BMC Nursing最新文献

Objective: This study aimed to investigate the perspectives of nurses and patients on the misplacement of supportive care information for type 2 diabetes mellitus (T2DM).

Methods: A descriptive qualitative study was conducted using purposive sampling to recruit elderly individuals diagnosed with T2DM and nurses from a geriatric hospital in the central region of China. Semi-structured interviews were carried out between June and October 2024.

Findings: A total of 21 patients and 12 nurses participated in this study. Five themes were generated: (1) consistent value identity, (2) inadequate information carriers, (3) conflicting subject needs, (4) loose information links, and (5) strong willingness to improve.

Conclusion: It was essential for patients and nurses to enhance access to information and establish a robust information support framework. In addition to improving the information support capabilities of nurses, it was equally important to enhance patients' ability to provide feedback on the information they receive.

Background: To ensure high-quality care for residents living with dementia, recommendations for dementia-specific care do exist internationally as well as in Germany. Nevertheless, it remains unclear how dementia-specific care is currently provided and what can be derived from this for the improvement of dementia-specific care. Therefore, this study aimed to investigate the provision of dementia-specific care and related problems in German nursing homes.

Methods: We used a holistic multiple case design with a total of four cases. The cases were defined as care units in which residents living with dementia were cared for. For data collection, we used problem-centered face-to-face interviews, document analysis, and context questionnaires and analyzed all qualitative data inductively and deductively using content structuring qualitative analysis. To identify case-specific and cross-case patterns and themes, we focused on similarities and differences between the cases. The reporting followed the EQUATOR reporting guideline for organizational case studies.

Results: We interviewed 21 professionals, 14 relatives and 8 residents living with dementia. Despite context-specific differences, we identified a variation of care practices and problems in applying person-centered, dementia-specific care in German nursing homes. In all cases, these belong to the following topics: 1) handling neuropsychiatric symptoms, 2) dealing with communication difficulties, 3) providing person-centered interaction and communication, 4) dealing with stress caused by experiencing dementia-specific symptoms and 5) using and sharing knowledge. Even though the problems were identified in all cases, we also found differences in the extent and perception of these problems across the analyzed cases.

Discussion: Despite existing conceptual recommendations and described care practices in our study, the identified problems showed that current care practices are perceived as problematic and partly are not person-centered. This highlights that person-centered requirements in dementia-specific care are not yet adequately addressed and that there is a need to give greater consideration to the identified problems when developing interventions to improve quality of care. Furthermore, the identified context-specific differences in the extent and perception of these problems show that the designs of new care models should allow for more flexibility, so that written recommendations can be implemented in practice and adapted to given contexts.

Background: University students encounter a variety of challenges and stressors that have an impact on various aspects of their lives, including their personal well-being, resilience, socialization, and character development. The identification of students' personality traits and their correlation with future anxiety is crucial in determining the degree to which they possess the capacity to adjust and confront challenges.

Methods: This cross-sectional, correlational study involved 654 students from the Faculty of Nursing at Mansoura University. Data were collected by a sociodemographic questionnaire, a Big Five Inventory questionnaire, and Zung's self-rating anxiety questionnaire. Data were analyzed using the Kolmogorov-Smirnov, Kruskal Wallis, and Mann-Whitney tests with the IBM SPSS software package, version 20.0.

Results: The personality trait of openness was the most frequently observed among the participants, with a mean of 33.15 ± 7.22. A significant proportion of students76.0%, demonstrated an absence of feeling anxiety. A statistically significant relationship (P < 0.001) was detected between the personality traits of agreeableness, conscientiousness, and neuroticism and levels of anxiety. Furthermore, no significant correlation was found between anxiety and the traits of openness and extraversion.

Conclusions: This study contributes to understanding the correlation between undergraduate nursing students' academic achievement, personality traits, and anxiety levels. Thus, students must understand their personalities and highlight the importance of their psychological well-being.

Background: Patient safety remains a global priority, with nurses playing a crucial role in minimizing errors and improving patient outcomes. System thinking, which involves understanding how various components of a healthcare system interact, is increasingly recognized as essential for enhancing patient safety competencies.

Aim: This study investigates the impact of systems thinking on patient safety competencies among nurses in critical care units, exploring the relationship between systems thinking and various subdomains of patient safety competencies.

Methods: A cross-sectional study was conducted at all critical care units of Alexandria Main University Hospital, Egypt. Data were collected from a convenience sample of 289 nurses using the system thinking scale and the patient safety competency self-evaluation questionnaire. Correlation and regression analyses were performed to examine the relationship between systems thinking and patient safety competencies, controlling for demographic factors such as age, qualifications, and years of experience.

