BMC Nursing最新文献

Background: Standardized nursing terminologies play a crucial role in describing and documenting nursing care. For students, learning the components of the NANDA-I terminology-such as defining characteristics and related factors-accurately is essential for determining nursing diagnoses. However, there is a notable lack of qualitative studies investigating Turkish nursing students' experiences with these terminologies. This study aimed to explore nursing students' experiences regarding NANDA-I nursing terminology.

Methods: This descriptive qualitative study was conducted with 29 second-, third-, and fourth-year nursing students. Data were collected through face-to-face, in-depth, and semi-structured interviews between June 2023 and December 2023. Content analysis was used to analyze the data.

Results: Content analysis revealed four main themes: (a) knowledge and awareness, (b) the facilitating effect of NANDA-I on patient care, (c) improvement of NANDA-I terminology training, and (d) challenges in utilizing NANDA-I.

Conclusions: The findings of this study offer recommendations for nursing educators to make adjustments to the educational curriculum concerning NANDA-I terminology. Developing nursing education curricula is crucial to help students gain a better understanding of NANDA-I terminology and to utilize it effectively in clinical practice.

Clinical trial number: Not applicable.

Background: Nurses provide essential care for symptomatic chronic Chagas disease carriers, caused by Trypanosoma cruzi, offering crucial support, symptom management, medication administration, and monitoring to enhance their health-related quality of life.

Objective: To increase healthcare professionals' awareness of the critical role played by high-quality care in the management of patients with chronic Chagas disease.

Methods: This scoping review employed the PRISMA-ScR method as a framework for article selection. A comprehensive search was conducted in the Scielo Brazil, PubMed, and LILACS databases, using the keywords "Chagas disease," "nursing," "nursing care", and "nursing assistance" in Portuguese, English, and Spanish. The search covered the period from 1980 to 2022. The initial review identified a total of 633 studies, from which 17 studies were ultimately selected for analysis. These included two observational studies, two case series, and seven literature reviews.

Results: These studies underscored the crucial role of nurses in supporting patients with chronic Chagas disease, particularly those with cardiac and/or digestive manifestations. Additionally, interventions pertaining to neonates with the infection and users of pacemakers/implantable cardioverter defibrillators were examined.

Conclusion: Nurses play a critical role within a multidisciplinary care team in improving the health-related quality of life for individuals living with chronic Chagas disease, irrespective of the cardiac or digestive form of the disease. Therefore, it is essential to assess both the subjective and objective needs of infected individuals in order to develop tailored nursing care plans that address their individualized needs and clinical conditions.

Background: Telehealth services are becoming increasingly popular at primary healthcare centres. Some examples include text-based digital triage and health guidance using chats, emails, images and pre-filled forms. Telephone-based communication has until recent years been the predominant means for triage and health guidance, but now includes written communication via computer or smartphone. Hence conditions to perform triage and health guidance have changed, which may affect the quality of nurses' work and patient safety. This motivates an in-depth exploration of the consequences of such changes for nurses working with telehealth. The study aimed to explore nurses' experiences of digital triage and health guidance at primary healthcare centres in Sweden.

Methods: A qualitative inductive design was chosen for the current study. Four registered nurses and two public health nurses, working at primary healthcare centres in southern Sweden, contributed with information about text-based digital triage and health guidance. Semi-structured interviews were conducted to collect data. Data were analysed using qualitative content analysis.

Findings: One main theme, "Adapting to a new professional toolbox to triage and give health guidance" was constructed based on three categories which describe the altered professional tools. They were: "Using one's senses differently to collect information", "Change of communication mode to convey messages" and "Change of timeframe and the use of time". Six subcategories describe how the new toolbox was experienced by the nurses. They were: "Loss of clinical ear", "Gain of viewing images", "Difficulties in written communication of care and emotions", "Seeing oneself as a writer or talker", "Tardy asynchronous communication" and "Available time".

