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Acceptability of a Portable Exercise Bike in Older Adults With Cardiovascular Diseases. 患有心血管疾病的老年人对便携式健身车的接受程度。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-08-24 DOI: 10.1177/01939459241274869
Pallav Deka, Emma Schlegel, Dola Pathak, Milind Karve, Darby Pickford, Allison DeLuna, Gwen Wyatt, Susan W Buchholz

Background: Ways to help older adults overcome barriers to performing regular exercise is a challenge to nurses.

Objective: The study evaluated the acceptability of a portable exercise bike for arm/foot pedaling among older patients with cardiovascular diseases (CVDs).

Methods: Participants reported their physical activity levels using the International Physical Activity Questionnaire (short form) and thereafter performed two 6-minute-long arm/foot pedal biking sessions using a portable exercise bike. Participants provided qualitative feedback (one open-ended question) on the bike while exercising and completed the quantitative Acceptability Use Questionnaire following the two exercise sessions.

Results: Twenty-five older adults (52% male and 48% female), with a mean (SD) age of 70 (6.4) years and a body mass index of 30 (7.4), completed the study. Most participants performed moderate to light physical activity at home with a daily mean (SD) sitting/sedentary time of 8 (3.4) hours. The mean scores from the Acceptability Use Questionnaire and the participants' comments alluded to the bike's multitasking utility and acceptability. Three broad themes derived from the qualitative analysis were: (1) the acceptability of the bike with participants who had musculoskeletal problems; (2) the ability to operate and use the bike for aerobic exercise engaging both arms and legs; and (3) the importance of overall utility, ease of use, and cost of the bike.

Conclusions: The portable exercise bike was found acceptable in a group of older adults with CVDs. The bike has the potential to be applied in home-based exercise interventions.

背景:如何帮助老年人克服定期锻炼的障碍是护士面临的一项挑战:本研究评估了患有心血管疾病(CVDs)的老年患者对臂/脚踏便携式健身车的接受程度:方法:参与者使用国际体力活动调查问卷(简表)报告自己的体力活动水平,然后使用便携式健身车进行两次长达 6 分钟的手臂/脚踏自行车运动。参与者在运动时对自行车提供定性反馈(一个开放式问题),并在两次运动后填写定量的可接受性使用问卷:25 名老年人(52% 为男性,48% 为女性)完成了研究,他们的平均年龄(标准差)为 70(6.4)岁,体重指数为 30(7.4)。大多数参与者在家中进行中度至轻度体力活动,每天平均(标清)坐/静坐时间为 8(3.4)小时。可接受性使用问卷的平均得分和参与者的评论都暗示了自行车的多任务实用性和可接受性。定性分析得出的三大主题是(1) 有肌肉骨骼问题的参与者对自行车的接受度;(2) 操作和使用自行车进行手臂和腿部有氧运动的能力;(3) 自行车的整体效用、易用性和成本的重要性:结论:在一群患有心血管疾病的老年人中,便携式健身自行车是可以接受的。该自行车具有应用于家庭锻炼干预的潜力。
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引用次数: 0
An Integrative Approach for Endometriosis-Related Pain. 治疗子宫内膜异位症相关疼痛的综合方法。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-09-21 DOI: 10.1177/01939459241283018
Ayat Zubedat, Michal Liebergall-Wischnitzer, Amy Solnica, Nurit Zusman, Uri Dior

Background: Pain is a common, severe symptom related to endometriosis. Despite this prominent feature, there is limited literature regarding its description and use of integrative treatment methods.

Objective: We aimed to describe endometriosis-related pain characteristics, severity, and association with an integrative approach encompassing pharmacological and non-pharmacological methods.

Methods: A cross-sectional descriptive correlational study was conducted using convenience sampling of adult women with endometriosis-related pain. Three questionnaires were utilized: a demographic and general health questionnaire, a visual analog pain scale (VAS), and the short-form McGill pain questionnaire (SF-MPQ).

Results: Participants included 93 women with a mean general pain level of 6.2/10 (SD = 2.7) on the VAS. The total mean pain score on the SF-MPQ was 26.25/45 (SD = 10.1). Sixty-four women (68.8%) reported experiencing pain at the time of completion of the questionnaire (mean: 1.6/4, SD = 1.3). All participants utilized analgesia; those who used opioids reported a higher overall mean pain score of 2.3 (SD = 1.3) than patients who did not use opioids reported a mean of 1.4 (SD = 1.2; z = 9.59; P < .001). Present pain intensity was significantly higher for women using opioids than those not using opioids. In all, 77 women (82.8%) used integrative methods to alleviate the pain symptoms. Women who utilized nutritional therapy as part of the non-pharmacological method experienced lower mean (SD) overall pain (4.4 [2.5]) compared with patients who did not utilize nutritional therapy (6.75 [2.5]; P < .01).

