Nursing Open最新文献

Aim: To describe and evaluate the psychometric properties (reliability and construct validity) of the Mental Health Literacy and Stigma Scale-Bilingual (MHLaSS-B).

Design: This is a methodological study designed in a convenience sample of 271 Portuguese and Spanish nursing students who volunteered to participate in the research.

Methods: The Mental Health Literacy and Stigma Scale-Bilingual version (Spanish and Portuguese) was used for data collection. MHLaSS-B intercultural adaptation followed three stages: translation, back-translation and pilot test and the thinking-aloud techniques. Content validity was performed by Content Validity Index and Modified Kappa statistic. Construct validity and reliability tests were performed. Internal consistency was assessed by Cronbach's alpha. Data were analysed using SPSS programs. Ethics committee approval and permission from the institution involved were obtained.

Results: The MHLaSS-B has 28 items of one-factor structure. Cronbach's alpha was 0.702. The cumulative variance explained was 23.14%. Respondents show High literacy and Low Stigma (M = 23.4).

Patient or public contributions: The availability of the MHLaSS-B allows the general population of Portugal and Spain to have a versatile instrument for assessing stigma and MHL. The MHLaSS-B presents good psychometric properties, and it can be a useful tool for novice health workers to better understand the aspects they should pay attention to manage MHL and stigma successfully. The MHLaSS-B is a reliable, adaptable instrument that is now available and it can be used in investigation, teaching and clinical practice.

Aim: To determine emergency nurses with moral distress level, related factors and coping.

Design: This is a mixed-methods study which included quantitative and qualitative approaches.

Methods: In quantitative phase, surveys were completed to 252 emergency nurses, while in the qualitative phase, semi-structured interviews were conducted with 23 nurses. Descriptive analysis was used for quantitative data and thematic analysis for qualitative data.

Results: The related factors of moral distress in nurses were as follows; educational status, work experience, satisfaction, and employment status. EN usually uses positive reinterpretation and development to cope with problems and tried to solve moral distress by getting own individual solutions and getting support from colleagues, friends and families due to lack of support from managers. In order to improve healthy working environment and conditions, it is important to create plans and strategies for EDs. It is recommended to develop practical and structural strategies and interventions that effective coping with moral distress by hospital managers.

Patient or public contribution: It will increase the quality of care provided by nurses and patient satisfaction.

Aim: To explore the experiences of nurses mentoring nursing students who study in an active collaborative learning model in their first clinical placement in nursing homes.

Background: Clinical nurses play a crucial role in providing a meaningful learning environment when mentoring nursing students. Active collaborative learning models are increasingly being implemented in clinical placements in nursing education and it is important to explore the experiences of mentoring nurses when implementing such models. In our study, a model where one mentor supports a learning cell of two students, again being supported by a team of two persons in joint positions, was explored.

Design: The study had a qualitative design, interviewing mentors in focus groups about their experiences with mentoring nursing students in a new, collaborative model.

Methods: Twenty-seven mentors were interviewed in six focus groups. The data from the interviews were analysed using thematic analysis.

Results: Two main themes emerged from the analysis: (1) navigating to find the mentor role in a new approach and (2) sharing responsibility for student mentoring.

Conclusions: Mentors in active, collaborative learning models can experience a shift from emphasis on developing a close relationship with one student to emphasis on supporting a learning cell of two students in organising their learning. When introducing new models to practice learning it is essential to also provide a supportive structure for the mentors.

Relevance to clinical practice: Active collaborative learning models have the potential to provide more clinical placements of high quality. Nurses who mentor students need support. A supportive environment being facilitated by academic-practice collaboration provide a community of practice on mentoring for nurses.

Patient or public contribution: The result of the research was shared and discussed with stakeholders prior to submitting the article for publication.

Aim: The purpose of this study was to summarise the current state of the science on diabetes mellitus education programs for nursing students.

Design: A systematic review and meta-analysis.

Methods: Eligible studies were identified by searching PubMed, EMBASE, CINAHL, and Cochrane Library databases. Randomised controlled trials and quasi-experimental studies, published in English between 2013 and 2022, that examined diabetes education programs for nursing students were considered in the review. The quality of the articles was evaluated using the Joanna Briggs Institute's Critical Appraisal Checklist. Key information such as authors, study focus, population, sample size, details of intervention and control group treatments, outcome variables, and main findings were extracted and summarised in a data extraction form for further analyses and syntheses.

