Nursing Open最新文献

Aim: To build an evidence-based definition of midwifery care and its fundamental and distinctive features.

Design: Rodgers and Knafl's evolutionary concept analysis.

Review methods: Six databases (PubMed, CINAHL, Web of Science, PsycINFO, Scopus, ProQuest) were searched and a thematic sampling of the sources was performed.

Data sources: The search yielded 30 relevant papers.

Results: Key findings include five antecedent categories: philosophy, personal features, regulatory features, care context and professional team. Attributes include relationship and family-centredness. Consequences encompass safety, empowerment and professional outcomes. Related concepts and surrogate terms reflect the broader scope and the fragmented perception of 'midwifery care'.

Discussion: Midwifery care is often limited by obstetric-led models that prioritise risk management over holistic care. This disparity leads to discrimination and professional dissatisfaction, impacting on the quality of care and midwives' well-being.

Implications for the profession: Through the conceptualisation of midwifery care, research, education, clinical practice and governance can be oriented toward professional priorities, enhancing coherence, awareness and relevance in relation to the ontological nature of the profession and its systemic value within healthcare and society. In this context, it is crucial for policymakers to maximise the development and implementation of policies that support the establishment of care models based on the principles of midwifery care, ensuring a more comprehensive and effective healthcare system.

Patient or public contribution: No patient or public contribution.

Aim: To determine the effect of emotional intelligence skills training on work-family conflict based on self-regulation theory in nurses.

Design: Mixed-method study with sequential-explanatory design.

Methods: The quasi-experimental part was done on 102 nurses in control and intervention groups. In the qualitative section, in-depth individual interviews were conducted with 8 participants, and data were extracted using the content analysis method.

Results: The average total score of emotional intelligence in the experimental group was significantly higher compared to the control group. But the findings did not show a significant difference in the average scores of work-family conflicts before and after the intervention in groups. The analysis of the findings from the interview showed that several factors explain the lack of effectiveness of emotional intelligence training in reducing work-family conflict.

Conclusion: The findings of the quantitative and qualitative parts of the study showed that the training of emotional intelligence was useful for individuals, but the fact that it could reduce the work-family conflict might be due to some other factors, e.g., individuals, family and workplace as well.

Patient or public contribution: No patient or member of the public contributed to the study findings, and the study was conducted only on the population of nurses.

Background: Endorsing the maintenance of regular walking as a form of physical activity is a fundamental component of population-level health promotion strategies. Among various influencing factors, the neighbourhood-built environment has been recognised as a key determinant of individuals' walking behaviour. However, evidence on the role of gender and socioeconomic status-both in the prevalence of walking maintenance and in its association with perceived neighbourhood environmental attributes-remains limited and may vary depending on contextual factors, such as metropolitan settings.

Aim: To examine the prevalence of walking maintenance among Seoul citizens and explore the association between perceived neighbourhood environmental attributes and walking maintenance, stratified by gender and socioeconomic status.

Design: A cross-sectional study design.

Methods: Data were collected from 2000 Seoul residents aged 18-69 years. Walking maintenance was defined as walking ≥ 30 min per day, ≥ 5 days per week, for at least 6 months. Neighbourhood environmental attributes were measured using the Physical Activity Neighbourhood Environment Scale. Analyses were stratified by gender and socioeconomic status.

Results: Women and individuals with lower socioeconomic status were less likely to maintain regular walking compared to their counterparts. Individuals with lower socioeconomic status-but not women-perceived their neighbourhood environmental attributes-particularly aesthetics, recreational facilities, safety and pedestrian/bicycling infrastructure-as less conducive to maintaining regular walking.

Conclusion: Targeted improvements to neighbourhood environments may promote sustained walking, particularly among vulnerable populations, including women and individuals with lower socioeconomic status. These findings support nurse-led, environment-focused strategies to enhance long-term physical activity.

Implications for the profession: Community health nurses should lead efforts to identify populations at risk of discontinuing regular walking and promote walking maintenance through environmental approaches and collaboration with urban planning initiatives that improve neighbourhood conditions. Such efforts may support sustained walking and contribute to reducing health disparities.

Patient or public contribution: No patient or public contribution.

The 2022 mpox outbreak disproportionately affected men who have sex with men (MSM), leading to targeted public health interventions. While data supported prioritising MSM, this focus risks reviving stigmatisation reminiscent of the HIV/AIDS crisis. This editorial examines the roots of this narrative and its potential negative impact on affected communities. We argue that while high-risk groups should be addressed, public health efforts must avoid reinforcing prejudices and instead adopt inclusive strategies. Expanding prevention beyond MSM, promoting community empowerment, and fostering collaboration are essential to combat both the virus and the stigma it can generate.

Aim: To understand the needs and experiences of ICU nurses during COVID-19.

Design: A qualitative approach utilising focused ethnography was employed in this study.

Methods: Nurses working in adult ICUs and who had taken care of COVID-19 patients during the pandemic were recruited using purposive sampling. Data collection took place through semi-structured interviews conducted online via Zoom, and demographic data was collected using a REDCap survey. Interviews were analysed using a systematic approach as proposed by Roper and Shapira.