Conclusions: More studies are needed to find evidence-based treatment options for women for integrative pain relief for endometriosis-related pain.

背景:疼痛是子宫内膜异位症常见的严重症状。尽管这一症状十分突出,但有关其描述和综合治疗方法使用的文献却十分有限:我们旨在描述子宫内膜异位症相关疼痛的特征、严重程度以及与包括药物和非药物方法在内的综合治疗方法的关联:方法:我们对患有子宫内膜异位症相关疼痛的成年女性进行了一项横断面描述性相关研究。研究使用了三种问卷:人口统计学和一般健康问卷、视觉模拟疼痛量表(VAS)和短式麦吉尔疼痛问卷(SF-MPQ):结果:93 名妇女参加了此次研究,她们在视觉模拟疼痛量表(VAS)上的平均总体疼痛程度为 6.2/10(SD = 2.7)。SF-MPQ 的平均疼痛总分为 26.25/45(SD = 10.1)。64名女性(68.8%)在填写问卷时表示有疼痛感(平均值:1.6/4,SD = 1.3)。所有参与者都使用了镇痛剂;使用阿片类药物的患者报告的总体平均疼痛评分为 2.3(SD = 1.3),高于未使用阿片类药物的患者报告的平均 1.4(SD = 1.2;z = 9.59;P P 结论:需要进行更多的研究,为妇女寻找循证治疗方案,以综合缓解子宫内膜异位症相关疼痛。
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引用次数: 0
Psychometric Properties of the Brief COPE Among Sexual Minority Adults. 性少数群体成年人简明 COPE 的心理计量特性。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-10-01 DOI: 10.1177/01939459241285690
Marvin A Solberg, Meghna Shukla

Background: The Brief COPE is a widely used coping instrument, but there is a paucity of research regarding its ability to measure coping among sexual minority (SM) persons.

Objective: This study determined the psychometric properties of the Brief COPE and identified coping domains among a sample of SM individuals.

Methods: An online survey was conducted with 530 SM persons in the United States. Participants completed the dispositional version of the Brief COPE. Confirmatory factor analysis (CFA) determined construct validity. Cronbach's alpha examined the reliability of resulting domains. Exploratory structural equation modeling (ESEM) was employed to identify coping domains and criterion-related validity was assessed by examining the relationship of the domains with substance use measures (alcohol, cannabis, and drug use).

Results: CFA replicated the original 14-factor structure. ESEM identified 3 second-order domains with acceptable fit (chi-square [χ2] = 905.81; degrees of freedom [df] = 334, P < .001; comparative fit index [CFI] = 0.90; root mean square error of approximation = 0.06; 90% confidence interval = 0.05-0.06; and standardized root mean residual = 0.08). The 3 second-order domains demonstrated good reliability: adaptive (ω = 0.84), support (ω = 0.85), and disengaged coping (ω = 0.84). Disengaged coping exhibited the strongest correlations with substance use outcomes.

Conclusions: Findings provide evidence to support the reliability and validity of the Brief COPE and validates its use with SM persons.

背景:简要应对能力评估是一种被广泛使用的应对工具,但有关其衡量性少数群体(SM)应对能力的研究却很少:本研究确定了简要 COPE 的心理测量特性,并确定了性少数群体样本中的应对领域:方法:对美国的 530 名性少数群体人士进行了在线调查。参与者完成了简明 COPE 的处置版本。确认性因素分析(CFA)确定了构建有效性。Cronbach's alpha 检验了结果域的可靠性。探索性结构方程建模(ESEM)用于确定应对领域,并通过检查领域与药物使用测量(酒精、大麻和毒品使用)之间的关系来评估标准相关有效性:结果:CFA 复制了最初的 14 个因子结构。ESEM确定了3个二阶结构域,拟合度可以接受(秩和[χ2] = 905.81;自由度[df] = 334,P 结论:研究结果提供了支持该研究可靠性的证据:研究结果为简要 COPE 的可靠性和有效性提供了证据,并验证了其在 SM 人员中的使用。
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引用次数: 0
Experiences of Family Members With Visitation Prohibition for Critically Ill Patients. 重症患者家属被禁止探视的经历。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-08-26 DOI: 10.1177/01939459241277777
Sunjung Kim, Sunghee H Tak

Background: Visitation plays a number of positive roles for critically ill patients and their families. It reduces the physical and mental stress of intensive care unit (ICU) patients and their families and allows family members to participate in patient care. Visit prohibition during the COVID-19 pandemic has raised unprecedented challenges to patients, family members, and health care providers.

