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Investigating academic dishonesty and its relationship with moral competence and professional identity of nursing students: a cross-sectional study 调查学术不诚信及其与护理专业学生道德能力和职业认同的关系:一项横断面研究
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-18 DOI: 10.1186/s12912-024-02335-8
Leila Homayouni, Azam Zare, Zahra Padam, Armin Fereidouni
Academic dishonesty as a fundamental challenge in adherence of ethical principles in providing care to patients has caused concern to the scientific community of nurses. In addition, positive professional identity and high moral competence are important for nurses to perform multiple care roles in high quality care of patients. The purpose of the present study is of investigating academic dishonesty and its relationship with moral competence and professional identity of master’s and PhD nursing students. This descriptive-analytical study was conducted by census method on 65 master’s and PhD nursing students in Shiraz University of Medical Sciences, Iran in 2023. Data collection tools included 4 questionnaires (Demographic information, Academic Dishonesty Scale (DAS), Nurses’ moral competence and Professional Identity Scale for Nursing Students (PISNS)). Data collection was done within 2 months. Descriptive and inferential analyzes including independent t-test, Pearson correlation coefficient and linear regression were used to analyze the data. The collected data were analyzed by SPSS.V.22 software. P-value less than 0.05 was considered significant. The average age of 65 participants was 31.5 ± 5.61 years. The majority of the participants in this study were women 48 (73.8%). There is a significant and negative correlation between academic dishonesty and moral competence (r=-0.260, P-value = 0.036). There is no significant correlation between academic dishonesty and professional identity (r = 0.154, P-value = 0.22). Also, a significant positive correlation was found between moral competence and professional identity (r = 0.294, P-value = 0.018). Therefore, considering that the fact that students have a great impact on patient care, Researchers suggest that educational institutions should prevent the increase of academic dishonesty among students by establishing new rules and regulations.
学术不端行为是在为患者提供护理服务过程中恪守道德原则的一项基本挑战,引起了护士科学界的关注。此外,积极的职业认同和高尚的道德能力对于护士履行多种护理角色,为患者提供高质量的护理非常重要。本研究旨在调查护理专业硕士生和博士生的学术不端行为及其与道德能力和职业认同的关系。本研究采用普查法对伊朗设拉子医科大学 2023 年的 65 名护理硕士和博士研究生进行了描述性分析。数据收集工具包括 4 份问卷(人口统计学信息、学术不端行为量表(DAS)、护士道德能力和护理专业学生职业认同感量表(PISNS))。数据收集工作在两个月内完成。数据分析采用了描述性和推论性分析方法,包括独立 t 检验、皮尔逊相关系数和线性回归。收集到的数据采用 SPSS.V.22 软件进行分析。P 值小于 0.05 为显著。65 名参与者的平均年龄为 31.5 ± 5.61 岁。大多数参与者为女性,占 48 人(73.8%)。学术不诚信与道德能力之间存在明显的负相关(r=-0.260,P 值=0.036)。学术不诚信与专业认同之间没有明显的相关性(r=0.154,P 值=0.22)。另外,道德能力与专业认同之间存在明显的正相关(r = 0.294,P 值 = 0.018)。因此,考虑到学生对病人护理的重大影响,研究人员建议教育机构应通过制定新的规章制度来防止学生学术不诚信现象的增加。
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引用次数: 0
Health workforce forecast in the university hospital: evidence from Lithuania 大学医院医务人员队伍预测:来自立陶宛的证据
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-18 DOI: 10.1186/s12912-024-02326-9
Aurika Vanckavičienė, Aurelija Blaževičienė, Daiva Zagurskienė, Kęstutis Stašaitis
The increasing shortage of staff in healthcare facilities worldwide calls for a human resource planning strategy in order to ensure safe, timely and patient-centred care. The purpose of this paper is to provide an analysis and supply and demand projections of nurses, midwives, and radiographers within the labor market of the largest university hospital in the Baltic States by 2030. The staff supply was calculated on the intake and outflow of persons in the labour market annually for various factors. Projections for the demand of nurses, midwives, and radiographers took into account the different needs of the population, categorized by gender and age, for the services offered within the institution. The analysis highlights significant projected shortages in the supply of nurses and radiographers by 2030, while the supply of midwives is expected to meet the demand. The projected supply of nurses in 2030 will be lower than in 2021. Projected nurses demand in 2025 according medium scenario - shortage of 59 nurses, on prospective scenario - of 331 nurses. In 2030 according medium scenario - shortage of 173 nurses on prospective - of 772 nurses. The projected supply of radiographers in 2030 will be higher than in 2021. Projected radiographers demand in prospective scenario which is the most likely in 2025 - shortage of 26 and in 2030 - shortage of 52 radiographers. The projected supply of midwives in 2030 will be higher than in 2021. The variables influencing the increase in the demand for midwives did not exceed the projected supply in the institution, indicating a balanced supply-demand scenario for midwives. Due to the rising demand for nurse and radiographer services from the aging population, the predicted supply of nurses and radiographers will be insufficient. To ensure the projected demand for nurses in the medium and prospective scenarios, the nurses recruited each year should increase up to 38% in the medium scenario and 69% in the prospective scenario from 2022. In the prospective demand scenario, the recruitment of radiographers should increase three-fold and the recruitment of midwives should be reduced by 30%.
