Nursing & Health Sciences最新文献

Medication adherence is critical for diabetes self-management. This study aimed to examine the association between medication adherence and understanding of diabetes and diabetic nephropathy in people with diabetes. In this cross-sectional study, 176 Type 2 diabetes participants were included out of 208 consented. Data on demographics and clinical characteristics were collected from medical records. A self-administered questionnaire survey collected data on participants' experiences with diabetes educational admission, experiences with diabetes care guidance, understanding of diabetes, understanding of diabetic nephropathy, and medication adherence. Multiple logistic regression analysis was performed to examine the association between medication adherence and understanding of diabetes and diabetic nephropathy. The mean age was 67.3 years, and the duration of diabetes was 11.5 years, with 67.6% being male. Logistic regression analysis results indicated a significant association between medication adherence and understanding of diabetes (odds ratio [OR]: 2.01, 95% confidence interval [CI]: 1.15-3.54), and that of diabetic nephropathy (OR: 1.41, 95% CI: 1.06-1.88). The results of this study suggest that healthcare providers' assessment of patients' understanding of diabetic nephropathy and diabetes can provide useful information in confirming their medication adherence.

The aim of this study was to explore the relationships between emotional intelligence, resilience, and turnover intention among emergency nurses. Nurses who work in emergency departments face many challenges; they consider these to be the most stressful settings compared with other healthcare departments. Thus, nurses need to be emotionally intelligent and psychologically resilient. This study used a descriptive, cross-sectional approach to explore the relationships between study variables. It was conducted in four major hospitals in Taif City. The sample included all nurses working in the emergency departments of the selected hospitals. A sample of 202 male and female nurses was conveniently selected. The study relied on self-administered questionnaires with four sections measuring demographic characteristics, emotional intelligence, psychological resilience, and intention to leave work. The study results showed that nurses possessed a high level of emotional intelligence, excelling in understanding others' emotions and using emotions for self-motivation, while their abilities in regulating emotions and self-assessment were slightly lower. Results of the psychological resilience scale also demonstrated a good ability to manage stress and crises, but some cognitive aspects, such as maintaining a positive attitude, needed improvement. Regarding intention to leave, the results showed nurses were reluctant to stay in their jobs due to concerns about pay and working conditions, as well as a lack of administrative support and insufficient opportunities for professional development. The results showed that intention to leave and emotional intelligence were strongly negatively correlated (R² = -0.735, p < 0.00001). Also, there was a negative correlation between intention to leave and psychological resilience (R² = -0.735, p < 0.00001). However, psychological resilience and emotional intelligence were positively and significantly correlated (R² = 0.699, p < 0.00001). The results highlighted that mental health and professional factors play an important role in nurses' decisions to stay or leave. The study shed important light on the factors affecting nurses' decisions to stay in or leave their jobs by thoroughly examining emotional intelligence and psychological resilience. Nurses in emergency departments need to pay attention to their mental health and factors that could affect their intention to leave their jobs.

Climate change can trigger many health problems, from air quality to water resources, from food safety to infectious diseases. Developing nurses' knowledge and skills about the effects of climate change on health can make significant contributions to efforts to protect and improve public health. The aim of the study is to examine the health problems of nursing students related to climate change and determine their awareness and behaviors. This descriptive study included 386 students. Data were collected using the Individual Identification Form and the Climate, Health, and Nursing Scale. The mean age of the participants was 21.62 ± 3.89; 70% were female, and 47% were 4th-year students. Students who were informed about climate change had higher levels of knowledge, awareness, motivation, and behavior. It was concluded that students' knowledge about climate change had a positive effect on motivation and anxiety levels; while it did not have a significant effect on knowledge and awareness dimensions. Female students have higher levels of motivation and anxiety, which may play a role in shaping gender norms' sensitivity and responses to climate change.

Understanding how women describe their birth experiences through metaphors can help healthcare teams improve their communication, emotional support, and care delivery. This study examined how first-time mothers' birth metaphors evolved over time. This prospective qualitative study used a phenomenological approach with semistructured in-depth interviews of 50 primiparous women who gave birth in Konya between March and July 2024. Interviews were conducted at the 6th-week and 6th-month postpartum. The metaphor analysis revealed over 20 metaphors that women used to describe their birth experiences. At the 6th-week postpartum, dominant themes included maternal responsibility and gendered expectations, instinct, rebirth, exaltation, and inner unrest. By the 6th-month postpartum, these themes shifted, with purification, satisfaction, leaving a trace, and duality of beauty and pain becoming more prominent. This change indicates an evolution in women's emotional processing of their birth experiences over time. While some positive perceptions persisted, the emergence of duality of beauty and pain at 6 months postpartum shows the complex nature of birth experiences. The metaphors provided insights to help midwives better support women emotionally and psychologically.

