Nursing Open最新文献

Aim: Health literacy is considered as key factor to empower women to participate in self-care and child-care activities. The purpose of the present study is to determine the relationship between health-promoting behaviours and health literacy among pregnant women.

Design: A cross-sectional study.

Methods: This study surveyed 308 pregnant women in 2022 using questionnaires, including the Health Promoting Lifestyle Profile II (HPLP II) and the Health Literacy for Iranian Adults (HELIA). Descriptive and inferential statistics were employed to analyse the data by IBM SPSS 23.0 statistics package program.

Results: The mean scores for women's health literacy and health-promoting behaviours were 70.31 ± 13.56 and 135.56 ± 17.38, respectively. The lowest score in the health literacy subscales was related to the appraisal (66.07 ± 17.81) and in the health-promoting lifestyle dimensions was associated with the physical activity dimension (13.87 ± 3.87). There was a significant and positive correlation between health literacy and health-promoting behaviours (r = 0.53, p < 0.001). Among the health literacy dimensions, decision-making showed the strongest correlation with health-promoting lifestyle (r = 0.55, p < 0.001).

Patient or public contribution: The results of this study demonstrated that pregnant women with higher health literacy scores exhibited a higher level of engagement in health-promoting behaviours. Assessing health-promoting behaviours in pregnant women by health providers during prenatal care helps identify dimensions receiving less attention during pregnancy, and solutions can be provided to women to address these issues.

Aim: To explore the influence of emotional intelligence and organisational commitment (OC) on clinical nurses' turnover intention (TI) and to provide intervention strategies to reduce the turnover rate of nursing staff and maintain the stability of the nursing team.

Design: A cross-sectional descriptive study was conducted with nurses (n = 452) in a tertiary hospital in Kaifeng City, Henan Province, China.

Methods: The project was conducted in July 2023. The data were collected using the organisational commitment scale, Wong and Law emotional intelligence scale and turnover intention scale.

Results: The emotional intelligence score of clinical nurses was (3.07 ± 0.68), organisational commitment scale was (3.04 ± 0.68), and turnover intention scale was (2.70 ± 0.58). Organisational commitment scale and emotional intelligence scores are negatively correlated with turnover intention; the mediating effect of emotional intelligence in organisational commitment and turnover intention scale of clinical nurses is -0.406, and the mediating effect accounts for 49.9%.

Public contribution: Nurses' organisational commitment can directly predict turnover intention, and emotional intelligence plays a role in mediating the relationship between nurses' organisational commitment and turnover intention. This research makes a substantial contribution to the public and healthcare sector. The findings provide valuable insights for healthcare administrators, policy-makers and educators, offering evidence-based strategies to improve nurse retention and enhance the quality of patient care. It is important to note that the research upholds the highest standards of integrity, with a meticulous review process and a dedicated effort to maintain data quality.

Aim: The aim of this study was to describe registered nurses' experience of person-centred care through digital media during the COVID-19 pandemic. The first wave of COVID-19 took healthcare services worldwide by surprise and affected all levels of care. Registered nurses within primary care settings had to adjust to new meeting forums with patients and in collaborations with other organisations to transfer patients from hospital to home care in a safe and secure manner using digital aids.

Design: Interviews with 17 registered nurses within primary care settings were conducted. Interviews were transcribed verbatim and analysed using qualitative content analysis.

Methods: Qualitative using semi-structured interviews.

Results: Digitalisation requires organisational changes, with four subcategories. The second category, digitalisation, facilitates person-centred care, with two subcategories. Main findings showed digitalisation as a possibility to enhance person-centred care to benefit the individual. The patients would have the possibility of obtaining professional care in their own home, enhancing the continuation of care. Digitalisation of primary care tasks demanded organisational changes of different kinds. This meant implementing innovative digital tools or artificial intelligence and developing a mental frame of mind that embraces new ways and activities to perform primary care through technology.

