Nursing Open最新文献

Aim: The Burnout syndrome (BOS) generates sustained stress and an inability to cope with demands. The aims of this cross-sectional study were (1) to describe the prevalence of BOS; (2) to explore the relation of the BOS with physical symptoms; and (3) to determine the profile favouring the development of the BOS.

Design: A cross-sectional descriptive study.

Methods: The study was conducted among a sample of 759 healthcare professionals. Data on sociodemographic variables, physical symptoms, the Maslach Burnout Inventory, Cervical Disability Index and Numeric Pain Rating Scale were collected.

Results: The prevalence of BOS was high, since more than one out of two participants experienced the syndrome. Mild-moderate levels of burnout were the most prevalent, whilst a low percentage of healthcare professionals displayed signs of severe burnout. High Emotional Exhaustion was the most common dimension, followed by high Depersonalisation, and low levels of Personal Fulfilment. Roughly three out of four participants experienced muscle pain. A nurse of young age working in a hospital or an emergency department emerges as a specific vulnerable profile.

Conclusion: The high prevalence of BOS detected among healthcare professionals propels stakeholders to take proactive actions to prevent and revert this health condition, especially considering the profile of nurses at a young age working at a hospital or emergency department, since this specific profile is at a higher risk. The current study confirms the need to prevent and overcome BOS by means of developing and implementing multidimensional tailored interventions to decrease and/or revert symptoms, including psychological aspects associated with the syndrome itself, alongside decreasing unspecific muscle pain in the vertebral region.

Patient or public contribution: No patient or public contribution.

Implications for the profession and/or patient care: Gender is not a specific predictor of the development of BOS. Nurses usually show high Emotional Exhaustion and low Personal Fulfilment. The presence of BOS is also associated with muscle pain. Advocacy on prevention, assessment and screening of BOS in the field of healthcare is of paramount importance.

Impact: Proactive actions shall be adopted to prevent and overcome BOS in healthcare professionals by means of developing and implementing multidimensional tailored interventions to decrease and/or revert symptoms including psychological aspects associated to the syndrome alongside decreasing unspecific muscle pain in the vertebral region.

Aim: This study aimed to examine the gender role attitudes and perceptions of individuals in society in the context of the nursing profession and male nurses.

Design: The research is a descriptive cross-sectional study.

Method: Two hundred eighty-three individuals were included in the study. The Gender Roles Attitude Scale and introductory information form were used to collect the data.

Results: The total score obtained from the scale was 143.91 ± 19.55. Being of female gender increased the mean score of the scale by 12.3 times, being a university graduate by 10.5 times, approving to receive service from opposite-sex nurses by 11.7 times, approving their partner to receive care from a nurse of the opposite-sex by 6.29 times, having received care from male nurses before by 4.5 times, and having a male nurse close to them by 4.5 times (Adj. R²: 0.421). Being married increased the mean score of the traditional gender role subscale by 2.7 times while approving male nurses to work in obstetrics and gynaecology decreased it by 3.1 times (Adj. R² = 0.280).

Conclusion: Our study found that the attitude towards the nursing profession and the presence of male nurses in the profession determine the gender attitude of society.

Patient or public contribution: This research, by revealing the relationship between male nurses' representation in the profession and society's gender role understandings, leads to strategic steps to promote gender equality in the field of nursing. This study contributes to the development of a more open-minded and accepting attitude towards male nurses among patients and the public, contributing to a more inclusive and equitable health care system.

Objective: This study aimed to determine the health history, health condition, health behaviours and health-seeking behaviours of middle-aged women living in a modern rural Thai community.

Design: A cross-sectional survey study was employed.

Methods: Data were collected from 342 women aged 35-60 years using comprehensive questionnaires containing various dimensions related to health. Descriptive statistics were used to analyse data.

Results: It showed that most women had a parental history of diabetes (62.83%), followed by high blood pressure (55.50%). For health conditions, it revealed that 56.73% had weight gain, 26.32% had high blood pressure and 21.05% had high cholesterol. Regarding health behaviours, 48.54% did not exercise, 62.87% liked sweet food and 44.44% liked oily food. For health-seeking behaviour during illness, 40.06% went to Subdistrict Health Promoting Hospitals. When having mental problems, 43.86% consulted trusted family members, and 39.77% solved problems by themselves.

Conclusions: This study provides important information about the situation of health problems found in middle-aged women, which are non-communicable diseases such as obesity, high blood pressure and diabetes, which require continuous care. Moreover, some poor health behaviours need to be changed to prevent and reduce complications that may occur in the future.

Implications: Understanding middle-aged women's health problems and behaviours can help community health nurses pay attention to and plan nursing care and activities, including developing interventions for health promotion and disease prevention to reduce women's non-communicable disease problems in the future.

Impact: This study revealed that non-communicable diseases are prevalent in middle-aged women. Strategies to promote health should be continued in conjunction with raising awareness among women to care for their health regularly.

Reporting method: This study followed the reporting guidelines of Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) for cross-sectional studies.

Patient and public contribution: The contribution of participants was shown in the data collection.

