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Relationship Between the Nurse–Patient Ratio and Adverse Events in Conventional Hospitalization Units in a Third-Level Hospital 某三级医院常规住院单元护患比与不良事件的关系
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-19 DOI: 10.1155/jonm/8885593
Juan David Fernández-Sánchez, Fernando Andrés-Pretel, Verónica Ortiz-Diaz, Milagros Molina-Alarcón, Cristina M. Lozano-Hernández

Nurse staffing in hospital inpatient units varies by country and region, highlighting the need for more equitable, evidence-based planning to measure workload based on complexity, thus enabling appropriate staffing in these units. The objective of this study is to determine the relationship between the nurse-to-patient ratio and the incidence of adverse events in adult conventional inpatient units. A descriptive, cross-sectional observational study with an analytical approach was conducted to calculate the relationship between the nurse-to-patient ratio and adverse events in conventional inpatient units at a tertiary care hospital, the Albacete University Hospital Complex (CHUA), from 2018 to 2023, analyzing a total of 113,117 patients. The 24-h median nurse-to-patient ratio was slightly higher in surgical units (11.35) than in medical units (10.79). Spearman’s correlation analysis identified significant relationships (rho > 0.4) between the 24-h nurse-to-patient ratio and events such as hospital-acquired pressure injuries (HAPIs), community-acquired pressure injuries, and mortality. However, the multiple linear regression analysis focused on HAPI as the dependent variable, excluding mortality due to its multifactorial nature and community-acquired injuries as they predated admission. The linear regression results showed that for every one-point increase in the 24-h nurse-to-patient ratio, the probability of HAPI increased by 1.94%. Additionally, the probability of HAPI decreased by 2.63% in surgical units compared with medical units. When analyzing the units separately, the relationship was more pronounced in medical units: a one-point increase in the 24-h ratio was associated with a 2.81% increase in the likelihood of HAPI. In surgical units, the 24-h ratio did not show a significant relationship with HAPI, with the patient turnover index being the relevant predictor. The findings confirm that the operational nurse–patient ratios in Spain position the system in a state of room for improvement regarding safety and economic efficiency. The differences observed between medical and surgical units underscore the necessity for staffing policies not to be uniform but rather to become dynamic and contextualized to optimize clinical outcomes and resource management.

医院住院病房的护士配置因国家和区域而异,这突出表明需要更公平、基于证据的规划,根据复杂性衡量工作量,从而使这些病房能够适当配置护士。本研究的目的是确定在成人常规住院单位的护士与病人的比例和不良事件的发生率之间的关系。本研究采用描述性、横断面观察性分析方法,计算了2018年至2023年三级医院阿尔巴塞特大学综合医院(CHUA)常规住院病房护士与患者比例与不良事件之间的关系,共分析了113,117名患者。外科单位的24小时护士与病人比率中位数(11.35)略高于内科单位(10.79)。Spearman的相关分析发现,24小时护患比与医院获得性压力伤害(HAPIs)、社区获得性压力伤害和死亡率等事件之间存在显著关系(rho > 0.4)。然而,多元线性回归分析的重点是HAPI作为因变量,排除了因其多因素性质和入院前社区获得性损伤而导致的死亡率。线性回归结果显示,24 h护患比每增加1个点,HAPI发生的概率增加1.94%。此外,外科单位发生HAPI的概率比医疗单位低2.63%。当单独分析单位时,这种关系在医疗单位中更为明显:24小时比率每增加一个点,HAPI的可能性就增加2.81%。在外科病房,24小时比值与HAPI没有显著的关系,患者更替指数是相关的预测因子。调查结果证实,在西班牙的操作护士-病人比率定位系统在一个关于安全和经济效率的改进空间的状态。医疗单位和外科单位之间的差异突出表明,人员配置政策不应千篇统一,而应具有动态和因地制宜的特点,以优化临床结果和资源管理。
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引用次数: 0
Organizational Silence and Related Factors Among Shift Work Nurses in Korea: A Cross-Sectional Study 韩国轮班护士组织沉默及其相关因素:一项横断面研究
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-19 DOI: 10.1155/jonm/1256556
Sung Eon Sim, Hye-Young Jang

Aim

This study aimed to explore factors contributing to organizational silence, drawing upon the framework of the choice to remain silent by Milliken, Morrison, and Hewlin.