全球医疗机构的人员日益短缺,这就要求制定人力资源规划战略,以确保提供安全、及时和以患者为中心的医疗服务。本文旨在分析和预测波罗的海国家最大的大学医院劳动力市场到 2030 年对护士、助产士和放射技师的供需情况。人员供应量是根据劳动力市场每年的人员流入和流出量计算得出的,其中包含各种因素。对护士、助产士和放射技师需求的预测考虑到了按性别和年龄分类的人口对医院所提供服务的不同需求。分析结果表明,到 2030 年,护士和放射技师的供应预计将出现严重短缺,而助产士的供应预计将满足需求。预计 2030 年的护士供应量将低于 2021 年。根据中度假设,预计 2025 年护士需求量为短缺 59 名护士,根据前景假设,为短缺 331 名护士。2030 年,根据中度假设--短缺 173 名护士,远景假设--短缺 772 名护士。预计 2030 年放射技师的供应量将高于 2021 年。根据 2025 年最有可能出现的前瞻性假设,预计放射技师需求量为短缺 26 人,2030 年为短缺 52 人。预计 2030 年助产士的供应量将高于 2021 年。影响助产士需求增长的变量并未超过该机构的预计供应量,这表明助产士供需平衡。由于老龄化人口对护士和放射技师服务的需求不断增加,预计护士和放射技师的供应量将不足。为确保中期和远期的护士需求,从 2022 年起,每年招聘的护士人数在中期情况下应增加 38%,在远期情况下应增加 69%。在预期需求情况下,放射技师的招聘人数应增加三倍,助产士的招聘人数应减少 30%。
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引用次数: 0
The association between occupational stress, sleep quality and premenstrual syndrome among clinical nurses 临床护士的职业压力、睡眠质量与经前综合征之间的关系
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-18 DOI: 10.1186/s12912-024-02329-6
Xin Wang, Yuanhui Ge, Yuxiu Liu, Wei Hu, Yuecong Wang, Shanshan Yu
Premenstrual Syndrome is also known as premenstrual tension syndrome because of the pronounced premenstrual mental and emotional anomalies. This study focuses on the association between occupational stress, sleep quality and premenstrual syndrome in clinical nurses and the mediating role of sleep quality. A cross-sectional study was conducted to measure occupational stress, sleep quality and premenstrual syndrome in 415 clinical nurses using the Chinese Nurses Stressor Scale, the Pittsburgh Sleep Quality Index Scale, and the Premenstrual Syndrome Scale. SPSS was used to explore the relationship between the variables, and AMOS was used to explore the mediating role between the variables. Nurses’ occupational stress positively predicted PMS (β = 0.176, p < 0.001), and the regression coefficients for sleep quality were significantly different for both paths of nurses’ occupational stress (β = 0.665, p < 0.001) and PMS (β = 0.261, p < 0.001). The mediation effect accounts for 49.57% of the total effect. This study revealed a notably high incidence of PMS among clinical nurses in China, with occupational stress and sleep quality significantly correlated with PMS. Sleep quality played an intermediary role between occupational stress and PMS. Consequently, managers should prioritize addressing occupational stress, mitigating PMS symptoms, enhancing nurses’ health and nursing quality, and preventing nursing risks through mental health support and improving sleep quality.
