categories emerged from the analysis of the 18 included studies. These categories encompassed the intrapersonal prerequisites of the operating room nurses, interpersonal prerequisites within the operating room team, adherence to guidelines and supportive conditions.

Conclusions: Prerequisites for infection prevention interventions during the intraoperative phase included the professional competence of operating room nurses, a supportive team and sufficient resources provided by management, such as adequate equipment and time for planning and implementation. Ensuring patient safety requires operating room nurses to embrace their leadership roles and adhere to evidence-based recommendations.

Reporting method: The PRISMA 2020 statement.

Implications for the profession and patient care: For patient safety, management should strive to ensure that the necessary prerequisites are in place to provide safe intraoperative infection prevention.

Impact: This study offers valuable insights for the global community of operating room nurses, operating room team members and managers regarding the essential prerequisites for safe infection prevention for vulnerable patients during the intraoperative phase. No patient or public contribution was included in this study.

Patient or public contribution: No patient or public contribution was included in this study.

Introduction: Vaccine hesitancy is relevant among nursing students, as they move across healthcare and university settings. Given the opportunity of social media to disseminate misleading information to users and the exposure of the digital natives, social media addiction (SMA) is considered a predictor of vaccine hesitancy, although to date no research within this specific population exists.

Purpose: To investigate the role of SMA on vaccine hesitancy in nursing students.

Design: Cross-sectional.

Method: Structural Equation Modelling was adopted to test the study's aim. The VAX scale was used among 227 nursing students in the UK regarding COVID-19 and Influenza vaccines during the period from March to July 2023. The Bergen Social Media Addiction scale was adopted to measure SMA.

Results: Statistically significant results were found between SMA and mistrust of vaccine benefits. No significant correlations were found between SMA and concerns about unforeseen future effects or a preference for natural immunity. Regarding concerns about commercial profiteering, there was a significant negative correlation for the COVID-19 vaccine.

Conclusion: Mistrust in institutions and scepticism towards vaccine benefits and commercial interests are recurring issues tied to social media. Targeting popular social media platforms for tailored vaccination campaigns is recommended to promote vaccine acceptance among nursing students.

Implications for the profession and/or patient care: Providing accurate and accessible vaccine information on social media platforms, promoting media literacy and engaging with individuals to address their concerns are key to promoting vaccination among nursing students.

Impact: This study provides new strategies for tailoring vaccination campaigns and policies. Public health efforts to combat vaccine hesitancy should consider the role of social media and work to provide accurate and balanced information to the public.

Reporting method: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines were adopted.

Patient or public contribution: No patient or public contribution.

Aim: The aim of this study was to determine the problems experienced by nurses during intravenous intervention in children.

Design: A descriptive, cross-sectional study.

Methods: This study was conducted with nurses employed in primary and secondary healthcare institutions in a provincial centre situated in eastern Turkey. Data were gathered between March 2024 and April 2024, utilising socio-demographic characteristic forms and intravenous intervention application forms developed by the researchers.

Results: The study comprised 402 nurses. The predominant challenge noted during intravenous interventions was children exhibiting distress, manifesting as yelling or crying before/during the procedure. Furthermore, 74.3% of the nurses reported encountering family reactions when facing intravenous access challenges, 71.4% attributed intravenous access problems to professional experience, 58.4% associated these issues with the clinic/unit of employment and 52.3% linked them to educational factors.

Patient or public contribution: The high rate of unsuccessful interventions, within the initial hours of a shift, suggests a need for attention to this issue. Factors such as the child's restlessness before or during the procedure, as well as lack of cooperation, were found to negatively impact the success of intravenous interventions. It is suggested that providing support and fostering cooperation from both the child and parents may enhance the success of such interventions.

Aim: To investigate the prevalence of patient-led covert recording in Western China, nurses' attitudes towards covert recording and explore the factors.

Design: A descriptive cross-sectional study.

Methods: This study was conducted in 33 cities in 6 provinces of China from November to December 2021. A convenience sampling strategy was used to get access to 2323 participants, and a self-designed questionnaire was used for evaluation.

