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Identifying the impact of audit and feedback on the professional role of the nurse and psychological well-being: An integrative systematic review. 确定审计和反馈对护士专业角色和心理健康的影响:综合系统回顾。
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-03-01 DOI: 10.1111/nhs.13095
Gabriella Michl, Kasia Bail, Murray Turner, Catherine Paterson

This systematic review aimed to critically synthesis evidence to identify the impact that audit and feedback processes have on the professional role of the nurse and psychological well-being. Little is known about the extent to which audit and feedback processes can positively or negatively impact the professional role of the nurse and psychological well-being. An integrative systematic review was conducted. Covidence systematic review software was used to manage the screening process. Data extraction and methodological quality appraisal were conducted in parallel, and a narrative synthesis was conducted. Nurse participation and responsiveness to audit and feedback processes depended on self-perceived motivation, content, and delivery; and nurses viewed it as an opportunity for professional development. However, audit was reported to negatively impact nurses' psychological well-being, with impacts on burnout, stress, and demotivation in the workplace. Targeting framing, delivery, and content of audit and feedback is critical to nurses' satisfaction and successful quality improvement.

本系统综述旨在对证据进行批判性综合,以确定审计和反馈流程对护士专业角色和心理健康的影响。人们对审计和反馈流程在多大程度上会对护士的职业角色和心理健康产生积极或消极影响知之甚少。我们进行了一项综合性系统综述。Covidence 系统综述软件用于管理筛选过程。数据提取和方法质量评估同时进行,并进行了叙述性综合。护士对审核和反馈过程的参与度和响应度取决于自我感觉的动机、内容和实施情况;护士将其视为专业发展的机会。然而,据报告,审计对护士的心理健康产生了负面影响,对工作场所的职业倦怠、压力和积极性都有影响。有针对性地制定审计和反馈的框架、交付和内容对于护士的满意度和成功的质量改进至关重要。
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引用次数: 0
Discursive analysis of nursing care toward childhood fever and its contextual differences: An ethnomethodological study. 儿童发烧护理的话语分析及其背景差异:人种学研究。
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-03-01 DOI: 10.1111/nhs.13110
Francisco Vicens-Blanes, Jesús Molina-Mula, Rosa Miró-Bonet

Fever is the most common clinical sign during infancy. Nurses deal with fever in children most directly and it is an integral aspect of their role as pediatric nurses. The objective of this study is to analyze the perceptions, knowledge and attitudes toward childhood fever of nurses in three health contexts: pediatric hospitalization, pediatric emergency and primary care. To respond this objective, a qualitative study with ethnomethodological approach has been carried out. In-depth interviews were conducted and theoretical clinical cases were presented to nurses working in pediatrics in the three settings studied. After the analysis of the discourses, the codes were classified into three categories: static and number-centric knowledge, dependent nursing attitude, and unconscious model nurses. On the one hand, when we analyze and compare the perceptions, attitudes and knowledge of the nurses between the different contexts, we find differences that consist mainly of what the context requires of them. On the other hand, in general and regardless of the context, the nurses interviewed place themselves in a traditional framework when faced with the phenomenon of fever in children.