Results: Three overarching themes were identified: (a) navigating constantly changing landscape; (b) facing unique challenges and stressors and (c) experiencing the impact of COVID-19. The changes included changes in policies, patient care and environment. ICU nurses faced numerous challenges during the COVID-19 pandemic including shortages, embracing the unknown and communication challenges. The COVID-19 pandemic significantly impacted ICU nurses, both emotionally and physically, and the emotional toll of caring for them was stressful and challenging for them.

Conclusion: The study findings highlight the importance of addressing ICU nurses' needs and providing support to promote their well-being during the COVID-19 pandemic and beyond.

Implications for the profession: Healthcare organisations should develop policies and guidelines that are evidence-based and prioritise the safety of patients and healthcare workers. The results of this study can be used to inform policies and practices aimed at supporting the mental and emotional well-being of healthcare workers, particularly those in high-stress environments such as the ICU.

Impact: The study investigated the experiences and needs of ICU nurses and found that the COVID-19 pandemic had a significant impact on the physical, mental and emotional health of these nurses. The findings of this study will have an impact on healthcare institutions, nursing organisations, public health authorities, nursing education and the research community. It has the potential to drive positive changes in the support and care provided to ICU nurses, ultimately leading to improved outcomes for both nurses and patients during health emergencies.

Reporting method: The authors have adhered to the standards for reporting qualitative research guidelines.

Patient or public contribution: ICU nurses were interviewed for the data collection of the study.

Aims: The aim of this study was to determine the relationship and predictive power of systemic thinking with the attitude, knowledge and skills of nursing students in the field of patient safety.

Design: Descriptive correlational design.

Methods: This study was conducted among 228 final-year nursing students selected via census from three universities in southern Iran from September 2023 to January 2024. Information was collected followed by administering demographic, systemic thinking and attitude, knowledge, skills questionnaires regarding patient safety.

Results: The participants' systemic thinking mean score was at a high level. Their total mean score of attitude, knowledge, and skills towards safety was at a moderate level. Furthermore, a relatively weak significant relationship was observed between the participants' systemic thinking and their total mean score of attitude, knowledge and skills.

Conclusions: The professors and managers of nursing schools in the field of policy making can employ the present study findings to provide patient-centered care by planning and improving the nursing students' knowledge in the field of patient safety.

Implications for the profession and/or patient care: By promoting systemic thinking and increasing knowledge, attitude and skills in the field of patient safety, it helps nurses to provide safe and quality care.

Public contribution: All the participants of this study were final year nursing students in three nursing schools of Shiraz, Kerman and Bandar Abbas in Iran who were included in the study based on the entry criteria.

Aim: To assess the knowledge, attitude, and practice (KAP) regarding deep vein thrombosis (DVT) among pregnant and postpartum women in Xiamen, China.

Design: A cross-sectional study using self-designed questionnaires was conducted.

Methods: From October 18 to October 28, 2023, questionnaires were distributed to pregnant and postpartum women. Logistic regression and structural equation modelling (SEM) were used to analyse factors associated with KAP scores.

Results: A total of 609 participants completed the study. The average scores were: knowledge 4.19/11, attitude 36.38/50, and practice 26.68/35. Higher knowledge, higher education, and higher income were independently associated with higher practice scores. The SEM showed that knowledge directly positively affected attitude and practice, and influenced practice indirectly through attitude.

Conclusions: Pregnant and postpartum women in Xiamen have poor knowledge but neutral attitudes and acceptable practices regarding DVT. Knowledge is linked to attitude and practice, with attitude mediating the effect of knowledge on practice. Awareness campaigns to improve attitudes are essential for promoting preventive practices.

Reporting method: We have adhered to relevant EQUATOR guidelines and STROBE reporting methods.

Patient or public contribution: No patient or public contribution.

Aim: Missed nursing care (MNC) is a global and important phenomenon in nursing and is universally used as an indicator of the quality of nursing care. However, no precise definition is available for this concept's dimensions and clinical features during an emerging infectious disease. This study aims to furnish a comprehensive evidence-based definition of MNC in the context of the COVID-19 pandemic.

Design: A concept analysis paper.

Methods: This study was conducted using an integrative approach to the concept analysis of Walker and Avant. In the literature review stage, the databases CINAHL, Web of Science, Scopus and PubMed as well as the Google Scholar search engine were searched from December 2019 to April 2024. Keywords of the study were selected according to the Medical Subject Headings (MeSH) and previous research. Textual analysis of the selected articles was conducted using an inductive and deductive approach. Throughout the study, the authors followed the SRQR checklist.

Results: The results indicated the concept of 'missed nursing care' during an emerging and infectious disease such as COVID-19 refers to a set of nursing activities and procedures that require interaction and close contact with patients and must be included in the care and treatment plan for patients (supportive, psychological-social care and basic/bedside care). However, these activities have been presented as suboptimal, prioritised and interrupted. These attributes are caused by the complexity of caring for emerging diseases, aggravating lack of human and material resources, communication/teamwork and individual factors.

Conclusion: The concept of MNC during an emerging infectious disease is an altered cognitive process that can be defined as disrupted nursing care (DNC) in the nurse role adjustment, time management and care environment for various reasons. COVID-19 has been the most significant disruptor in healthcare, but it will not be the last.

Implications for the profession and patient care: This conceptual analysis can help sensitise care managers to the holistic view and adaptation of policies and strategies in crises, develop care models and theories, and help researchers generate specific tools or clinical scales for accreditation in emerging infectious diseases.

Consent: No patient or public contribution.