Nursing Open最新文献

Aims: This study aimed to assess nursing workload in Cardiac Intensive Care Unit (CICU) after three cardiothoracic surgery procedures during first four postoperative days using Nursing Activities Score (NAS) and Nine Equivalents of Nursing Manpower Use Score (NEMS) systems, to compare their performance for that purpose and to investigate association between nursing workload and type of surgery.

Design: A comparative study.

Methods: The research environment includes CICU of the University Hospital for Cardiovascular Diseases in Serbia. A total of 808 patients who underwent coronary, valvular, or combined surgery, resulting in 2282 filled NAS and NEMS pairs chart. Statistical analysis was performed using SPSS-19. The correlation between NAS and NEMS was tested by Spearman's correlation coefficient. Differences were considered statistically significant at p < 0.05.

Results: The lowest median of cumulative NAS 176 (175-257) and NEMS 76 (64-91) had coronary surgery patients, the highest NAS 224.5 (178-334.5) and NEMS 83 (69-121) had those with combined surgery; this difference was statistically significant (p < 0.001). The median of both scores decreased after surgery, with the following values from the first to the fourth postoperative day: NAS from 104 (102-105) to 81 (74-85) and NEMS from 46 (42-46) to 30 (30-37). The difference in mean values of both scores between the first and the fourth postoperative day was statistically significant (p < 0.001). NAS and NEMS were in a positive, strong correlation (r = 0.913; p < 0.005).

Conclusion: Both scores can be used to measure nursing workload, identify the required number of nurses in CICU, and support task allocation. NAS may have an advantage because it better describes extensive postoperative monitoring and care needed for cardiac surgery patients. Nursing workload is associated with type of surgery, with the highest workload measured in patients who underwent combined surgery procedure and on the first postoperative day.

Objectives: Academic self-efficacy (ASE), as well as self (SA) and peer assessment (PA), is associated with the subjective judgements of the individual. The correlation among these concepts merits further research. This study aims to examine the correlation between nursing students' attitudes towards ASE and SA and PA.

Design: This is a correlational cross-sectional study.

Methods: The sample consisted of 1401 nursing students from five universities in Istanbul, Turkey. The study employed the proportional quota sampling method. The data were collected using a Personal Information Form, View Scale for Peer and Self-Assessment and ASE Scale. Descriptive statistics and multiple linear regression model (stepwise) tests were used to analyse the data.

Results: Descriptive statistics revealed that 82.2% of the participants were female and their Academic Grade Point Average was 3.00 ± 0.48. As a result of the regression analysis, it was determined that students' age, gender, perception of academic achievement, status of receiving PA training and attitudes towards doing PA and self-assessment significantly predicted their ASE score.

Conclusions: Students' ASE was found to be medium-level, their attitudes towards peer and self-assessment were high and SA and PA attitudes was associated with ASE.

Patient or public contribution: A total of 1401 undergraduate nursing students from five undergraduate universities participated in the study and responded to questions on ASE, peer assessment, self assessment, etc.

Aims: To investigate public perceptions of telenursing in South Korea, an Asian country that is transitioning to the introduction of telenursing and possesses a high level of information and communication technology. This study sought to uncover strategies for the successful introduction and extension of telenursing by identifying the characteristics of existing perceptions.

Design: Q methodology was applied.

Methods: A total of 188 Q populations were selected from the literature, Internet sources, newspaper articles and in-depth interviews about telenursing, from which the final 37 Q statements were derived. Forty-nine people who were expected to have diverse perspectives about telenursing were selected purposively and participated in Q-sorting. The data were obtained from November 2022 to December 2022 and analysed with principal component analysis and varimax rotations using PQMethod version 2.11.

Results: Five types of perceptions regarding telenursing in South Korea were identified: 'Factor I: Preference for convenience and efficiency of telenursing, Active acceptance', 'Factor II: Complete support for telenursing, Total acceptance', 'Factor III: Complete skepticism for telenursing, Total nonacceptance', 'Factor IV: Expectance of the supplementary roles of telenursing, Immediate acceptance' and 'Factor V: Expectance of the supplementary roles of telenursing, Prolonged acceptance'.

Patient or public contribution: Patients and the public were not involved in this study's design, recruitment and implementation.

Aims: To explore the prevalence of depression amongst Korean nursing students and to identify the mediating effect of stress response and grit in the relationship between stress and depression in the same population.

Design: A total of 184 nursing students from Korea were included. This study was cross-sectional with a structured questionnaire that included stress, stress response, grit, and depression.

Methods: The study participants were university students from four nursing colleges located in the metropolitan area and Gangwon-do in South Korea. The data collection period spanned from February 24 to March 30, 2023, using an online questionnaire following the G University's Institutional Review Board's (IRB's) deliberation.

