Nursing Open最新文献

Aim: The aim of this study was to determine whether health literacy predicts self-careamong patients with chronic kidney disease (CKD) in a low-resource setting.

Design: The study was a cross-sectional study conducted among 196 patients with CKD attending an urban facility in Kampala, Uganda.

Methods: Data were collected using the adopted health literacy scale (HLS-14 tool) and CKD self-care questionnaire. Descriptive statistics and linear regression were used in the data analyses. The statistical significance level was set at p < 0.05.

Results: The mean age of the participants was 47.2 (13.3) years. Most participants were male (60%), and about 72% were at stage 5 of CKD. Only 6% had health insurance whereas 20% were employed. The participants had a mean self-care score of 65.39 (SD ±7.1) and a mean score of health literacy of 49.48 (SD ±11.2). Based on the bivariate analysis, self-care was associated with sex (p = 0.005), employment status (p = 0.003) and health literacy (p = 0.005). Results from the multivariable regression model show that self-care has a statistically significant positive association with health literacy (β = 0.167, t = 3.65, p ≤ 0.001) and employment (β = 4.45, t = 3.43, p ≤ 0.001) while controlling for other variables.

Patient or public contribution: Our findings suggest that higher levels of health literacy are associated with improved self-care practices which are crucial for managing CKD efficiently. Health education should be provided as early as possible. This work can serve as a basis for future related studies in low-income settings.

Aim: The present study explored the perspective of nurses and parents of children with cancer regarding communication.

Design: This was a qualitative study that applied a descriptive-exploratory approach.

Methods: Participants included six nurses, eight mothers and four fathers of children with cancer, who were selected based on a purposive sampling method. Data were collected using in-depth interviews with participants. All interviews were recorded and transcribed verbatim. Data were analysed using the inductive content analysis method.

Results: Data analysis revealed three categories and eight subcategories, including supportive communication (subcategories: informational support, psychological support and special communication skills); managing spiritual crisis (subcategories: identification of spiritual/religious beliefs and needs of children with cancer and their parents, and managing the spiritual crisis of children with cancer and their parents); and empowering parents and healthcare teams (subcategories: the necessity of teamwork, holding educational workshops and training paediatric oncology nurse specialists). All healthcare providers (including nurses, oncologists, paediatricians, etc.) can consider the results of this study to improve their communications with other healthcare team members, children with cancer, and their families to provide holistic care and increase the quality of care they provide.

Patient or public contribution: No patient or public contribution.

Aim: To develop and test a hypothetical model of the relationships between the health-related quality of life of patients undergoing haemodialysis and associating factors including autonomy support from healthcare professionals, basic psychological needs, motivation, resilience, self-management.

Design: A cross-sectional survey design.

Methods: Data were collected using a self-report questionnaire at four haemodialysis units, including one hospital and three clinics in Seoul and Gyeonggi-do, Korea, from March 2 to August 5, 2022. A total of 232 adults participated in this study, with data from 208 participants included in the analysis. The hypothetical model was examined using structural equation modelling.

Results: Autonomy support from healthcare professionals, basic psychological needs, motivation, self-management, and resilience accounted for 50.4% of the variance in physical quality of life, while autonomy support from healthcare professionals, basic psychological needs, and resilience accounted for 39.2% of the variance in mental quality of life. Basic psychological needs were significantly associated with physical quality of life and mediated the relationship between autonomy support from healthcare professionals and physical quality of life. Basic psychological needs and resilience were significantly associated with mental quality of life. Moreover, basic psychological needs mediated the relationship between autonomy support from healthcare professionals and mental quality of life.

Conclusions: Autonomy support from healthcare professionals and basic psychological needs, as well as patients' resilience, significantly impact the health-related quality of life of patients undergoing haemodialysis.

Implications for the profession and/or patient care: Interventional programs should be developed that promote autonomy support from health care professionals and enhance patients' basic psychological needs and resilience.

Reporting method: Reported in adherence to the STROBE Statement for cross-sectional studies.

Patient or public contribution: A total of 208 patients undergoing haemodialysis at a university hospital and three artificial kidney clinics participated in this study, and their responses were used in data analysis.

Aim: This study aims to develop the Professional Fit Scale in Nursing and to test psychometric analyses.

Design: This is a scale development and validation study.

Methods: This study was conducted in three phases: (1) creation of the items, (2) preliminary assessment of the items, and (3) assessment of the psychometric properties of the scale. The scale was tested using construct validity and reliability analyses after the assessment of content and face validity in accordance with the scale development guidelines. The data were collected between May and September 2021 from nurses working in Istanbul (n = 720).

Results: The final scale included 56 items and 9 subscales, explaining 68.06% of the total variance. CFA showed acceptable fit (χ²/df = 2.57; GFI = 0.90; CFI = 0.90; RMSEA = 0.05; RMR = 0.07). Factor loadings ranged 0.592-0.922. Convergent (CR > 0.70; AVE > 0.50) and discriminant validity (MSV < AVE; ASV < MSV) were supported. Internal consistency was high (α = 0.97), and test-retest reliability was strong (ICC = 0.99).

Conclusion: The scale, which was developed, evaluates the professional fit of nurses in nine fields: professional responsibility, interpersonal relations and care, problem solving, coping with stress, professional skills, continuous development, working conditions, professional achievement and professional autonomy.

Implications for the profession and patient care: Assessing the professional fit of nurses can contribute to the effective management of the healthcare workforce, increase the quality of nursing services and patient safety, which in turn may increase patient and community satisfaction.

Impact: The scale is the first tool to measure nurses' professional fit. The scale demonstrates strong reliability, validity and psychometric properties. The developed scale can be used in identifying job mismatches and implementing improvements, career planning and shaping human resources policies.

Patient or public contribution: Patients or members of the public were not included in the study.

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.