BMC Nursing最新文献

Aims: This study aimed to translate the Burnout Syndrome Assessment Scale (BOSAS) for Nurses Working in Intensive Care Units into Turkish validity and reliability.

Methods: The questionnaire was planned to be of a methodological type and translation-back translation methods were used to translate it into Turkish. The content validity was established by submitting it to a panel of 12 faculty members with expertise in nursing. The Burnout Syndrome Assessment Scale (BOSAS) for Nurses Working in Intensive Care Units, the Maslach Burnout Inventory (MBI), and the Nurse Information Form were applied to 200 nurses. Internal consistency analyses were conducted using Cronbach's alpha coefficients and item analysis. Confirmatory factor analysis was employed to evaluate the construct validity. To ascertain the scale's stability over time, a test-retest method was implemented, involving the administration of a questionnaire to 150 intensive care nurses at two-week intervals. The MBI facilitated the assessment of the level of agreement between parallel forms, and intraclass correlations were computed.

Results: Following confirming language equivalence for the scale, the content validity index was subsequently computed. The items' content validity indices (CVIs) ranged between 0.833 and 1.000 and were higher than the generally accepted standard level. Nevertheless, since most of the items related to the scale were explained over a single dimension, the factor analysis application was carried out over a single dimension. The MBI was used to assess the interreliability of the Burnout Syndrome Assessment (BOSAS) Scale for Nurses Working in Intensive Care Units in parallel forms. The scale's internal consistency coefficient demonstrated a high-reliability level, achieving a value of 0.95. The intraclass correlation coefficients (ICCs) obtained for each subdimension and overall questionnaire were high.

Conclusion: The Turkish adaptation of this scale is a valid and reliable tool for evaluating and identifying burnout among nurses in intensive care settings.

Background: During electronic fetal monitoring, the positions provided to mothers by perinatal nurses and midwives are essential for ensuring maternal comfort, as well as maternal and fetal well-being. This study aimed to investigate the impact of various maternal positions during electronic fetal monitoring on maternal and fetal health.

Methods: This study was conducted in a randomized controlled trial design. The study included 240 pregnant women at 34-40 weeks of gestation. The data were collected via a descriptive form for pregnant women and a general comfort questionnaire.

Results: A statistically significant difference was found between cardiotocography monitoring positions in terms of cardiotocography duration, basal heart rate, and acceleration during cardiotocography (p < 0.05). The study indicated that the semi-Fowler position has a statistically significant effect on maternal comfort (t = 3.834, p < 0.05). It was also noted that the semi-Fowler position created a 0.911 rate of increase in general comfort.

Conclusions: The use of the semi sitting position as an alternative to the left lateral position in the clinic is worthy of recommendation, and in pregnant women with a high body mass index, the semi sitting position should be preferred during fetal monitoring. It is recommended that the semi-Fowler position be preferred for fetal monitoring in pregnant women with a high BMI, and further research should be conducted to make these positions standard in the clinic.

Clinical study registration: Since our research constituted a randomized controlled study, it was registered on the ClinicalTrials.gov website under ClinicalTrials ID No. NCT05863156|| https://www.

Clinicaltrials: gov/ ) with the Clinical Trial Registry (30.12.2021/{1}) TRIAL REGISTRATION: In addition, clinical trials were registered (NCT05863156|| https://www.

Clinicaltrials: gov/ ) with the Clinical Trial Registry (30.12.2021/{1})).

Background: Older adults in Indonesia are mostly living at home with their families. Informal care provided by family caregivers is essential to prevent older adults from getting pressure injuries (PIs). The objectives of this study were to examine the knowledge, attitude and practice of family caregivers regarding PI prevention among community-dwelling older adults in Indonesia.

Methods: A cross-sectional survey was conducted involving 267 family caregivers randomly selected from a population list provided by municipalities in Bandung, West Java, Indonesia. The study utilized the paper-based Knowledge, Attitude, and Practice on Pressure Injury (KAP-PI) questionnaire. Descriptive analyses (i.e. percentage, mean and standard deviation) were used to present participants' scores in each domain based on their characteristics or categories and scores in every single item of questions or statements. Bivariate comparison analyses were conducted using independent t-test or ANOVA test to compare scores and a Chi-square was run to check correlations between knowledge, attitude and practice domains.

Results: This study show that more than half of the participants (61.0%) had insufficient knowledge about PI prevention, but nearly all participants (94.4%) had a positive attitude toward PI prevention for their older relatives. Still, 41.2% of the participants had inadequate practice on PI prevention. A correlation analysis revealed that having sufficient knowledge and a positive attitude towards PI prevention were positively correlated with practice (p < .05).

Conclusion: This study highlights a significant gap in family caregivers' knowledge and practice regarding pressure injury (PI) prevention, despite their generally positive attitudes toward the care of older relatives. The findings are the initial diagnosis to guide educational strategies. Research should be performed to explore effective educational materials and an education program and also the necessary professional support to strengthen family caregivers' role in PI prevention.

