Nursing Open最新文献

Background: Mothers of high-risk neonates experience tremendous stress during neonatal intensive care unit (NICU) admission. This stress has a negative impact on mothers' participation in neonatal care activities, psychological health and coping skills in the NICU.

Objective: To determine the impact of interventional strategies to reduce maternal stress and enhance coping skills during neonatal admission to the NICU.

Design: A scoping review was carried out following the methodological framework outlined by Arksey and O'Malley.

Methods: This scoping review was conducted as per the Joanna Briggs Institute guidelines, including a quality appraisal checklist for randomised and nonrandomised controlled trials. Patterns, advances, gaps, evidence for practice and research recommendations from the review (PAGER framework) were used to report the results. The following international databases were used to search for primary articles: Medline via PubMed, EBSCOhost via CINAHL, Scopus, Web of Science and the ProQuest Medical Library. Original studies published in English between January 2011 and January 2023 from low- and middle-income countries (LMICs) that assessed maternal stress and coping skills during neonatal NICU admission were included in the review.

Results: The review included 15 articles from LMICs, of which 60% were from middle-income, 25% were from lower-middle-income and 15% were from low-income countries. Interventional strategies were described under five categories. Maternal stress decreased significantly across all three subscales of the PSPS: 'sight and sound', 'baby looks and behavior' and 'parental relationship with baby and role alteration' during neonatal NICU admission. Interventional strategies involving family-centred care and emotional and psychological supportive care have been reported to have a consistently positive impact on alleviating maternal stress and enhancing coping skills in the NICU.

Conclusion: Healthcare professionals, especially nurses, are pivotal in promptly recognising maternal stress and NICU stressors. The participation of mothers in neonatal care, such as through family-centred care and emotional support interventions, significantly reduces maternal stress and enhances coping skills.

Aim: This study aimed to explore the experiences of hospitalised patients with Covid-19 in terms of the meeting of their comfort needs and the source of discomfort during isolation precautions.

Design: Qualitative descriptive phenomenological approach was applied in this study.

Methods: There were 16 hospitalised patients with Covid-19 and 11 nurses who were thoroughly interviewed. Content analysis was conducted to examine the data of the interviews and then managed using Atlas ti-9 software.

Results: Five central themes were identified that describe the comfort needs and the source of discomfort, as follows: (1) nursing professionalism; (2) physical discomfort; (3) psychological responses; (4) poor sleep quality; and (5) spiritual adaptations.

Public contribution: The study promoted further explanation about comfort need in patients with Covid-19 in isolation room. This study also highlighted that nursing care played a pivotal part in assisting patients to reach their highest comfort level.

Aim: The effects of COVID-19 have brought numerous changes in society in the past several months. Lifestyles, business sectors, educational facilities and healthcare services have been greatly affected, causing individuals to be alarmed about future repercussions. This study investigated the various challenges of nursing faculties in conducting online teaching during the COVID-19 pandemic crisis.

Design: Qualitative description.

Method: Individual interviews were conducted among 20 nurse educators and faculty members, including professors, lecturers and demonstrators utilising a semistructured interview guide. This study utilised qualitative content analysis. COREQ criteria list was used in the qualitative data reporting.

Result: Three major themes were generated from the experiences of the participants namely: (1) 'lack of teacher-student interaction' (2) 'digital literacy and technical issues' and (3) 'curriculum structure and programme quality'. The study's benefits will enable the nurse faculties to realise and conceptualise ways and means to mitigate the challenges in conducting online teaching since the effects of COVID-19 continue to increase. Nurse faculties must prepare various strategies approach to deliver education without compromising their quality.

Patient or public contribution: Experts from various fields were consulted in the planning of the data gathering procedures, analysis of data and reviewing of the manuscript.

Aims: To evaluate the sleep quality of patients with atrial fibrillation and its influencing factors, and explore whether illness perception mediates the relationship between family function and sleep quality.

Design: Cross-sectional survey conducted from November 2020 to November 2021.

Methods: A total of 191 participants validly completed the Pittsburgh Sleep Quality Index, the Family APGAR Index and the Brief Illness Perception Questionnaire. Data were analysed using descriptive statistics, independent samples t-tests, one-way ANOVA, Pearson correlation analysis and multiple linear regression analysis. Bootstrapping was used to detect the mediating role of illness perception.