Aim: The aim of this study was to develop a theory based on the understanding of collective alcohol use as a cultural phenomenon by exploring the perceptions and meanings attributed to this behaviour by health science university students.

Design: This research is a grounded theory study.

Method: This study was conducted between 2021 and 2022. Data were collected through 10 focus groups, 15 in-depth interviews, and 44 field journals documenting observations in alcohol consumption settings. A total of 72 health science students participated, including 51 nuring students, 14 medical students, and 7 psychology students from two cities. The data were analysed using Charmaz's constructivist grounded theory approach and coded through constant comparative analysis with Atlas.ti software.

Results: The analysis revealed five categories that support the development of the theory: (1) 'Understanding the Practice of Drinking,' (2) 'Replicating Learned Patterns: Cultural Influence,' (3) 'Adopting and Taking Risks,' (4) 'Confronting Prefabricated Imaginaries with Reality,' and (5) 'Reflecting on Mitigating Actions and Alternatives to Problematic Consumption.' The findings demonstrate that culture significantly influences young adults' behaviours related to alcohol consumption, with a tendency to follow established patterns while accepting the risks involved. Studying health sciences, encourages deeper reflection on these behaviours, potentially guiding moderation in alcohol use. These insights contribute to multicultural nursing practice by examining the dynamics surrounding alcohol consumption and the factors that motivate moderation.

Conclusion: Understanding alcohol use among young university students enrolled in healthcare courses as a cultural phenomenon helps identify underlying factors and attitudes that shape these behaviours. This model was used as the foundation for developing a preventive care strategy, with young people and their experiences serving as key elements in its design and implementation.

Patient or public contribution: No patient or public contribution.

Aim: The link between gestational weight gain and preterm birth remains inconclusive. The present study examines the association between gestational weight gain (GWG) and preterm birth among the Chinese population.

Design: A retrospective observational study design.

Methods: Data was from a hospital-based sub-study of the physical growth and development survey for Chinese newborns with different gestational ages, which was conducted from July 2015 to August 2017. Singleton newborns aged from 24 to 42 + 6 weeks' gestation and their mothers were investigated. A self-designed questionnaire was used for the collection of information. 3203 participants were included in the analysis and a logistic regression model was adopted to explore the association of GWG and different degrees of preterm birth and odds ratios and 95% CI were estimated.

Results: The mean GWG in the preterm group was significantly lower than that in the term group (13.00 ± 4.87 vs 15.72 ± 4.88 kg). After adjusting for potential confounders, the odds ratio of preterm birth was 2.13 (95% CI: 1.62-2.78) for mothers with low GWG and 0.42 (95% CI: 0.32-0.56) for those with excess GWG in comparison with those with adequate GWG. The odds ratio of low GWG was about 4.06 (95% CI: 2.87-5.72) for very preterm birth, 2.14 (95% CI: 1.47-3.10) for moderate preterm birth and 1.40 (95% CI: 1.03-1.91) for late preterm birth. The odds ratio of excess GWG was about 0.36 (95% CI: 0.24-0.54) for very term birth, 0.38 (95% CI: 0.25-0.57) for moderate preterm birth and 0.47 (95% CI: 0.35-0.64) for late preterm birth.

Patient or public contribution: Adverse impact of low GWG was dependent on the degree of preterm birth. Weight management and health education during pregnancy in maternal nursing practice should focus on the appropriate increase of GWG against preterm birth.

Aim: The study aimed to describe and analyse Nordic nursing students' self-assessed clinical competence and their perceived need for further training at the end of their bachelor's studies.

Design: A cross-sectional survey.

Data sources: From five Nordic countries, and 13 different universities, 291 survey answers were included. The Professional Nurse Self-Assessment Scale of clinical core competencies (PROFFNurse SAS II) was used for data collection.

Results: Graduating nursing students rated their clinical competence highest in acting ethically, taking responsibility for their decisions, and seeking help, and lowest in assessing patients' health via phone, email, or other health technology solutions, and in professional development. The highest need for further training was reported in medication interactions and side effects and differential diagnosis in health assessment. More than half of the respondents want to work in specialised healthcare after graduation, while less than a quarter want to work in primary care. One in five respondents expressed an intention to leave their career and low scores on self-assessed clinical competence were associated with increased intentions to leave.

Conclusion: The findings highlight the need for educational institutions to evaluate curricula to enhance graduating nurses' clinical competence in the areas needed, especially within eHealth.

Implications for the profession: An effective competence development program is necessary to strengthen the competence and career path of newly graduated nurses.

Impact: Educational institutions play a crucial role in developing competency-based programs that meet quality standards and address current and future health needs, as well as global challenges. By assessing the clinical competence of graduating nursing students regularly nursing education can be developed based on the findings, which promotes high-quality patient care.

Reporting method: STROBE guidelines were applied.

Patient or public contribution: Graduating nursing students from the Nordic countries participated in the study and contributed to this research by answering the survey.

Aim: The aim of this study was to explore the role of Endorsed Midwives employed in an Aboriginal Medical Service (AMS) and to assess the impact on Aboriginal mothers and babies using the service.

