BMC Nursing最新文献

Background: In Egypt, approximately 10% of preterm deliveries occur between 32 and fewer than 37 weeks, leading to high neonatal intensive care unit (NICU) admissions. Preterm infants often face oral feeding difficulties due to immature development, which can lead to extended hospital stays and increased health risks.

Aim: To assess neonatal nurses' performance in terms of the transition to oral feeding in preterm infants, focusing on knowledge, practices, and attitudes.

Methods: A descriptive, quantitative, multicenter, cross-sectional study was conducted across 16 hospitals in five governorates in Egypt from November 2023 to March 2024 involving 553 neonatal nurses. The data were collected through a self-administered questionnaire assessing knowledge and attitudes and through an observed checklist for nurses' practices. The study used statistical methods, including binary logistic regression, to analyze the data.

Results: The findings revealed significant knowledge gaps among nurses, particularly in terms of oro-motor function, suck-swallow-breathe patterns, and nonnutritive sucking. A total of 64.6% of the nurses had unsatisfactory knowledge, 58.6% had unsatisfactory practices, and 45% had a negative attitude toward the oral feeding transition. Key predictors of satisfactory practices included higher education levels, full-time employment, and positive attitudes.

Conclusion: This study highlights critical gaps in neonatal nurses' knowledge and practices regarding the transition to oral feeding in preterm infants. Addressing these gaps through targeted educational interventions and ongoing support is essential for improving care quality and outcomes for infants. The findings revealed that a substantial proportion of nurses lacked adequate knowledge of critical areas, such as oro-motor function, the suck-swallow-breathe pattern, and nonnutritive sucking. These knowledge deficits could hinder the ability of nurses to provide optimal care during this crucial transition.

Background: Brain drain refers to the migration of qualified professionals to developed countries in search of better living and working conditions, and has become a global concern, particularly in the healthcare sector. Migration of highly skilled nurses results in increased workload for the remaining nursing staff, limited access to quality healthcare services, and contributes to disparities in healthcare. Therefore, nursing students represent a critical demographic group for understanding the drivers of brain drain in the healthcare sector.

Purpose: This study aimed to assess the levels of hopelessness experienced by nursing students in Turkey throughout their education and to examine the impact of hopelessness on their decisions to move abroad.

Materials and methods: The study was conducted on 795 students enrolled in the nursing departments of two public universities in Gaziantep. Data were collected using a Demographic Data Form, the Beck Hopelessness Scale, and the Attitudes Towards Brain Drain Scale. The data were analyzed using the SPSS 24.0 statistical software.

Results: 57% of the nursing students considered moving abroad, with 20.2% preferring Germany. The primary reasons for their desire to migrate included poor living conditions (11.1%), economic problems (12.9%), unfavorable working conditions (8.3%), and educational challenges (5.4%). The findings highlight the significant role of future hopelessness in influencing the migration intentions of nursing students.

Conclusion: More than half of Turkish nursing students consider moving abroad to seek better working conditions, higher living standards, financial gains and educational opportunities, with Germany being their top destination country. Despite low levels of hopelessness observed among the students, the tendency for migration persisted. A retention policy needs to be developed with strategic actions to prevent nurses from migrating to other countries.

Clinical trial number: not applicable.

This study explored the role of technology systems in influencing nurses' intentions to adopt medical applications that enhance their performance and how technology contributes to improvements in hospital systems. The study examines the intention to use technology through the mediating effects of perceived usefulness and perceived ease of use, with technology sophistication. A random sampling method was employed to gather 687 responses from nurses. The statistical analysis was conducted using AMOS version 25.0 and SPSS. The findings indicate a significant association between technology sophistication (TS), perceived usefulness (PU), perceived ease of use (PEU), and intention to use (IU). Additionally, PU and PEU positively mediate the relationship between TS and IU. This research will benefit policymakers aiming to enhance nurses' performance by adopting modern technology. Authorities should consider introducing advanced technology systems to meet the goals of hospital administration and support nurses effectively.

Aim: This study aimed to explore the emotions of operating room nurses in Japan towards perioperative nursing using generative AI and human analysis, and to identify factors contributing to burnout and turnover.

Methods: A single-center cross-sectional study was conducted from February 2023 to February 2024, involving semi-structured interviews with 10 operating room nurses from a national hospital in Japan. Interview transcripts were analyzed using generative AI (ChatGPT-4o) and human researchers for thematic, emotional, and subjectivity analysis. A comparison between AI and human analysis was performed, and data visualization techniques, including keyword co-occurrence networks and cluster analysis, were employed to identify patterns and relationships.

Results: Key themes such as patient care, surgical safety, and nursing skills were identified through thematic analysis. Emotional analysis revealed a range of tones, with AI providing an efficient overview and human researchers capturing nuanced emotional insights. High subjectivity scores indicated deeply personal reflections. Keyword co-occurrence networks and cluster analysis highlighted connections between themes and distinct emotional experiences.