Objective: This qualitative study aimed to explore the experiences of families of patients in the ICU with no-visitor policies due to COVID-19.

Methods: Data collection was conducted through 8 individual in-depth semi-structured interviews conducted between October 2021 and March 2022. Data analysis was performed following the qualitative method proposed by Colaizzi. The researchers independently analyzed the data, checked the findings, derived subthemes, and categorized them into overarching themes.

Results: Four themes emerged from the data analysis: (a) experiencing emotional distress, (b) being fearful of in-person patient contact, (c) being dissatisfied with the access control policy in the ICU, and (d) making efforts to reach the patient.

Conclusions: It is critical to provide support and develop interventions for families denied visitation with loved ones in ICUs. Since in-person visits are crucial for families, hospitals should establish clear and reasonable visitation guidelines, communicate effectively with families, and offer alternative methods for them to connect with loved ones in the ICU.

背景:探视对重症患者及其家属有许多积极作用。它可以减轻重症监护病房(ICU)病人及其家属的身心压力,并让家属参与到病人护理中来。在 COVID-19 大流行期间禁止探视给患者、家属和医疗服务提供者带来了前所未有的挑战:本定性研究旨在探讨因 COVID-19 而采取禁止探视政策的重症监护病房病人家属的经历:在 2021 年 10 月至 2022 年 3 月期间,通过 8 次半结构式深度访谈收集数据。数据分析采用 Colaizzi 提出的定性方法。研究人员独立分析数据,核对研究结果,得出次主题,并将其归类为总主题:数据分析得出了四个主题:(a) 遭遇情绪困扰;(b) 害怕与患者面对面接触;(c) 对重症监护室的出入控制政策不满意;(d) 努力与患者取得联系:为被拒绝探视重症监护病房亲人的家属提供支持和制定干预措施至关重要。由于亲自探视对家属至关重要,医院应制定明确合理的探视指南,与家属进行有效沟通,并提供其他方法让家属与重症监护室中的亲人联系。
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引用次数: 0
Reframing Burnout: Measuring "Altruistic Execution" to Understand Nurse Burnout. 重塑职业倦怠:衡量 "利他主义执行力 "以了解护士的职业倦怠。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI: 10.1177/01939459241279502
Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L Johnson

Background: Many nurses join the profession because they have altruistic intentions, but some nurses experience barriers to acting on altruistic intentions which may be a source of job dissatisfaction or burnout.

Objective: The purpose of this study was to evaluate construct validity, internal consistency, and convergence reliability of the Nursing Altruistic Execution Scale (NAES), a novel instrument assessing the perceived ability to help others through work.

Methods: The NAES was developed based upon a literature review examining altruistic behavior as a motivator for nursing work, with expert feedback for instrument refinement. Participants completed the NAES, Copenhagen Burnout Inventory Work-Related Burnout Scale, and Satisfaction of Employees in Health Care Survey. Exploratory factor analysis examined construct validity and factor loadings. Confirmatory factor analysis verified consistency in factor structure. Linear regression assessed for convergence reliability with burnout and job satisfaction.

Results: The sample included 843 acute care hospital nurses surveyed in January-March 2023. Exploratory factor analysis revealed a two-factor solution, named altruistic engagement with work and workplace barriers to altruism. Nine instrument items were retained and demonstrated strong internal consistency (Cronbach's alpha 0.79). There was a significant relationship between both factors of the NAES and both burnout and job satisfaction, demonstrating that greater altruistic execution is associated with lower burnout and greater job satisfaction.

Conclusion: Preliminary findings support the use of the NAES as a valid and reliable scale. Findings show there is correlation between altruistic intentions and burnout. Interventions aimed at enhancing altruistic execution may reduce nurse burnout and thereby improve retention.

