Nursing Open最新文献

Aim: This study aimed to adapt the Nurse Professional Competence Scale-Short Form (NPC-SF) into Turkish and evaluate its validity and reliability study for nursing students.

Design: A methodological study was designed.

Methods: The study was conducted with 181 senior nursing students using a convenience sampling method from March 2021 to November 2021. Language adaptation was conducted using translation and back-translation. Content validity was assessed using expert approval. Construct validity was assessed using confirmatory factor analysis. Convergent and discriminant validity were applied. Reliability was assessed using Cronbach's alpha, the test-retest reliability and Bland-Altman Method.

Results: The mean Content Validity Index of the items in the total scale was 0.98. Confirmatory factor analysis identified 21 items, which could be categorised under five factors (Nursing Care, Value-based Nursing Care, Medical and Technical Care, Documentation and Administration of Nursing Care, Development, Leadership and Organization of Nursing Care). The scale preserved its original structure, but one sub-dimension (Care Pedagogy) was removed from the scale. The fit indices of TR-NPC-SF are χ²/SD 1.928, GFI 0.928, NFI 0.964, NNFI 0.956, CFI 0.964, RMSEA 0.072 and SRMR 0.040. The five-factor model achieved a good fit according to confirmatory factor analysis. The Cronbach's alpha reliability coefficient of the Turkish version of the NPC-SF (TR-NPC-SF) was 0.974.

Conclusion: TR-NPC-SF is a valid and reliable tool with good psychometric properties. This scale can be used to evaluate nursing students' self-assessed professional competence. Nurse managers and educators can also use TR-NPC-SF to improve nurses' competence and identify their competence gaps.

Patient or public contribution: No patient or public contribution.

Aims: To analyse the performance of the simulation-based hemofiltration knowledge and skills competition and provide a reference for continuously improving clinical nursing skills to reform the teaching methods.

Methods: Based on the guidelines, combined with the clinical practical problems and nursing quality control records of the department, the simulation-based hemofiltration knowledge and skills competition was created. The competition consists of two parts: a theoretical knowledge part and a skills part, each accounting for 50% of the total score. The final score is the sum of the scores from both parts. The theoretical knowledge part includes required questions, quick answer questions, and challenge questions, with a base score of 100 points. The skills part evaluates the performance in the whole operation process of continuous venovenous hemofiltration (CVVH) from pre-flushing to the end of the treatment, with a full score of 100 points. Structured scoring criteria were used to analyse the main points deducted in nurses' theoretical and practical parts.

Results: A total of 15 nurses participated in the competition and were divided into five teams with 3 nurses in each team. Each group's theoretical competition part (including the basic score of 100 points) has a minimum score of 130 points and a maximum score of 210 points. The pre-flushing and installation time of the skills competition part is 25.60 ± 2.51 min, which is significantly improved from 35.00 ± 1.58 min before the competition (p < 0.01). The main points lost in the theoretical competition part, were pathophysiological knowledge of anticoagulation, characteristics of different hemofiltration modes, acid-base imbalance in regional citrate anticoagulation in CRRT, handling of special alarms and complications associated with repeated catheterization. The main points lost in the skills competition part were touching or interfering with the weighing scales during the startup self-test, incomplete preparation of reinfusion materials, and timeout.

Conclusion: The simulation-based hemofiltration knowledge and skills competition improves the hemofiltration skills of ICU nurses and provides the data for analyses of the relevant shortcomings from the competition results and points lost, which may promote the reform of teaching methods, thus providing a reference for the department to continuously improve specialised nursing knowledge and skills in the future and promote the continuous improvement of nursing quality.

Patient or public contribution: No Patient or Public Contribution.

Aim: To identify the characteristics of parents with poor adherence to guidelines around introduction of solid foods and supplementation with Vitamin D, and to assess the role of different sources of information in adherence to these guidelines.

Design: A cross-sectional survey which was part of a birth cohort study following pregnant mothers and their infants in a UK city.

Methods: 390 parents who had consented to take part in a birth cohort study were sent a postal questionnaire when their infant was around 6 months old. 220 parents completed this questionnaire about their infants' diet and the sources of information they had used to make decisions about introducing complementary foods to their infant.

Results: Around half (54%) of parents adhered to current guidelines to delay the introduction of solid foods until after their infants were 24 weeks, and adherence to guidelines was positively associated with maternal age and education level as well as with the use of formal information sources such as a Health Visitor or leaflets. Vitamin D supplementation rates of infants by exclusively breastfeeding mothers were low (35%) but increased over time. The internet was a particularly significant source of information used by parents to make feeding decisions for their infants.

Conclusion: In this sample, adherence to guidance around the introduction of solid foods and Vitamin D supplementation was low. Health professionals must develop strategies to communicate these guidelines more effectively.