经前期综合征又称经前期紧张综合征,因为经前期会出现明显的精神和情绪异常。本研究主要探讨临床护士的职业压力、睡眠质量与经前综合征之间的关系以及睡眠质量的中介作用。研究采用中国护士压力量表、匹兹堡睡眠质量指数量表和经前综合征量表对 415 名临床护士的职业压力、睡眠质量和经前综合征进行了横断面研究。采用 SPSS 分析变量之间的关系,采用 AMOS 分析变量之间的中介作用。护士的职业压力对经前期综合征有正向预测作用(β = 0.176,p < 0.001),睡眠质量的回归系数在护士职业压力(β = 0.665,p < 0.001)和经前期综合征(β = 0.261,p < 0.001)两条路径上都有显著差异。中介效应占总效应的 49.57%。这项研究显示,中国临床护士经前期综合征的发病率明显偏高,职业压力和睡眠质量与经前期综合征显著相关。睡眠质量在职业压力和经前期综合征之间起着中介作用。因此,管理者应优先解决职业压力问题,减轻经前期综合征症状,通过心理健康支持和改善睡眠质量,提高护士的健康水平和护理质量,预防护理风险。
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引用次数: 0
Chain mediating effect of gratitude and meaning in life between nurses’ psychological response and emergency capability-a multicenter cross-sectional study 感恩和生命意义在护士心理反应和应急能力之间的连锁中介效应--一项多中心横断面研究
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-16 DOI: 10.1186/s12912-024-02317-w
Xia Chen, Fang-fang Zhao, Li-xiang Zhang, Shan-bing Hou, Ting-ting Wang
Clinical nurses face high-pressure situations requiring rapid decision-making and skilled intervention, impacting their psychological responses and emergency capabilities. Understanding the relationships between psychological factors like gratitude and meaning in life is crucial for improving nurses’ performance in emergencies. This study explores the mediating role of gratitude and meaning in life in the impact of psychological responses on clinical nurses’ emergency capabilities, aiming to enhance their effectiveness in such situations. This study is a multi-center cross-sectional survey. A questionnaire survey was conducted among 1833 clinical nurses in five tertiary hospitals in Anhui Province, China including general information questionnaire, nurses’ emergency capability scale, Meaning in life scale, Gratitude scale and Psychological response questionnaire. According to the results of the questionnaire survey, a chain mediating model was constructed and tested. The total score of emergency capability of 1833 clinical nurses was (71.65 ± 10.77), the total score of meaning in life was (50.67 ± 9.04), the total score of gratitude was (30.96 ± 3.57), and the total score of psychological response was 13.00 (6.00, 20.00). The emergency capability of subjects was positively correlated with the meaning in life, the total score of gratitude scale and the scores of each dimension of the two scales, and negatively correlated with the total score of psychological response scale and each dimension of this scale (all P < 0.05). The total effect coefficient, direct effect coefficient and indirect effect coefficient of psychological response on nurses’ emergency capability are − 0.230, -0.110 and − 0.120 respectively, that is, the indirect effect accounts for 52.17% of the total effect. Among the indirect effects, the specific mediating effects of gratitude and meaning in life account for 22.50% and 62.50% respectively, and the chain mediating effects of gratitude and meaning in life account for 15.00%. Gratitude and meaning in life have multiple mediating roles in the mechanism of psychological response that affecting clinical nurses’ emergency capability. Therefore, it is very important to pay attention to dynamically evaluating the psychological response level of clinical nurses, and strive to improve their gratitude and meaning in life, so as to further enhance their emergency response ability.