Conclusions: Combining generative AI with human expertise offered nuanced insights into the emotions of operating room nurses. The findings emphasize the importance of emotional support, effective communication, and safety protocols in improving nurse well-being and job satisfaction. This hybrid approach can help address emotional challenges, reduce burnout, and enhance retention rates. Future research with larger and more diverse samples is needed to validate these findings and explore the broader applications of AI in healthcare.

Background: Self-management is regarded as a crucial factor influencing the effectiveness of home-based cardiac rehabilitation for patients with coronary heart disease. In nursing practice, nurses employ a variety of strategies to enhance self-management of patients. However, there exists a disparity in nurses' perceptions and practical experiences with these strategies. This study aimed to explore the experiences and strategies of clinical nurses in enhancing home-based cardiac rehabilitation self-management for patients with coronary heart disease.

Methods: A descriptive qualitative study was conducted across two large cardiac rehabilitation centers. Clinical nurses were selected using purposive sampling with maximum variation strategies. Semi-structured interviews were conducted to capture nurses' experiences and strategies for enhancing home-based cardiac rehabilitation self-management. Content analysis was utilized to analyze the textual data.

Results: A total of 18 eligible clinical nurses participated in this study. The interviews resulted in the extraction of seven subthemes, which were consolidated into three main themes: (1) Personalized and Engaging Educational Approaches, including Precision Education-Tailored, Adaptive Approaches and Visual Aided Education-Beyond Simplification to Deep Engagement; (2) Contextual and Psychologically Grounded Nudging Strategies, comprising Information Framing-Psychological Leveraging for Informed Choices, Social Norms-Leveraging Peer Influence for Motivation, and Verbal Reminders-The Power of Consistency and Reinforcement; (3) Continuous and Personalized Support Systems, involving Regular Follow-Up-Dynamic Support for Ongoing Engagement and Collaborative Management-Building a Team for Long-Term Success. These robust strategies can effectively enhance self-management behaviors and quality of life in patients undergoing home-based cardiac rehabilitation.

Conclusions: From the perspective of clinical nurses, this study explored a variety of strategies for improving home-based cardiac rehabilitation self-management in patients with coronary heart disease. This provides theoretical support for optimizing intervention measures and promotes the effective delivery and application of self-management strategies in practice.

Clinical trial number: Not applicable.

Background: College-aged students are at risk for experiencing negative events that may influence their future health and life. Those negative events or stressors may vary in type and severity. Stress and bullying are prevalent among nursing students that may affect their academic motivation. Our aim was to examine the gender differences in acute and perceived stress, bullying, and academic, motivation among nursing and midwifery students in Saudi Arabia.

Methods: A cross-sectional design was utilized in this study to examine 391 nursing and midwifery students in four different universities in Saudi Arabia. The following scales were used to collect data: the college students acute stress scale, perceived stress scale, bullying behaviors in nursing education, and short version of academic motivation scale.

Results: Students reported relatively low acute stress and moderate perceived stress. Students did not generally experience considerable bullying. Only female students reported that they experience significant bullying in form of attacking academic motivation. Academic motivation among participating students were relatively high. Female students reported higher scores than male students on all variables; all differences are statistically significant except for bullying.

Conclusion: The findings of this study contribute to the literature on the prevalence of stress and bullying among nursing and midwifery students and their influence on academic motivation. Also, the results provide further evidence to the gender differences in stress, bullying, and academic motivation among them. The study highlights the importance of supporting nursing and midwifery students, specifically female student, by providing supportive and encouraging environment to help them succeed in their study and love their future career.

Background: Healthcare professionals in the hospital setting frequently assume primary caregiving responsibilities, which often leads family members to perceive this as standard practice during hospitalization. This dynamic may create a gap between actual and desired levels of family involvement. The aim of this study is to explore the opinions of families about their involvement in care during the hospitalization of a relative.

Methods: A sequential explanatory mixed-method study design was used, where quantitative data collection is followed by qualitative data collection for a deeper understanding of the quantitative findings. Data were collected between November 2023 and April 2024 across 15 wards in a university hospital in the north of the Netherlands. 153 family members of hospitalized patients completed the adapted Families' Importance in Nursing Care-Families' Opinions questionnaire, providing valuable quantitative data. Twenty-three of these family members were subsequently interviewed to gather qualitative insights. Data were analyzed sequentially, with the quantitative results guiding qualitative data collection. The two types of data were integrated to draw comprehensive conclusions about the significance of family involvement during hospitalization. The study adhered to the guidelines of the Good Reporting of A Mixed Method Study (GRAMMS).

Results: The questionnaire scores indicate a high willingness for involvement in care during hospitalization. Subsequent in-depth interviews led to the development of a model demonstrating that this involvement is sequentially related to the themes of acknowledgement, alignment, and collaboration.