Public contribution: Registered nurses saw enhancement of person-centred care through digital media as something positive. However, they also voiced concerns that some patients, such as self-damaging teenagers, new patients and multi-sick patients, would be unsuitable for digital meetings. They also emphasised that the digitalisation of person-centred care requires organisational changes. The study addressed the problems faced by the rapid conversion from traditional face-to-face care to digital care in the beginning of the COVID-19 pandemic within a primary care setting. There is a need for continued education on best communication practices with a primary focus on person-centred care. Since communication is key in the continuation of care, this needs to be addressed by both health centre management and educators.

Aim: This study was to establish a scientific and sensitive index system of the biosafety incident response competence for clinical nursing staff to provide a reference for the evaluation of nurses' biosafety incident response competence.

Design: A modified recommendation for the conducting and reporting of Delphi studies was used to guide this study.

Methods: According to the literature review, preliminary biosafety incident response competence indicators for nursing staff were established, and an expert survey questionnaire was designed. The evaluation system for clinical nurses' biosafety incident response competence indicators was determined using the Delphi method.

Results: After two-round Delphi survey, 28 nursing specialists from six provinces and cities around China, with expertise in three prevention research, epidemiology, military health service and biosafety incident rescue, established the index system of the biosafety incident response competence for nursing staff from April to May 2023. The final index system of the biosafety incident response competence was composed of four primary indicators, namely, biosafety incident preparedness, monitoring competence, protection ability and nursing disposal abilities; 10 secondary indicators and 49 tertiary indicators. The effective recovery rates of the two rounds of expert survey questionnaires were 93.33% and 100%, respectively. The authority coefficient, judgement coefficient and familiarity degree of Delphi experts were 0.877, 0.911 and 0.843, respectively. The Kendall's harmony coefficients of the two rounds of expert consultation were 0.301-0.384 and 0.401-0.424, respectively, with statistical significance (p < 0.05).

Conclusion: The index system of the biosafety incident response competence for nursing staff is scientific and reliable. The authors have provided a more reliable and comprehensive basis for evaluating nurses' biosafety incident response competence in the future.

Conclusion and implications for nursing: It is helpful for nursing staff to perform better in biosafety incident by clarifying the specific items of biosafety response competence. Nursing staff can use the index system as the evaluation tool and training references to enhance their biosafety incident response competence.

Patient or public contribution: No patient or public contribution.

Aim: To analyse the association between gender and in-hospital mortality odds ratios among patients in the Basque Country.

Design: Cross-sectional study.

Methods: Admission data pertaining to the period between 1 January 2016 and 31 December 2018 were gathered for all registered acute care hospitals (both public and private) in the Basque Country. Odds ratios were calculated through binomial logistic regressions to determine the association between gender and mortality in each diagnostic category of the ICD-10.

Results: Women had a higher in-hospital mortality odds ratio for diseases of the circulatory system (OR 1.07 [1.01-1.14], p < 0.05). In contrast, men were at greater risk of in-hospital death from neoplasms (OR 0.86 [0.83-0.94], p < 0.05), diseases of the nervous system (OR 0.83 [0.70-0.97], p < 0.05), diseases of the genitourinary system (OR 0.83 [0.71-0.96], p < 0.05), endocrine diseases (OR 0.67 [0.54-0.84], p < 0.05), injury, poisoning and other consequences of external causes (OR 0.60 [0.54-0.67], p < 0.05) and diseases of the musculoskeletal system and connective tissue (OR 0.69 [0.50-0.93], p < 0.05).

Patient or public contribution: No patient or public contributions.

Aim: To investigate the sleep quality and its influencing factors among nurses in hospitals in Zhejiang, China, during the first explosive COVID-19 outbreak following the relaxation of prevention and control measures.

Design: A multicentre cross-sectional study.