发烧是婴儿期最常见的临床症状。护士最直接地处理儿童发烧问题,这也是她们作为儿科护士不可或缺的角色。本研究旨在分析护士在儿科住院、儿科急诊和初级保健这三种医疗环境中对儿童发热的看法、知识和态度。为实现这一目标,本研究采用人种学方法开展了一项定性研究。研究人员进行了深入访谈,并向在所研究的三种环境中工作的儿科护士介绍了理论临床案例。在对话语进行分析后,将代码分为三类:静态和以数字为中心的知识、依赖性护理态度和无意识模式护士。一方面,当我们分析和比较不同环境下护士的观念、态度和知识时,我们发现差异主要在于环境对护士的要求不同。另一方面,总的来说,无论在何种情况下,受访护士在面对儿童发烧现象时都将自己置于传统的框架中。
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引用次数: 0
Prediction of liver metastasis and recommended optimal follow-up nursing in rectal cancer 直肠癌肝转移预测和推荐的最佳随访护理
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-02-25 DOI: 10.1111/nhs.13102
Yilin Yu, Junxin Wu, Haixia Wu, Jianjian Qiu, Shiji Wu, Liang Hong, Benhua Xu, Lingdong Shao
We aimed to analyze and investigate the clinical factors that influence the occurrence of liver metastasis in locally advanced rectal cancer patients, with an attempt to assist patients in devising the optimal imaging-based follow-up nursing. Between June 2011 and May 2021, patients with rectal cancer at our hospital were retrospectively analyzed. A random survival forest model was developed to predict the probability of liver metastasis and provide a practical risk-based approach to surveillance. The results indicated that age, perineural invasion, and tumor deposit were significant factors associated with the liver metastasis and survival. The liver metastasis risk of the low-risk group was higher at 6–21 months, with a peak occurrence time in the 15th month. The liver metastasis risk of the high-risk group was higher at 0–24 months, with a peak occurrence time in the 8th month. In general, our clinical model could predict liver metastasis in rectal cancer patients. It provides a visualization tool that can aid physicians and nurses in making clinical decisions, by detecting the probability of liver metastasis.
我们旨在分析和研究影响局部晚期直肠癌患者发生肝转移的临床因素,以帮助患者制定基于影像学的最佳随访护理方案。2011年6月至2021年5月期间,本院对直肠癌患者进行了回顾性分析。我们建立了一个随机生存森林模型来预测肝转移的概率,并提供了一种实用的基于风险的监测方法。结果表明,年龄、神经周围侵犯和肿瘤沉积是与肝转移和生存相关的重要因素。低风险组的肝转移风险在6-21个月时较高,在第15个月时达到高峰。高危组的肝转移风险在0-24个月时较高,高峰期出现在第8个月。总的来说,我们的临床模型可以预测直肠癌患者的肝转移。它提供了一种可视化工具,通过检测肝转移的概率,帮助医生和护士做出临床决策。
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引用次数: 0
A latent profile analysis of resilience and the associations with flourishing in emergency nurses exposed to workplace violence in China 对遭受工作场所暴力的中国急诊护士的复原力及其与蓬勃发展的关系的潜在特征分析
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-31 DOI: 10.1111/nhs.13085
Zhiling Chen, Ningyuan Guo, Tangyu Chen, Liwen Liao, Sanlian Hu, Lin Wang
Workplace violence (WPV) exposure has been particularly prevalent in emergency nurses, coupled with negative mental health outcomes. Few explored resilience after WPV exposure using the perspective of positive mental health. We aimed to identify latent profiles of resilience and examine associations with flourishing in emergency nurses with WPV exposure. A total of 1241 Chinese emergency nurses were surveyed on the frequency of WPV exposure, resilience, and flourishing. Eight hundred and twenty five participants (90.1% female, 86.6% aged 20–39) reported WPV exposure at least once in the past 3 months. Latent profile analysis identified profiles of resilience as low resilience (15.0%), moderate decision respond and interpersonal link with low rational thought and flexible adaption (18.0%), moderate resilience (31.0%), high decision respond, interpersonal link, and rational thought with moderate flexible adaption (16.0%), and high resilience (20.0%). Higher flourishing was observed in profiles of moderate resilience, high decision respond, interpersonal link, and rational thought with moderate flexible adaption, and high resilience. We differentiated profiles of resilience and the associations with flourishing in emergency nurses with WPV exposure, which informed targeted interventions for promoting positive mental health.