Conclusion: The findings tell of a substantial change in nurses' professional toolbox that demanded other skills than they were used to working with. Due to limitations in communication and communication skills, digital triage alone may lead to an impaired workflow, quality of care, and patient safety as well as maintain the digital divide. However, digital triage may also enhance nurses' work with the addition of attached images, convenient communication for those who are comfortable with writing, and a gain of time for consultation and reflection. The current study contributes insights regarding new competencies that nurses and patients must have or gain to be able to benefit from the possibilities of digitisation of primary healthcare.

Objective: The objective of this study is to investigate the effect after the application of Failure Model and Effect Analysis (FMEA) in nursing care for patients who have undergone endoscopic submucosal dissection (ESD).

Methods: A cohort of 40 patients who underwent ESD between July and September 2023 were selected as the control group, while 42 patients who underwent ESD between October 2023 and June 2024 after implementing FMEA were selected as the observation group. A multidisciplinary team was established based on the FMEA model to analyze and create a nursing flowchart. The 3 primary processes and 13 sub-processes were thoroughly analyzed and assessed to identify potential failure models, possible causes of failure, and consequences for each sub-process. Risk Priority Numbers (RPNs) were calculated to determine priority failure models, including medication and item preparation, specimen collection, equipment/instrument/accessory preparation, and nursing coordination. Corresponding improvement measures were formulated and implemented followed by a subsequent analysis of the effects.

Results: After implementing the improvement measures, there was a significant decrease in RPNs in the observation group when compared with the control group. A statistical significance was observed in context of medication and item preparation (P < 0.001), specimen collection (P < 0.001), equipment/instrument/accessory preparation (P < 0.001), and nursing coordination (P < 0.001).

Conclusion: The application of the FMEA model can effectively facilitate early nursing interventions for identified risks in patient who have undergone ESD. By instituting suitable corrective measures for aspects deemed high-risk, this approach significantly diminishes surgical nursing hazards, enhances the quality of nursing care, and guarantees patient safety.

Background: Given the global prevalence of breast cancer and its high mortality rate, adherence to long-term anti-hormonal therapy is crucial for preventing recurrence and improving survival outcomes. Previous research demonstrates how psychological factors including depression and empowerment impact medication adherence. However, comprehensive studies remain limited, especially in Korea. This study explores the effects of depression and empowerment on medication adherence among patients with breast cancer undergoing anti-hormonal therapy.

Methods: This descriptive survey involved 183 patients with breast cancer from one hospital in South Korea; participants were recruited using convenience sampling. Self-reported questionnaires were used to assess medication adherence, depression levels using the Korean version of the Beck Depression Inventory-II, and empowerment levels using a tool developed for women with breast cancer. Hierarchical regression explored relationships and influences between variables.

Results: Participants demonstrated an average depression score of 19.67 ± 11.25, with medication adherence measured at 18.06 ± 5.15 and empowerment at 106.40 ± 18.15, revealing that, among patients with breast cancer, many experienced depression with varying levels: 16.9% mild, 27.3% moderate, and 21.9% severe. Medication adherence levels were distributed, with 58.5% of patients categorized as non-adherent and 41.5% categorized as adherent. The results indicated a significant negative correlation between depression and medication adherence and a positive correlation between empowerment and medication adherence. Higher empowerment levels were associated with improved adherence. Conversely, high depression levels were associated with low medication adherence.

Conclusions: This study enhances understandings of psychosocial factors influencing medication adherence in patients with breast cancer, highlighting patient empowerment as crucial for healthcare interventions. Thus, healthcare providers should implement targeted interventions including educational programs to inform patients about their treatment regimens, provide counseling services addressing mental health concerns such as depression, and establish support groups fostering a sense of community and shared experiences among patients. By integrating these strategies into patient care, healthcare professionals can significantly enhance patient empowerment and improve medication adherence toward better health outcomes for breast cancer patients. Future research could explore the long-term effects of these interventions on adherence and overall patient well-being.