Patient or public involvement: Members of a PPI group were involved in the study design and development of study materials, including marketing materials.

Aim: To evaluate the impact of emotional labor on job burnout among young nurses and investigate the mediating roles of social support and emotional regulation.

Design: A cross-sectional survey.

Methods: The cross-sectional study recruited 1103 young nurses using convenience sampling from six tertiary-level hospitals in Henan Province, China. Data were collected through an online questionnaire survey, which included a self-administered socio-demographic questionnaire, the Emotional Labor Scale (ELS), the Social Support Scale (SSS), the Emotion Regulation Questionnaire (ERQ) and the Maslach Burnout Inventory Scale (MBI). Statistical analyses were performed using IBM SPSS Statistics 25.0 and AMOS 26.0.

Results: Job burnout had a significant effect on emotional labor, social support and emotional regulation. Mediation analysis revealed that social support and emotional regulation partially mediated the predictive relationship between emotional labor and job burnout. The findings suggest that emotional labor among young nurses indirectly influences their job burnout through social support and emotional regulation. This study provides nursing administrators and healthcare policymakers with a resource to build a supportive environment to increase young nurses' emotional regulation abilities and to decrease their job burnout.

Patient or public contribution: No patient or public contribution.

Aims: To describe nurse, midwife and injury characteristics of musculoskeletal incident workplace compensation claims (WorkSafe) in Victoria, Australia; to determine the ratio between lost work for musculoskeletal compensation claimants, compared to hours worked by the Victorian nursing and midwifery workforce; to modify a risk-identification framework for workplace incidents involving staff-assisted patient movement reported in the Victorian Health Incident Management System (VHIMS), specific to incidents that occur during staff-assisted patient movement, and apply the coding framework to VHIMS incidents to report the risk factors associated with these incidents.

Design and methods: Observational data collected prospectively between July 2017 and December 2021 via WorkSafe, and via VHIMS from two Victorian health services, were extracted. A 7-item risk-identification coding framework was modified over three iterations and tested to describe VHIMS workplace incidents that occurred during staff-assisted patient movement and resulted in staff musculoskeletal incidents, or a patient fall.

Results: Of 1936 Victorian nursing workforce compensation scheme claims audited (mean claimant age 43 years (SD 13), 90% female and 4% midwives), the mean incapacity was 152 days (SD 199), resulting in 5700 h of lost work, at a cost of $AUD14,325,109, per year. For every 206 h worked by this workforce, there was 1 h lost due to a musculoskeletal incident compensation claim. Of the 748 health service VHIMS staff incidents, most involved the trunk (60%), and risk factors included patient participation or behaviour (72%) and load (65%). Of the 1935 health service VHIMS patient falls, most occurred during transfers (39%) or walking (30%), and risk factors included patient participation or behaviour (94%) and load (55%).

Conclusion: Nursing and midwife musculoskeletal incidents carry significant individual and workforce costs. Risk factors were identified with the modified risk-identification framework, which could be used to support clinical teams in developing data-driven solutions to prevent staff incidents and patient falls.

Reporting method: Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) extension for cross-sectional studies.

Patient or public contribution: No Patient or Public Contribution.

Trial and protocol registration: As this study used an observational design, trial registration was not required.

Aim: To investigate the relationship between work excitement and work frustration among nurses during the COVID-19 pandemic and to identify individual and occupational factors associated with these emotional states.

Design: Cross-sectional study.

Methods: A cross-sectional study was conducted among nurses working in COVID-19 care centers in Iran. A total of 265 nurses were included in the study, which exceeded the minimum required sample size (n = 163) calculated based on power analysis. Data were collected using self-report questionnaires assessing individual and occupational characteristics, work excitement, and work frustration.

Results: A significant negative correlation was found between work excitement and work frustration. Occupational factors such as fixed shifts, incentive bonuses, and working in intensive care units were associated with increased work excitement and decreased work frustration. Conversely, excessive workload, irregular shifts, and inadequate staffing levels were linked to higher levels of work frustration. Individual factors, including marital status, parental status, and housing status, also influenced work-related emotions. Married nurses with children and homeowners reported higher levels of work excitement and lower levels of work frustration. Male nurses and those with higher incomes also experienced increased work excitement and decreased work frustration.

Patient or public contribution: No patient or public contribution.

Aim: This study was conducted to explore the experiences of nurses in nursing homes regarding compassion fatigue.

Method: A purposive sampling method was used to conduct semi-structured in-depth interviews with ten nurses working in a nursing home in Ankara, Turkiye between January and February 2024 for a descriptive phenomenological study. The collected data were analysed using thematic analysis.