临床护士面临着需要快速决策和熟练干预的高压情况,这影响了他们的心理反应和应急能力。了解感恩和生命意义等心理因素之间的关系对于提高护士的应急能力至关重要。本研究探讨了感恩和生命意义在心理反应对临床护士应急能力影响中的中介作用,旨在提高临床护士在此类情况下的工作效率。本研究是一项多中心横断面调查。对安徽省 5 家三级甲等医院的 1833 名临床护士进行了问卷调查,包括一般信息问卷、护士应急能力量表、生命意义量表、感恩量表和心理反应问卷。根据问卷调查结果,构建并检验了链式中介模型。1833 名临床护士的应急能力总分为(71.65±10.77)分,生命意义总分为(50.67±9.04)分,感恩总分为(30.96±3.57)分,心理反应总分为 13.00(6.00,20.00)分。受试者的应急能力与生命意义、感恩量表总分及两个量表各维度得分呈正相关,与心理反应量表总分及该量表各维度得分呈负相关(均P<0.05)。心理反应对护士应急能力的总效应系数、直接效应系数和间接效应系数分别为-0.230、-0.110和-0.120,即间接效应占总效应的52.17%。在间接效应中,感恩和生命意义的具体中介效应分别占 22.50%和 62.50%,感恩和生命意义的连锁中介效应占 15.00%。感恩和生命意义在影响临床护士应急能力的心理反应机制中具有多重中介作用。因此,重视动态评价临床护士的心理反应水平,努力提高其感恩心和生活意义,对进一步提高其应急能力具有十分重要的意义。
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引用次数: 0
Latent profile analysis of empathy ability and its relationship with professional quality of life among hospice nurses in China 中国临终关怀护士移情能力及其与职业生活质量关系的潜特征分析
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-16 DOI: 10.1186/s12912-024-02299-9
Yaling Wang, Chuntao Wang, Ziwei Yang, Yuezhong Tang, Wen Chen, Yawen Zheng, Zhiming Wei, Huiling Li
Empathy is important in hospice nursing clinics and may influence nurses’ professional quality of life (ProQOL). However, present studies ignoring each empathic dimension, and few researches have explored the correlation between empathy and ProQOL in hospice nurses in Asia. To better understand hospice nurses’ empathy abilities in China and its relationship with ProQOL, the aim of this study was to identify the latent profiles and its influencing factors of hospice nurses’ empathy ability, as well as differences in ProQOL across each latent profile. A cross-sectional study was conducted from October 2021 to September 2022, and a total of 725 hospice nurses were recruited from different geographic regions in China. Participants completed the Empathy Ability Scale for Hospice Nurses and the Brief Professional Quality of Life Scale. Latent profile analysis (LPA) was employed to identify latent profiles of empathy ability among hospice nurses in China. The predictors of hospice nurses’ empathy ability in different latent profiles were assessed using multinomial logistic regression analysis. One-way ANOVA test and the Kruskal–Wallis test were used to compare the ProQOL scores in each latent profile of nurses’ empathy ability. This study identified three latent profiles of hospice nurses’ empathy ability, and those profiles labelled “poor empathy ability-high surface empathy expression” (n = 216, 29.8%), “moderate empathy ability” (n = 359, 49.5%) and “high empathy ability-high deep empathy expression” (n = 150, 20.7%). Multinomial logistic regression analysis suggested that age, hospital level, whether income meets expectations, interests in hospice care work, hospice work experience, and receiving psychological counselling were predictors of hospice nurses’ profile membership of empathy ability. The scores of compassion satisfaction (CS) and burnout (BO) in ProQOL were significantly different across each profile (P < 0.001), while scores of secondary traumatic stress (STS) in ProQOL were not different across each profile (P = 0.294). Hospice nurses’ empathy ability was divided into three latent profiles, and enhancing empathy ability may be conducive to improving hospice nurses’ CS, while reducing BO, thus fostering their overall quality of life. Nursing managers should identify hospice nurses at higher risk of BO and implement targeted interventions focused on enhancing nurse’s empathy abilities.
移情在安宁疗护诊所中非常重要,可能会影响护士的职业生活质量(ProQOL)。然而,目前的研究忽视了移情的各个维度,很少有研究探讨亚洲安宁疗护护士的移情能力与 ProQOL 之间的相关性。为了更好地了解中国临终关怀护士的移情能力及其与 ProQOL 的关系,本研究旨在识别临终关怀护士移情能力的潜在特征及其影响因素,以及不同潜在特征下 ProQOL 的差异。本研究于 2021 年 10 月至 2022 年 9 月进行了一项横断面研究,共招募了 725 名来自中国不同地区的临终关怀护士。参与者填写了安宁疗护护士移情能力量表和简明职业生活质量量表。采用潜在特征分析(LPA)确定了中国安宁疗护护士移情能力的潜在特征。采用多项式逻辑回归分析评估了不同潜特征中安宁疗护护士移情能力的预测因素。采用单因素方差分析和Kruskal-Wallis检验来比较护士移情能力各潜质图谱的ProQOL得分。本研究确定了安宁疗护护士移情能力的三个潜在特征,分别为 "移情能力差-高表面移情表达"(n = 216,29.8%)、"移情能力中等"(n = 359,49.5%)和 "移情能力高-高深层移情表达"(n = 150,20.7%)。多叉逻辑回归分析表明,年龄、医院级别、收入是否符合预期、对临终关怀工作的兴趣、临终关怀工作经验和接受心理咨询是临终关怀护士移情能力档案成员的预测因素。在 ProQOL 中,同情满意度(CS)和职业倦怠(BO)的得分在各特征之间存在显著差异(P < 0.001),而在 ProQOL 中,继发性创伤压力(STS)的得分在各特征之间没有差异(P = 0.294)。安宁疗护护士的移情能力分为三个潜在特征,提高移情能力可能有利于改善安宁疗护护士的CS,同时减少BO,从而提高其整体生活质量。护理管理者应识别出较高BO风险的安宁疗护护士,并实施有针对性的干预措施,重点提高护士的移情能力。