Results: Nurses demonstrated moderate to high levels of systems thinking (mean = 82.36 ± 12.14) and patient safety competencies (mean = 162.74 ± 23.56). Strong positive correlations were found between systems thinking and patient safety competencies (r = 0.605, p < 0.05), particularly in areas such as error reporting, communication, and infection prevention. Regression analysis revealed that systems thinking significantly predicted patient safety competencies, increasing the explained variance from 58.8 to 67.7%.

Conclusion: The findings highlight the critical role of systems thinking in enhancing nurses' patient safety competencies. Nurses with higher systems thinking skills are better equipped to prevent errors and improve communication, ultimately enhancing patient care quality.

Implications: Nursing schools should integrate system thinking into nursing curricula to prepare future nurses for complex healthcare environments. Healthcare organizations should incorporate system thinking into professional development programs to enhance the competencies of practicing nurses. Nurse managers can foster a culture of safety by promoting interdisciplinary collaboration and reflective practice. Broader adoption of system thinking can improve patient outcomes, especially in resource-constrained environments.

Clinical trial number: Not applicable.

Background: Existing literature has emphasized the importance of certain skills vital for student nurses as they prepare for leadership and management roles before becoming registered nurses. This review aims to provide a more comprehensive insight into the essential leadership and management skills identified in previous research. The current study seeks to explore the leadership and management skills necessary to prepare student nurses for their roles in clinical settings.

Methods: Following PRISMA-ScR guidelines, studies published in English were retrieved by searching PubMed, ScienceDirect, Scopus, and Google Scholar using the keywords 'student nurse', 'leadership skills', and 'management skills'. After conducting a one-month literature review using the selected keywords in PubMed, ScienceDirect, Scopus, and Google Scholar, we identified 394 citations. From these, fifteen articles were chosen for inclusion in the review. Selected studies primarily involved undergraduate and postgraduate student nurses from various countries.

Results: Thematic analysis highlighted that communication skills are crucial for student nurses to become effective clinical leaders, leveraging their educational experiences. Mentorship plays a pivotal role in developing leadership and management skills. Workshops, training, and simulations are also recognized as important in preparing students for these roles. Moreover, self-awareness and understanding of personal skills were identified as critical for building confidence, fostering reflection, strategic planning, and making sound decisions. The literature also underscores the significance of resource management, conflict resolution, risk assessment, and prioritization skills for student nurses.

Conclusion: The articles emphasize the importance of student nurses recognizing leadership and management skills before entering clinical practice. However, while various assessment tools and workshops exist to train these skills, the studies suggest that more time and resources are needed to effectively address students' learning needs.

Background: The Transition Shock Scale for Undergraduate Nursing Students assesses transition to undergraduate nursing students. The TSS is a tool used in various countries and has been translated into Chinese; however, associate degree nurses dominate China's nursing workforce, it needs to be validated in associate degree nursing interns. This study aimed to analyze the TSS (Chinese version) validity and reliability in Chinese associate degree nursing interns.

Method: This methodological validity study investigated internal consistency and reliability. The critical ratio (CR) method and correlation analysis are used for item screening of the scale. Eight experts in nursing management and nursing education were invited to assess the scale's content validity. Construct validity was assessed using Pearson's correlation between domains, exploratory factor analysis, and Confirmatory Factor Analysis. This methodological validity study investigated internal consistency and reliability using Cronbach's alpha and intraclass correlation coefficients (ICC). The level of significance was set at 5%.

Results: This study included 800 associate degree nursing interns from 8 Hunan Province, China hospitals. Validity analysis showed positive and significant correlations between all TSS (Chinese version) domains, ranging from 0.344 to 0.772. The internal consistency and reliability of the total TSS (Chinese version) score were high (Cronbach's alpha = 0.925; intraclass correlation coefficient = 0.908). The content validity assessment showed that the I-CVI ranged from 0.875 to 1.000, and the S-CVI was 0.951. Exploratory factor analysis was performed by orthogonal rotation of the data using principal component analysis and maximum variance, and three common factors with eigenroots greater than 1.0 were extracted, with a cumulative variance contribution of 61.095%. Furthermore, confirmatory factor analysis demonstrated the following values of goodness of fit: RMSEA = 0.062, CFI = 0.953, TLI = 0.939, SRMR = 0.0389, χ2/df = 4.064. Thus, the TSS (Chinese version) discriminant and concurrent validities were confirmed.

Conclusion: TSS (Chinese version) contains 6 dimensions and 18 items, which has good reliability and validity among associate degree nursing interns, and can be used as an evaluation tool for transition shock in associate degree nursing interns.