Methods: Between 10 January and 20 January 2023-approximately 1 month after the policy was loosened-a total of 573 nurses from tertiary and community hospitals in Zhejiang participated in an online, self-administered survey. The participants were recruited using convenience sampling, and the survey was distributed via the WeChat platform. The survey included a general information form; the Self-Rating Scale of Sleep (SRSS); the Depression, Anxiety, and Stress Scale-21 (DASS-21); the Perceived Social Support Scale (PSSS); and the Brief Resilience Scale (BRS). Data analysis was conducted using SPSS version 26.0. Statistical methods employed included t-tests, one-way analysis of variance (ANOVA), chi-square tests and Mann-Whitney U-tests for comparisons between groups. Pearson correlation coefficients were calculated to analyse the relationship between the SRSS score and the DASS-21, PSSS and BRS scores. A multiple linear stepwise regression analysis was conducted to determine the independent influencing factors of sleep quality.

Results: More than 90% of the nurses were infected with COVID-19, and 60.6% had sleep disorders. The regression analysis revealed that anxiety, the BRS score, comorbidities, hospital grade, clinical front-line, age and COVID-19 infection independently predicted sleep quality. The scores for several SRSS items were higher than the Chinese norm, especially for the nurses in tertiary hospitals.

Patient and public contribution: No patient or public contribution.

Aim: To assess the knowledge, attitudes and engagement of nursing interns regarding fall prevention activities during their internship within hospital settings.

Design: This study used a cross-sectional design.

Methods: This was a cross-sectional, descriptive, correlational study. A convenience sample of 187 nursing interns was recruited from three hospitals in Riyadh, Saudi Arabia. A questionnaire was administered to the participants to collect data on their demographics, knowledge, attitudes and engagement in fall prevention. The collected data were analysed using descriptive and inferential statistics.

Results: The participants exhibited insufficient knowledge, relatively negative attitudes and acceptable fall prevention engagement. There was a low-to-moderate positive association only between attitude and fall prevention engagement. Moreover, hierarchical multiple regression analysis showed that attitude was the only predictor for fall prevention engagement.

Conclusion: Fall prevention is an important subject that needs more attention from nursing programmes in universities and preceptorship programmes in hospitals to enhance nursing interns' attitudes, knowledge and practices in this regard.

Relevance to clinical practice: The findings of this research could be beneficial for clinical coordinators and faculty members to enhance nursing interns' engagement in preventing falls among at-risk patients.

Patient or public contribution: Participants were not involved in the design, conduct, reporting or dissemination of this research.

Aim: The present study was conducted to determine the effect of non-pharmacological interventions before cataract surgery on preoperative anxiety.

Design: Systematic review and meta-analysis.

Methods: Five databases were systematically searched until 9 June, 2024. The risk of bias was evaluated using the ROBIN-I instrument for non-randomised studies and risk of bias 1 (ROB1) for RCTs. For cases with heterogeneity, random effects, rather than fixed effects, were reported, and subgroup analysis was performed based on the type of intervention. The investigation of publication bias was done in the form of a funnel plot, the Egger regression test and the Trim-and-Fill test. Meta-regression analysis was performed to examine the impact of possible confounding factors on the effect size. Sensitivity analysis evaluated the robustness of our findings by excluding quasi-experimental studies and applying the Knapp-Hartung method to assess their influence on the overall results.

Results: A random-effects meta-analysis of 22 studies and 1998 participants revealed that non-pharmacological interventions (back massage, hand massage, foot massage, music, educational video, patient education, aromatherapy and relaxation techniques) significantly reduced mean preoperative anxiety compared to the control group. The subgroup analysis indicated that all interventions were effective in reducing preoperative anxiety; however, hand and foot massage did not yield significant effects. Meta-regression analysis showed a significant correlation between the percentages of women with effect size. The sensitivity analysis confirmed the robustness of non-pharmacological interventions, while the Knapp-Hartung method maintained the overall effect size but indicated wider confidence intervals. More high-quality research is needed to validate these interventions and establish clearer guidelines.

Patient or public contribution: No Patient or Public Contribution.