Nursing & Health Sciences最新文献

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.

The attachment system is crucial in several aspects of child development. We aimed at synthesizing the existing knowledge on the association between mother/father attachment to the infant and gross motor development during the first 2 years of life. A systematic review following PRISMA standards was preregistered in PROSPERO (CRD42022308841) in April 2022 and conducted in May 2022 (updated: July 2023, July 2024, and January 2025). PubMed, Web of Science, APA PsycINFO, and PSICODOC databases were searched. Peer-reviewed observational studies in English or Spanish with a minimum score of five on the Newcastle-Ottawa Scale, used for assessing bias risk, were included. Results are critically presented and synthesized. Ten studies were selected out of the initial pool of 813 records. Findings are described based on the parent-infant attachment and gross motor development, the association of parental roles and co-parenting dynamics, and the effect of stress on motor development. Positive early parent-infant interactions and secure parent-infant attachment are associated with better infant motor development. Studies with larger samples and more specific motor assessments are suggested for the advancement of the field.

Heart failure (HF) is a long-term, progressive chronic condition that significantly affects patients' quality of life (QoL) and burdens healthcare systems. This study examined the mediating role of general life satisfaction on the relationship between self-care practices and QoL among patients with HF in Jordan. A cross-sectional correlational design recruited 124 patients with HF conveniently from four governmental hospitals. Self-care was assessed using the self-care of heart failure index, quality of life was measured using the short form health survey, and life satisfaction was measured using the general life satisfaction scale. Mean scores for self-care, subscales except for maintenance, were below 70, indicating inadequacy. Physical and mental QoL scores were 38.59 (SD = 5.82) and 31.34 (SD = 8.65), respectively. Self-care and life satisfaction explained 32% of the variance in QoL. The Sobel test confirmed partial mediation through life satisfaction; life satisfaction partially mediates the link between self-care and QoL. To conclude, clinicians should support both self-care and psychosocial well-being to enhance patients' QoL.

To assess the impact of an aging simulation suit on empathy levels among primary care nurses during interactions with older patients. A cluster-randomized controlled trial (September-December 2023) was conducted in 14 primary care centers (Asturias, Spain). A sample of 135 nurses was randomly divided into intervention and control groups. Empathy (Jefferson Scale) was measured pre- and post-intervention. Changes were analyzed using multiple linear regression. Empathy increased in the intervention group (β = 4.04; p = 0.043). The Cohen's d of 0.44 indicates this effect is clinically relevant. Multiple linear regression model revealed the intervention group itself had a significant effect (B = 3.79; p = 0.035). Furthermore, professional experience modulated changes: increases were seen in the 5-10 years (B = 5.41; p = 0.024) and over 40 years groups (B = 9.93; p = 0.048), with a decrease in the 31-40 years group (B = -6.50; p = 0.009). Unregulated post-graduate training also showed a significant increase (B = 3.36; p = 0.034). Aging simulation significantly enhanced empathy levels in nursing professionals, supporting its use as an effective training tool to improve person-centered care for older adults.

Cardiovascular diseases (CVDs) impact the working population, with disparities by workplace size. Despite increasing female workforce participation, research on their cardiovascular health remains limited. This retrospective cross-sectional study is a secondary data analysis using the Female Employees Database from the National Health Insurance Service (NHIS-FEM DB), which includes health examination, sociodemographic, and medical treatment information for a sample of Korean working women. This study analyzed 53 574 women in South Korea using the NHIS-FEM DB from 2009 to 2015. Repeated measures ANOVA assessed cardiovascular health changes by workplace size. Significant time-group interactions were observed for diastolic blood pressure (DBP), fasting glucose (FG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), and CVD risk (all p < 0.01). Working women in small/medium-sized enterprises (SMSE) experienced a significantly faster increase in DBP and FG over time than those in large-sized enterprises (LSE), suggesting a widening cardiometabolic gap driven by workplace size-related structural disparities. These trends suggest that workplace-related structural factors may contribute to the cumulative burden of cardiometabolic risk. Targeted workplace health policies, particularly, in SMSE, could mitigate CVD risks and improve well-being.

