BMC Nursing最新文献

Background: Mid- to senior-level nurses play a pivotal role in healthcare. Their reflective ability is crucial for clinical decision-making and the continuous improvement of nursing practices. Although numerous studies have emphasized the importance of enhancing reflective ability among mid- to senior-level nurses, the specific relationship between off-duty professional growth, dual work stress, and reflective ability remains unclear.

Objective: This study aims to investigate the relationship between reflective ability, work stress, and off-duty professional growth among mid- to senior-level nurses in China, and to determine the mediating role of work stress.

Methods: A convenience sampling method was used to recruit 534 mid- to senior-level nurses from three tertiary hospitals in Jiaxing, Zhejiang Province. Data were collected and analyzed using a general information questionnaire, the Leisure Crafting Scale, the Challenge-Hindrance Work Stress Scale, and the Clinical Nurse Reflective Ability Scale.

Results: The mean scores for leisure crafting, challenge stress, hindrance stress, and reflective ability among mid- to senior-level nurses were 23.82 ± 9.17, 16.97 ± 6.49, 16.65 ± 5.44, and 56.26 ± 19.09, respectively. Leisure crafting was positively correlated with reflective ability (r = 0.389, P < 0.001), challenge stress (r = 0.399, P < 0.001), and negatively correlated with hindrance stress (r = -0.367, P < 0.001). Reflective ability was positively correlated with challenge stress (r = 0.350, P < 0.001) and negatively correlated with hindrance stress (r = -0.417, P < 0.001). Both challenge-and hindrance stress partially mediated the relationship between leisure crafting and reflective ability, with mediation effects of 19.7% and 30.8%, respectively.

Conclusion: This study demonstrates that the reflective ability of mid- to senior-level nurses in China is currently at a moderately low level. Enhancing Off-duty professional growth, leveraging the beneficial aspects of challenge stress, and reducing the negative effects of hindrance stress can notably improve reflective ability. These efforts can lay a strong foundation for the continuous enhancement of nursing quality.

Background: Evidence shows harmful effects of e-cigarettes on health. There is limited data on the use of e-cigarettes among nursing students. This study aimed to investigate the usage, knowledge, and attitudes towards e-cigarettes among nursing students in Croatia, as well as their views on the role of nurses in counseling patients and assisting with smoking cessation.

Methods: This cross-sectional study was conducted via an online questionnaire among nursing students at 10 universities in Croatia in March/April 2024. Students were asked questions about socio-demographics, knowledge and attitudes towards e-cigarettes and their views on the role of nurses in counseling patients and assisting with smoking cessation.

Results: The study included 1,039 participants; 89% were women, 43% were smokers; 53% used e-cigarettes and 76% used them for recreational purposes. 21% of participants agreed that e-cigarettes are an effective method for quitting smoking. More than half indicated that e-cigarettes could encourage non-smokers to start smoking. The majority (60%) reported that they had never received education on smoking cessation at university. Furthermore, 66% stated that they did not feel confident advising smokers about e-cigarettes. The majority (70%) considered physicians to be the most knowledgeable health experts to advise and educate users of e-cigarettes. There were no significant differences in attitudes between smokers and non-smokers on the use of e-cigarettes. Participants demonstrated insufficient knowledge about e-cigarettes. Non-smokers had more positive attitudes towards the role of nurses in combating smoking compared to smokers. Participants who had received education on smoking cessation were more willing to advise smokers and had clearer views on the risks and the importance of the nurse's role in the quitting process compared to those who had not received such education. Smoking status and age were significant predictors of counseling confidence.

Conclusion: The study found a high prevalence of smoking and e-cigarette use among Croatian nursing students, along with limited knowledge and generally negative attitudes towards e-cigarettes. It highlighted gaps in education regarding the health risks of e-cigarettes and the lack of practical skills needed to help smokers quit, suggesting that nursing programs should update their curricula to better prepare students in these areas.

Background: Interpersonal sensitivity and self-efficacy are key psychological traits that critically impact the mental well-being and professional growth of nursing students. However, the complex interplay between interpersonal sensitivity and self-efficacy of nursing students has not been fully explored.

Purpose: This study aimed to explore the complex relationship between interpersonal sensitivity and self-efficacy in nursing students using network analysis, identifying key symptoms within this network.

Method: A total of 864 nursing students were recruited in this study. The Chinese Version of the Short Form of the Interpersonal Sensitivity Measure (IPSM-CS) and The New General Self-Efficacy Scale (NGSES) were used to assess interpersonal sensitivity and self-efficacy, respectively. Centrality and bridge centrality indices were used to identify central symptoms and bridge symptoms. Network stability was examined using the case-dropping procedure. The Network Comparison Test was used to investigate the network differences by gender in nursing students.