Results: The literature search identified 464 articles, from which 13 studies were evaluated in the systematic review. Most studies (n = 12, 92.3%) used technology-based teaching methods, such as high-fidelity simulations, mobile applications, and virtual reality simulations. Regarding the evaluation of diabetes education program effectiveness, the majority of studies showed significant improvements in knowledge (n = 8, 61.5%), followed by satisfaction with learning (n = 4, 30.8%), nursing skill performance (n = 3, 23.1%), and self-confidence (n = 3, 23.1%) in nursing students. In meta-analyses, technology-based teaching interventions, compared to traditional education, showed no statistically significant improvement in diabetes knowledge (standard mean difference 9.52, 95% CI [-0.18, 19.21], p = 0.05) and self-efficacy (standard mean difference 24.09, 95% CI [-10.75, 58.92], p = 0.18). Despite this, technology-based methods demonstrated favourable effects on knowledge and self-efficacy against traditional education. Findings highlight the importance of emerging technology-based diabetes education programs tailored for nursing students, crucial for enhancing positive educational outcomes. No Patient or Public Contribution.

Aim: To examine the reliability and construct validity of the Spanish adaptation of the Spirituality and Spiritual Care Rating Scale (SSCRS) within the nursing professionals' context.

Design: Observational and descriptive cross-sectional study.

Methods: The sample consisted of N = 325 nursing professionals from various healthcare settings, including hospitals, clinics and community healthcare centres. Following translation and cultural adaption of the SSCRS, the scale underwent psychometric assessment of its construct validity through exploratory and confirmatory factor analysis. Internal consistency analysis was also performed using a McDonald's omega. The reporting in this investigation adhered to the STROBE checklist.

Results: The exploratory factor analysis (EFA) revealed a two-factor structure, with one factor closely aligning with one religiosity dimension and the other factor combining the spirituality, spiritual care and personalised care dimensions. The results of the confirmatory factor analysis did not provide an adequate fit to the data for both the two-factor solution found in the EFA and the four-factor solution proposed by McSherry, Draper, and Kendrick (2002). Even though the four-factor solution showed a slightly better fit than the two-factor solution, neither model achieved a satisfactory fit. The lack of formal education and confusion between religion and spirituality among healthcare professionals could have influenced the responses and interpretation of the results.

Conclusion: The findings showed that the SSCRS-Sp demonstrated good internal consistency, indicating that the items in the scale are reliably measuring the targeted constructs. Further refinement and validation of the scale are needed to establish a robust factor structure in the target population.

Relevance to clinical practice: The SSCRS-Sp can be used to assess the nurses' perceptions of spirituality and spiritual care. The availability of this tool represents a significant step towards greater integration of the spiritual dimension of care within a holistic nursing care framework in Spanish-speaking countries.

Patient or public contribution: Nursing professionals responded to the research scale.

Aim: A positive pregnancy experience can be a good start for healthy motherhood. This study aimed to investigate Iranian women's pregnancy experience and how self-reported hassles and uplifts influence birth experience, postpartum depression and anxiety, and the association between childbirth experience and postpartum mental health.

Design: A prospective descriptive study.

Methods: A prospective descriptive study was conducted among 228 pregnant women from health centres in Tabriz, Iran. From the 28th to 36th weeks of pregnancy, participants completed the Pregnancy Experience Scale. Then, the mothers were followed up until 4-6 weeks postpartum, and Childbirth Experience Questionnaires version 2.0, Edinburgh Postnatal Depression and the short form of Specific Postpartum Anxiety Scales were completed. The data were analysed using the general linear model.

Results: After adjusting for possible confounding variables, there was no statistically significant association between women's pregnancy and childbirth experiences. However, the mean scores of postpartum depression and anxiety were significantly higher in women who felt unhappy about the discomforts that they experienced during pregnancy (β [95% CI] = 0.01 [0.01-0.02]; p < 0.001, 0.22 [0.09-0.35]; p = 0.001, respectively).

Conclusion: There was a significant statistical reverse association between childbirth experience and postpartum anxiety and depression. The study demonstrated a significant association between women's pregnancy, birth experiences and postpartum psychological outcomes. Implementing interventions that create a positive pregnancy experience will likely have an impact on reducing the prevalence of postpartum depression and anxiety.

Patient or public contribution: Pregnant women participated solely in the data collection by responding to the questionnaires. No participant contributions were required for the study's design, outcome measurement or implementation.

Aim: To illuminate nurses' experiences of communicating with families in home health care.

Design: A qualitative inductive approach.

Background: An increasing number of ageing and sick people are being granted home health care. Nurses' duties involve caring for both patients and their families, which includes the important task of meeting and talking with them.