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引用次数: 0
Advancing sustainable healthcare: a concept analysis of eco-conscious nursing practices 推进可持续医疗保健:具有生态意识的护理实践的概念分析
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-16 DOI: 10.1186/s12912-024-02197-0
Marwa Mamdouh Shaban, Majed Awad Alanazi, Huda Hamdy Mohammed, Fatma Gomaa Mohamed Amer, Hla Hosny Elsayed, Mohammed ElSayed Zaky, Osama Elsayed Mohammed Ramadan, Mohamed Ezzelregal Abdelgawad, Mostafa Shaban
As the healthcare sector grapples with its environmental footprint, the concept of Eco-conscious Nursing emerges as a pivotal framework for integrating sustainability into nursing practice. This study aims to clarify and operationalize Eco-conscious Nursing, examining its attributes, antecedents, consequences, and providing operational definitions to guide future research and practice. Utilizing a systematic literature review across PubMed, Google Scholar, and CINAHL Ultimate, this study identifies and analyzes existing theories, frameworks, and practices related to eco-conscious nursing. Through conceptual analysis, key attributes, antecedents, and consequences of Eco-conscious Nursing are delineated, leading to the formulation of comprehensive operational definitions. The study reveals Eco-conscious Nursing as a multifaceted concept characterized by environmental stewardship, sustainable healthcare practices, and a commitment to reducing the ecological impact of nursing care. Operational definitions highlight the role of education, awareness, and institutional support as antecedents, with improved environmental health and sustainable healthcare outcomes as key consequences. Eco-conscious Nursing represents a crucial ethos for the nursing profession, emphasizing the necessity of sustainable practices within healthcare. The operational definitions provided serve as a foundation for embedding eco-conscious principles into nursing, addressing the urgent need for sustainability in healthcare settings. Future research should focus on the empirical application of these definitions and explore the economic and cross-cultural dimensions of eco-conscious nursing.
随着医疗保健行业努力应对其环境足迹,生态意识护理的概念应运而生,成为将可持续发展融入护理实践的关键框架。本研究旨在阐明和操作生态意识护理,研究其属性、前因和后果,并提供操作定义,以指导未来的研究和实践。通过对 PubMed、Google Scholar 和 CINAHL 终极版进行系统的文献综述,本研究确定并分析了与生态意识护理相关的现有理论、框架和实践。通过概念分析,划定了生态意识护理的关键属性、前因和后果,从而制定了全面的操作定义。研究揭示了生态意识护理是一个多层面的概念,其特点是环境管理、可持续医疗保健实践以及致力于减少护理工作对生态环境的影响。操作性定义强调了教育、意识和机构支持作为前因的作用,而改善环境健康和可持续医疗保健结果则是主要结果。具有生态意识的护理代表了护理行业的一种重要精神,强调了在医疗保健领域开展可持续实践的必要性。所提供的操作定义可作为将生态意识原则纳入护理工作的基础,从而满足医疗机构对可持续发展的迫切需求。未来的研究应侧重于这些定义的实证应用,并探索生态意识护理的经济和跨文化层面。
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引用次数: 0
Exploring academic and clinical nurses’ perspectives on evidence-based nursing course for undergraduates from perspectives of academic-practice partnerships: a qualitative study 从学术与实践合作的角度探讨学术和临床护士对本科生循证护理课程的看法:一项定性研究
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-15 DOI: 10.1186/s12912-024-02223-1
Guiyun Wang, Yuting Xia, Qirong Chen, Xirongguli Halili, Hui Huang
To explore nurses’ perceptions of evidence-based nursing courses for undergraduates through academic-practice partnerships. A deductive thematic analysis based on the practice-academic logic model. Fifteen academic and clinical nurses were interviewed between November and December 2023, either online or through face-to-face meetings. Each interview lasted 20–30 min. The interview outline was constructed based on the practice-academic partnership logic model, which was followed during the process of recorded, analyzed, and checked. Themes identified include inputs (e.g., stakeholder commitment), activities (e.g., communication), outputs (e.g., nursing projects), and outcomes (e.g., improved competence). These themes highlight the various aspects and outcomes of academic-practice partnerships in evidence-based nursing courses. Effective academic-practice partnerships are crucial for developing evidence-based nursing courses, leading to positive educational and professional outcomes. Nurses’ perceptions provide valuable guidelines for developing effective evidence-based nursing courses. No patient or public users participated in this study.