Results: The strongest direct relation was observed between the symptoms of interpersonal sensitivity "I feel happy when someone compliments me" and "I can make other people feel happy". "I feel happy when someone compliments me" exhibited the highest node strength within the interpersonal sensitivity and self-efficacy network, followed by "If others knew the real me, they would not like me" and "I worry about being criticized for things that I have said or done". "Faced with difficult tasks, confident that it can be accomplished" exhibited the highest bridge strength, followed by "Ability to successfully overcome many challenges". The stability tests of the whole network indicated robustness.

Conclusion: This study highlighted the intricate and dynamic association between interpersonal sensitivity and self-efficacy among nursing students. Identifying central and bridge symptoms can provide nursing educators with valuable insights, benefiting them in enhancing nursing students' mental health by giving positive feedback, fostering self-awareness, and reinforcing coping strategies.

Clinical trial number: Not applicable.

Background: This study aimed to integrate the experiences of caregivers of children with Down syndrome during the care process and understand their feelings and needs.

Methods: We used Page et al.'s (2021) Preferred Reporting Items for Systematic Reviews and Meta-synthesis Statement. Ten databases (Web of Science, PubMed, EMBASE, Cochrane Library, CINAHL, PsycInfo, China Biology Medicine, China National Knowledge Infrastructure, Wanfang Data, and China Science and Technology Journal Database) were searched for relevant studies published from the inception of the database to October 2023. Eight qualitative studies were analysed. The following seven themes were included: 'feeding pressure', 'hope for education', 'societal rejection and stigma', 'psychological pressure', 'caring burden', 'family burden', and 'family adaptation and self-growth'.

Results: We found that feeding pressures, educational concerns, language difficulties, and discrimination and stigmatisation led to psychological, economic, and family stress in caregivers of children with Down syndrome. We document the need for strong coping mechanisms and support systems for these families from medical and psychological institutions and a need for public education and awareness.

Conclusions: We summarised the daily care experiences of caregivers of children with Down syndrome. Our findings provide a scientific basis for further research focused on reducing physical and mental pressure on caregivers and improving the quality of family life.

Background: There is a critical shortage of registered nurses working in regional, rural and remote Australia. It is the people from these areas that are most likely to address this shortage. This research therefore sets out to explore the question "what is known about the experiences of regional, rural and remote Australian women undertaking a Bachelor of Nursing program delivered online?".

Methods: The methodology was an integrative literature review which included: 1) problem identification, 2) literature search, 3) data evaluation, 4) data analysis and 5) conclusion. Articles identified as part of the review explored different aspects of the research question.

Results: Using thematic analysis, it was possible to extrapolate four interrelating themes: (1) juggling 'women's work' and study, (2) the online learning environment is isolating, (3) the cost of clinical placement, and (4) maintaining overall wellness while studying.

Conclusion: The literature consistently failed to explore the intersection of the complex challenges facing these students. What is important about this integrative literature review, however, is that the themes identified provide a small and incomplete insight into the experiences of such women, and with a workforce shortage already in play and students continuing to withdraw from their studies, there is a need to find a way to better serve regional, rural and remote Bachelor of Nursing students and their communities.

Background: The ability to thrive at work has been demonstrated to be closely linked to the development of nurses.Effective utilization of strengths and maintaining hope are essential elements for clinical nurses' ability to flourish in their roles. Nevertheless, the relationship between strengths use, hope, and thriving at work remains underexplored. This study aimed to identify distinct subgroups of clinical nurses based on their strengths use and to examine the mediating effect of hope between strengths use and thriving at work. The findings are intended to inform clinical managers on strategies to enhance nurses' work performance and care quality.

Methods: A convenience sample of 568 clinical nurses from two tertiary hospitals in Guangzhou City, Guangdong Province, China, was recruited between January and March 2024. The survey collected sociodemographic data and included the Adult Dispositional Hope Scale, Strengths Use Scale, and Thriving at Work Scale. Potential categories of nurse strengths use characteristics were identified using potential profile analysis, and potential relationships between variables were determined using Pearson correlation analysis, Bayesian factor robustness analyses, and Mediation analysis.

Results: LPA identified three distinct groups based on strengths use: low (30.8%), moderate (64.9%), and high (13.2%).The significant mediating effect of hope in the relationship between strengths use based on latent profile analysis and thriving at work was observed (SE = 0.61,95%CI = -10.01, -7.62; SE = 0.76,95%CI = -18.91, -15.91, respectively).