Background

The promotion of open communication and the enabling of open discourse amongst nursing professionals are essential for the enhancement of health service quality and the assurance of patient safety.

Methods

A cross-sectional descriptive survey was conducted from August 14, 2023, to September 15, 2023. Data were collected from 170 rotating shift nurses at a tertiary hospital in South Korea. The hypotheses were tested using multiple regression and the PROCESS macro, Version 4.2, Model 4.

Results

Leader–member exchange not only had a direct effect on organizational silence but also had a significant indirect effect mediated by workplace bullying (β = −0.03, 95% CI: [−0.074, −0.001]). The total effect was confirmed to be β = −0.23 (95% CI: [−0.345, −0.129]).

Conclusion

Organizational silence is shaped by both individual characteristics and organizational conditions. Workplace bullying not only has a direct effect on organizational silence but also mediates the relationship between leader–member exchange and organizational silence.

Implications for Nursing Management

Nurse managers should be sensitive to negative cultures such as bullying and actively promote leader–member and team-member exchange. When nurse managers actively maintain and support relationships with members, members are more likely to disclose issues and express their opinions.

本研究旨在探讨影响组织沉默的因素,借鉴Milliken、Morrison和Hewlin的沉默选择框架。背景:促进护理专业人员之间的公开沟通和公开讨论对于提高医疗服务质量和确保患者安全至关重要。方法于2023年8月14日至2023年9月15日进行横断面描述性调查。数据收集自韩国一家三级医院的170名轮班护士。假设使用多元回归和PROCESS宏,4.2版本,模型4进行检验。结果领导-成员交换不仅对组织沉默有直接影响,而且对职场欺凌有显著的间接影响(β = - 0.03, 95% CI:[- 0.074, - 0.001])。总效应证实为β = - 0.23 (95% CI:[- 0.345, - 0.129])。结论组织沉默是由个体特征和组织条件共同塑造的。职场欺凌不仅对组织沉默有直接影响,而且在领导-成员交换与组织沉默的关系中起中介作用。对护理管理的启示护理管理者应该对诸如欺凌等负面文化敏感,并积极促进领导成员和团队成员的交流。当护士管理者积极维护和支持与会员的关系时,会员更有可能披露问题并表达他们的意见。
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引用次数: 0
Correction to “Global Prevalence of Nurse Turnover Rates: A Meta-Analysis of 21 Studies from 14 Countries” 更正“护士流失率的全球流行:来自14个国家的21项研究的荟萃分析”
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-17 DOI: 10.1155/jonm/9754202

H. Ren, P. Li, Y. Xue, W. Xin, X. Yin, and H. Li, “Global Prevalence of Nurse Turnover Rates: A Meta-Analysis of 21 Studies from 14 Countries,” Journal of Nursing Management, 2024, https://doi.org/10.1155/2024/5063998.

In the article, there is an error in the abstract:

“This meta-analysis analysed the literature published from January 2020 to February 2023 and demonstrated that the global nurse turnover rate was 16%.”

Should read

“This meta-analysis analysed the literature published from January 2000 to February 2023 and demonstrated that the global nurse turnover rate was 16%.”

We apologize for this error.