Background: Patients hospitalized outside of monitored environments may experience sudden clinical worsening requiring transfer to the Intensive Care Unit. Early detection based on the clinical nurse's identification of the risk of clinical deterioration represents an opportunity to prevent serious adverse events. Nurse worry is defined as the use of clinical reasoning combined with intuition that precedes the patient's clinical deterioration.

Objective: The objective of this study was to evaluate nurse worry as a trigger for rapid response team activation in patients hospitalized in non-critical units and its association with the need in ICU admission.

Methods: This retrospective cohort study utilized data retrieved from an anonymized institutional database used to monitor the actions of the rapid response team. Data collected from January 2021 to December 2022 were analyzed, encompassing patients over 18 years old admitted to non-critical units and evaluated by the rapid response team. Analyzed variables included demographic characteristics, MEWS score, and causes for activating the rapid response team, such as changes in vital signs and nurse worry. Main outcomes assessed were transfer to the ICU, medical procedures, and drug administration. Patients were divided into three groups for analysis: those triggered for RRT assessment exclusively by changes in vital signs, those triggered exclusively by nurse worry and those triggered by the nurse worry combined with changes in vital signs.

Results: A total of 4634 rapid response team consultations were included, with 1574 triggered by changes in vital signs, 1263 triggered by nurse worry and 1797 triggered by the nurse worry associated with changes in vital signs. The group with nurse concern showed a lower need for transfers to the ICU (40%) compared to the group with changes in vital signs (50%) p < 0.001 although there was no difference in relation to the need for medical procedures,17% in both groups.

Conclusion: The NW emerges as a relevant factor in triggering RRT and may be associated with improved outcomes, such as reduced need for ICU transfers. However, the observational design of the study does not allow for establishing causal relationships.

Background: The issue of workplace violence (WPV) directed at nurses is a chronic and global public health concern. Numerous studies on workplace violence in Ethiopia have been conducted; however, the results have been inconsistent. The review aims to identify the pooled prevalence and associated factors of workplace violence against nurses.

Methods: A systematic and methodical literature search was conducted using electronic databases such as Google Scholar, EMBASE I, Scopus, PubMed, HINAR, the Web of Science, and the African Journal Online (AJOL). Each original study's efficacy and quality were assessed using a modified Newcastle-Ottawa scale (NOS) technique designed for cross-sectional research. The Cochrane Q and I2 test statistics were used to verify the heterogeneity of the studies. Using a random effect model, the pooled estimate of workplace violence among nurses was calculated.

Result: The pooled estimate of workplace violence among nurses in Ethiopia was 39.43% (95% CI: 27.63, 51.23). Female nurse (POR = 2.25; 95% CI: 1.29, 3.92), short work experience (POR = 3.25; 95% CI: 2.37, 4.45), and living without a spouse (POR = 2.03; 95% CI: 1.03, 3.99) were identified factors associated with workplace violence.

Conclusion: This study found that about two-fifths of nurses encounter workplace violence. According to this study, there was a significant association between work place violence among Nurses and being female, having less job experience, and being single. To address this issue, the Federal Ministry of Health (FMOH), policymakers, and other stakeholders should prioritize interventions aimed at reducing workplace violence.

Background: Thyroid nodules are common, and fine needle aspiration biopsy (FNAB) is essential for diagnosis and treatment. Patients' service needs are rarely addressed and discussed. This study was to analyze the nursing service needs of patients undergoing outpatient thyroid FNAB.

Methods: Using the Delphi method, indicators of nursing service needs were established. A survey based on the Kano model was conducted from February to May 2024 to analyze service needs among patients undergoing thyroid FNAB. A quadrant analysis chart was used to visualize the impact of service characteristics on patient satisfaction.

Results: Among the 32 service needs, 12 items were in the improved category, 10 items were in the advantage category, 9 items were in the reserved category, and 1 item was in the observation category.

Conclusions: The Kano model effectively categorizes the service needs of outpatients undergoing thyroid FNAB, guiding healthcare providers to enhance patient satisfaction through optimized services.

Trial registration: The registration number is ChiCTR2400080522, and the registration date is January 30, 2024.