Conclusions: There exists heterogeneity in nurses' strengths use. Hope plays a significant role in mediating the relationship between strengths use and thriving at work. It is recommended that nursing administrators or leaders pay attention to differences in individual levels of strengths use, encourage strengths-based practices and design interventions that foster hope, thereby promoting greater thriving in their professional roles.

Background: Compared to ordinary student in the same age group, nursing students experience notably higher rates of depression and anxiety. Negative life events (NLEs) and resilience were recognized as risk factors and protective factors, respectively. There is little literature on the complex interaction of these factors among nursing students.

Objectives: The study aims to explore the potential relationship of NLEs, resilience, and gender with symptoms of depression and anxiety among nursing students.

Methods: A cross-sectional design was used for this study. A total of 568 participants from three universities in East, South and North China were recruited. Data collection instruments included socio-demographic characteristics, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder Scale, the 10-item Connor-Davidson Resilience Scale, the Adolescent Life Events Self-Rating Scale, and The Pittsburgh Sleep Quality Index. A moderated mediation model was used to analyze the data.

Results: NLEs and resilience significantly related to depression and anxiety (r = -0.289 ~ 0.454, all ps < 0.01). NLEs had a direct effect on depression (B = 0.251, p < 0.001) and anxiety (B = 0.307, p < 0.001). Analysis of mediating effects revealed that NLEs influenced depression (B = 0.02, 95% CI : 0.004-0.041) and anxiety (B = 0.019, 95% CI : 0.004-0.040) through resilience pathways. Additionally, gender was found to have a moderating effect on the direct association of NLEs with anxiety (B = -0.031, p < 0.05), with males showing a greater association.

Conclusions: The findings suggest that improving resilience may help break the relationship of NLEs with depression and anxiety in nursing students. Additionally, the mental health of male nursing students needs more attention.

Background: Existing research indicates that fear of progression influences the quality of life of patients with various diseases. However, the influence of fear of progression on the quality of life of patients with heart failure and its underlying mechanisms remain unclear. This study aimed to identify the link between fear of progression and quality of life in patients with heart failure and explore the multiple mediating roles of psychological distress and resilience in this association.

Methods: This multicenter, cross-sectional study was conducted between March and December 2023 across four tertiary hospitals in China. Data on fear of progression, psychological distress (anxiety and depression), resilience, and quality of life were collected. The PROCESS macro in SPSS was used to analyze the multiple mediation model.

Results: The study involved 277 patients. The total indirect effect of fear of progression on quality of life was significant. Fear of progression influenced physical quality of life through two pathways: (i) resilience independently, and (ii) psychological distress-depression and resilience serially. Additionally, fear of progression influenced mental quality of life through three pathways: (i) psychological distress (anxiety and depression) independently, (ii) resilience independently, and (iii) psychological distress (anxiety and depression) and resilience serially. However, psychological distress-anxiety or resilience had no mediating effect on the relationship between fear of progression and physical quality of life in patients with heart failure.

Conclusions: Fear of progression had a negative association with quality of life in patients with heart failure. In addition, the relationship between fear of progression and quality of life was mediated by psychological distress and resilience. Interventions targeting the reduction of psychological distress and enhancement of resilience may mitigate the impact of fear of progression on quality of life in patients with heart failure.

Background: The incidence of acute cardiac arrest is increasing and is directly linked to patient survival, highlighting the critical role of nurses. Advanced nursing skills for cardiac arrest patients, such as self-directed pre-learning applied to various clinical situations, require a systematic blended learning approach to integrate knowledge and enhance clinical performance through face-to-face practice. The purpose of this study is to evaluate the effectiveness of a blended simulation education program for Advanced Cardiac Life Support (ACLS) using the PARTNER model.

Methods: A nonequivalent control group pretest-posttest design with a time-lagged approach was used to collect data from 34 third-year nursing students. The experimental group(n = 17) received a 480-minute blended simulation education program based on the PARTNER model and flipped learning, while the control group(n = 17) participated in a 480-minute traditional simulation education program.

Results: The study found that knowledge, confidence, performance in advanced cardiac life support, and clinical performance ability were effectively enhanced, although no significant effect was observed in learning satisfaction.

Conclusions: The program provides a new direction in applying blended simulation using the PARTNER model for advanced cardiac life support nursing education, ultimately contributing to the training of nurses competent in advanced cardiac life support.