背景:许多护士都是因为具有利他主义意愿才加入护士行业的,但有些护士在实施利他主义意愿时会遇到障碍,这可能会导致工作不满或职业倦怠:本研究旨在评估护理利他主义执行量表(NAES)的结构效度、内部一致性和收敛可靠性:方法:NAES 是在研究利他行为作为护理工作动机的文献综述的基础上开发的,并根据专家反馈意见对工具进行了改进。受试者完成 NAES、哥本哈根职业倦怠量表(Copenhagen Burnout Inventory Work-Related Burnout Scale)和医疗保健行业员工满意度调查(Satisfaction of Employees in Health Care Survey)。探索性因子分析检验了构建有效性和因子载荷。确认性因子分析验证了因子结构的一致性。线性回归评估了倦怠和工作满意度的收敛可靠性:样本包括 843 名急症护理医院护士,调查时间为 2023 年 1 月至 3 月。探索性因子分析揭示了一个双因子解决方案,分别命名为利他主义工作参与度和利他主义工作场所障碍。保留了九个工具项目,并显示出很强的内部一致性(Cronbach's alpha 0.79)。NAES的两个因子与职业倦怠和工作满意度之间均存在重要关系,表明利他主义执行力越强,职业倦怠越低,工作满意度越高:初步研究结果表明,NAES 是一个有效、可靠的量表。研究结果表明,利他意向与职业倦怠之间存在相关性。旨在提高利他主义执行力的干预措施可能会降低护士的职业倦怠,从而提高护士的留任率。
{"title":"Reframing Burnout: Measuring \"Altruistic Execution\" to Understand Nurse Burnout.","authors":"Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L Johnson","doi":"10.1177/01939459241279502","DOIUrl":"10.1177/01939459241279502","url":null,"abstract":"<p><strong>Background: </strong>Many nurses join the profession because they have altruistic intentions, but some nurses experience barriers to acting on altruistic intentions which may be a source of job dissatisfaction or burnout.</p><p><strong>Objective: </strong>The purpose of this study was to evaluate construct validity, internal consistency, and convergence reliability of the Nursing Altruistic Execution Scale (NAES), a novel instrument assessing the perceived ability to help others through work.</p><p><strong>Methods: </strong>The NAES was developed based upon a literature review examining altruistic behavior as a motivator for nursing work, with expert feedback for instrument refinement. Participants completed the NAES, Copenhagen Burnout Inventory Work-Related Burnout Scale, and Satisfaction of Employees in Health Care Survey. Exploratory factor analysis examined construct validity and factor loadings. Confirmatory factor analysis verified consistency in factor structure. Linear regression assessed for convergence reliability with burnout and job satisfaction.</p><p><strong>Results: </strong>The sample included 843 acute care hospital nurses surveyed in January-March 2023. Exploratory factor analysis revealed a two-factor solution, named <i>altruistic engagement with work</i> and <i>workplace barriers to altruism</i>. Nine instrument items were retained and demonstrated strong internal consistency (Cronbach's alpha 0.79). There was a significant relationship between both factors of the NAES and both burnout and job satisfaction, demonstrating that greater altruistic execution is associated with lower burnout and greater job satisfaction.</p><p><strong>Conclusion: </strong>Preliminary findings support the use of the NAES as a valid and reliable scale. Findings show there is correlation between altruistic intentions and burnout. Interventions aimed at enhancing altruistic execution may reduce nurse burnout and thereby improve retention.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants. 感知到的社会支持和健康素养对中国早产儿父母的决策困境与参与共同决策之间关系的中介效应》(The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants)。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-10-09 DOI: 10.1177/01939459241285697
Yanhui Ma, Junxiang Gao, Chongyang Zhang

Purpose: This research was conducted to explore the mediating effect of perceived social support and health literacy on the relationship between decisional dilemmas and participation in shared decision-making among Chinese parents of premature infants.

Design and methods: This cross-sectional study recruited 225 Chinese parents of premature infants in a neonatal ward of a Chinese hospital through convenience sampling. Data were collected from August 2022 to February 2023 using 5 self-administered instruments. Structural equation modeling and multiple mediation tests were applied to explore the interplay among perceived social support, health literacy, decisional dilemmas, and participation in shared decision-making. The study is reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.

Results: Decisional dilemmas were found to negatively impact participation in shared decision-making. Perceived social support and health literacy were identified as partial mediators in this relationship, collectively accounting for a mediation effect of -0.413, which represents 50.0% of the total effect.

Conclusion: The findings elucidate a multifaceted model of factors influencing participation in shared decision-making among Chinese parents of premature infants. Prompt recognition of these variables can enable nursing professionals to incorporate tailored management strategies within patient-centered care frameworks, thereby enhancing decisional outcomes.

