Nursing & Health Sciences最新文献

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.

This study evaluated the effectiveness of an integrated adaptation support program (IASP) for new nurses using Kirkpatrick's model. The program addresses psychological discomfort and field adaptation challenges faced during the transition from student to professional nurse. This study employed a single-group repeated-measures design, assessing new nurses over a 12-month period. The program included regular mentoring, stress management training, and clinical performance evaluations. Data were collected at multiple intervals to measure psychological discomfort, clinical knowledge, self-efficacy, performance, and intention to stay. The IASP significantly reduced psychological discomfort and enhanced clinical knowledge. However, self-efficacy showed limited improvement, and while clinical performance increased, field adaptation decreased over time, likely due to workload, organizational challenges, and reduced social support. Job performance improved, but organizational commitment decreased. Education and training performance, along with the intention to stay, declined over the study period. The IASP effectively improved psychological and clinical competencies but revealed the complexities of new nurses' field adaptation and organizational commitment. Sustained, multifaceted support is crucial for long-term retention, and further multicenter studies with qualitative research are recommended to validate these results.

To evaluate the effectiveness of a comprehensive nursing intervention program combining enhanced infection control measures with structured respiratory function training for patients with leukemia and respiratory infections during chemotherapy. 400 adult patients with leukemia in our hospital from May 2023 to June 2024 were randomly assigned to an intervention group or a control group. The intervention group received an enhanced nursing care program, while the control group received standard care. Evaluated outcomes included respiratory function parameters, infection control indicators, quality of life, and patient satisfaction, etc. The intervention group showed significant improvements in respiratory function parameters compared to the control group. Healthcare-associated infection rates were significantly lower in the intervention group. The intervention group demonstrated shorter hospital stays, reduced antibiotic duration, and lower inflammatory marker levels. Quality of life scores showed greater improvements in the intervention group. Protocol adherence was high (> 90%) across all centers. Comprehensive nursing intervention combining enhanced infection control measures with structured respiratory function training effectively improves clinical outcomes, reduces complications, and enhances quality of life in patients with leukemia and respiratory infections during chemotherapy.

This project aims to examine the effect of pediatric virtual patients (VPs) on audiology students' perception of self-efficacy and characterize student reflections of using pediatric VPs. A mixed methods convergent parallel design was employed for this study. To measure the effect of VPs on self-efficacy the learning self-efficacy scale (L-SES) for clinical skills was used. A thematic analysis of open-ended survey questions was completed to establish student reflections. A total of 92 first-year Master of Clinical Audiology students from two cohorts participated, with 38 completing both pre- and post-VP L-SES. Statistically significant changes in self-efficacy were seen for cognitive and psychomotor domains. Five themes were established: Gaining experience, feedback for learning, time and place, usability considerations and recommendations for future applications. This study indicates that the use of pediatric behavioral hearing assessment VPs can drive gains in self-reported self-efficacy in cognitive and psychomotor domains. Gains to affective self-efficacy improvements are likely harmed by usability issues. These findings add to a growing evidence base on the educational value of VPs as it relates to self-efficacy within audiology and the wider health care field.

This study aims to compare the differences in professional environment, job characteristics, and feelings of powerlessness between nurses and nurse aides (NAs) in residential long-term care institutions, and to analyze the predictors of powerlessness. This study employed a comparative and correlational design, utilizing convenience sampling. Participants were recruited from 24 residential long-term care institutions in central Taiwan between April 2023 and March 2024. The research tools included a Practice Environment Survey Scale, a Work Design Questionnaire, and a Powerlessness Scale. A total of 338 participants (156 nurses and 182 NAs) took part in this study. Both nurses and NAs reported moderate to low levels of powerlessness, with average scores of 42.18 and 37.07, respectively. However, nurses experienced more powerlessness than NAs (t = 3.046, p = 0.003). Hierarchical regression analysis indicated that professional environment (β = -0.381, p < 0.01) and job characteristics (β = -0.285, p = 0.005) were significant predictors of powerlessness among nurses, explaining 41.7% of the variance. In contrast, the only predictor of powerlessness for NAs was the professional environment (β = -0.695, p < 0.001), which explained 42.4% of the variance.

Professional readiness is essential for newly graduated nurses to effectively transition into clinical practice and deliver quality patient care. This cross-sectional study examined the factors influencing professional readiness among 206 senior nursing students at a public university in Southeastern Turkey. Data were collected using the Descriptive Information Form, Nursing Professional Commitment Scale (NPCS), Nursing Professional Values Scale (NPVS), and the Nursing Professional Readiness Perception Scale (NPRPS). Statistical analyses, including t tests, ANOVA, and path analysis, were conducted. Female students showed significantly higher levels of professional readiness and values compared to male students (p < 0.001). Income level and motivations for choosing nursing were also found to significantly impact readiness. On path analysis, professional commitment (β = 0.35, p < 0.05) and professional values (β = 0.349, p < 0.05) emerged as significant predictors of readiness, jointly explaining 34% (R² = 0.34) of its variance. These findings underscore the importance of fostering professional commitment and values in nursing education to support students' readiness for clinical roles and enhance professional development.