Conclusions: Family members expressed a need to be acknowledged by healthcare professionals as partners in care. Role agreements and information sharing during hospital care should be aligned to achieve effective collaboration between family members and healthcare professionals.

Background: Although previous studies have linked professional autonomy to nurses' job performance, research lacks how job satisfaction and organizational commitment mediate this relationship. Addressing this gap is essential for improving nursing practice outcomes. This study aims to determine the mediating effect of job satisfaction and organizational commitment in this relationship among Iranian nurses.

Methods: This descriptive-correlational study was conducted in Urmia teaching hospitals from October 2022 to June 2023. Four hundred twenty nurses were recruited using quota sampling. Eligible participants were selected non-randomly from predetermined numbers at four hospitals, and recruitment continued until the required sample size was achieved. Data were collected using demographic questionnaires, the Varjus Professional Autonomy Scale, the Porter Organizational Commitment Questionnaire, the Minnesota Satisfaction Questionnaire, and the Paterson Job Performance Questionnaire. Data were analyzed using SPSS ver. 23 and SmartPLS ver. 3.

Results: Professional autonomy had a positive, direct, and strong effect on nurses' job performance (β = 0.708, t-value = 9.867, p < 0.001). Professional autonomy had a positive, direct, strong impact on job satisfaction (β = 0.854, t-value = 39.736, p < 0.001) and a positive, minor, and direct effect on organizational commitment (β = 0.199, t-value = 3.150, p = 0.000). Professional autonomy positively affects job performance through job satisfaction (β = 0.4016, 95% CI: 0.3280, 0.4736) and organizational commitment (β = 0.7582, 95% CI: 0.6088, 0.9086).

Conclusions: Healthcare managers should promote nurses' autonomy and job satisfaction to enhance their performance. They can improve working conditions by offering competitive salaries, simplifying promotion processes, and involving nurses in decisions related to patient care. Additionally, essential steps to consider are supporting nursing autonomy, organizing educational classes, and implementing strategies such as stress reduction programs, reducing workloads, addressing nursing shortages, and decreasing working hours.

Background: Faced with a shortage of nurses in China, the factors affecting the stability of the nursing workforce require urgent attention. The workplace deviance behavior of nurses is considered an important behavior in clinical practice, which will bring negative effects and affect the development of nurse team. However, no research has been done to examine the associations among workplace deviance behavior of nurses, practice environment and job burnout. Thus, this study aimed to determine the influence of practice environment on nurses' workplace deviance behavior and confirm the mediating role of job burnout.

Methods: This study was designed as a multicentre cross-sectional study, and recruited 598 nurses in China to complete a survey of the general information questionnaire, Scale of Workplace Deviance Behavior of Nurses, Practice Environment Scale, and Maslach Burnout Inventory General Survey. The model was examined using descriptive analysis, Pearson's correlation analysis, and the PROCESS Macro in SPSS 26.0.

Results: The results of the correlation analysis demonstrated a significant relationship between the practice environment and work deviance behavior of nurses, as well as a negative relationship between job burnout and these two factors. Moreover, the relationship between practice environment and work deviance behavior among nurses was partially mediated by job burnout.

Conclusion: A healthy practice environment and a decrease in job burnout could directly lower the work deviant behavior of nurses. Hospital managers must actively endeavor to improve the practice environment for nurses by fostering a just, fair, and supportive practice environment and by keeping lines of communication open and strong with the nursing staff. Furthermore, managers can also reduce nurses' work deviance behavior by lower their job burnout.

Background: Despite advancements in therapies, the severity of depressive symptoms continues to challenge psychiatric nurses. However, research has indicated that a higher sense of coherence (SOC) can act as a protective factor against the development of diseases and promote faster recovery.

Aim: This study aimed to investigate whether SOC could serve as an indicator of depressive symptom severity among clients with depression.

Design: The study employed a cross-sectional design and followed the STROBE checklist for reporting observational studies.

Methods: A convenient sample of 169 clients with depression participated in the study. The researchers utilized the Antonovsky Sense of Coherence Scale-29 and the Beck Depression Inventory-II to assess SOC and depressive symptoms, respectively.

Results: The study findings indicated that a substantial proportion of the participants (35.5%) had low Sense of Coherence (SOC) levels, associated with higher depressive symptoms. The severity of depression showed a significant negative correlation with difficulties in understanding and finding meaning in life and challenges in effectively coping with life's demands (r = -0.626, p < 0.001). The regression analysis revealed that for every one-unit increase in SOC, there was a corresponding decrease of 0.5 units in depressive symptoms. The SOC variable accounted for 39.1% of the variance in depressive symptoms severity.

Conclusion: Psychiatric nurses should consider implementing interventions to enhance SOC, such as Life Skills Training (LST), psychoeducation, cognitive-behavioral therapy, and mindfulness practices, particularly for depressive disorder clients with a poor sense of coherence.