Background: Monkeypox has emerged as a global health concern, necessitating preventive measures and awareness among healthcare students. Understanding nursing students' fears, concerns, and preventive practices regarding Monkeypox can help improve preparedness and response strategies.

Aim: This study aimed to assess the levels of fear, concerns, and preventive practices related to monkeypox among nursing students at Beni Suef University, Egypt, during the 2024-2025 academic year.

Methods: A cross-sectional descriptive design was employed, involving 505 nursing students systematically randomized recruited. Data collection utilized three validated tools: the Monkeypox Fear Scale, Monkeypox Concern Scale, and Monkeypox Preventive Practices Scale. Reliability was confirmed with Cronbach's alpha values ranging from 0.87 to 0.94. Data analysis included descriptive statistics, Spearman correlation, and multiple linear regression using SPSS Version 23.

Results: Most (56.2%) students rarely worried about Monkeypox infection, though 49.2% reported anxiety influenced by media coverage. High preventive practices were noted, with 60.6% frequently practicing hygiene measures. A strong positive correlation between Monkeypox concern and fear (r = 0.646, p < 0.001) and a moderate positive correlation between Monkeypox concern and preventive practices (r = 0.229, p = 0.001). Fear was also significantly correlated with preventive practices (r = 0.432, p < 0.001). Multiple linear regression analysis (R² = 0.216, F = 22.633, p < 0.001) revealed that fear was a strong positive predictor of preventive practices, while Monkeypox concern had a positive but non-significant effect (B = 0.138, p = 0.156). Age was not a significant predictor (B = 0.251, p = 0.637), whereas family income showed a significant negative association (B = -1.885, p = 0.010).

Conclusion: The study revealed moderate fear and concerns among nursing students, with generally high adherence to preventive practices.

Implication: Findings suggest the need for targeted health education programs to address monkeypox-related concerns and enhance preventive measures, thus improving nursing students' readiness to respond to emerging health threats.

Aim: This study seeks to elucidate the concept of shift work sleep disorder (SWSD) among nurses, thereby offering a comprehensive understanding that can inform future research and practical interventions.

Methods: Walker and Avant's concept analysis method was employed to guide the study. A systematic literature review was conducted utilizing various databases, including PubMed, Embase, EBSCO, Web of Science, CNKI, WanFang, and Sino Med. The inclusion criteria were specifically designed to focus on studies that define SWSD, along with its attributes, antecedents, consequences, and assessment tools relevant to nursing professionals.

Results: The analysis identified four key attributes of SWSD: internal/external circadian rhythm imbalance, impaired sleep, multidimensional health problems, and dynamic changes in symptoms. Antecedents include individual factors like personal health, lifestyle, family support, shift patterns, work environment, and other organizational factors. Consequences of SWSD encompass physiological health issues, mental health challenges, impaired social adaptability, and decreased nursing performance.

Conclusion: SWSD has a significant impact on the health and performance of nurses. Understanding its attributes, antecedents, and consequences is crucial for developing targeted interventions. Enhancing sleep hygiene, fostering supportive work environments, and implementing appropriate shift scheduling can help mitigate the adverse effects associated with SWSD.

Aim: This study aimed to assess the relationship between compulsory citizenship behavior and nurses' silence.

Methods: A descriptive cross-sectional online study was conducted in October 2023, targeting 402 nurses working in Yichang Central People's Hospital, Hubei Province, China. Data were collected through a structured questionnaire comprising demographic details, the Compulsory Citizenship Behavior Scale, and the Nurses' Silence Scale. Statistical analyses were conducted using SPSS 25.0, including descriptive statistics, t-tests, one-way ANOVA, Pearson correlation, and hierarchical regression analyses.

Results: The study revealed that the overall mean score for nurses' compulsory citizenship behavior was 14.63 (3.99), while the overall mean score for nurses' silence was 32.78 (8.28). Significant differences in compulsory citizenship behavior scores were observed among nurses with varying levels of work experience (P < 0.05). Similarly, significant variations in silence scores were identified according to work experience and employment type (P < 0.05). After adjusting for work experience and employment type, a significant correlation was identified between compulsory citizenship behavior and nurses' silence (P < 0.05).

Conclusions: Nurses exhibited moderate levels of compulsory citizenship behavior and silence. Additionally, a significant positive correlation was revealed between compulsory citizenship behavior and nurses' silence.

Recommendation: Nursing administrators should implement targeted measures to lower compulsory citizenship behavior, thereby fostering a more open and communicative environment within the organization, and encouraging nurses to express their opinions more freely.

Objective: To explore the intervention effect of ABC theory on the professional identity and irrational beliefs of new Chinese nurses in Balint groups (BGs).

Methods: A total of 110 Chinese nurses newly recruited in August 2021 by a grade-A tertiary general hospital in Wenzhou, Zhejiang province were adopted as research objects. They were randomly divided into an experimental group and a control group, the experimental group spread out in groups to practice the BGs, and the control group did not have any intervention. Before and after the intervention, the Chinese nurses were assessed with a general information questionnaire, nurses' professional identity rating scale, and irrational beliefs rating scale.