目的:本研究旨在探讨感知到的社会支持和健康素养对中国早产儿父母决策困境与参与共同决策之间关系的中介效应:这项横断面研究通过便利抽样在一家中国医院的新生儿病房招募了225名中国早产儿父母。数据收集时间为 2022 年 8 月至 2023 年 2 月,使用了 5 种自制工具。采用结构方程模型和多重中介检验来探讨感知社会支持、健康素养、决策困境和参与共同决策之间的相互作用。本研究根据加强流行病学观察性研究报告(STROBE)指南进行报告:结果:研究发现,决策困境对参与共同决策有负面影响。感知到的社会支持和健康素养被认为是这一关系的部分中介因素,它们共同产生了-0.413的中介效应,占总效应的50.0%:研究结果阐明了影响中国早产儿父母参与共同决策的多方面因素模型。对这些变量的及时识别可使护理专业人员在以患者为中心的护理框架内采用有针对性的管理策略,从而提高决策结果。
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引用次数: 0
Correlates of Lifestyle Physical Activity Among Young Arab American Women. 阿拉伯裔美国年轻女性生活方式中体育活动的相关因素。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-10-05 DOI: 10.1177/01939459241285696
Sudaba Mansuri, Manju N Daniel, Shannon Halloway, Sarah Abboud, Michael E Schoeny, Susan W Buchholz

Background: Young Arab American women are at risk for cardiovascular disease, but there is limited data on their physical activity (PA) engagement.

Objectives: The aim of this study was to examine the relationship between PA and its correlates in young Arab American women. The objectives of this study were to: (1) describe self-reported lifestyle PA behaviors of young Arab American women and (2) examine the relationship between their self-reported lifestyle PA, device-measured lifestyle PA (combined moderate/vigorous and steps), and potentially associated factors (demographics, physical measures, individual factors, and behavior cognition factors).

Methods: This cross-sectional study was conducted with women 18 to 35 years of age and Arab American (n = 50) in the Midwest Region of the United States. Participants wore ActiGraph GT3X-BT monitors for 7 days; self-report measures included the International Physical Activity Questionnaire, demographics, acculturation, discrimination, religiosity, self-efficacy, and social support.

Results: The mean age of participants was 25.5 years (SD: 5.5; range: 18-35). Per ActiGraph, the average daily steps were 5946 (SD: 2783); only 24% met the moderate-intensity PA guidelines. Self-efficacy was significantly associated with increased moderate-to-vigorous PA (B = 0.37; P = .012).

Conclusion: The average daily steps for the young Arab American women in this study were of low active classification. More than 75% of the women failed to meet the recommended weekly moderate/vigorous PA guidelines. Our study supports the importance of targeting and tailoring PA interventions on young Arab American women who have low self-efficacy for overcoming barriers to lifestyle PA.

背景:年轻的阿拉伯裔美国妇女有罹患心血管疾病的风险,但有关她们参加体育活动(PA)的数据却很有限:本研究旨在探讨美国阿拉伯裔年轻女性的体育锻炼及其相关因素之间的关系。本研究的目标是(1) 描述年轻阿拉伯裔美国女性自我报告的生活方式 PA 行为;(2) 研究她们自我报告的生活方式 PA、设备测量的生活方式 PA(中度/强度和步数的组合)与潜在相关因素(人口统计学、体能测量、个人因素和行为认知因素)之间的关系:这项横断面研究的对象是美国中西部地区 18 至 35 岁的阿拉伯裔美国妇女(n = 50)。参与者佩戴 ActiGraph GT3X-BT 监测器 7 天;自我报告测量包括国际体育锻炼问卷、人口统计学、文化程度、歧视、宗教信仰、自我效能感和社会支持:参与者的平均年龄为 25.5 岁(标准差:5.5;范围:18-35)。根据 ActiGraph,参与者的日均步数为 5946 步(标准差:2783 步);只有 24% 的参与者达到了中等强度运动量指南的要求。自我效能与中强度运动量的增加有明显关联(B = 0.37; P = .012):结论:在这项研究中,年轻的阿拉伯裔美国妇女平均每天的运动步数属于低强度运动。超过 75% 的女性未能达到每周中度/剧烈运动的建议标准。我们的研究表明,针对自我效能较低的年轻阿拉伯裔美国妇女进行有针对性的体育锻炼干预非常重要,有助于她们克服生活方式体育锻炼方面的障碍。
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引用次数: 0
Generational Differences in Moral Injury, Resilience, and Well-Being Among Nurses: Predictors of Intention to Leave Position and Profession. 护士在道德伤害、复原力和幸福感方面的代际差异:护士中道德伤害、复原力和幸福感的代际差异:离职意向和职业的预测因素。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-10-14 DOI: 10.1177/01939459241287458
Minjin Kim, Jin Jun, Joshua Lambert, Henry Duah, Sharon J Tucker, Dónal P O'Mathúna, Grant Pignatiello, Joyce J Fitzpatrick

Background: The COVID-19 pandemic highlighted the negative impact of moral injury on nurses' well-being. However, there is a lack of research about generational differences among nurses, particularly on newer nurses who have been identified as having a higher rate of intention to leave.