Results: Patients with atrial fibrillation reported poor sleep quality, good family function and a moderate level of illness perception. The better the family function, the lower the level of illness perception and the better sleep quality in patients with atrial fibrillation. Patients with commercial medical insurance had lower levels of sleep quality relative to self-financed patients. EHRA III and EHRA IV patients had worse sleep quality than EHRA II patients. Illness perception played a significant mediating role in the relationship between family function and sleep quality.

Conclusions: Patients with atrial fibrillation have poorer sleep quality, and the type of medical insurance and EHRA score are independent indicators related to their sleep quality. Future health education and interventions need to focus on strengthening and improving the emotional support of family members in order to improve family function and reduce illness perception, thereby improving sleep quality of patients with atrial fibrillation.

Impact: This study provides further evidence that nurses need to enhance their awareness and provide ongoing education to better identify patients with AF who have family dysfunction and perceived high levels of illness threat perceptions, as these factors negatively impact sleep quality.

Reporting method: This study was reported in strict compliance with the strengthening the reporting of observational studies in epidemiology (STROBE) guideline.

Patient or public contribution: No patient or public contribution.

Aim: The purpose of this systematic review was to identify key factors that lead to variations in outcome in cardiometabolic interventions among Asian Americans.

Design: Systematic review.

Review methods and data sources: In October 2022, a systematic search was conducted in the following databases: CINAHL, Cochrane, PsycINFO, PubMed and Web of Science. Results of database searches were uploaded to Rayyan for screening of titles, abstracts and full texts. Based on inclusion and exclusion criteria, twelve studies published across seventeen articles between 2002 and 2021 were included in this review. These studies were assessed for bias using the Revised Cochrane Risk of Bias tool.

Results: Cultural tailoring was an element of 91.7% of the studies. More than one-third of the studies utilized community health workers to build relationships with the communities being studied. Overall, lifestyle interventions targeted for Asian American populations led to improvements in both physical and psychosocial outcomes such as mental health, self-efficacy, disease knowledge, behavior change and/or quality of life.

Conclusion: This systematic review of interventions targeting cardiometabolic outcomes among Asian American populations reveals many gaps in the existing literature. For one, there is limited research on the association of various sociodemographic variables with participants' success and/or retention in health intervention studies among Asian American populations. Interventions utilizing technology have also been lacking with this population and are a potential tool for improving health outcomes.

Impact and implications: Diabetes and cardiovascular disease are both ranked in the top five causes of Asian American deaths. The reviewed articles' findings were mixed but suggest that culturally tailored interventions aimed to improve the cardiometabolic health of Asian Americans are generally effective. As we move forward, this body of research serves as a crucial foundation for shaping the future of culturally tailored interventions, guiding nurse researchers to develop more effective strategies for treating and preventing these prevalent and cardiometabolic conditions.

Reporting method: Completed PRISMA checklist is available upon request.

No patient or public contribution: This systematic review better informs future directions for person-centred, community-based and participatory research.

Aims: This study analysed the status of nurse-authored patents and their influencing factors. In particular, this study examined the effects of nurses' innovative behaviour and creative self-efficacy on nurse-authored patent output via structural equation modelling (SEM).

Design: A descriptive cross-sectional study.

Methods: Nurses were recruited from one tertiary cancer hospital in Beijing, China. Among them, 352 oncology nurses completed the online versions of the Nurse Innovative Behavior Scale and Creative Self-Efficacy Scale in 2023.

Results: We collected a total of 332 valid questionnaires. Fifty-seven (17.2%) nurses had 1-3 patents, and only 6 (1.8%) had more than three patents. The final model revealed a chain reaction between creative self-efficacy, innovation behaviour and nurse-authored patent output (χ² = 11.962, df = 7, p = 0.102). Significant differences were observed in the number of nurse-authored patents and based on age, educational profile, professional title, length of service, position, participation in science and technology innovation training, and experience in project presentation (all p < 0.05).

Conclusion: Nurses still play a minor role in the field of medical technology innovation. It is necessary to promote innovative behaviour among nurses and improve their creative self-efficacy in terms of innovation.

Impact: Developing intervention strategies to encourage nurses to pursue clinical innovations is crucial for nursing managers and technological innovation promoters.