任辉,李平,薛毅,辛文文,尹晓霞,李辉,“护士流失率的全球流行:来自14个国家21项研究的荟萃分析”,Journal of Nursing Management, 2024, https://doi.org/10.1155/2024/5063998.In文章摘要中有一个错误:“本荟萃分析分析了2020年1月至2023年2月发表的文献,结果表明全球护士流失率为16%。”该荟萃分析分析了2000年1月至2023年2月发表的文献,并证明全球护士流失率为16%。我们为这个错误道歉。
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引用次数: 0
Effects of an Advanced Clinical Practice Nurse-Led Discharge Management and Education Program on Patient Outcomes in an Acute Medical Care Unit (ADIEU) 高级临床实践护士主导的出院管理和教育项目对急症病房(ADIEU)患者预后的影响
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-16 DOI: 10.1155/jonm/5425868
Seungjin Lee, Ji Eun Song, Seunghyun Won, Nak-Hyun Kim, Jung Hun Ohn, Yejee Lim, Jongchan Lee, Hye Won Kim, Sun-wook Kim, Jiwon Ryu, Hee-Sun Park, Jihye Kim, Yunsang Choi, Eun Sun Kim

Background

Patients in acute medical care units (AMUs) often encounter complex discharge processes due to rapid turnover and acute care demands. The advanced clinical practice nurse-led discharge management and education (ADIEU) program was developed to address these challenges and improve postdischarge outcomes.

Aims

To evaluate the effectiveness of the ADIEU program on clinical outcomes and satisfaction among patients and healthcare providers in AMUs.

Methods

This retrospective study enrolled 360 patients discharged from the AMU of a tertiary hospital in Republic of Korea and compared them before and after ADIEU program implementation. Propensity score matching (PSM) was applied using age, sex, Charlson Comorbidity Index (CCI), and reason for admission as matching variables. After PSM, 139 patients were included in each group. Thirty-day readmissions and unexpected emergency department (ED) visits within 72 h were evaluated after PSM. Patient and healthcare personnel satisfaction were separately assessed.

Results

The ADIEU program significantly reduced the risk of 30-day readmission (odds ratio = 0.333). However, no significant reduction in unexpected ED visits within 72 h was observed. Discharge management satisfaction improved among nurses (mean score: 3.09–3.43) and physicians (mean score: 3.67–4.67).

Conclusions

The ADIEU program effectively reduced 30-day readmissions and increased satisfaction among healthcare providers and patients.

Implications for Nursing Management

The ADIEU program represents a promising model for enhancing discharge management in AMUs despite its minimal impact on short-term ED visits.

背景:急性医疗护理单位(AMUs)的患者经常遇到复杂的出院过程,由于快速周转和急性护理需求。高级临床实践护士领导的出院管理和教育(ADIEU)计划是为了解决这些挑战和改善出院后的结果而开发的。目的评价ADIEU项目对AMUs患者和医疗服务提供者的临床结果和满意度的有效性。方法回顾性研究韩国某三级医院AMU出院的360例患者,对其实施ADIEU计划前后进行比较。采用倾向评分匹配(PSM),以年龄、性别、Charlson共病指数(CCI)和入院原因作为匹配变量。经PSM治疗后,每组139例。评估PSM后30天的再入院率和72小时内的意外急诊科(ED)就诊情况。分别评估患者和医护人员的满意度。结果ADIEU方案显著降低了30天再入院风险(优势比= 0.333)。然而,在72小时内没有观察到意外急诊科就诊的显著减少。出院管理满意度在护士(平均得分:3.09-3.43)和医生(平均得分:3.67-4.67)中均有提高。结论:ADIEU项目有效减少了30天的再入院率,提高了医疗服务提供者和患者的满意度。尽管ADIEU计划对短期急诊科就诊的影响很小,但它代表了一个有希望的模式,可以加强AMUs的出院管理。
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引用次数: 0
The Times–Divide Expression: An Intuitive Approach for Describing Right-Skewed Data in Nursing Practice 分时表达:描述护理实践中右偏数据的一种直观方法
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-14 DOI: 10.1155/jonm/3434734
Haruna Fukushige, Yoshiaki Inoue, Keisuke Nakashima, Atsue Ishii, Yoko Taniura, Tomoyuki Iwasaki