Objective: This study examines generational differences among nurses on moral injury, well-being, resilience, and intention to leave their nursing position and profession.

Methods: This is a secondary analysis of cross-sectional data from registered nurses in clinical practice in Ohio between July and August 2021. Data on demographics, moral injury, resilience, and well-being were collected using an online survey. Participants were categorized into 4 generational groups based on their age in 2021: Baby Boomers (57-75 years old), Generation X (42-56 years old), Generation Y (27-41 years old), and Generation Z (12-26 years old). Descriptive and inferential statistics, including logistic regression and analysis of variance, were employed for analysis.

Results: Significant generational differences were found in years of clinical experience, moral injury, resilience, and well-being. Baby Boomers reported higher well-being and resilience and lower moral injury. Notably, the intention to leave the profession was more strongly associated with well-being and moral injury levels than with the years of experience or generational group.

Conclusions: The findings suggest that interventions to improve nurse retention should prioritize enhancing well-being and addressing the root causes of moral injury. Tailored strategies addressing the needs of different generations are necessary for mitigating the adverse effects of current healthcare challenges on nurse attrition.

背景:COVID-19 大流行凸显了道德伤害对护士福祉的负面影响。然而,目前还缺乏对护士代际差异的研究,尤其是对新护士的研究,因为新护士被认为有更高的离职意愿:本研究探讨了护士在道德伤害、幸福感、复原力以及离开护理岗位和职业的意愿方面的代际差异:本研究对 2021 年 7 月至 8 月期间俄亥俄州临床实践中注册护士的横截面数据进行了二次分析。通过在线调查收集了有关人口统计学、道德伤害、复原力和幸福感的数据。根据 2021 年的年龄,参与者被分为 4 个世代组:婴儿潮一代(57-75 岁)、X 代(42-56 岁)、Y 代(27-41 岁)和 Z 代(12-26 岁)。分析采用了描述性和推论性统计方法,包括逻辑回归和方差分析:结果:在临床经验年限、道德伤害、复原力和幸福感方面发现了明显的代际差异。婴儿潮一代的幸福感和复原力较高,道德伤害较低。值得注意的是,离职意向与幸福感和道德伤害水平的关系比与工作年限或代际群体的关系更为密切:研究结果表明,提高护士留任率的干预措施应优先考虑提高幸福感和解决道德伤害的根本原因。要减轻当前医疗挑战对护士自然减员的不利影响,就必须针对不同世代的需求制定有针对性的策略。
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引用次数: 0
Sleep Health Composite and Diabetes Symptom Burden in Young Adults With Type 1 Diabetes. 1 型糖尿病年轻成人的睡眠健康复合因素与糖尿病症状负担。
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-09-30 DOI: 10.1177/01939459241287455
Stephanie Griggs, Bethany L Armentrout, Christine Horvat Davey, Ronald L Hickman

Introduction: Multiple individual sleep health dimensions (satisfaction, regularity, and duration) are associated with diabetes symptoms, precursors to micro-and macrovascular complications, among young adults with type 1 diabetes mellitus (T1DM). Nearly half of young adults with T1DM develop vascular complications; however, modifiable contributors of diabetes symptoms, including sleep health, have been understudied.

Methods: This cross-sectional quantitative descriptive study involved the completion of multiple validated self-report questionnaires and the collection of raw continuous glucose monitor and diary data over a 14-day period. The sleep health composite score was calculated by summing the number of dimensions with "good" sleep health. Chronotype was estimated with the 19-item Morningness-Eveningness Questionnaire. Multiple linear regression analyses were conducted to evaluate the associations between the independent variables (sleep health composite and chronotype) and diabetes symptom burden. Covariates, including age, race, sex at birth, T1D duration, continuous subcutaneous insulin infusion use, and hemoglobin A1C (HbA1C), were considered to determine their contribution to these relationships.