Results: Amongst the participants, the prevalence of depression was 23.8% (95% CI: [17.7%, 29.9%]), and 13.7% had moderate depression, whereas 10.1% had severe depression. The direct effects of stress on stress response (t = 9.26, p < 0.001) and from stress to grit (t = 22.82, p < 0.001) were statistically significant. The direct effects from stress to depression (t = 2.61, p = 0.009), from stress response to depression (t = 9.68, p < 0.001), and from grit to depression (t = -2.09, p = 0.039) were also statistically significant. The association between stress and depression was mediated by stress response but not grit.

Conclusions: The prevalence of depression amongst Korean nursing students was high. Preparing strategies against depression amongst nursing students is an urgent matter. The mediating effect of stress response in the relationship between stress and depression was statistically significant, but that for grit was not. Therefore, it is necessary to investigate students' stress responses and provide personalised interventions, as well as reduce established stressors.

Implications for the profession: Strategies to manage stress responses can be used to reduce depression caused by stress in nursing students.

Impact: To reduce depression in nursing students, it is necessary to investigate strategies to understand stress response, provide personalised interventions, and reduce already-known stressors.

Reporting method: The authors have adhered to relevant EQUATOR guidelines using the STROBE checklist: cross-sectional studies.

Patient or public contribution: Nursing students were the subjects of data collection for this study and participated in the survey upon voluntary consent to participation.

Aim: To establish consensus on the priorities of nursing research in Qatar regarding nursing administration, nursing practice and nursing education for the years 2023-2033.

Design: Classic Delphi format over three phases.

Methods: The first phase involved a qualitative round where participants identified 10 research priorities. In phase two, the collected sentences were analysed and grouped into themes. Participants were then requested to rate these sentences based on their perceived importance. During phase three, participants received their individual responses, the consolidated group response from the second round, and were given the opportunity to agree or disagree with the group ranking. The panel of experts consisted of 32 participants who agreed to participate in all three rounds. They included a mixture of nursing academics, clinical managers and nursing directors from public sectors and nursing schools in Qatar.

Results: The experts reached a consensus on the research priorities for Qatar. These prioritized topics focused on improving patient care outcomes, enhancing workforce development, strengthening nursing leadership, integrating technology to improve nursing and nursing education and promoting evidence-based practice.

Conclusion: This research emphasizes the importance of progress in nursing to meet healthcare demands. Findings showed the need of future research to focus on improving nursing workforce and well-being, leadership styles and technology, and evidence-based practice and technology in nursing education.

Impact: The impact of identifying nursing research priorities in Qatar will improve healthcare practices, fostering a culture of evidence-based care. These advancements will motivate nurses to engage more actively in research, thereby enhancing overall healthcare outcomes.

Public contribution: Not applicable.

Aim: The present study was conducted to determine the effect of the superficial heat-cold application on the sleep quality of patients with restless leg syndrome.

Design: This study was a systematic review and meta-analysis.

Methods: In the present study, the electronic databases Scopus, ProQuest, Web of Science, PubMed, SID and Google Scholar were searched from their inception to September 2023. The quality of included studies was evaluated through the Cochrane Collaboration's Risk of Bias Tool, and finally, a meta-analysis was conducted by calculating standardised mean differences (SMDs).

Results: The meta-analysis results revealed that superficial heat-cold application improved sleep quality in patients with RLS (SMD = 0.685, 95% CI: 0.421-0.950). The meta-regression results showed that as the temperature increased, the intervention was more effective in improving sleep quality (β = 0.0182, 95% CI: 0.0096-0.0268, p < 0.05). Moreover, the effectiveness of the intervention in improving the sleep quality of patients with RLS reduced significantly as the duration of intervention in each session (β = -0.031, 95% CI: -0.059 to -0.001, p < 0.05) as well as participants' age increased (β = -0.013, 95% CI: -0.024 to -0.001, p = 0.0259).

Patient or public contribution: This research showed that superficial heat-cold application had the capability to improve the sleep quality of patients with restless leg syndrome. In addition, in this study, settings were suggested according to which the maximum effectiveness of the intervention could be achieved.

Aims: To identify the risk factors associated with frailty among older adults in China and develop a predictive model for assessing their frailty risk.

Design: Secondary cross-sectional analysis.

Methods: The 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS) provided data for this study. A total of 9006 participants were included in the analysis. Their general demographic, socioeconomic status and health behaviour risk factors were collected in the CLHLS. Frailty was assessed using the Frailty Index. A visual nomogram model was constructed based on independent predictors identified using multivariate analysis. The nomogram's discrimination and calibration capabilities were evaluated using the C-statistics and calibration curves. A 1000-times resampling enhanced bootstrap method was performed for internal validation of the nomogram.