在急诊护士中,遭受工作场所暴力(WPV)的情况尤为普遍,同时还伴随着负面的心理健康结果。很少有人从积极心理健康的角度探讨遭受 WPV 后的恢复力。我们的目的是识别抗逆力的潜在特征,并研究其与遭受 WPV 的急诊护士的蓬勃发展之间的关联。我们对 1241 名中国急诊护士进行了调查,内容包括接触 WPV 的频率、复原力和蓬勃发展。有 825 名参与者(90.1% 为女性,86.6% 年龄在 20-39 岁之间)表示在过去 3 个月中至少接触过一次 WPV。通过潜特征分析发现,复原力特征为低复原力(15.0%)、中度决策反应和人际联系与低理性思维和灵活适应(18.0%)、中度复原力(31.0%)、高决策反应、人际联系和理性思维与中度灵活适应(16.0%)以及高复原力(20.0%)。在中度抗逆力、高决策反应、人际联系、理性思维与中度灵活适应以及高度抗逆力的人群中,观察到较高的蓬勃发展程度。我们对接触过 WPV 的急诊护士的抗逆力特征及其与蓬勃发展的关联进行了区分,从而为促进积极心理健康的针对性干预措施提供了依据。
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引用次数: 0
The relationship between perceived teacher autonomy support, perceived competence in learning, and academic performance among nursing students 护理专业学生感知到的教师自主支持、感知到的学习能力与学习成绩之间的关系
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-29 DOI: 10.1111/nhs.13090
Abdulaziz Mofdy Almarwani, Fadiyah Jadid Alanazi, Hadeel Tayeb Lamphon, Sanaa Awwad Alsulami
Perceived teacher autonomy support in nurse education remains understudied in the literature. This study examined the relationship between students' perceived teacher autonomy support, perceived competence in learning, and academic performance. A cross-sectional correlation descriptive design was used for 225 participants, undergraduate nursing students studying in Saudi Arabia. Perceived teacher autonomy support, perceived competence in learning, and academic performance were measured using the Learning Climate Questionnaire, Perceived Competence Scale for Learning, and student grade point average, respectively. The results revealed a high level of perceived teacher autonomy support and perceived competence in learning among the nursing students, with students in the internship year (final year) reporting higher perceived teacher autonomy support than students in other years. There was a strong positive correlation between perceived teacher autonomy support and perceived competence in learning. Further, students' perceived teacher autonomy support predicted their academic performance, indicating that those with high perceived teacher autonomy support were more likely to have a higher grade point average. Nurse educators must prioritize student autonomy support for better learning and performance, especially upon enrollment in a nursing program.
文献中对护士教育中感知到的教师自主支持的研究仍然不足。本研究探讨了学生感知到的教师自主支持、感知到的学习能力和学习成绩之间的关系。本研究采用横截面相关描述性设计,共有 225 名参与者,均为在沙特阿拉伯学习的护理专业本科生。分别使用学习氛围问卷、感知学习能力量表和学生平均学分绩点对感知到的教师自主支持、感知到的学习能力和学习成绩进行了测量。结果显示,护理专业学生的感知教师自主支持和感知学习能力水平较高,其中实习年级(最后一年)学生的感知教师自主支持水平高于其他年级学生。感知到的教师自主支持与感知到的学习能力之间存在很强的正相关。此外,学生感知到的教师自主支持预示着他们的学业成绩,表明那些感知到教师自主支持较高的学生更有可能获得较高的平均学分绩点。护士教育者必须优先考虑学生的自主支持,以提高学生的学习成绩和表现,尤其是在护理专业入学时。
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引用次数: 0
The association between team cohesion and performance: A network analysis of nurses 团队凝聚力与绩效之间的关系:护士网络分析
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-29 DOI: 10.1111/nhs.13089
Huimin Wei, Simeng Zhang, Wenran Qu, Mengqi Liu, Zeping Yan, Xiaorong Luan
Team cohesion, as a necessary condition for the cooperation and development of a team, has been shown to have a strong association with team performance. However, the mechanism of this internal correlation is unclear and more in-depth studies are lacking. The study aimed to explore the complex links between the dimensions of team cohesion and performance in nurses. A total of 1639 practice nurses from 118 nursing teams were included in this cross-sectional study. Data were collected using the Team Cohesion Scale (including consistency of affection, behavior, and cognition) and the Team Effectiveness Scale (including cooperation satisfaction, and task performance). Using network analysis, the team cohesion and performance network was constructed, and the strength and bridge strength of nodes were calculated. The results showed that the edges between team cohesion and performance dimensions were all positively correlated. Cooperation satisfaction and consistency of affection are the core variables in the network. Interventions targeting cooperation satisfaction and consistency of affection need to be developed at the team level to maximize team cohesion and performance among nurses.