In clinical nursing practice, it is crucial to share data overviews simply and intuitively with all team members. Descriptive statistics, typically expressed as the arithmetic mean plus–minus the standard deviation (Mean ± SD), are commonly used for this purpose. However, this approach is inadequate for describing asymmetric, right-skewed distributions, commonly encountered in nursing. This study introduces an alternative—the times–divide expression (GMean ×/GSD)—based on the geometric mean and geometric standard deviation. We present a data-driven study that examines the applicability of this expression using nursing demand data collected over four and a half years from a nurse call system. The results indicate that the times–divide expression outperforms conventional methods in representing distributional properties and providing suitable representative values and usable percentile range indicators. Applying the times–divide expression to the actual distribution of data is expected to improve nurses’ clinical decision-making skills through data-driven insights, ultimately enhancing the quality of care.

在临床护理实践中,与所有团队成员简单直观地共享数据概述至关重要。描述性统计通常表示为算术平均值加减去标准偏差(mean±SD),通常用于此目的。然而,这种方法不足以描述护理中常见的不对称、右偏分布。本文介绍了一种基于几何平均和几何标准差的替代方法——GMean ×/GSD。我们提出了一项数据驱动的研究,利用从护士呼叫系统收集的四年半的护理需求数据来检验这一表达的适用性。结果表明,分时表达式在表示分布特性和提供合适的代表性值和可用的百分位数范围指标方面优于传统方法。将时间划分表达式应用于数据的实际分布,有望通过数据驱动的洞察提高护士的临床决策技能,最终提高护理质量。
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引用次数: 0
Reporting a Patient Safety Culture in Global Health: Evidence From Sierra Leone 报告全球卫生中的患者安全文化:来自塞拉利昂的证据
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-13 DOI: 10.1155/jonm/7613998
Yanran Li, Ning Yang, Lu Niu, Joseph Benjamin Bangura, Mustapha Kabba, Dan Luo, Li Li, Xiang Chen

Aims

To explore the level of patient safety culture in Sierra Leone and identify the factors associated with the patient safety grade and patient safety events reported.

Design

A cross-sectional study.

Methods

From February to March 2024, we selected staff members from three representative public hospitals of different types in Sierra Leone. Patient safety culture was assessed with the Hospital patient safety culture survey 2.0. Binary logistic regression was employed to determine the influence of sociodemographic characteristics on the patient safety grade and patient safety events reported. The textual responses to the open-ended question were imported into Nvivo 12.0 for thematic analysis.

Results

A total of 247 questionnaires was sent out, of which 202 were effectively received. Among 10 safety culture dimensions, three were strength areas with over 75% positive response rate. The other six dimensions ranged from 54.91% to 70.54%. In this study, the highest positive response rate dimension was “Teamwork” (80.83%), and the lowest was “Reporting patient safety event” (49.1%). Item “Staff in this unit work longer hours than is best for patient care”, with a positive response rate of 18.09%, ranks last among all items. “Tenure in Unit/Work Area” could effectively predict patient safety events reported. The initial coding of the open-ended responses yielded a framework of four first-level codes and 11 secondary codes.

Conclusions

It is acknowledged that this is the first research to be conducted in Sierra Leone about the local patient safety culture. Hospital safety culture in Sierra Leone remains suboptimal overall, with adverse event report representing the most significant issue. Our study also uncovers unique patient safety challenges in resource-limited settings (reliable water and electricity supply, proper sanitation, and adequate staffing), addressing a critical gap in the global patient safety evidence base.