Background: Current research on the role of the Endorsed Midwife (EM) is limited, with no available evidence regarding its application in an AMS setting. Health disparities persist in the outcomes of Aboriginal and non-Aboriginal mothers and babies. Aboriginal Community-Controlled Health Organisation (ACCHO) strives to address these challenges by providing culturally safe maternity care. However, there is minimal evidence on the effectiveness of EMs in AMS settings.

Method: This study used yarning to conduct interviews with EMs and Yorgas receiving care in an AMS in Western Australia.

Results: Key themes identified from the EMs included greater job satisfaction, increased flexibility to deliver holistic care and enhanced collaboration within the multidisciplinary team. In contrast, the Yorgas emphasised the development of trusting relationships with the EMs and their appreciation for culturally appropriate, continuous care.

Conclusions: This study provides a holistic perspective on the role of EMs in AMS settings, contributing valuable knowledge to EMs' practice while amplifying the voices of Yorgas who accessed the AMS.

Implications for the profession: The results of this study indicate that EMs possess enhanced capacity and flexibility in their roles, which contributes to greater job satisfaction whilst better meeting the needs of Yorgas' birthing in AMSs.

Impact: This study explored the impact of Endorsed Midwives in an AMS. Endorsed midwives achieved greater job satisfaction and were well received by Aboriginal patients. This research increased knowledge of the benefits of Endorsed Midwives employed in an AMS, thereby enhancing the care of Aboriginal clients.

Reporting method: This study adhered to the SQRQ guidelines for reporting qualitative research.

Patient/public contribution: The study was overseen by an Aboriginal advisory circle, who actively participated in the research process with a focus on culturally appropriate ways of knowing, being and doing research. The Advisory circle was involved from conception and design to data acquisition, analysis, as well as interpretation of data.

Aim: This study aims to investigate physical inactivity levels in early pregnancy and explore the associated factors among Chinese pregnant women.

Design: A convergent mixed-methods study was employed, comprising a cross-sectional survey (n = 802) and in-depth semi-structured interviews (n = 18).

Methods: First trimester pregnant women were recruited through convenience sampling method between August 2022 and March 2023. Sociodemographic, obstetric, social support, and lifestyle characteristics were obtained using a structured questionnaire. Physical inactivity levels were assessed using the International Physical Activity Questionnaire. Quantitative data were analysed using logistic regression, while qualitative data underwent thematic analysis. The results were integrated through a side-by-side comparison approach.

Results: The prevalence of physical inactivity in early pregnancy was 51.2%, with walking being the predominant activity. Logistic regression analysis indicated that women under the age of 25 were more likely to engage in physical activity during early pregnancy than those aged 25-29 (adjusted odds ratio [aOR] = 2.213, 95% confidence interval [CI]: 1.063-4.605) and 30-34 years (aOR = 2.320, 95% CI: 1.107-4.866). Compared to women with a high school education or lower, those with a college degree (aOR = 2.158, 95% CI: 1.153-4.039) or a postgraduate education or higher (aOR = 2.116, 95% CI: 1.058-4.231) were more likely to be physically inactive during early pregnancy. Factors associated with higher inactivity included not engaging in regular exercise before pregnancy (aOR = 0.671, 95% CI: 0.500-0.900), experiencing vaginal bleeding in early pregnancy (aOR = 1.504, 95% CI: 1.097-2.063), and reporting poor sleep quality in early pregnancy (aOR = 1.529, 95% CI: 1.133-2.063). Thematic analysis identified four key themes: individual, interpersonal, social, and environmental factors. The main barriers included time constraints, pregnancy-related discomfort, fears and anxieties, lack of confidence, limited resources and conflicting advice. Key facilitators were spousal support and policies that encouraged or enabled exercise during pregnancy.

Patient or public contribution: Pregnant women participated in surveys and interviews, while Dr. Hu, Nurse Director Zhu, and Shen were involved in participant recruitment.

Aim: We aim to analyse the relationship between a nursing community-based model of survivorship care, hypothesising its potential application in the Italian context.

Design: Position paper.

Methods: Discussion and agreement on evidence-based and state-of-the-art knowledge on survivorship care.

Results: The integration of survivorship care in cancer prevention, treatment and rehabilitation pathways is essential to ensure tailored care for patients and their families. Programmes promoting coordinating care between hospitals and communities are promising models of care that may provide more graded assistance. Nurses are promising in this vision, favouring continuity, quality and appropriateness of survivorship care. Survivorship models in Italy are based on multidisciplinary rehabilitating programmes that are geared towards improving quality of life, reducing long-term complications and preventing cancer relapses. A community nurse-based model may guarantee equity in access to care by preventing disparities associated with fragilities. Also, it ensures care continuity by delivering services in community facilities. For citizens who are cancer survivors, the community nurse should also be the professional responsible for coordinating the survivorship care plan, promoting appropriateness and tailored care through advanced competence. Integrated into the oncological network, community nurses are capillary, context-adaptive health 'facilitators' within society. Survivorship care models led by community nurses are promising in the Italian context. Organisational studies should be developed to test efficient models for delivering cancer survivorship care.

Patient or public contribution: No patient or public contribution.