Nursing & Health Sciences最新文献

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.

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.

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.

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.

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.