目的探讨塞拉利昂患者安全文化的水平,并确定与患者安全等级和报告的患者安全事件相关的因素。设计横断面研究。方法于2024年2月至3月,选取塞拉利昂3家具有代表性的不同类型公立医院的工作人员。采用医院患者安全文化调查2.0对患者安全文化进行评估。采用二元逻辑回归来确定社会人口学特征对患者安全等级和患者安全事件报告的影响。将对开放式问题的文本回复导入Nvivo 12.0进行专题分析。结果共发放问卷247份,回收有效问卷202份。在10个安全文化维度中,有3个是优势领域,正面响应率超过75%。其他六个维度为54.91% ~ 70.54%。在本研究中,积极反应率最高的维度是“团队合作”(80.83%),最低的维度是“报告患者安全事件”(49.1%)。“本单位员工工作时间超过最佳护理时间”,正面回复率为18.09%,在所有项目中排名最后。“单位/工作区域任期”可以有效预测报告的患者安全事件。对开放式答复的初始编码产生了一个由4个一级代码和11个二级代码组成的框架。这是公认的第一个在塞拉利昂进行的关于当地患者安全文化的研究。塞拉利昂的医院安全文化总体上仍不理想,不良事件报告是最重要的问题。我们的研究还揭示了资源有限环境下的独特患者安全挑战(可靠的水和电供应、适当的卫生设施和充足的人员配备),解决了全球患者安全证据基础的一个关键缺口。
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引用次数: 0
The Relationship Between Job Satisfaction, Life Satisfaction, and Optimism Among Nursing Staff: A Cross-Sectional Study 护理人员工作满意度、生活满意度与乐观情绪关系的横断面研究
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-11 DOI: 10.1155/jonm/7054010
Stanisław Manulik, Maria Jędrzejczyk, Michał Czapla, Ercole Vellone, Izabella Uchmanowicz

Background

Job and life satisfaction, alongside optimism, are critical determinants of psychological resilience in frontline healthcare staff. This study aims to examine the key predictors of job satisfaction, life satisfaction, and optimism among nursing and midwifery professionals in Poland.

Methods

A cross-sectional study was conducted among 475 nurses and midwives employed in various healthcare settings in Poland. Data were collected through an anonymous online questionnaire including demographic and occupational items and three validated scales: Satisfaction With Job Scale (SJS), Satisfaction With Life Scale (SWLS), and Life Orientation Test–Revised (LOT-R).

Results

The findings revealed significant variations in job satisfaction, life satisfaction, and optimism among nurses and midwives. The mean job satisfaction score (SJS) was 20.71 (SD = 6.9), indicating a moderate level of satisfaction. Life satisfaction (SWLS) had a mean score of 21.33 (SD = 6.61), while optimism (LOT-R) was 14.85 (SD = 3.97), suggesting variability in positive expectations for the future among the participants. Job satisfaction was negatively associated with shift-based work (β = −1.71, p = 0.013), salary dissatisfaction (β = −3.828, p < 0.001), and higher stress levels (β = −0.127, p < 0.001). Life satisfaction was positively associated with being in a relationship (β = 3.58, p < 0.001) and a higher patient load (β = 1.969, p = 0.049). Optimism was positively predicted by higher education (β = 3.797, p = 0.015) and working in long-term care (β = 2.167, p = 0.004) but decreased with increasing stress (β = −0.063, p = 0.001).

Conclusion

Job satisfaction, life satisfaction, and optimism among nursing staff are significantly influenced by salary, stress levels, work environment, and education. Interventions aimed at improving working conditions, reducing stress, and promoting psychological resilience may enhance staff well-being and, consequently, patient care quality.