Results: One hundred nineteen young adults with T1DM who were aged 18 to 26 years were included in this study from 2 cohorts. Higher sleep health composite scores were associated with a lower overall diabetes symptom burden, even after adjusting for covariates in the linear regression models. Initially, a later chronotype was linked to a higher diabetes symptom burden, but this association became insignificant after accounting for HbA1C levels.

Conclusion: Improving multiple dimensions of sleep health may alleviate the diabetes symptom burden among young adults with T1DM.

导言:在1型糖尿病(T1DM)患者中,多个个体睡眠健康维度(满意度、规律性和持续时间)与糖尿病症状相关,而糖尿病症状是微血管和大血管并发症的前兆。近一半的 T1DM 患者会出现血管并发症;然而,包括睡眠健康在内的糖尿病症状的可改变因素却未得到充分研究:这项横断面定量描述性研究包括填写多份经过验证的自我报告问卷,以及收集 14 天内连续血糖监测仪和日记的原始数据。睡眠健康综合得分是通过将睡眠健康 "良好 "的维度数量相加计算得出的。时间型是通过 19 项晨间活力问卷进行估算的。我们进行了多元线性回归分析,以评估自变量(睡眠健康综合评分和慢性型)与糖尿病症状负担之间的关系。研究还考虑了年龄、种族、出生时性别、T1D持续时间、皮下注射胰岛素的持续时间和血红蛋白A1C(HbA1C)等协变量,以确定它们对这些关系的影响:本研究从两个队列中选取了 119 名年龄在 18 至 26 岁之间的 T1DM 患者。即使在线性回归模型中调整了协变量,较高的睡眠健康综合评分与较低的总体糖尿病症状负担相关。最初,较晚的时间型与较高的糖尿病症状负担有关,但在考虑 HbA1C 水平后,这种关联变得不明显:结论:改善睡眠健康的多个方面可减轻患有 T1DM 的年轻人的糖尿病症状负担。
{"title":"Sleep Health Composite and Diabetes Symptom Burden in Young Adults With Type 1 Diabetes.","authors":"Stephanie Griggs, Bethany L Armentrout, Christine Horvat Davey, Ronald L Hickman","doi":"10.1177/01939459241287455","DOIUrl":"10.1177/01939459241287455","url":null,"abstract":"<p><strong>Introduction: </strong>Multiple individual sleep health dimensions (satisfaction, regularity, and duration) are associated with diabetes symptoms, precursors to micro-and macrovascular complications, among young adults with type 1 diabetes mellitus (T1DM). Nearly half of young adults with T1DM develop vascular complications; however, modifiable contributors of diabetes symptoms, including sleep health, have been understudied.</p><p><strong>Methods: </strong>This cross-sectional quantitative descriptive study involved the completion of multiple validated self-report questionnaires and the collection of raw continuous glucose monitor and diary data over a 14-day period. The sleep health composite score was calculated by summing the number of dimensions with \"good\" sleep health. Chronotype was estimated with the 19-item Morningness-Eveningness Questionnaire. Multiple linear regression analyses were conducted to evaluate the associations between the independent variables (sleep health composite and chronotype) and diabetes symptom burden. Covariates, including age, race, sex at birth, T1D duration, continuous subcutaneous insulin infusion use, and hemoglobin A1C (HbA1C), were considered to determine their contribution to these relationships.</p><p><strong>Results: </strong>One hundred nineteen young adults with T1DM who were aged 18 to 26 years were included in this study from 2 cohorts. Higher sleep health composite scores were associated with a lower overall diabetes symptom burden, even after adjusting for covariates in the linear regression models. Initially, a later chronotype was linked to a higher diabetes symptom burden, but this association became insignificant after accounting for HbA1C levels.</p><p><strong>Conclusion: </strong>Improving multiple dimensions of sleep health may alleviate the diabetes symptom burden among young adults with T1DM.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationships Between Family Resilience, Individual Resilience, and Quality of Life in Patients with Head and Neck Cancer: A Cross-Sectional Study. 头颈癌患者的家庭复原力、个人复原力和生活质量之间的关系:一项横断面研究
IF 2 4区 医学 Q2 NURSING Pub Date : 2024-11-01 Epub Date: 2024-10-10 DOI: 10.1177/01939459241287451
Yuan-Yuan Liu, Xia Shen, Fei Yang, Shao Zheng Song, Jian Feng Huang

Background: Patients with head and neck cancer (HNC) have to cope with a multitude of treatment-related adverse effects that impact their quality of life (QoL) post-treatment completion. The presence of family resilience could potentially foster individual resilience and might contribute to patients' QoL. However, this interconnection has not been confirmed.

