Nursing & Health Sciences最新文献

This study examined the factors associated with medical expenses among LTCI (long-term care insurance) recipients in Korea. Secondary data analysis was performed using the 2019 Korea National Health Insurance (KNHI) reimbursement data of I metropolitan city. Data from 52 434 older adults who were LTCI recipients and living in I metropolitan city areas were included. Based on the Andersen healthcare utilization model, the variables included the predisposing (age, sex, and living alone), enabling (health insurance and place of residence), and need factors (disability, LTC grade, use of LTCI services, and participation in health screening). All the predisposing, enabling, and need factors were significant. Older age, higher LTC grade, use of visiting nursing service, admission to an aged care facility, and participation in health screenings were negatively associated with medical expenses. Females, those living alone, non-disabled individuals, medical aid beneficiaries, and rural residents were less likely to incur medical expenses. Appropriate use of LTCI services (e.g., visiting nursing) will help reduce unnecessary medical expenses. Nevertheless, access to health care services for older adults living alone in rural areas must be improved.

Riverside populations in the Amazon are considered vulnerable due to their living conditions, social aspects, and access to health services; therefore, they may be more exposed to sexually transmitted infections. The objective of this study is to analyze knowledge about STI and associated factors in the riverside population of a metropolis from the Brazilian Amazon. A cross-sectional study carried out in the Combú environmental protection area. The participants were individuals aged at least 18 years old living in the study area. A questionnaire on knowledge about STI was applied, in addition to another one on associated factors. Multiple binary logistic regression was performed in Minitab 22. A total of 325 riverside dwellers participated in the study. Participants with low schooling levels, incomes below one minimum wage and who had never taken any rapid HIV tests are twice as likely to having low knowledge about STI. Those who live with more people in the same household are more likely to presenting low knowledge levels. The social factors exerted a greater impact on low knowledge about STI.

This study aimed to evaluate the effectiveness of eHealth interventions on symptom management outcomes of patients undergoing CABG surgery. A systematic review was performed on CINAHL, PubMed, Web of Science, Ovid MEDLINE, and Scopus from 2006 to June 2022. The Joanna Briggs Institute's evaluation tools for RCT and quasi-experimental studies were used to assess the methodological quality of the publications included in this review and to determine the extent to which each publication addressed the possibility of bias in its design. The raters' agreement was determined by using Cohen's kappa test, which yielded a kappa coefficient of 0.51. (PROSPERO registration number: CRD42023398498). A systematic analysis of 11 publications involving 2.586 patients showed that the eHealth intervention effectively increased activity and self-management. eHealth interventions, which are also effective in the management of psychological problems, had results that were partially effective in pain management and effective in quality of life. Digital healthcare has become an important component of patient care. Nurses providing care should be aware that eHealth interventions are showing promising results in patient care.

Childhood nutrition is critical for development however maternal feeding attitudes may influence feeding practices and subsequent outcomes. This study aimed to evaluate mothers' attitudes toward their children's feeding process and its relationship with characteristics and children's nutritional problems. One hundred thirty-five mother-child couples who attended the Social Pediatrics Outpatient Clinic of a hospital participated in the study. Researchers administered a survey form during face-to-face interviews. The form included demographic details about mother-child couples and two surveys. The first survey asked about child nutritional problems, and the second one comprised the Mother's Attitudes Towards the Feeding Process Scale (MATFPS). MATFPS provides five factors that including negative affect during meal, attitudes about insufficient/unbalanced feeding, negative feeding strategies, forced feeding, and reaction to the viewpoints of others. There was a negative correlation between mothers' "negative affect during meal" factor score and children's BMI (p < 0.05). The mean MATFPS scores of the mothers whose children had nutritional problems were statistically higher than others (p < 0.05). In conclusion, to ensure healthy nutrition for children, mothers may benefit from education to develop positive attitudes and proper feeding practices.

This scoping review of studies on patients' mental workload (MWL) in health education via e-learning was conducted to characterize the state of research and to identify barriers to and facilitators of e-learning. The Cochrane Library, PubMed, Embase, Web of Science, and PsycINFO electronic databases were searched through September 10, 2023. A descriptive analysis of study characteristics and a content analysis of barriers to and facilitators of MWL were conducted. Among the 2837 studies screened for eligibility, 38 were included. A relatively small number of articles used a comprehensive framework to explore barriers to and facilitators of e-learning or used indicators of MWL to assess application usability and user experience. Analyses of factors influencing the effectiveness of e-learning in health education identified key predictors across five domains: individual, task, technical, environmental, and interactive aspects. The incorporation of multifaceted influencing factors that contribute to optimizing the MWL should be a priority when using e-learning in health education. Future research should give more attention to investigating the generative mechanism of e-learning in health education to enhance targeted program design.

