Nursing & Health Sciences最新文献

This study aimed to explore perfectionistic self-presentation among ICU nurses in South Korea and investigate factors affecting perfectionistic self-presentation, focusing on authentic pride, hubristic pride, and the impostor phenomenon. In this secondary analysis, data from 239 participants who met the eligibility criteria of the parent study conducted in July 2022 were used. Authentic and hubristic pride, the impostor phenomenon, and perfectionistic self-presentation were assessed using the Korean versions of the Test of Self-Conscious Affect, the Clance Impostor Phenomenon Scale, and the Perfectionistic Self-Presentation and Psychological Distress Scale, respectively. A multiple linear regression analysis revealed that the impostor phenomenon was the most significant factor affecting perfectionistic self-presentation, followed by hubristic pride and education level. ICU nurses in South Korea exhibit a comparatively high level of perfectionistic self-presentation. Tendencies toward perfectionistic self-presentation among ICU nurses may strengthen as their levels of hubristic pride and impostor phenomenon severity increase. Nursing management should recognize the relationships among pride, the impostor phenomenon, and perfectionistic self-presentation, and formulate counseling and training strategies to reduce impostor phenomenon levels.

This scoping review synthesizes the literature exploring nurses' and midwives' perceptions of medication errors in infants and children, with a focus on factors contributing to errors and barriers to reporting them. The Joanna Briggs Institute guidelines for conducting scoping reviews were followed. Seven databases were searched for studies published in English. Two independent reviewers completed the screening; a third reviewer resolved disagreements. Data were categorized and synthesized into a narrative summary. A total of 1307 records were initially identified, and 34 studies were included. Only two studies included midwives as participants, neither of which reported midwives' data separately from nurses. Factors contributing to medication errors included insufficient resources and interruptions, with nurses' workload cited most often. Barriers to reporting errors included negative feelings and nurses' fear of losing their practicing license. Nurses perceive that medication errors occur in their workplace and hospitals likely have different protocols for reporting and managing medication errors. There is a need for further research in diverse economic settings and an investigation into midwives' perceptions to enhance error reporting and management strategies. This review emphasizes the crucial role nurses and midwives play in preventing and reporting pediatric medication errors. The findings also suggest administrators should address workload pressures, resource shortages, and cultural barriers. A significant amount of attention is needed on midwives' perspectives; integrating them into medication safety initiatives and policy development, which would strengthen medication safety practices.

The aim of this article is to explore the perspectives and experiences of ethnically diverse older patients and family carers when undergoing a surgical procedure. Exploratory qualitative research design. Semi-structured interviews with six patient-carer dyads and three individuals, totaling 15 participants. Data were analyzed using dyadic analysis. Three themes were identified: age-based considerations, culturally based considerations, and dyad relationship dynamics. Family carers frequently acted as translators, advocates, and emotional support while navigating the complexities of healthcare systems. Cultural and linguistic concordance between staff and dyads was crucial to building trust and ensuring effective communication. Gaps in interpreter services and culturally responsive care posed significant challenges. A multi-faceted approach to optimize care is needed. Combining clinician-led assessments with patient-led discussions fosters collaborative decision-making. Cultural and linguistic concordance between clinicians and patients, or effectively using family carers and in-person professional interpreters when concordance is not feasible, is crucial for culturally responsive care. Overall, the integration of patient- and family-centered care within culturally responsive care is proposed as a critical strategy toward equitable health outcomes.

Globally, the number of older migrants is increasing dramatically, and the effect of social participation on health-related quality of life (HRQOL) among the migrant older adults with children (MOAC) has not yet been reported. This study aims to identify the latent classes of social participation among the MOAC and to determine their effect on the HRQOL and its subfields: physical component summary (PCS) and mental component summary (MCS). This multi-center cross-sectional study was conducted in six randomly sampled districts of China, and a total of 850 MOAC were collected from December 2022 to September 2023. Four latent classes were identified based on social participation by latent class analysis: low participation class (22.9%), recreational participation class (45.8%), altruistic participation class (19.5%), and multi-category participation class (11.8%). Using the low participation class as a reference, the recreational participation class had stronger positive correlations on HRQOL and PCS scores, while the altruistic participation class had stronger positive correlations on MCS scores. Findings contribute to developing tailored health promotion strategies for the MOAC that take social participation as an entry point to improve their HRQOL.

