Nursing Science Quarterly最新文献

The purpose of this study is to assess the level of moral development, spiritual intelligence, and critical thinking of nurses, and to see if there is a relationship between these constructs for them. A descriptive correlational design was used, with a sample of 102 nurses in Iran. The descriptive statistics and Pearson's correlation were done on the survey results using SPSS (Version 24). The moral development level scores of the nurses were 34 ± 2.17, which is considered average, critical thinking was 25 ± 1.23, which is considered relatively high, and spiritual intelligence scores were 41 ± 2.75, which is considered relatively low. Both spiritual intelligence and critical thinking were positively correlated with the nurses' moral development (R = 0.76, R = 0.48, respectively). The conclusion of the paper is that more attention needs to be paid to raise the level of critical thinking, spiritual intelligence, and moral development in nurses.

The author of this article reviewed the book Visionary Leadership in Healthcare: Excellence in Practice, Policy, and Ethics, edited by Holly Wei and Sara Horton-Deutsch in 2022. The editors call for engaged, equitable, inclusive, authentic, and caring leadership, from the framework of Watson's Caring Science, to address current challenges in healthcare. This book is a compelling read for both new and experienced nurse leaders, as well as leadership students, and serves as a valuable reference for those seeking a hopeful, values-driven, and ethical approach to nursing leadership.

Shared decision making (SDM) is an approach in which patients and healthcare providers simultaneously work to make decisions about tests, treatments, or chronic conditions management. To explore any possible interventions between cancer patients, nurses in the SDM process need to be up to data on the current literature. A global focused literature review of English and Italian language papers on the topic was done. The search included the use of the following terms: shared decision making, cancer patient, and nurse. Fourteen studies that were the best fit with the inclusion criteria were included to create this narrative review. The conclusion was that cancer nurses seemed to be relevant in cancer teams to support patients in their SDM processes. They do this by balancing the evidence on options, preferences, and values through a decision coaching approach to determine the best practices for supporting patients in their decisions.

Insufficient and poor sleep quality significantly impacts the health and quality of life of persons with end-stage renal failure (ESRF) on hemodialysis. This study explored the effectiveness of teaching patients on hemodialysis, Benson's relaxation technique. Seventy-one persons on hemodialysis in Iraq were randomly assigned to either the experimental or the control group. The experimental group received training and encouragement to use the Benson relaxation technique. The Pittsburgh Sleep Quality Index (PSQI) score was collected for all the patients before and after the intervention. After 8 weeks a repeated measurement of the post-test on sleep quality was done for both groups. The experimental group showed a statistically significant pre- and post-test difference. The findings suggest that Benson's relaxation approach improves the quality of sleep for persons on hemodialysis.

The management of anger is problematic for many people and it is a particularly important issue for persons with substance use disorders (SUD). The paper reviews the research studies dating back to 2005 on how to help persons with SUD manage anger. The literature reveals that various pharmaceutical and non-pharmacological approaches have been studied to help persons with SUD manage their anger. In chronic and lower risk situations non-pharmacological are the first line approaches, they include anger management training, cognitive-behavioral based treatments, exercising and relaxing, music therapy and empathy. Atypical antipsychotic and medications for opioid use disorders (MOUD) are also widely used. In acute and high risk of violence situations physical restraint and pharmacological management are the first line intervention. Various nursing frameworks provide a useful basis for integrating various approaches. Current approaches have their advantages and disadvantages and are discussed in this paper.

This study adopted the humanbecoming concept inventing model to explore the phenomenon of feeling afraid. Through simultaneously immersing with explicit-tacit knowings, exploring with pattern preferences, and explicating with pondering possibles, the author unveiled the now-truth of feeling afraid as paralyzing hesitation arising with daunting uncertainties of dissociating affiliations. This now-truth was shapeshifted into an ingenuous proclamation, articulated within the language of the humanbecoming paradigm. The final declaration portrayed feeling afraid as languaging the originating of connecting-separating, with Edvard Munch's The Scream (1893) as the chosen artform. This inventive inquiry enriches nursing knowledge by deepening understanding of feeling afraid as a universal humanuniverse living experience.

Living out unique knowledge in nursing arises out of the discipline's extant and emerging theoretical perspectives. These perspectives guide nurses in their approaches to various research, teaching, practice, and leadership situations. These situations, although different, have a common focus on persons and their lives. So, it is interesting to think about the ways in which nurses listen or coparticipate in listening to understand what is important within the lives of persons, as they live their unique values and beliefs.

Paradox is living phenomenon that provides insights into straight thinking and diverse human experiences important to the discipline of nursing from a nursing philosophical theory-based approach. The author here delves into the metaphorical experience of living on the edge and the paradoxical concepts that assist the discipline in its thinking about artificial intelligence. Possible ethical implications of utilizing artificial intelligence from a humanbecoming ethos of understanding is utilized. The metaphorical implications for future disciplinary priorities are presented.

This article uses findings from a Parsesciencing inquiry, storytelling, and poetry to describe moments of knowing-not knowing.