Results: This study included 2124 nurses; of this, 442 (20.8%) had the experience of patient-led covert recording. After being covertly recorded, they felt stressful (76.9%), nervous (61.3%) and angry (58.6%). A total of 1287 (60.6%) nurses didn't accept covert recording under any condition. There were differences in age, education, professional titles, years of working, departments, and management measures launched by hospitals between the groups with or without the experience of being covertly recorded. Furthermore, the binary logistic regression analysis showed that nurses running outpatient clinics (OR = 0.635, 95% CI: 0.425-0.950, p < 0.05) were accompanied by higher prevalence of patient-led covert recording while the opposite was true when hospitals launched related management measures (OR = 1.632, 95% CI: 1.126-2.366, p < 0.05).

Conclusions: Patient-led covert recording might be a form of workplace violence which could be stressful. Thus, it deserves attention and consideration. Management measures and training on patient-led covert recording are urgently required to meet the needs of nurses.

Patient or public contribution: The findings of this study emphasise the significant role of patient and public contributions in healthcare dynamics. By revealing nurses' stress and anxiety associated with covert recordings, it highlights the need for open dialogue about privacy and consent. Engaging patients in discussions about the ethical implications of such recordings can foster collaboration and trust in clinical settings. The findings suggest that implementing better management measures in hospitals could alleviate negative impacts and enhance communication between patients and healthcare providers.

Trial registration: Chinese Clinical Trial Registry: ChiCTR2100048557.

Aims: To explore the latent classification of symptom distress and functional impairments in Chinese patients with chronic kidney disease (CKD) and analyse the influencing factors of different latent classes.

Design: A cross-sectional survey study.

Methods: Data were collected from a public tertiary hospital in Shanghai, China, between December 2023 and January 2024. Data collection was performed with the use of the Patient-Reported Outcomes Measurement Information System -29 Profile V2.1. Latent Profile Analysis and a multinomial logistic regression model were employed to identify subgroups among patients.

Results: The results indicated three distinct subgroups of symptom distress and functional impairments among patients: Profile 1-'moderate to severe symptom distress and moderate to severe functional impairments' (29, 13.9%), Profile 2-'low symptom distress and no functional impairments' (134, 64.1%) and Profile 3-'no symptom distress and no functional impairments' (46, 22.0%). Various socio-demographic factors, such as age, payment methods, daily care by myself, anaemia, diabetes and disturbance of phosphorus metabolism, demonstrated significant associations of these factors with membership in the latent profiles (p < 0.05).

Conclusion: This study identified three symptoms and functional impairment profiles in patients with CKD and the predictors of the profile membership. These findings highlight the need for personalised interventions for patients with CKD.

Implications for the profession and/or patient care: Early identification of high-risk patients with CKD who experience moderate to severe symptom distress and functional impairments is crucial. Providing targeted interventions, including financial and daily care support, as well as managing comorbidities such as diabetes, anaemia and disturbances in phosphorus metabolism, is essential for achieving effective outcomes.

Reporting method: This study followed the STROBE statement of cross-sectional studies.

Patient or public contribution: The study was conducted by patients, healthcare professionals, and the research team.

Aim: This study aimed to develop the children with cerebral palsy (7-18 years old) self-care skills scale-parent form and assess its validity and reliability.

Design: The sample of this methodological study consisted of 317 parents of children with cerebral palsy (CP) aged 7-18 years who were trained in special education and rehabilitation centres.

Methods: The data were collected using the Child-Parent Information Form and the Children with Cerebral Palsy (7-18 Years Old) Self-Care Skills Scale-Parent Form (CCPSCSS-PF). The data were analysed using descriptive statistics, Kruskal-Wallis, Cronbach's alpha, test-retest, the Kaiser-Meyer-Olkin (KMO) test, Bartlett's test, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).

Results: The Cronbach's alpha coefficients for the overall scale and its two subscales were 0.971, 0.984, and 0.913 and the test-retest reliability coefficient of the overall scale was 0.976. The KMO sample fit coefficient of the scale was 0.948, and Bartlett's test of sphericity χ² value was 8472.344 (p < 0.001). According to the EFA results, the scale items were grouped under two factors. The factor loadings of the CCPSCSS-PF ranged from 0.767 to 0.951 for Factor 1 (self-care) and 0.811 to 0.950 for Factor 2 (ability to express self-care). The scale accounted for 83.4% of the total variance. The fit indices calculated in CFA were 1.000 for GFI, AGFI, CFI, TLI, and IFI; 0.097 for RMSEA; and 2.489 for CHISQ/Df.

Conclusion: The CCPSCSS-PF is a valid and reliable assessment tool that can be used to evaluate the self-care skills of children with CP aged 7-18 years.