Management of Alcohol Use Disorder involves multiple strategies like pharmacotherapy, behavior therapy cognitive therapy, and upcoming therapies integrating technology which is still in the initial phase. To conduct a comprehensive evaluation of recent research on use of artificial intelligence in management and relapse prevention in alcoholism. The search strategy was based on the PICO formulation of the research topic. The well-known databases SCOPUS, PubMed, Medline, Web of Science, and the Cochrane Library were searched using various combinations of keywords. The search was conducted using keywords and Boolean operators (AND and OR) to prevent oversaturating the data. For the study, 12 full-text papers were chosen. Cochrane RoB 2.0 and ROBINS-I were used to prevent bias. Review research verified that using artificial intelligence in managing alcoholism and relapse prevention is in ascending mode. The majority of the studies showed positive outcomes. Mobile apps are the commonly used technology intervention. This research highlighted and added to the growing body of artificial intelligence in the healthcare sector. It is an area where more effort and investments need to be made.

Medication administration errors pose a significant risk to patient safety and the quality of healthcare. Measuring the involvement of nursing students in incidents during supervised clinical placements can be challenging. We aimed to evaluate nursing students' behavioral intentions to enhance medication safety using the Spanish version of the Theory of Planned Behavior-Medication Safety Questionnaire (TPB-MSQ-S). A cross-sectional design was utilized, involving 498 nursing students from the Basque Country. The TPB-MSQ-S demonstrated robust psychometric properties (content validity index = 0.91, Cronbach's α = 0.77). The TPB constructs correlated positively with students' decision to report errors (attitude r = 0.38, subjective norms r = 0.18, perceived behavioral control r = 0.17). Age was also significantly correlated with all three constructs. Multiple regression analysis showed that attitude significantly predicted behavioral intention (β = 0.39, p < 0.001), and the model explained 14.1% of the variance (p < 0.001). TPB-MSQ-S is a valid tool for assessing nursing students' intentions regarding medication-safety. Attitude significantly influences their willingness to report medication errors. Improving education on medication safety before professional practice could lead to safer nursing practices.

This cross-sectional study explored the associations between resilience, emotion regulation, and sleep status among nursing undergraduates from both variable- and person-centered perspectives. A total of 345 nursing undergraduates were surveyed using the Demographic Characteristics Questionnaire, Self-Rating Scale of Sleep, Connor-Davidson Resilience Scale-10 item, and the Emotion Regulation Scale. For the variable-centered perspective, mediation analysis showed that cognitive reappraisal mediated the relationship between resilience and sleep status (β = -0.078, 95% Confidence Interval = -0.165 to -0.015). From a person-centered perspective, latent profile analysis identified two sleep status profiles: normal sleep status (74.5%) and severe insomnia-parasomnia (25.5%). Mediation analysis with a categorical dependent variable showed that resilience had a total effect on sleep status profiles [Odd Ratio (95% Confidence Interval) = 0.922 (0.878, 0.967)]; however, cognitive reappraisal did not mediate this relationship [Z_a*Z_b (95% Confidence Interval) = -13.792 (-29.932, 1.763)]. Cognitive-behavior therapy, resilience training, mindfulness-based therapy, and sleep hygiene programs are recommended to improve the sleep status among nursing undergraduates.

Patients on psychiatric wards encounter harm while receiving care, which leads to millions of fatalities every year. Understanding staff's perspectives on patients' safety on psychiatric wards is crucial for managing safety issues and concerns. This study aims to provide a reliable summary of the current evidence on staff's perspectives regarding safety on psychiatric wards. Studies were identified through systematic searches of six electronic databases. The characteristics of eligible studies were limited to peer-reviewed qualitative research published in the English language within the last 10 years, which explored staff's perspective on patient safety in psychiatric wards. Seventeen studies met all the eligibility criteria. Data synthesis was performed using a thematic analysis approach, and four major themes were identified: perception of safety, safety interventions, therapeutic environment, staff and patients' safety. Patient safety on psychiatric wards is multifaceted, necessitating a balance between protection and autonomy, effective environmental design, compassionate care, and staff well-being. Safety interventions must consider both patients' needs and the emotional and physical demands on staff to create a therapeutic and secure environment.

More than 90% of patients with minor orthopedic injuries are categorized as non-urgent which can result in prolonged waiting times in the emergency department. A total of 220 adults presenting between March and May 2023 with non-urgent orthopedic distal limb injuries were included in this single center, unblinded, randomized, parallel-group, controlled trial. A nurse performed the physical examination and initiation of X-ray during triage in the intervention group while an emergency physician performed these after triage in the usual care group. The results of 108/110 (intervention) and 107/110 participants (usual care) were analyzed. The intervention group had a significantly lower flow time between emergency department registration and X-ray request. The usual care group had significantly lower flow time between X-ray request and emergency department discharge. There was no difference in total length of stay, patient satisfaction and treatment adjustment between groups. The nursing triage protocol reduced flow time between registration and request for X-ray but did not affect total length of stay.