Therapeutic inertia, the failure to act when clinical care needs adjustment, has been explored in medicine but remains underdeveloped in nursing, limiting its practical and theoretical application. To clarify the concept of therapeutic inertia in nursing by identifying its defining attributes, antecedents, consequences, and empirical referents. This concept analysis was conducted using Walker and Avant's eight-step method: select a concept, determine the purpose of analysis, identify all uses of the concept, determine defining attributes, construct a model case, identify borderline and contrary cases, identify antecedents and consequences, and define empirical referents. A total of 49 articles published between 2000 and 2024 were reviewed, along with other sources. Key attributes of therapeutic inertia in nursing include delayed clinical decision-making, failure to escalate or adjust treatment despite clinical indicators, insufficient utilization of evidence-based practices, inadequate advocacy, and the presence of systemic and organizational barriers. Antecedents comprise ambiguity in clinical judgment, limited professional autonomy, absence of clear escalation protocols, and organizational constraints such as high workloads and hierarchical structures. The consequences of therapeutic inertia encompass compromised patient outcomes including worsened disease progression and increased readmissions alongside heightened clinician frustration, professional burnout, and ethical distress. This analysis provides a clarified definition of therapeutic inertia in nursing, supporting its future measurement, theoretical exploration, and integration into evidence-based practice.

The aim of the study was to validate the Spanish version of the Nursing Self-Concept Instrument (NSCI) for nursing students, while also describing its relations with clinical practice and professional quality of life (PQL). A cross-sectional survey was conducted. Analyses included the study of item-objective congruence, descriptive statistics, competitive confirmatory factor analyses, reliability estimates, and a structural model. Criterion-related validity evidence was studied by hypothesizing, estimating, and testing a mediation model. Item-objective congruence values indicated adequate content validity. Regarding dimensions, the lowest mean was found for leadership, whereas the highest was for care. The two tested models showed adequate fit. Reliability was adequate. The mediation model in which clinical experience explained the levels of nursing self-concept and PQL showed excellent overall fit. Dimensions of nursing self-concept and PQL showed adequate factor loadings. Results showed a statistically significant relation between clinical practice, nursing self-concept, and PQL. The NSCI for nursing students has adequate psychometric properties. A positive impact on PQL and the relationship between appropriate experiences and higher levels of nursing self-concept has been demonstrated.

This descriptive and correlational study aimed to investigate the relationship between preoperative levels of cyberchondria and death anxiety in liver donors. It was conducted with 158 liver transplant donors hospitalized in the organ transplant clinics of a Liver Transplant Institute in eastern Turkey. The total score for the death anxiety scale was high (9.97 ± 2.29), while the cyberchondria scale had a moderate mean total score (44.98 ± 5.86). A moderately significant positive correlation was observed between the total scores of the death anxiety and cyberchondria scales (r: 0.427, p: 0.000). The death anxiety variable was found to account for 18% of the cyberchondric tendencies observed in the donors (R²: 0.182). It was observed that individuals who became living donors while still alive and without any problems experienced high levels of death anxiety. In this situation, donors conducted their research on the internet, resulting in above-average levels of cyberchondria and the training and information provided by the transplant teams. Effective donor education and psychosocial support can reduce both death anxiety and cyberchondric tendencies in liver transplant donors.

Chinese traditional five-element music therapy (FEMT), a receptive music therapy, has remarkable effect in intervening depression symptoms among individuals with a history of stroke, yet its content for depression is often unclear. We aim to construct an evidence-based complex intervention by MRC Framework. We first established 10-person program. Then, guided by the "Clinical Training Guide for Music Therapists" theoretical framework and informed by the findings of semi-structured interviews for interview clinical medical staff including doctors and nurses, six topics were determined. Subsequent, evidence from two parts was classified and synthesized, forming 17 recommendations (15 A-level, 2 B-level). After content validity assessment, a final program with six themes of 19 items for pilot departments was developed. Finally, we compiled potentially feasible and important implementation strategies. The results offer a clear specification of the FEMT intervention for depression, providing basis for the next step of transformation and application of five-element music in clinical practice. Since our research was carried out in the Chinese context, we emphasize the need for further research to explore the applicability of our intervention in diverse cultural settings. Trial Registration: ClinicalTrials.gov identifier: ChiCTR2100053737.

To evaluate the effects of "Internet+"-based continuous nursing interventions in patients with pediatric liver transplantation. Seventy-six patients admitted between April 2019 and January 2021 were randomly divided into two groups (n = 38) using a random number table. The control group received conventional continuous nursing, whereas the observation group received "Internet+"-based continuous nursing strategies in addition to conventional care. After 4 weeks, the observation group had a lower nutritional risk rate (21.06%) than the control group (42.11%). Scores on the Caregiver Stress Index (3.65 ± 1.29) and Self-Rating Depression Scale (38.25 ± 4.32) in the observation group were substantially lower than those in the control group (7.84 ± 1.35 and 52.68 ± 4.15, respectively). The levels of albumin, prealbumin, total protein, and hemoglobin in the observation group were higher. Full adherence rates were also higher in the observation group (94.74%) than in the control group (73.68%). Postoperative complication rates were lower in the observation group (5.26%) compared with the control group (21.06%). "Internet+"-based continuous nursing improves nutritional status, reduces caregiver stress and negative emotions, enhances family adherence, and lowers postoperative complication rates in patients with pediatric liver transplantation. This approach warrants further promotion and application.