探讨护士对通过学术-实践合作为本科生开设循证护理课程的看法。基于实践-学术逻辑模型进行演绎式主题分析。2023 年 11 月至 12 月期间,15 名学术和临床护士接受了在线或面对面访谈。每次访谈持续 20-30 分钟。访谈提纲是根据实践-学术合作逻辑模型构建的,在记录、分析和检查过程中遵循了这一逻辑模型。确定的主题包括投入(如利益相关者的承诺)、活动(如沟通)、产出(如护理项目)和结果(如能力的提高)。这些主题突出了循证护理课程中学术与实践合作的各个方面和成果。有效的学术与实践合作对于开发循证护理课程至关重要,可带来积极的教育和专业成果。护士的看法为开发有效的循证护理课程提供了宝贵的指导。本研究没有病人或公众用户参与。
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引用次数: 0
Health sciences students’ perspectives on metaverse and digital technology use: cross-sectional descriptive study 健康科学专业学生对元宇宙和数字技术使用的看法:横断面描述性研究
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-15 DOI: 10.1186/s12912-024-02309-w
Hale Sezer, Abdülkadir Gül
Students’ attitudes towards digital technologies affect their use of innovations in digital education. In the study, it was aimed to determine undergraduate health sciences students’ views about the Metaverse and digital technology. This study was a cross-sectional descriptive study. In the study sample, 289 health sciences students who voluntarily agreed to participate in the research and filled out the online data collection form were included. The Independent Samples T-Test, Multivariate ANOVA analysis of variance (MANOVA) and Pearson correlation analysis were used. P-values less than 0.05 were considered statistically significant. The mean score the participants obtained from the Metaverse Scale was 53.54 ± 9.00, indicating that their levels of knowledge and awareness about the Metaverse were high. The mean score they obtained from the Attitude Scale for Digital Technology was 135.98 ± 21.28, which indicated that displayed positive attitudes towards digital technology. There was no significant difference between the mean scores the participants obtained from the Attitude Scale for Digital Technology and the Metaverse Scale according to their departments and years in school. There was a positive and weak relationship between the Metaverse Scale scores and Attitude Scale for Digital Technology scores. The participants’ knowledge and awareness levels about the Metaverse were high and they displayed positive attitudes towards digital technology. It is recommended that digital technologies should be used in planning undergraduate education and Metaverse platforms or applications in virtual classroom settings.