Results: The results showed that living in rural settings, having a primary education level, having a spouse, having basic living security, smoking, drinking, exercising and social activities were protective factors against frailty. Increasing age, being underweight or obese, adverse self-assessed economic status and poor sleep quality were risk factors of frailty. The AUC values of the internal validation set were 0.830. The calibration curve was close to ideal. The Brier score was 0.122. The above results showed that the nomogram model had a good predictive performance.

Conclusions: A simple and fast frailty risk prediction model was developed in this study to help healthcare professionals screen older adults at high risk of frailty in China.

Impact: The frailty risk prediction model will assist healthcare professionals in risk management and decision-making and provide targeted frailty prevention interventions. Screening high-risk older adults and early intervention can reduce the risk of adverse outcomes and save medical expenses for older adults and society, thereby realising cost-effective planning of health resources and healthy ageing.

Patient or public contribution: No patient or public contribution. This study was a cross-sectional, secondary analysis of the CLHLS data.

Aim: To assess the prevalence of workplace-related musculoskeletal disorders (WMSDs) among Nurses and Midwives in a Tertiary Healthcare Facility in Northern Ghana.

Methods: The study utilised a descriptive cross-sectional study design using the STROBES guidelines. Standardised Nordic musculoskeletal questionnaire was used to gather data from 309 nurses and midwives. The selection of respondents was done using a simple random sampling method. The data were analysed using SPSS version 27.0.

Results: From the 259 included respondents, 195 (75.3%) experienced WMSDs in the last 12 months. 138 (70.7%) highlighted their low back (lumbar/sacral) as the affected region and 119 (61.0%) indicated experiencing WMSDs during the first 5 years of clinical practice. Key job-related risk factors contributing to WMSDs development included working in the same positions (such as standing, bending over, sitting, kneeling) for long periods (176 [68.0%]), treating an excessive number of patients in 1 day (142 [54.8%]), continuing to work while injured or hurt (139 [53.7%]), bending or twisting the back in an awkward way (140 [54.1%]) and not enough rest breaks or pauses during the workday (130 [50.2%]). Regarding coping strategies, the most frequently employed method was getting someone else to help handle a heavy patient (83 [42.5%]). The multivariate regression analysis revealed that respondents with fewer than 5 years of experience were markedly more susceptible to reporting WMSDs compared to those with over 10 years of experience (AOR = 3.73, 95% CI [1.03, 13.42], p = 0.043).

Conclusion: The overall prevalence of WMSDs among nurses and midwives was high. This study also revealed that the most commonly affected body region was their low back. Working in the same position for long periods was identified as a major occupational risk factor contributing to these disorders. Despite this risk, a significant number of nurses and midwives consistently sought assistance when handling heavy patients. The current study suggests that hospitals should provide comprehensive ergonomic training to healthcare professionals, emphasising proper body mechanics, posture and techniques for patient moving and handling.

Patient or public contribution: Patients or public were not involved in setting the research objectives, the design and preparation of the manuscript. Nurses and midwives working the tertiary hospital answered the research questionnaires.

Aim: With an aging global population, there has been a growing interest in the subjective well-being (SWB) of older people. As a positive emotion, gratitude has been found to be significantly and positively associated with SWB. However, the mechanisms underlying the relationship between gratitude and SWB remain poorly understood. This study aimed to examine the mediating effects of social support and self-efficacy in the relationship between gratitude and SWB among older Chinese adults in nursing homes.

Design: A cross-sectional study.

Methods: A sample of 354 older adults in nursing homes aged 60 years and above was recruited across three nursing homes in Guangzhou, China. Participants completed the Gratitude Questionnaire-Six-Item Form, the World Health Organization's well-being index, the General Self-efficacy questionnaire and the Multidimensional Scale of Perceived Social Support. Structural equation modelling was used to evaluate the relationships between gratitude, self-efficacy, social support and SWB. A bootstrap test was performed to test mediating roles of self-efficacy and social support.

Results: Gratitude was found to be significantly and positively associated with SWB (β = 0.294, p < 0.001). Self-efficacy and social support independently mediated the relationship between gratitude and SWB (indirect effect of self-efficacy: Standardised β = 0.105, 95% CI [0.061, 0.157]; indirect effect of social support: Standardised β = 0.116, 95% CI [0.444, 0.191], all p < 0.001). Additionally, the results indicated that the mediating effect of self-efficacy was not significantly different from that of social support in the link between gratitude with SWB.

Conclusion: These findings presented strong evidence that self-efficacy and social support provided the underlying mechanisms through which gratitude was associated with SWB in Chinese nursing home residents. This highlighted the need to develop interventions aiming at increasing gratitude, self-efficacy and social support to promote SWB among elderly people.

Patient or public contribution: No patient or public contribution.