Methods: Fourteen registered nurses working in home health care in Sweden participated in individual narrative semistructured interviews. The interviews were analysed with content analysis. To make sure all components of the study were clear, the Standards for Reporting Qualitative Research checklist was used as a guide.

Result: Communication with families was viewed as a crucial action for building rapport to facilitate the involvement and support of families in difficult situations. The nurses highlighted the struggles they sometimes faced in communication when they found it difficult to reach the family. When the communication was supportive for the family, the nurses felt that they were empowering the family members to empower themselves.

Conclusion: This study highlights the vital role of communication in home health care nursing. Effective communication fosters trust and enables nurses to meet family needs.

Implications for the profession: Effective communication between nurses and families in home health care is crucial from a health care perspective. Building reciprocal relationships fosters trust, enabling nurses to efficiently identify and address family needs and enhancing the quality of care.

Patient or public contribution: No patient or public contribution.

Aim: To compare nurse work hours and nursing activities between high-staffed and low-staffed general wards to examine the effects of increased staffing on nurse workload and nursing care.

Design: A secondary analysis was conducted using cross-sectional data collected at a tertiary teaching hospital in South Korea in January 2020.

Methods: Nursing activities provided by 350 nurses were observed every 10 min during their shifts for three observation days in four high- and four low-staffed wards. Nurse-to-patient ratios, nurse work hours, nursing activities and the composition of nursing hours (direct care, indirect care and associated work) were analysed.

Results: After excluding non-productive personal time, nurses in the low-staffed wards worked 9.28 h, which indicates 1.28 h of overtime work on average, while the high-staffed wards recorded 7.90 h of productive work time. The nurse-to-patient ratio in the high-staffed wards was 1:4.73, whereas that in the low-staffed wards was 1:8.87. The proportion of direct care hours out of nurse work hours was higher in the low-staffed wards (30.9%) than in the high-staffed wards (25.7%). Nurses in the low-staffed wards provided a greater number of direct care hours, and the largest difference in direct care hours between the two groups was found on night shifts. Nurses in the high-staffed wards spent more time communicating with patients and charting, whereas nurses in the low-staffed wards spent more time on vital signs and medications.

Conclusion: Improved staffing had positive impacts on patients and nurses. Patients benefited from better staffing through increased communication with nurses. Better staffing also reduced overtime work and activities conducted during night shifts.

Implications for the profession and patient care: Adequate staffing is essential to improve patient care quality and reduce nurse workload. Nursing activities must be prioritised and redesigned to maximise the benefits of increased staffing on patient and nurse outcomes.

Reporting method: We have adhered to the STROBE reporting guidelines.

No patient or public contribution: The aim of this study was to compare nurse work hours and nursing activities between high-staffed and low-staffed wards.

Aim: To explore Muslim immigrant older adults' experiences of a modified community-based outdoor walking program and identify factors that facilitate or hinder program acceptance and participation.

Design: An exploratory qualitative description single-group pilot study was designed and implemented in three phases: (1) pre-intervention focus group interviews; (2) intervention implementation with tracking of physical activity levels using personal activity monitors; and (3) postintervention individual interviews.

Methods: Participants were recruited using a convenience sampling strategy in a mosque in Edmonton, Canada, in June 2019. After focus group discussions with participants, walking sessions were conducted for 10 weeks in a local accessible park with required amenities such as benches and restrooms. A fitness instructor delivered the weekly program that was followed by individual semistructured interviews to explore participants' satisfaction and program acceptance. Content analysis was used for qualitative data and sociodemographic, health and physical activity level (via step counts) data was documented for all participants.

Results: Thirteen participants with a mean age of 66.9 years completed the program. The majority of participants led a sedentary lifestyle. Participants identified three motivators that increased program satisfaction, which were socialising with peers, having a fitness instructor, and using Fitbit activity trackers. Difficulties with transportation and lack of appropriate educational components were areas for improvement that could enhance acceptability of the program.

Conclusions: This study suggests that early incorporation of older immigrants' preferences increases acceptance of physical activity programs.

Implications: Nurses' engaging in healthy lifestyle support for older immigrants can identify the influences on positive uptake of physical activity programs in this population.

Impact: Immigrant Muslim older adults lack access to evidence-based physical activity programming that meets their cultural and religious preferences. This study provides some insights into ways to engage this population in similar programs.

Patient or public contribution: Community-dwelling older adults who participated in this study completed focus groups and interviews and engaged in the 10-week pilot intervention. Their input informed the modifications to the intervention.