Background: Nursing prescribing rights have been proposed in many countries, with physicians' attitudes playing an important role. This study aimed to investigate the attitudes of physicians toward nurse prescribing rights.

Methods: A cross-sectional study of 112 Chinese physicians was conducted from January to March 2024. This study utilized a demographic information form, nurses' prescription right knowledge questions, and a scale to measure nurse-physician collaboration. The data was analyzed with IBM SPSS-21 software using descriptive and inferential statistics. We used the mean±standard deviation, frequencies and percentages to describe the demographic information, T-test, Chi-square test or Fisher' s exact test, and binary logistic regression analysis to analyze the correlated factors of the attitudes of physicians toward nurse prescribing rights.

Results: Of 112 physicians, 60 supported nurse prescribing rights, accounting for 53.57% of the total. The results of the single-factor analysis indicated significant differences in the aspects of sex. The binary logistic regression revealed that being female (OR = 0.195, 95%CI = 0.072 ∼ 0.529), having knowledge of nurse prescribing rights (OR = 1.513, 95%CI = 1.051 ∼ 2.176), and promoting nurse-physician collaboration (OR = 1.058, 95%CI = 1.032 ∼ 1.084) were the factors that correlated with physicians' attitudes toward nurse prescribing rights.

Conclusions: Most physicians expressed a favorable attitude toward nurse prescribing rights. The results of this study will help advance the development of nurse prescribing rights and ultimately improve the quality of patient care.

Background: Organizational well-being is a critical issue that should be addressed within nursing organizations as it boosts the morale and work motivation of its members by enhancing their satisfaction and happiness.

Aim: This study aimed to evaluate the levels of positive psychological capital, shared leadership, and organizational well-being among nurses, and examine the impact of positive psychological capital and shared leadership on organizational well-being.

Methods: A descriptive survey research design was used, involving 177 nurses with at least one year of work experience at highly specialized hospitals in Korea treating patients with severe conditions. Data were collected via an online survey from July 1 to August 31, 2023, using a questionnaire that included items on general characteristics, job-related characteristics, positive psychological capital, shared leadership, and organizational well-being. The collected data were analyzed using the SPSS 29.0 software, employing statistical measures such as frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson correlation coefficient, and hierarchical regression analysis.

Results: The participants' scores were 3.32 ± 0.51 out of 5 for organizational well-being, 4.12 ± 0.58 out of 6 for positive psychological capital, and 3.64 ± 0.59 out of 5 for shared leadership. Factors identified that influenced organizational well-being included positive psychological capital (β = 0.462, p < .001) and shared leadership (β = 0.442, p < .001), which explained 58% of the total variance in the model (F = 48.74, p < .001).

Conclusions: To improve the organizational well-being of nurses, it is essential to develop capacity-building and intervention programs that boost positive psychological capital and shared leadership. Achieving this goal necessitates not only the individual efforts of organizational members but also robust organizational support, engagement, and proactive management.

Background/purpose: Nurses play a vital role in providing effective family-centered care (FCC) to enhance the quality of healthcare for children with chronic illnesses and increase family satisfaction. This study aimed to investigate nurses' perceptions and practices of FCC for children with chronic illnesses, and how nursing characteristics influence this relationship.

Method: This multicenter cross-sectional study involved a convenience sample of 405 nurses, each with at least six months of experience caring for chronically ill children, infants, and toddlers in Saudi Arabia. An online survey was conducted between February 2023 and August 2023. A paired sample t-test of differences between nurses' perceptions and practices of FCC among chronically ill children was performed. Correlations were carried out to test the relationships between nurses' perceptions and practices of FCC and their sociodemographic factors, including age, gender, marital status, education level, and years of work experience, and attributes of nurses, including professional competence, interpersonal skills, job commitment, and knowing one's self. Moderation analyses were conducted using the SPSS PROCESS macro version 4.

Results: Nurses' FCC practice was significantly poorer than their perception. The moderation analysis highlighted that marital status (β = 0.122, p = .014), interpersonal skills (β = 0.131, p = .002), job commitment (β = 0.096, p = .024), and self-awareness (β = 0.127, p < .001) significantly strengthened the relationship between FCC perception and practice.

Conclusions: Nurses' sociodemographic factors and personal attributes influenced the relationship between their perceptions of FCC and its implementation. Leaders should consider aspects such as marital status, interpersonal skills, job commitment, and self-awareness as these factors affect the strength of this relationship. Further research is needed to assess these impacts through longitudinal design and causal intervention studies to create a conceptual model of FCC for children with chronic illnesses.