To systematically evaluate the effectiveness of exercise in improving anthropometric parameters, metabolic parameters, reproductive function, cardiopulmonary function, and quality of life in women with polycystic ovary syndrome. A comprehensive search was conducted in 10 databases, covering the period from database inception to December 2024. Only randomized controlled trials were included. Study quality was assessed using the Cochrane risk of bias tool. Meta-analysis was performed using RevMan 5.3. This study followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Fifteen randomized controlled trials were included after peer review. Meta-analysis demonstrated that exercise had a significant effect on body mass index, waist-to-hip ratio, homeostatic model assessment for insulin resistance, fasting insulin, low-density lipoprotein cholesterol, cardiorespiratory function, and quality of life compared with the control group. However, no significant effects were found on reproductive function. Exercise had the potential to improve anthropometric parameters (body mass index and waist-to-hip ratio), metabolic parameters (homeostatic model assessment for insulin resistance, fasting insulin, and low-density lipoprotein cholesterol), cardiorespiratory function (peak oxygen uptake), and quality of life in women with polycystic ovary syndrome.

This study aimed to identify the mediating effects of depression, anxiety, and health promoting behaviors (HPB) on the relationship between dyadic types and quality of life (QoL) in patients with stroke. This study used a cross-sectional correlational study design. Participants were 147 dyads (outpatients and their caregivers) from the department of neurology at a university hospital in Seoul, South Korea. The dyadic types were collaborative-oriented (37.4%), patient-oriented (32.7%), incongruent (20.4%), and caregiver-oriented (9.5%). The caregiver-oriented type had higher depression and anxiety scores, and the collaborative-oriented type had higher HPB. Patient- and collaborative-oriented types had higher QoL. In a hierarchical regression analysis, the factors influencing QoL were language deficit, modified Rankin Scale score, hyperlipidemia, depression, and HPB. In addition, depression, anxiety, and HPB had partial mediating effects on the relationship between dyadic type and QoL. Therefore, the dyadic type should be evaluated together when evaluating QoL along with depression, anxiety, and health-promoting behaviors, since the dyadic type influences QoL. In addition, interventions considering dyadic type are required, and these strategies may contribute to improving HPB and QoL in patients with stroke.

To systematically synthesize the existing qualitative evidence on the experiences and attitudes of nurses toward nursing robots. We searched six English databases (PubMed, Web of Science, CINAHL, Embase, Cochrane Library, PsycINFO) and four Chinese databases (CNKI, Wanfang Data, VIP, CBM) from their inception to May 2024. The JBI Critical Appraisal Checklist for Qualitative Research was used to critically appraise studies. The methodology used in this review was thematic synthesis. Qualitative data were extracted, summarized, and synthesized. From the included 16 articles, 49 research results were extracted, summarized into 15 categories, and further synthesized into five integrated results. The five integrated results were as follows: (1) benefits of using nursing robots; (2) attitudes toward the use of nursing robots; (3) challenges of using nursing robots; (4) needs for further improvement of nursing robots; and (5) expectations of external support systems. Nurses generally hold a positive attitude toward nursing robots, despite various needs and challenges. In the future, nurses should collaborate on robot design and be aware of the ethical concerns and potential risks associated with utilizing nursing robots.

Clinical networks have emerged as an innovative strategy for improving the continuity of care and communications between teams, particularly in large, multisite organizations. This paper reports on the development and implementation of clinical specialty networks within a state-wide hospital service operating 11 facilities across Queensland, Australia. Following a merger of facilities and services, the organization faced significant challenges, including fragmented communication, inconsistent clinical practices, and a lack of shared learnings. In response, a quality improvement initiative, informed by the Consolidated Framework for Implementation Research, was introduced to establish structured specialty clinical networks to promote wider collaboration, standardization of care practices, and enhanced knowledge sharing. This discussion paper reports the processes involved in creating these networks, the strategies employed to ensure their success, and the mechanisms used to evaluate their impact. Additionally, the paper reports on the alignment of these networks with value-based healthcare principles, particularly in improving patient outcomes, reducing inefficiencies, and fostering a unified clinical vision across the organization. The findings highlight the potential of clinical networks to drive improvements in both clinical practice and organizational efficiency in complex healthcare settings.