Objective: To explore the relationships between family resilience, individual resilience, and QoL in patients with HNC and to determine whether individual resilience in HNC patients functions as a mediator between family resilience and QoL.

Methods: From September 2022 to June 2023, a cross-sectional survey was conducted among 185 patients with HNC recruited through convenience sampling from a tertiary care hospital in Jiangsu Province, China. Self-report measures of family resilience, individual resilience, and QoL were assessed. Relationships were examined by Pearson's correlations. Structural equation models were used to assess whether individual resilience played a mediating role between family resilience and QoL.

Results: There were significant positive correlations between QoL and both family resilience (r = 0.43, P < .01) and individual resilience (r = 0.59, P < .01). Moreover, family resilience had an indirect influence on QoL through its effect on individual resilience (β = 0.319, 95% CI: 0.336-0.815).

Conclusion: Family resilience emerges as a significant positive factor capable of enhancing QoL for patients with HNC by bolstering their resilience. To mitigate the detrimental effects of inadequate individual resilience on QoL of patients with HNC, it is advised to implement interventions focused on enhancing family resilience.

China clinical trials registry number: ChiCTR2300067612.

背景:头颈部癌症(HNC)患者必须应对与治疗相关的多种不良反应,这些不良反应会影响他们完成治疗后的生活质量(QoL)。家庭复原力有可能促进个人复原力的提高,并有助于改善患者的生活质量。然而,这种相互联系尚未得到证实:探讨HNC患者的家庭复原力、个人复原力和QoL之间的关系,并确定HNC患者的个人复原力是否在家庭复原力和QoL之间起中介作用:方法:2022年9月至2023年6月,在中国江苏省一家三级甲等医院通过便利抽样对185名HNC患者进行了横断面调查。对家庭复原力、个人复原力和 QoL 进行了自我报告评估。通过皮尔逊相关性检验了三者之间的关系。采用结构方程模型评估个人抗逆力是否在家庭抗逆力和 QoL 之间起中介作用:结果:QoL 与家庭复原力之间存在明显的正相关性(r = 0.43,P r = 0.59,P 结论:家庭复原力对 QoL 起着积极的促进作用:家庭复原力是一个重要的积极因素,能够通过增强 HNC 患者的复原力来提高其 QoL。为减轻个人抗逆力不足对HNC患者QoL的不利影响,建议实施以增强家庭抗逆力为重点的干预措施:中国临床试验登记号:ChiCTR2300067612。
{"title":"Relationships Between Family Resilience, Individual Resilience, and Quality of Life in Patients with Head and Neck Cancer: A Cross-Sectional Study.","authors":"Yuan-Yuan Liu, Xia Shen, Fei Yang, Shao Zheng Song, Jian Feng Huang","doi":"10.1177/01939459241287451","DOIUrl":"10.1177/01939459241287451","url":null,"abstract":"<p><strong>Background: </strong>Patients with head and neck cancer (HNC) have to cope with a multitude of treatment-related adverse effects that impact their quality of life (QoL) post-treatment completion. The presence of family resilience could potentially foster individual resilience and might contribute to patients' QoL. However, this interconnection has not been confirmed.</p><p><strong>Objective: </strong>To explore the relationships between family resilience, individual resilience, and QoL in patients with HNC and to determine whether individual resilience in HNC patients functions as a mediator between family resilience and QoL.</p><p><strong>Methods: </strong>From September 2022 to June 2023, a cross-sectional survey was conducted among 185 patients with HNC recruited through convenience sampling from a tertiary care hospital in Jiangsu Province, China. Self-report measures of family resilience, individual resilience, and QoL were assessed. Relationships were examined by Pearson's correlations. Structural equation models were used to assess whether individual resilience played a mediating role between family resilience and QoL.</p><p><strong>Results: </strong>There were significant positive correlations between QoL and both family resilience (<i>r</i> = 0.43, <i>P</i> < .01) and individual resilience (<i>r</i> = 0.59, <i>P</i> < .01). Moreover, family resilience had an indirect influence on QoL through its effect on individual resilience (β = 0.319, 95% CI: 0.336-0.815).</p><p><strong>Conclusion: </strong>Family resilience emerges as a significant positive factor capable of enhancing QoL for patients with HNC by bolstering their resilience. To mitigate the detrimental effects of inadequate individual resilience on QoL of patients with HNC, it is advised to implement interventions focused on enhancing family resilience.</p><p><strong>China clinical trials registry number: </strong>ChiCTR2300067612.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Western Journal of Nursing Research
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