This study explored the effects of nurse managers' sustainable management behaviors (SMB) and nurses' sociodemographic and professional characteristics on nurses' job performance (JP). We conducted this study in March and April 2024, using an online questionnaire. We completed the study with the participation of 283 nurses. The data collection form comprised three parts: an information form about nurses' sociodemographic and professional characteristics, the sustainable management behaviors scale (SMBS), and the job performance scale (JPS). We used descriptive, correlational, and hierarchical regression analyses to analyze the data. The mean scores of the SMBS and JPS were high. The study found that nurses' JP was highest in coordination of care and lowest in compliance. SMB was highest in corporate functioning and lowest in environmental sensitivity. A positive correlation was found between JP and SMB. Hierarchical regression analysis identified SMB of nurse managers as a significant predictor of nurses' JP. Specifically, corporate functioning and protection sensitivity behaviors were the most influential dimensions, even after controlling for demographic and occupational variables. The findings emphasize the significant role of nurse managers' SMB in enhancing nurses' JP.

This study aims to assess the effectiveness of sling exercise training (SET) on walking ability, balance function, and activities of daily living (ADL) in patients with stroke. A systematic search was conducted across multiple databases (PubMed, Embase, Cochrane Library, Web of Science, SinoMed, CNKI, and Wanfang) from inception to January 2025. A total of 23 studies involving 922 participants were included. Methodological quality was assessed using the Cochrane risk-of-bias tool. Meta-analyses were performed using standardized mean differences with 95% confidence intervals. The analysis revealed substantial improvements in balance function, as measured by the Berg balance scale. Lower limb motor function assessed by the Fugl-Meyer assessment showed notable enhancement. Balance ability measured by the Fugl-Meyer balance scale indicated significant progress, whereas walking ability assessed by the Holden functional walking rating showed marked improvement. However, improvements in ADL and 6-min walk test performance did not reach statistical significance. SET demonstrates substantial beneficial effects on balance function, lower limb motor function, and walking ability in patients with stroke. However, its impact on ADL and walking endurance requires further investigation.

Medication non-adherence is common in chronic conditions and linked to poor outcomes and higher costs. Older adults with multimorbidity and polypharmacy face a higher non-adherence risk. This cross-sectional study in northeast China (April-September 2024) examined medication adherence and its influencing factors among 240 community-dwelling older adults with physical multimorbidity and polypharmacy, using structured interviews at health centers. Data was analyzed using multiple linear regression, with medication adherence as the outcome variable. Independent variables included functional social support, medicine beliefs, illness representation, medication literacy, depression, experience of medication-related side effects, number of medications taken daily, and patient-provider relationship. Medication adherence among participants was at a moderate level. Poorer medication adherence was associated with insufficient medication literacy (p < 0.001), strong illness representation (p = 0.003), lower perceived functional social support (p = 0.008), depression (p = 0.050), and a strong belief in Traditional Chinese Medicine (p = 0.040). These findings highlight modifiable risk factors for non-adherence, offering targets for culturally tailored interventions to improve medication adherence and health outcomes in older adults with physical multimorbidity and polypharmacy.

Effective pain management remains a global nursing challenge, requiring awareness of influencing factors. This cross-sectional study examined such factors among nurses in Western Japan's university hospitals from September to November 2023. A self-reported questionnaire was used to investigate nurses' sociodemographic characteristics, collaboration with physicians in the ward, pain management knowledge, empathy, and pain management practices. Among 695 nurses (69.4% valid response rate), 51.4% had under 5 years' work experience, indicating a relatively junior nursing workforce. The mean practice score was 47.5 (SD = 7.1). Hierarchical regression showed knowledge and empathy increased practice scores by 6.2%. Nurses' empathy, particularly their perspective-taking, explained pain management practice (β = 0.242, p < 0.001). Information-sharing with pain specialists, effective collaboration with physicians in the ward, work experience, and clinical pain education were also associated with pain management practices (all p < 0.05). This study suggests that enhancing nurses' empathy and fostering a collaborative ward environment may be essential strategies to improve the pain management quality.

The COVID-19 pandemic significantly disrupted the healthcare sector, exacerbating nurse turnover intentions globally. Turnover intention is influenced by organizational justice and effort-reward imbalance (ERI). However, the specific mechanisms underlying these relationships, particularly the intermediary function of psychological distress, remain inadequately investigated. This study investigated the relationships among organizational justice (procedural and interactional), ERI, psychological distress, and turnover intention among hospital nurses in Japan during the COVID-19 crisis. A cross-sectional study with 773 nurses was conducted. Structural equation modeling helped analyze the total, direct, and indirect effects of organizational justice and ERI on turnover intentions, with psychological distress as a mediating variable. The results show that interactional justice was negatively associated, mediated by psychological distress. ERI was positively associated with turnover intention, with job promotion and salary imbalance being the most influential components. Psychological distress emerged as a significant mediator in the associations between interactional justice, ERI, and turnover intentions. Enhancing interactional justice and addressing ERI are critical strategies for reducing turnover intentions. Alleviating psychological distress supports nurse retention.