工作和生活满意度,以及乐观主义,是一线医护人员心理弹性的关键决定因素。本研究旨在研究波兰护理和助产专业人员的工作满意度、生活满意度和乐观情绪的关键预测因素。方法横断面研究在波兰不同医疗机构的475名护士和助产士中进行。数据通过匿名在线问卷收集,包括人口统计和职业项目,以及三个有效的量表:工作满意度量表(SJS)、生活满意度量表(SWLS)和生活取向修正测试(LOT-R)。结果护士和助产士在工作满意度、生活满意度和乐观情绪方面存在显著差异。工作满意度平均分(SJS)为20.71分(SD = 6.9),满意度处于中等水平。生活满意度(SWLS)的平均得分为21.33 (SD = 6.61),而乐观度(LOT-R)的平均得分为14.85 (SD = 3.97),表明参与者对未来的积极期望存在差异。工作满意度与轮班制工作(β = - 1.71, p = 0.013)、工资不满意度(β = - 3.828, p < 0.001)和较高的压力水平(β = - 0.127, p < 0.001)呈负相关。生活满意度与恋爱关系(β = 3.58, p < 0.001)和较高的病人负荷(β = 1.969, p = 0.049)呈正相关。乐观情绪被高等教育(β = 3.797, p = 0.015)和长期护理工作(β = 2.167, p = 0.004)正向预测,但随着压力的增加而降低(β = - 0.063, p = 0.001)。结论护理人员的工作满意度、生活满意度和乐观情绪受薪酬、压力水平、工作环境和文化程度的显著影响。旨在改善工作条件、减轻压力和促进心理弹性的干预措施可能会提高工作人员的福祉,从而提高患者护理质量。
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引用次数: 0
Clinical Learning Environment, Supervision, and Nurse Teacher Evaluation (CLES + T) Scale: Saudi Arabic Version—A Cross-Sectional Validation Study of Nursing Interns and Students 临床学习环境、监督与护士教师评价(CLES + T)量表:沙特阿拉伯版本-护理实习生与学生的横断面验证研究
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-07 DOI: 10.1155/jonm/4483497
Naif Hamdi Alanazi

Background

Robust instruments are essential to evaluate the effectiveness of the hospital setting as a clinical learning environment for nursing interns and students, which is a crucial part of nursing education.

Purpose

This study aimed to present a Saudi Arabic version of Clinical Learning Environment, Supervision, and Nurse Teacher Evaluation (CLES + T-SA) scale and to explore the clinical learning environment, supervision, and nurse teacher evaluation of nursing interns and students during their clinical practice training.

Methods

A convenience sample of 280 nursing interns and students was employed into this study. Exploratory factor analysis using principal axis factoring method and Varimax rotation was conducted to determine the structure of the scale’s Saudi Arabic version.

Results

The CLES + T-SA was successfully cross-culturally adapted and has a strong construct validity and reliability showing exceptional internal consistency (Cronbach’s alpha = 0.96) with the following three subscales having Cronbach’s alphas: clinical learning environment (0.94), supervision (0.94), and nurse teacher evaluation (0.96). Supervision is the most critical variable that influenced the clinical learning experience of nursing students.

Conclusion

The CLES + T-SA version validly and reliably assessed CLES + T evaluation and can be used by nursing students in Arab Gulf countries and other Arabic-speaking nursing interns and students.

Implications for Practice

Measures are needed to train and equip clinical supervisors in teaching, supervising, guiding, coaching, and facilitating the development of nursing students in providing compassionate, safe, and high-quality care during clinical practice. The findings of this study are significant to nursing academe and hospital administrators for them to formulate strategies that will enhance the clinical learning environment, supervision, and teaching of nursing students.

