International Journal of Nursing Knowledge最新文献

Purpose

To assess the effect of the mind–body intervention on depression in people with cognitive impairment.

Methods

Five databases (PubMed, Web of Science, Embase, Cochrane Library, and PsycINFO) were systematically searched, the Cochrane Collaboration's tool was used for quality assessment, and subgroup analyses were performed according to participant types, intervention types, and duration of interventions.

Findings

A total of 16 randomized controlled trials were included, two of which were unable to obtain complete data and one had high heterogeneity. The overall meta-analysis of 13 articles showed that the mind–body intervention was not effective in promoting depression in individuals with cognitive impairment (standardized mean difference [SMD] = −0.08; 95% confidence interval (CI) [−0.27, 0.11]; p = 0.419; I² = 52.4%, 13 studies, 1406 participants) compared with the control group. Subgroup analysis showed that depression was significantly improved in the dementia subgroup after the mind–body intervention compared to the control group (SMD = −0.31; 95% CI [−0.57, −0.05]; p = 0.021. I² = 29.2%, six studies, 399 participants), while no significant changes were observed in the mild cognitive impairment subgroup. Among different intervention types and durations, no intervention was found to have a significant positive effect on depression.

Conclusion

The mind–body intervention is an effective intervention for improving depression in people with dementia, but its effect is not significant in individuals with overall cognitive impairment. Follow-up high-quality studies are needed to further verify the effects of different mind–body interventions on depression in people with different severities of cognitive impairment.

Implications for Nursing Practice: By proving the effectiveness of the mind–body intervention in improving depression in people with dementia, it will provide evidence for the further development and improvement of the mode and content of the mind–body intervention and increase the attention and support of the healthcare system and society for the mind–body intervention.

Purpose

To identify the prevalence of the nursing diagnosis of compromised end-of-life syndrome in patients in end-of-life care.

Methods

This is a clinical validation based on a cross-sectional epidemiological clinical study conducted at the National Cancer Institute in Rio de Janeiro, Brazil. The defining characteristics of a syndrome diagnosis were identified, defined as a “subset of nursing diagnoses,” using sensitivity and specificity measures through the application of latent class statistical methods.

Findings

The statistical results revealed seven nursing diagnoses characterizing the syndrome: imbalanced nutrition: less than body requirements, nausea, anxiety, ineffective breathing pattern, disturbed sleep pattern, ineffective thermoregulation, and fatigue. Compromised end-of-life syndrome was present in 76% of the sample.

Conclusion

The study demonstrated the presence of compromised end-of-life syndrome in most end-of-life patients from the sample.

Implications for nursing practice

Recognizing the presence of the syndrome diagnosis enables nurses to have efficient and effective clinical reasoning for implementing the nursing process in palliative care. CAAE Number: 85415618.0.3001.5274.

Purpose

The aim of the study was to validate the defining characteristics (DCs) of the nursing diagnosis impaired mood regulation using related criteria in an African context.

Methods

This descriptive study was conducted in two tertiary mental healthcare institutions in Nigeria. Richard Fehring's clinical diagnostic validity model was employed to collect data from 87 individuals experiencing mood problems. Their scores were validated with other criteria, and the influence of socio-demographic and clinical variables on participants’ identification of the DCs was determined using analysis of covariance (ANCOVA). The significance level was 0.05.

Findings

Five of the 27 DCs validated were rated major, 5 considered not characteristics, and the rest were minor characteristics of the diagnosis. A two-way subject ANCOVA was significant for diagnosis alone, F (2, 87) = 7.41, p = 0.006 (after eliminating the effect of age and gender of the participants), and when combined with duration of illness, F (38, 87) = 2.38, p = 0.036. A positive but weak correlation was found between the DC scale and mood disorder questionnaire, r_s (85) = 0.353, n = 87, p = 001 with R² = 0.102, but a positive and strong correlation with patient health questionnaire, r_s (85) = 0.733, n = 87, p = 000 with R² = 0.565.

Conclusions

The DCs listed in NANDA-I nursing diagnoses manual were valid for the nursing diagnosis. However, there are additional characteristics that would further enhance the applicability of the diagnosis.

Implications for nursing practice

The result of this study will contribute immensely to the identification of individuals experiencing problems with mood regulation that would otherwise have been missed, thus facilitating early intervention and good outcome. Furthermore, additional characteristics validated in this study offered opportunity for further research on the diagnosis.

Purpose

The aim of this article is to present the Nursing Educational Framework (NEF) as an opportunity to integrate core elements of a humanistic person/family-centered view and as guidance in structuring a relationship-based curriculum.

Data sources

Empirical and theoretical literature studies were reviewed to define the framework rationale and its components.

Data synthesis

A deductive/inductive collaborative expert-informed approach was undertaken to develop this evidence-based codesigned framework. Its mission, along with unique components, implementation strategies, and outcomes, were successively integrated into the framework to guide nursing knowledge, learning, and curriculum development. A hermeneutic collaborative process of circular reflection was used in the development process.

Conclusions

The NEF contains central guiding principles and concepts that are intended to provide structural consistency across its included programs from a humanistic person/family-centered approach.

Implications for nursing practice

This comprehensive theory-guided framework allows educators to suggest specific directions for nursing practice within the nursing discipline and articulate nursing's unique and specialized approach to promoting excellent patient care outcomes. It can assist students to develop critical lens from a person/family-centered relationship-based practice approach.

Purpose

To develop an intervention enhancing hospitalized older adults’ nutrition.