Objective Structured Clinical Examinations (OSCE) is an objective assessment approach that enables the evaluation of students' practical skills by simulating real clinical scenarios. This scale is specifically designed to evaluate the attributes and characteristics of the OSCE from the perspective of health sciences students, thereby filling a crucial gap in the existing assessment methods. This research conducted a methodological design involving 220 students from the faculties of medicine and nursing between 2022 and 2023. Data were gathered using a "Descriptive Form" and "OSCEPS." Factor analyses were performed for research and validation to ascertain the scale's factorial structure. The factorial analysis was used to test the structural validity of the scale. A structure consisting of 19 items was developed. The Cronbach's alpha coefficient was 0.943. Fit indices resulting from the study were RMSEA = 0.084; GFI = 0.839; CFI = 0.902; IFI = 0.902; RFI = 0.824; NFI = 0.843; TLI = 0.889. This study proves that the OSCEPS is a highly reliable and valid scale with strong psychometric properties. It effectively assesses health sciences students' perceptions of OSCE, thereby enhancing the credibility and usefulness of this assessment tool.

To explore how nurses experience facilitators and barriers to the use of video-consultations for home-monitoring of patients with cardiac disease. A systematic literature search in PubMed, CINAHL, Scopus, and Web of Science was undertaken, inclusion criteria were qualitative data published between 2013 and 2023 written in English, Norwegian, Swedish, or Danish. Ten studies were included in the qualitative synthesis conducted as described by Braun and Clarke. From the synthesis, a main theme emerged: Nurses' uncertainty toward telemedicine is a risk toward the use of video-consultations and home-monitoring. The essence of the findings range from nurses' positive experiences to their frustration concerning the implementation process and the lack of technical support for clinicians and patients. Nurses often felt frustration and uncertainty about the quality of delivered care through virtual consultations. Working with technology in caring for patients with cardiac disease, including video-consultations and home-monitoring, nurses experienced a sense of insecurity. Insecurity was identified as a lack of technological knowledge, nurses' feelings of apathy, poorer observation through a video-consultation, and the lack of organizational support.

The aim of this study was to explore women's preferences and experiences of degree of control in decision making when planning an induction of labor (IOL). This multi-method study was conducted using semi-structured individual interviews and the completion of two Control Preferences Scales by eight postnatal women from a metropolitan health service in Melbourne, Australia. Four themes were generated from the interview data: "shared decision making"; "changing expectations"; "IOL experience"; and "informed consent." Women's expectations of, and preferences for, an IOL changed during pregnancy and were influenced by their perception of risk to the fetus, indication for the procedure, and trust in clinicians. Information that was personalized to the woman to include practical aspects, risks, and alternative options was rarely provided. Overall, women reported that they did not experience the degree of control they preferred when planning an IOL. Clinician understanding of decision making preferences of women when planning an IOL can assist with care that is individualized and aligned to women's values, which is crucial to improving the quality of care provided.

This study investigated the impact of emotion regulation training on nurses, which is crucial for enhancing their emotional well-being and job performance. We implemented a psychoeducation program to help nurses effectively manage emotional distress and examined how this training affected their use of cognitive reappraisal and suppression strategies. The quasi-experimental study was conducted from January to June 2020, involving 72 nurses (36 in the training group and 36 in the control group) from a university hospital. We used descriptive statistics and repeated measures ANOVA for data analysis. The results indicate that the training group had significantly higher cognitive reappraisal scores than the control group, with scores increasing significantly at post-test, 1 month, and 3 months after training (F = 24.41; p < 0.001). Additionally, suppression scores decreased significantly for the training group compared to the control group. Our findings demonstrate that emotion regulation training is more effective than the control condition for cognitive reappraisal and suppression strategies in the training group. Future research should explore additional strategies to further enhance emotion regulation skills, potentially improving job performance and patient care.

Rebound exercise (RE) increases mobility in hospitalized adults with neurological disorders (AwND), but its feasibility in community settings remains largely unexplored. This study evaluates the practicality of implementing RE in the community, particularly for AwND. The feasibility study involved 53 community-dwelling AwND engaging in RE sessions for 30 min, once- or twice-weekly, over 12 weeks. Feasibility was assessed through recruitment rates, adherence, attrition, and participant feedback. The study measured blood pressure (BP), walking speed (WS), and physical activity level (PAL) at baseline, 6 weeks, and 12 weeks. Repeated measures ANOVA and the Friedman tests were used to test for significant differences across the time points. The study demonstrated high recruitment (70.59%) and retention (98.1%) rates, with most participants (76.9%) preferring once-weekly sessions due to time constraints. There were no reported injuries or adverse events. Most participants were older adults (50%), females (67.3%), and retired (55.8%). Significantly lower resting BP (p < 0.001), higher WS (p < 0.001), and PAL (p = 0.000) were observed after 12 weeks of RE. In conclusion, RE is a feasible, safe, and acceptable intervention for supervised community-dwelling AwND and could be a valuable tool for promoting PAL in this population.