Implications for practice: The CCPSCSS-PF can be used in preventive and rehabilitative studies by professionals caring for children with CP.

Aim: To understand the impact, role and experience of nurses working in medical hotel quarantine during the COVID-19 pandemic.

Background: Medical Hotel Quarantine was staffed predominantly by nurses to prevent the spread of COVID-19 when people who were COVID-19 positive were unable to isolate safely in their communities.

Review methods: A narrative review was conducted to understand how nurses made meaning of their experience. Seven databases were searched (Google Scholar, CINAHL, COCHRANE, MEDLINE, Joanna Briggs Institute, PsychInfo and Scopus) following the PRISMA Methodological Guideline (between August 2021 and January 2022). A summary table was developed with the headings: author and year, country, study design and data collection, participants, critical appraisal rating and results. Using a Critical Realist lens, the data were analysed using thematic analysis and a stratified ontology of the Real, the Actual and the Empirical domains in medical hotel quarantine to understand how the complex nature of nursing care worked within this unique environment.

Results: Nurses were pivotal to the success of medical hotel quarantine. The Critical realist lens demonstrated how this was a stressful environment as health information was updated and policies and requirements changed. Although there were reports of stigma outside work, many nurses reported that they felt a sense of duty caring for patients experiencing isolation.

Discussion: There is little research about nurses working in medical hotel quarantine during COVID-19.

Conclusion: Further research is required to understand how nurses managed these facilities to protect the community when future pandemics occur.

Implication for the profession: It is important that the lessons from medical hotel quarantine are recorded so that future nurses can be guided by the experience of nurses who worked in hotel quarantine if they are required to work in this unique area of practice.

Aim: This study aimed to examine the stress and burden experienced by parents of children with type 1 diabetes (T1D).

Design: A quantitative cross-sectional approach was used, including the results from an online questionnaire about stress and burden in parents of children (10-17 years) with T1D.

Methods: The data were collected using the Swedish-translated version of the Parental Stress Scale and the Zarit Scale of Caregiver Burden, analysed and presented through descriptive and inferential statistics.

Results: Parents with a university education reported lower stress, burden, role strain, and personal strain but higher satisfaction compared to those with a high school education. Cohabiting participants reported lower stress than singles (d = 0.301), though these differences were not statistically significant. No significant differences were found regarding age, number of children, or place of living. Satisfaction was negatively correlated with stress, personal strain, and role strain, while stress was positively correlated with personal and role strain.

Conclusion: Parents with higher education and greater caregiving satisfaction reported lower stress, while single parents and those experiencing high role strain were most vulnerable. These findings highlight the importance of family-centered interventions and accessible psychosocial support to reduce stress and enhance outcomes for children with T1D.

Patient or public contribution: The findings highlight the importance of identifying parents who need support in medical, educational, emotional, and psychological areas. Healthcare professionals must implement family-centered interventions to create a supportive environment and enhance health outcomes for the entire family.

Aim: In this study, we aimed to describe the cultural care given to immigrant women based on Leininger's Sunrise Model.

Design: A qualitative descriptive study.

Methods: In this study, the ethno-nursing research method, a distinctive approach within the nursing discipline introduced by Leininger through the Sunrise Model, was employed. The study was conducted between June and October 2023. 28 participants were included in the study and coded as P1-P28.

Results: As a result of the analysis, the data were collected under 12 themes. These themes are ethnicity, worldview, kinship and social factors, cultural values/beliefs and lifestyle, religious/spiritual/philosophical factors, technological factors, economic factors, political and legal factors, educational factors, language and communication factors, emic and ethical care beliefs and practices, general and special nursing/midwifery care factors. In addition, each theme was further subdivided into subcodes. In addition, each theme was divided into subcodes.

Conclusion: According to the study findings, immigrant women prioritise values such as privacy, respect and sincerity; they need family and social support; religious beliefs and spiritual practices positively affect their psychological well-being. In this context, it is recommended that transcultural training programs specific to immigrant health be disseminated to healthcare professionals, especially nurses and primary care workers, in order to increase cultural adaptation, reduce language barriers and integrate spiritual care. These trainings should include topics such as cultural sensitivity, effective communication, recognition of spiritual needs, confidentiality and respectful care.

Implications for the profession and/or patient care: It is thought that the results of this study will be an important guide for our nurse and midwife colleagues and other health professionals, especially in understanding the cultural care needs of immigrant women in health services and developing solutions for these needs.

Patient or public contribution: No patient or public contribution.