Methods

For the first time, a mixed-methods design with data triangulation was applied according to the six-step model of Corry et al. to elaborate on a complex nursing intervention in the form of a logic model. Patients who were aged ≥80 years and hospitalized for at least 5 days were included. Sample size for quantitative practice analysis was 135 older adults, whereas 22 older inpatients participated in interviews and observations for needs analysis and generated data for key principles.

Findings

The intervention “Eat Enough” encompasses nursing team culture and comprises six actionable targets to deliver needs-based support and reach required protein and energy intake for hospitalized older adults by sensitizing nurses and the interprofessional team. Facilitating nutritional intake would be supported by an advanced practice nurse who considers the medical and nursing care plan and therapy.

Conclusions

The intervention “Eat Enough” demonstrates that nurses play a key role in interprofessional teams to enhance older adults’ nutrition in hospital. The pipeline model displays how the actionable targets can be achieved, and how awareness raising can influence the context—leading to raised calories and protein requirement coverages and shorter length of stay.

Implications for clinical practice

By identifying risk factors of malnutrition and strengthening nurses’ responsibilities, the intervention “Eat Enough” could significantly enhance nutrition among hospitalized older adults. However, the logic model should be tested and implemented in future research.

Purpose

To map and analyze the concept of women's fear of childbirth (FOC) during pregnancy and to develop a new nursing diagnosis (ND).

Methods

Concept analysis based on Walker and Avant's methodology. An integrative literature search was conducted in Scopus, Web of Science, and CINAHL Complete databases, including peer-reviewed articles published in English from January 1981 to October 2022.

Findings

Thirty-one studies were included in the review. Women's FOC during pregnancy comprises three central categories: attributes, antecedents, and consequences. Nine main characteristics (attributes) are related to one or more of eight prior conditions (antecedents) that have the potential to exert negative or favorable impacts (consequences), depending on whether coping strategies have been a part of a fearful woman's pregnancy. These elements and relationships among them should be viewed as dynamic.

Conclusions

Women's FOC during pregnancy is a subjective, multidimensional, and dynamic concept that benefits prenatal care responses. A conceptual matrix on prenatal care will consider the factors underlying women's FOC and their potential mechanisms, how fearful pregnant women respond, the aspects that shape FOC, and how it influences outcomes when supporting pregnant women with FOC. Therefore, the study findings can be used to inform ways of identifying fearful women or as a basis for interventions to manage fears and enhance the confidence of pregnant women for childbirth.

Implications for nursing practice

The results of this study help nurses, OB nursing practitioners, nurse–midwives, and midwives to identify the condition of women's FOC during pregnancy and guide nursing therapeutic interventions to decrease the negative effects on women's health and well-being. Therefore, there are valuable reasons to propose using “fear of childbirth” as a ND in the class “coping responses” within domain coping/stress tolerance, contributing to refining the NANDA-I taxonomy.

Objective

This study aims to analyze the concept of oral hygiene self-care and develop a new problem-focused nursing diagnosis (ND) based on the NANDA-I terminology.

Method

A concept analysis was performed based on the Walker and Avant framework, including a scoping review phase according to the Joanna Briggs Institute guidelines. Searches were performed in PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Virtual Health Library, and specific gray literature databases. The development of the diagnostic structure followed the NANDA-I guidelines with a focus on Orem's self-care theory.

Results

Including 51 studies, the analysis facilitated the formulation of attributes, antecedents, and consequences of oral hygiene self-care. The ND “Oral hygiene self-care deficit” was created and included 17 defining characteristics, 9 related factors, 5 associated conditions, and 5 high-risk populations. Two cases were constructed to illustrate the use of key terms.

Conclusions

The conceptual analysis provided insight into the concept of oral hygiene self-care and supported the structure of a new ND.

Implications for nursing practice:

This study contributes to the implementation of the nursing process by focusing on the identification of individuals with oral hygiene self-care deficit. It will facilitate the promotion of oral health, thereby impacting the individual's quality of life. In addition, it will aid in the development of public policy for the prevention of oral diseases.

Purpose

The utilization of herbal remedies for wound healing is a notable aspect of traditional medicine practices. Understanding herbal use among patients yields insights for nursing care enhancement. This study aimed to investigate the utilization of herbal remedies for wound healing among diabetic patients.

Methods

A total of 453 participants were enrolled, with demographic data, including age, sex, occupation, education level, residence, ethnic group, distance from health service, herbal use duration, and wound duration presented. Descriptive statistics were used to analyze the data, including means, standard deviations, ranges, and percentages.

Findings

The average participant age was 55.39 years, with most being non-civil servant workers (60.3%) and having a low education level (67.1%). Indian almond wood (9.7%) and green betel (6.8%) were the most commonly used herbs for wound healing. Family members were the primary source of information (29.1%), and 43.7% obtained herbs from personal gardens. Although 94.2% of participants did not disclose herbal use to health liaisons, 53.4% used herbs specifically for wound healing. Users reported both positive and negative effects on wounds from various herbs, indicating variability in experiences. However, the consistency of herb usage by individual patients was uncertain.

Conclusions

The study identified diverse herbal remedies used for wound healing among patients, driven by familial recommendations. Usage pattern diversity and effects signal necessity for researching herb safety and efficacy. Clarifying the impact of consistent herb usage on wound healing is essential for understanding patients’ preferences and practices.

Implications for clinical practice

These findings emphasize the importance of open communication between patients and healthcare providers regarding herbal remedy use. Nurses should acknowledge patients’ preferences for traditional healing practices while ensuring they receive evidence-based care. Patient-centered herbal strategies enhance nursing practice, fostering holistic wound care. Further research can guide nursing interventions, facilitate informed decision-making, and improve patient outcomes.