Results: Four themes emerged from thematic analysis: "Causes of compassion fatigue", "Consequences of compassion fatigue", "Burnout", and "Cope with compassion fatigue". The findings highlight that compassion fatigue has a lasting impact on nurses, affecting them both personally and professionally.

Conclusion: It is important to develop programmes for the early detection of compassion fatigue among nurses working with older adults in nursing homes.

Patient and public contributions: We thank all participants for their valuable input throughout the study.

Aims: Artificial intelligence (AI) is reshaping healthcare by enhancing the quality and efficiency of patient care. Nursing students, as future healthcare providers, must be prepared to integrate AI into practice. However, limited research exists on their perceptions and readiness to use AI at King Saud University (KSU) in Saudi Arabia. This study aimed to assess the perceptions and readiness of nursing students toward the use of AI in healthcare and to identify the predictors of their readiness for medical AI.

Design: A descriptive, cross-sectional, correlational study was conducted among 304 nursing students selected through convenience sampling.

Methods: The General Perceptions of the Use of Artificial Intelligence Applications Scale was used to assess perceptions, while the Medical Artificial Intelligence Readiness Scale for Medical Students (MAIRS-MS) measured readiness. Data were analysed using appropriate statistical methods.

Results: Overall perception of AI was high (mean = 3.67, SD = 0.91), with the 'advantages of AI' scoring the highest (mean = 3.99, SD = 0.81). Readiness for medical AI was also high (mean = 3.79, SD = 0.74). Among the MAIRS-MS dimensions, ethics scored highest (mean = 3.91, SD = 0.71), followed by ability (mean = 3.86, SD = 0.71), cognition (mean = 3.72, SD = 0.76) and vision (mean = 3.69, SD = 0.78). Predictors of readiness included highest educational attainment (p = 0.007), advantages of AI (p = 0.004) and overall perceptions of AI applications.

Patient or public contribution: No patient or public contribution.

Aim: To understand Lead Tissue Viability Nurses' agency, autonomy and authority to perform their role.

Background: Lead Tissue Viability Nurses need both clinical autonomy and organisational authority to improve wound care, patient safety, and cost-effectiveness. Their role goes beyond bedside care to include strategic decisions shaping policy, resources, and quality initiatives. Despite this, the role is often misunderstood and under-recognised. This study, based on the four pillars of advanced nursing practice-clinical practice, education, research, and leadership-examines the challenges they face.

Design: A qualitative study.

Methods: Interviews with six Lead Tissue Viability Nurses working in large tertiary care organisations. A thematic analysis was undertaken.

Results: The results aligned with the four pillars of advanced nursing practice. Six sub-themes emerged, reflecting the skills, knowledge, and influences involved, and critically, the challenges faced in meeting role expectations: Clinical Practice-working with clinical specialties (a); Education-supporting generalist nurses (b); Leadership-collaborating with dressing companies (c) and national bodies (d); Research-partnering with clinicians (e) to implement national guidance (f).

Conclusion: Our study highlights the restricted agency that constrains their capacity to meet the complex demands of the role. Their specialised knowledge frequently remains unacknowledged and underutilised, while their contributions are often marginalised within organisational discourse. To attain the level of recognition commensurate with this senior nursing position, their distinct professional and organisational identity should be clearly articulated.

Implications for the profession and/or patient care: Lead Tissue Viability Nurses should be acknowledged for their advanced practice role, reflecting the specialist expertise and leadership they bring to patient care. Additionally, they must be granted the agency, autonomy and authority necessary to implement best practice.

Impact: Ensuring that Lead Tissue Viability Nurses can execute their duties effectively and achieve high-quality outcomes will directly influence patient care.

Patient or public contribution: No patient or public contribution at this stage, as this study was about exploring the nurses' organisational role from their perspective.

Aim: This study aimed to explore the perceptions of medical personnel and patients regarding respiratory muscle training (RMT) for patients after mechanical ventilation withdrawal.

Design: A qualitative study.

Methods: Semi-structured interviews were conducted with 12 medical staff and 9 eligible patients between August and December 2023. Guided by the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, the interviews focused on facilitators and barriers to RMT. Data were coded according to the i-PARIHS domains (context, innovation and recipients) and analysed thematically.

Results: Three main themes emerged: (1) recipients-encompassing medical staff attitudes, knowledge training, patient physical factors, and willingness to engage in RMT, (2) context-including interdisciplinary collaboration, quality control, human resources, incentives, training facilities, leadership focus and the role of respiratory therapists and (3) innovation-highlighting the advantages of RMT and challenges in the continuity of evidence-based application.

Conclusion: This study identified key barriers and facilitators to respiratory muscle training in post-mechanical ventilation care, providing an evidence base for developing intervention strategies in the future.