作为护理实习生和学生临床学习环境的医院环境是护理教育的重要组成部分,可靠的工具对于评估医院环境的有效性至关重要。目的采用沙特阿拉伯语版本的临床学习环境、监督和护士教师评价量表(CLES + T-SA),探讨护理实习生和学生在临床实习培训中的临床学习环境、监督和护士教师评价。方法采用方便样本280名护理实习生和在校学生进行研究。采用主轴因子分解法和Varimax旋转进行探索性因子分析,以确定量表的沙特阿拉伯版本的结构。结果CLES + T-SA量表具有较强的结构效度和信度,具有良好的内部一致性(Cronbach 's alpha = 0.96),其中临床学习环境(0.94)、监督(0.94)和护士教师评价(0.96)三个分量表具有Cronbach 's alpha。督导是影响护生临床学习体验的最关键变量。结论CLES + T- sa版本有效、可靠地评价了CLES + T评价,可用于阿拉伯海湾国家的护生及其他阿拉伯语国家的护理实习生和护生。需要采取措施来培训和装备临床督导人员,使其具备教学、监督、指导、辅导和促进护理学生在临床实践中提供富有同情心、安全和高质量护理的能力。本研究结果对护理学术界和医院管理者制定策略以改善护理学生的临床学习环境、监督和教学具有重要意义。
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引用次数: 0
Perceived Needs of Parents Caring for Children With Cancer in Saudi Arabia: A Cross-Sectional Study 沙特阿拉伯父母照顾癌症儿童的感知需求:一项横断面研究
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-06 DOI: 10.1155/jonm/2395174
Hanan Alshammari, Hebah Almulla, Fatimah A. Alnass, Sama S. Hammad

Aims

Although global research highlights the psychological, informational, and financial strains faced by parents of children with cancer, studies from Saudi Arabia remain scarce. This study aimed to (1) describe and assess the needs of parents caring for children undergoing cancer therapy in Saudi Arabia, (2) evaluate their requirements for additional information regarding these needs, and (3) identify illness-related and demographic factors that predict the demand for this information.

Methods

A total of 130 parents of children diagnosed with cancer and undergoing active treatment were recruited from a tertiary cancer hospital in Saudi Arabia for this descriptive, cross-sectional study. The Family Inventory of Needs-Pediatric II (FIN-PED II) was used to collect data through an online survey.

Results

Parents deemed all 17 needs in the FIN-PED II necessary, with mean scores ranging from 2.68 to 3.62. The highest-priority needs were information about their child’s condition and treatment received. A significant unmet need, reported by 60.8% of the parents, was guidance in helping their other children cope with the situation. Regarding additional information, 90.8% of parents wanted updates on their child’s condition, and 86.9% sought treatment details. Time since diagnosis was the only significant predictor of the need for additional care information in the first 6 months of diagnosis.

Conclusion

These results can be used to improve care and support for parents of children with cancer. This could also aid in detecting the perceived needs of this specific population, which was assessed for the first time using the FIN-PED II tool in Saudi Arabia. Understanding parents’ priorities and unmet care needs is crucial for creating tailored interventions in Saudi Arabia.