Aim: The aim of this review was to examine the evidence on multidisciplinary inpatient community rehabilitation intervention programmes for frail older people to establish what frailty rehabilitation programmes if any have been described within the literature and to identify gaps in knowledge and outcome measures used.

Design: A scoping review was conducted.

Methods: Using the Joanna Briggs Institute approach to scoping reviews, a comprehensive literature search was conducted accessing MEDLINE via PubMed, PsychINFO (via Proquest), CINAHL Complete (via EBSCO) and the Cochrane Library and a limited search of the grey literature was undertaken.

Results: Four articles met the inclusion criteria. A heterogenous approach to geriatric rehabilitation was evident across the literature. While the reported rehabilitation interventions were aimed at frail older people, the predominant focus of frailty rehabilitation programmes were on the physical functionality of the older person with an absence or limited measurement of any psychosocial, cognitive or spiritual outcomes or aspects of quality of life.

Conclusion: This scoping review exposed the paucity of scientific evidence supporting the need for inpatient multidisciplinary rehabilitative programmes for frail older people wishing to remain at home.

Relevance to clinical practice: Timely access to inpatient integrated frailty rehabilitation programmes can improve the quality of life and reduce the likelihood of hospital admissions for frail older people who wish to remain living in their own homes. With the current dearth of published evidence available, there is a necessity to undertake further research to understand the form, content and best models of delivery for frailty rehabilitative services for clinical, policy and practice purposes.

Patient or public contribution: There was no patient or public contribution.

Aim: To explore the relationship between midwives' psychological resilience and posttraumatic growth, and the mediating role of perceived stress and positive coping strategies.

Design: A multicentre cross-sectional survey was used.

Review methods: Data were conducted among 339 midwives from 24 Grade III A hospitals in Sichuan Province from April to July 2023, using the Chinese version of the Connor Davidson Resilience Scale, Chinese version Perceived Stress Scale, Simplified Coping Style Questionnaire, Chinese-Posttraumatic Growth Inventory and General Demographic Data Questionnaire. A descriptive statistical approach, Pearson's correlation analysis and the Mplus 8.3 were used to analyse the available data.

Results: There was a significant correlation between psychological resilience, perceived stress, positive coping strategies and PTG. Psychological resilience could have a direct positive impact on PTG of midwives, but it could also indirectly affect PTG of midwives through three pathways: the mediating effect of perceived stress, the mediating effect of positive coping strategies and the chain mediating effect of perceived stress and positive coping strategies.

Conclusion: Results suggest that nursing managers should help to improve the psychological resilience of midwives and to reduce individual stress perception, enhance coping abilities and achieve positive growth.

Impact: Prior to data collection, we obtained approval from the nursing department of each hospital. Midwives who met the inclusion and exclusion criteria gave informed consent and invited to participate in this study.

Reporting method: This study was guided by STROBE.

Patient or public contribution: During the data collection phase, 349 midwives took the time to carefully answer the questionnaire items related to this study.

Aims and objectives: To describe psychiatric nursing staff´s experiences of working with suicide risk assessment instruments.

Background: Around the world, approximately 720,000 people die by suicide each year, of which almost 20% have an ongoing contact with specialist psychiatry during their last month alive. To identify which patients have an increased risk of suicide is a highly important task for nursing staff. Suicidal behaviour is complex and unpredictable. Nursing staff work closely with patients in everyday psychiatric care and often possess unique patient knowledge. These professionals must therefore be able to know when a patient's eventual suicidality requires further attention and efforts.

Design: A descriptive qualitative study.

Methods: Convenience sampling including nursing staff with more than 2 years of experience in specialist psychiatry. The data collection took place through semi-structured interviews and was then analysed according to conventional content analysis.

Results: The nursing staff felt that a natural conversation is superior suicide risk assessment instruments and that experience and patient knowledge are the primary factors for facilitating a suicide risk assessment. This meant that some nursing staff rarely used suicide risk assessment instruments, although they sometimes could be a useful support in the conversation and provided a sense of personal security when documenting results.

Conclusion: Suicide risk assessment instrument can be significant and helpful in certain cases, but the essential components of a suicide risk assessment consist of a conversation to understand the meaning of suicide from the patient's perspective.

Patient or public contribution: Psychiatric nursing staff contributed to this study by sharing their experiences through interviews.

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.