学生对数字技术的态度会影响他们对数字教育创新的使用。本研究旨在确定健康科学专业本科生对 Metaverse 和数字技术的看法。本研究是一项横断面描述性研究。研究样本包括自愿同意参与研究并填写在线数据收集表的 289 名健康科学专业学生。研究采用了独立样本 T 检验、多元方差分析(MANOVA)和皮尔逊相关分析。小于 0.05 的 P 值被视为具有统计学意义。参与者在元数据量表中的平均得分为 53.54 ± 9.00,表明他们对元数据的了解和认知程度较高。他们在数字技术态度量表中的平均得分为 135.98 ± 21.28,表明他们对数字技术持积极态度。参与者在 "数字技术态度量表 "和 "元数据量表 "中获得的平均分与他们所就读的院系和年级之间没有明显差异。元数据量表得分与数字技术态度量表得分之间存在微弱的正相关关系。参与者对 "元宇宙 "的了解和认知水平较高,对数字技术持积极态度。建议在规划本科教育时使用数字技术,并在虚拟课堂环境中使用 Metaverse 平台或应用程序。
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引用次数: 0
Stressors and coping strategies in older people hospitalised for hip surgery following a fall: a multiple case study 老年人摔倒后住院接受髋关节手术的压力和应对策略:多案例研究
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-13 DOI: 10.1186/s12912-024-02316-x
Christine Cohen, Louise Bélanger, Mathieu Turcotte, Filipa Pereira
More than half of older persons admitted to an emergency department after a fall have a hip fracture and require surgery for a total hip replacement. This procedure has a high risk of postoperative complications and consequences for older persons, their informal caregivers, and the healthcare system. This study aimed to explore the perceptions of older persons, their informal caregivers and health professionals about intra-personal, inter-personal and extra-personal stressors arising from hip surgery following the fall of an older person hospitalised in orthopaedics, as well as the coping strategies used and the results obtained. A qualitative multiple case study. The sample consisted of eight cases. Each case consisted of one older person, their informal caregiver and the professionals involved in their care: a nurse, an orthopaedic surgeon and a physiotherapist. A total of 32 participants were recruited. Data were collected between August 2018 and February 2019 in a public hospital in French-speaking Switzerland. Intra- and inter-case analyses were performed. Five topics emerged: two concerning stressors for older persons (the physical and psychological consequences of the fall and hospitalisation; the loss of relational and environmental markers and habits); two relating to the coping strategies used to face the stressors (being resilient and involved in their own care; partially meeting the older person’s needs); and one regarding the results of the strategies used (reassurance through consideration of some of their needs). Older persons hospitalised for hip surgery after a fall are confronted with various intra-, inter- and extra-personal stressors and have to explore, together with their informal caregivers, strategies to cope with the consequences of these stressors. Healthcare professionals should possess efficient intervention strategies to help identify and support older persons who experience various types of stressors during hospitalisation for hip surgery following a fall.
在跌倒后被送入急诊科的老年人中,有一半以上都有髋部骨折,需要进行全髋关节置换手术。这种手术术后并发症的风险很高,对老年人、其非正式护理人员和医疗系统都有影响。本研究旨在探讨老年人、其非正规护理人员和医疗专业人员对在骨科住院的老年人跌倒后进行髋关节手术所产生的人内、人际和人外压力的看法,以及所采用的应对策略和取得的结果。这是一项多案例定性研究。样本由八个案例组成。每个案例由一名老年人、其非正式护理人员和参与护理的专业人员(一名护士、一名矫形外科医生和一名理疗师)组成。共招募了 32 名参与者。数据收集工作于2018年8月至2019年2月在瑞士法语区的一家公立医院进行。进行了病例内和病例间分析。共出现了五个主题:两个涉及老年人的压力源(摔倒和住院造成的生理和心理后果;关系和环境标记及习惯的丧失);两个涉及面对压力源时所使用的应对策略(保持韧性并参与自身护理;部分满足老年人的需求);一个涉及所使用策略的结果(通过考虑老年人的部分需求而给予安抚)。跌倒后住院接受髋关节手术的老年人面临着各种人内、人际和人外压力,他们必须与非正式护理人员一起探索应对这些压力后果的策略。医护人员应掌握有效的干预策略,帮助识别和支持跌倒后住院接受髋关节手术的老年人所承受的各种压力。
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引用次数: 0
The phenomenon of yoga in the imagination of Turkish nursing students: "The way to place goodness in the heart" 土耳其护理专业学生想象中的瑜伽现象:"心存善念之道"
IF 3.2 2区 医学 Q1 NURSING Pub Date : 2024-09-13 DOI: 10.1186/s12912-024-02288-y
Özüm Erki̇n, Aynur Çeti̇nkaya, Begüm Güler