尽管全球研究强调了癌症儿童的父母所面临的心理、信息和经济压力,但来自沙特阿拉伯的研究仍然很少。本研究旨在(1)描述和评估沙特阿拉伯接受癌症治疗儿童的父母的需求,(2)评估他们对这些需求的额外信息的需求,以及(3)确定疾病相关和人口因素,预测对这些信息的需求。方法从沙特阿拉伯一家三级肿瘤医院招募了130名被诊断为癌症并正在接受积极治疗的儿童的父母进行这项描述性横断面研究。家庭需求量表-儿科II (FIN-PED II)通过在线调查收集数据。结果家长认为FIN-PED II的17项需求都是必要的,平均得分在2.68 ~ 3.62之间。最优先的需求是关于他们孩子的状况和接受的治疗的信息。60.8%的家长表示,他们未满足的一个重要需求是如何帮助其他孩子应对这种情况。关于其他信息,90.8%的父母希望了解孩子的最新情况,86.9%的父母希望了解治疗细节。诊断后的时间是诊断前6个月需要额外护理信息的唯一显著预测因子。结论本研究结果可用于提高对癌症患儿家长的关怀和支持。这也有助于发现这一特定人群的感知需求,这是沙特阿拉伯首次使用FIN-PED II工具进行评估。了解父母的优先事项和未满足的护理需求对于在沙特阿拉伯制定量身定制的干预措施至关重要。
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引用次数: 0
Data Analytics and Administrative Decision-Making in Nursing Management: A Systematic Review 护理管理中的数据分析和行政决策:系统综述
IF 4 2区 医学 Q2 MANAGEMENT Pub Date : 2025-11-05 DOI: 10.1155/jonm/4344147
Nathidathip Darach, Min Su Kim, Wasinee Wisesrith, Eileen G. Collins
<div> <section> <h3> Aim</h3> <p>This systematic review aimed to investigate the impact of data analytics on nurse managers’ administrative decision-making process and roles.</p> </section> <section> <h3> Background</h3> <p>The growing integration of data analytics in health care has accelerated the shift toward data-driven decision-making in nursing management, aiming to optimize patient care quality and enhance organizational performance within digital healthcare environments. Nurse managers play a pivotal role in leveraging data analytics to support evidence-based management, facilitating more informed, efficient, and strategic administrative decision-making.</p> </section> <section> <h3> Method</h3> <p>This systematic review was conducted in accordance with PRISMA guidelines. A comprehensive search strategy was employed to identify relevant studies published from 2019 through 2024 using four electronic databases—PubMed, CINAHL, MEDLINE, and Embase. A total of 2051 studies were screened, and 83 studies were eligible for full-text screening according to the established inclusion and exclusion criteria. Eight different quality assessment tools were applied. Data tabulation and narrative synthesis were employed.</p> </section> <section> <h3> Results</h3> <p>Twenty-one studies representing eight different study designs were included in the review. There were diverse applications of data analytics across four analytics levels: descriptive (<i>n</i> = 4), diagnostic (<i>n</i> = 2), predictive (<i>n</i> = 9), and prescriptive (<i>n</i> = 1). Additionally, integrated approaches combining two levels of analytics were identified (<i>n</i> = 5).</p> </section> <section> <h3> Conclusion</h3> <p>The integration of data analytics into nursing management has the potential to enhance an administrative decision-making process across diverse nursing management roles, particularly in four key areas: improving patient care quality, strategic management, nurse staffing and work engagement, and nursing management during health crises.</p> </section> <section> <h3> Implications for Nursing Management</h3> <p>Strengthening nurse managers’ analytical and digital competencies through targeted education and continuous training is essential. Ensuring supportive infrastructure can enable more informed, efficient, and evidence-based management, ultimately leading to improved healthcare q
目的本系统综述旨在探讨数据分析对护理管理者行政决策过程和角色的影响。医疗保健中数据分析的日益集成加速了护理管理向数据驱动决策的转变,旨在优化患者护理质量并提高数字医疗保健环境中的组织绩效。护士管理者在利用数据分析支持循证管理、促进更明智、更有效和更具战略性的行政决策方面发挥着关键作用。方法按照PRISMA指南进行系统评价。采用综合搜索策略,使用pubmed、CINAHL、MEDLINE和Embase四个电子数据库,确定2019年至2024年发表的相关研究。总共筛选了2051项研究,根据既定的纳入和排除标准,有83项研究符合全文筛选的条件。采用了八种不同的质量评估工具。采用数据制表法和叙事综合法。结果共纳入了21项研究,代表8种不同的研究设计。数据分析在四个分析水平上有不同的应用:描述性(n = 4)、诊断性(n = 2)、预测性(n = 9)和规范性(n = 1)。此外,确定了结合两种分析水平的综合方法(n = 5)。将数据分析整合到护理管理中有可能提高不同护理管理角色的行政决策过程,特别是在四个关键领域:提高患者护理质量,战略管理,护士人员配备和工作参与,以及健康危机期间的护理管理。通过有针对性的教育和持续培训,加强护士管理人员的分析和数字能力至关重要。确保支持性基础设施可以实现更明智、更高效和基于证据的管理,最终提高医疗保健质量和运营绩效。未来的研究应该探索在不同医疗环境中的长期影响和更广泛的适用性。
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引用次数: 0
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Journal of Nursing Management
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