Nursing Open最新文献

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.

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.