Results: After the intervention, the scores of Chinese nurses' professional identity in the experimental group and the control group were 115.51 ± 14.03 and 106.58 ± 14.45 respectively, belonging to the middle level, and the scores of Chinese nurses' irrational beliefs in the two groups were 49.33 ± 12.30 and 59.98 ± 13.10 respectively, and the differences were both statistically significant (p < 0.05).

Conclusion: Introducing the ABC theory of emotion into BG can reduce irrational beliefs and enhance the professional identity of Chinese new nurses.

Background: Supportive care has been found to improve quality of life and reduce the disease burden for aging individuals. After a heart attack, elderly patients often require a caregiver. In developing communities, caregiving responsibilities frequently fall on family members. Accordingly, we designed a randomized controlled clinical trial to assess the effect of an educational program on perceived stress and care burden among family caregivers of elderly heart attack patients.

Method: In this clinical trial (IRCT20220905055894N1, 01/02/2023), family member caregivers were the study participants, assigned to either intervention or control groups using a simple random sampling method. The control group received only routine in-home caregiving information, without additional nurse training or support, whereas the intervention group received multimedia-based training, monitoring, and communication support from a trained nurse over one month. Perceived stress levels and caregiving burden were measured using the Perceived Stress Scale (PSS) and the Caregiving Burden Inventory, respectively.

Results: Before the intervention, a high level of caregiving stress (34.07 ± 8.61 in the control group vs. 34.17 ± 8.62 in the intervention group) and burden (77.7 ± 15.51 in the control group vs. 79 ± 15.6 in the intervention group) was observed. After one month of intervention, the average scores of stress and burden remained unchanged in the control group, whereas the intervention group showed a significant reduction (P < 0.001). The inter-group comparison revealed lower levels of stress and care burden in the intervention group (P < 0.001).

Conclusion: A brief multimedia education intervention could help alleviate the stressful conditions experienced by family caregivers of elderly heart attack patients. Future studies could investigate whether a more extended educational program would have more lasting effects.

Background: Negotiating is a common occurrence and a significant part of everyday tasks for head nurses. The ability of the head nurse to effectively negotiate is a crucial management tool for work management in healthcare facilities.

Aim: The present study aimed to assess the effect of negotiation skills training program on head nurses' knowledge and behavior.

Methods: A pretest-posttest, one-group quasi-experimental design was conducted at Menoufia University Hospitals. It is located in Shebeen, Elkom City, Cairo, Egypt. All head nurses and their assistants and their number 64 head nurses.

Results: The results indicated that a minority of head nurses had satisfactory knowledge regarding negotiation in the pretest phase and obviously increased in the posttest to be more than three quarters and slightly decreased in the follow-up phase. Also, a minority had a high negotiation behavior level in the pretest phase and increased to be more than half in the posttest with a slight decrease in the follow-up stage. There was a highly statistically significant difference between pre-, post-, and follow-up results regarding negotiation knowledge and behavior.

Conclusion: The study revealed that the head nurse's knowledge and behavior increased markedly after implementing the negotiation skills training program.

Recommendations: Conduct continuous education and training programs for stimulating and developing head nurses' knowledge, behavior regarding negotiation, and hospital administration should support the importance of negotiation skills to both head nurses and organizations. TRIAL REGISTRATION NUMBER [TRN]: The study protocol was approved by the Research Ethics Committee of the Faculty of Nursing, Ain Shams University (code number: NUR 23.10.131).

Background: Pressure injuries are a significant concern in healthcare settings, leading to increased morbidity, healthcare costs, and patient suffering. This systematic review aims to evaluate the impact of multifaceted interventions on the prevention of Pressure injuries and improvements in nursing practices.

Methods: A systematic search was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across multiple databases, including studies from Google Scholar (332), Science Direct (14), grey literature sources (45), PubMed (0), Cochrane Library (437), and Hinari (322). Studies included in the review examined the effectiveness of various interventions, including educational programs, care bundles, and positioning strategies, on Pressure injury prevention.

Results: The interventions significantly reduced Pressure injury prevalence from 60.9 to 28.7%, with hospital-acquired injuries decreasing from 52.9 to 21.3%. The mean national prevalence of Pressure injuries was 17.6%, with 58.1% being community-acquired. Educational programs greatly enhanced nurses' knowledge and practices, particularly regarding the Braden scale and wound care protocols. Key risk factors identified were patient age, sex, and chronic diseases. Effective strategies included the use of air cushions and specific positioning techniques. Care bundles were found to prevent pressure ulcers in 90% of patients in the study group, and medical device-related Pressure Injuries were reduced to 5.01%.

Conclusion: Multifaceted interventions, including education, care bundles, and positioning strategies, are highly effective in reducing the prevalence of Pressure Injuries and improving nursing practices. Implementing comprehensive prevention strategies is essential for mitigating Pressure Injury risks in healthcare settings.