The aim of the research is to shed light on the experiences of a group of nursing students enrolled in a yoga elective course who practiced yoga regularly for 14 weeks, regarding yoga and the phenomenon of doing yoga, with a qualitative approach. This qualitative study was conducted at a public university in Izmir, Turkey. The study sample consisted of 61 students enrolled in the 1st-year yoga course at the Department of Nursing, Faculty of Health Sciences. Except for two students, 59 of them participated in the study. Participants attended a face-to-face yoga course once a week for 1.5 h over a 14-week period. Each session comprised 30 min of theoretical instruction and 60 min of practice. In data collection, an interview form containing five questions was used to understand nursing students' experiences and thoughts about practicing yoga. In addition, A4 sized papers in different colors were presented to the participants. The participants were asked to draw and/or cut a shape by choosing the paper in the color that most evokes yoga. Then they were asked to explain why they chose this color and why they drew this shape. Participants were given one hour. After the data were collected, the pictures drawn by the participants and their descriptions of their drawings were transferred to the computer and included in the analysis. Qualitative data were hand-coded by the researchers. Within in-vivo coding, code names were formed from the participants' expressions. The findings analyzed by content analysis were interpreted with the literature under the themes by presenting quotations. It was determined that the participants used nature figures (sun, cloud, tree, sky, flower) (f = 75), people doing yoga (f = 12), and sound, light and other figures (bird sound, wave sound, candle, light bulb, traffic light, heart, eye, left key, peace, swing, India, circle, etc.) (f = 29) in the shapes they drew and cut out on A4 sized papers in different colors to describe their experiences and thoughts about practicing yoga. The participants mostly chose blue-green-yellow colors (n = 41). With qualitative question analysis, a list of codes was created from the answers given by the students to the questions for the phenomenon of “doing yoga” (number of codes = 98). After the analysis of the data, four categories were reached. The category names and frequency numbers explaining the phenomenon of practicing yoga were distributed as “symbol of health and serenity (f = 345)”, “the way to place goodness in your heart (f = 110)”, “the most effective way to meet the self (f = 93)” and “no guarantee of relaxation (f = 71)”, respectively. The results indicate that yoga is perceived by nursing students as a multifaceted practice that evokes a range of emotional and physical responses. Most participants associate yoga with symbols of health, serenity, and self-awareness, often using natural elements and blue-green-yellow the colors to represent these feelings. However, there is also
本研究的目的是通过定性研究方法,揭示一组参加瑜伽选修课的护理专业学生在 14 周内定期练习瑜伽的经历,以及练习瑜伽的现象。这项定性研究在土耳其伊兹密尔的一所公立大学进行。研究样本由健康科学学院护理系一年级瑜伽课程的 61 名学生组成。除两名学生外,其余 59 名学生均参与了研究。在为期 14 周的时间里,学员们每周参加一次面授瑜伽课程,每次 1.5 小时。每节课包括 30 分钟的理论教学和 60 分钟的练习。在数据收集过程中,我们使用了包含五个问题的访谈表格,以了解护生练习瑜伽的经历和想法。此外,还向参与者提供了不同颜色的 A4 纸。参与者被要求选择最能唤起瑜伽的颜色的纸张,画出和/或剪出一个形状。然后要求他们解释为什么选择这种颜色和为什么画这种形状。参与者有一个小时的时间。数据收集完成后,参与者绘制的图片和对其绘画的描述被传输到电脑中,并纳入分析。定性数据由研究人员手工编码。在活体编码中,根据参与者的表达形成了代码名称。内容分析法的分析结果通过引文与主题下的文献进行了解释。结果发现,参与者在 A4 纸上用不同颜色画出并剪下的图形中,使用了自然图形(太阳、云、树、天空、花朵)(f=75)、做瑜伽的人(f=12)以及声、光和其他图形(鸟声、波浪声、蜡烛、灯泡、红绿灯、心、眼睛、左键、和平、秋千、印度、圆圈等)(f=29)来描述他们练习瑜伽的经历和想法。参与者大多选择蓝绿黄三种颜色(n = 41)。通过定性问题分析,从学生对 "做瑜伽 "现象的问题回答中创建了代码列表(代码数 = 98)。在对数据进行分析后,得出了四个类别。解释练习瑜伽现象的类别名称和频数分布分别为 "健康和宁静的象征(f = 345)"、"将善意置于心中的方式(f = 110)"、"满足自我的最有效方式(f = 93)"和 "不能保证放松(f = 71)"。结果表明,护理专业学生认为瑜伽是一种多方面的练习,会引起一系列情感和生理反应。大多数参与者将瑜伽与健康、宁静和自我意识的象征联系在一起,通常使用自然元素和蓝绿黄三色来代表这些感受。然而,人们也认识到,瑜伽并不能保证每个人都能得到放松,因为有些学生表示在冥想时遇到困难,身体不适,注意力难以集中。这项研究强调了个人体验瑜伽的不同方式,既强调了瑜伽对身心健康的积极作用,也强调了练习瑜伽可能遇到的挑战。这些研究结果表明,虽然瑜伽因其镇静和促进健康的功效而受到广泛重视,但它在实现放松或正念方面可能并非普遍有效。
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BMC Nursing
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