团队凝聚力作为团队合作与发展的必要条件,已被证明与团队绩效有着密切的联系。然而,这种内部关联的机制尚不清楚,也缺乏更深入的研究。本研究旨在探索护士团队凝聚力与绩效之间的复杂联系。这项横断面研究共纳入了来自 118 个护理团队的 1639 名执业护士。研究使用团队凝聚力量表(包括感情、行为和认知的一致性)和团队效率量表(包括合作满意度和任务绩效)收集数据。通过网络分析,构建了团队凝聚力与绩效网络,并计算了节点强度和桥接强度。结果表明,团队凝聚力与绩效维度之间的边均呈正相关。合作满意度和感情一致性是网络中的核心变量。需要在团队层面制定针对合作满意度和感情一致性的干预措施,以最大限度地提高护士的团队凝聚力和绩效。
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引用次数: 0
An application of the reasoned action approach to clinical students' intention toward a career in geriatrics 将合理行动法应用于临床学生对老年医学职业的意向研究
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-21 DOI: 10.1111/nhs.13076
Grace Karikari, David K. Lohrmann, Lesa Huber, Margaret Adamek, Oghenekaro Omodior
Guided by the reasoned action approach, this study examined select individual, information, and social factors that influence intention toward pursuing a career in geriatrics among 314 clinical medical and nursing students in Ghana. A Poisson regression showed attitude toward older persons was a significant influencing factor of intention to choose a career in geriatrics for medical students (B = 0.015, SE = 0.0048, p = 0.002) but not nursing students (B = 0.009, SE = 0.0145, p = 0.512). Personal interest was, however, a significant influencing factor for both medical and nursing students (B = 0.462, SE = 0.0592, p = 0.000) and (B = 0.015, SE = 0.0048, p = 0.002), respectively. Nursing students with moderate to strong interest were 1.6 times more likely to express an intention to specialize in geriatrics, and medical students were 1.5 times more likely to express an intention to specialize in geriatrics. The results show that the most important factor influencing geriatric career intention is students' personal interest in the field. Evidence-based interventions such as early educational and practice exposure to the field and interactions with older adults are recommended.
在合理行动法的指导下,本研究对影响加纳 314 名临床医学和护理专业学生从事老年医学职业意向的特定个人、信息和社会因素进行了研究。泊松回归显示,对老年人的态度是医科学生选择老年医学职业意向的重要影响因素(B = 0.015,SE = 0.0048,p = 0.002),但不是护理专业学生的重要影响因素(B = 0.009,SE = 0.0145,p = 0.512)。然而,个人兴趣对医学生和护理学生分别是一个重要的影响因素(B = 0.462,SE = 0.0592,p = 0.000)和(B = 0.015,SE = 0.0048,p = 0.002)。具有中度到强烈兴趣的护理专业学生表示有意专攻老年医学的可能性是其他专业学生的 1.6 倍,而医科学生表示有意专攻老年医学的可能性是其他专业学生的 1.5 倍。结果表明,影响老年医学职业意向的最重要因素是学生个人对该领域的兴趣。建议采取以证据为基础的干预措施,如在早期教育和实践中接触该领域并与老年人互动。
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引用次数: 0
Comparative efficacy of energy-restricted dietary interventions in overweight and obese populations: A systematic review and network meta-analysis 能量限制饮食干预对超重和肥胖人群的疗效比较:系统回顾和网络荟萃分析
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-16 DOI: 10.1111/nhs.13083
Jun Zhao, Xincheng Duan, Longwei Zhang, Xuelian Zhao, Jingyu Yang, Na Sun, Wenxiao Zhao
This meta-analysis compared the effectiveness of different energy-restricted diets on body composition, glucose metabolism, and lipid metabolism in overweight and obese populations. Five databases were searched to identify relevant studies in English from inception until July 20, 2023, for randomized controlled trials of at least 2 weeks duration assessing the effects of continuous energy-restricted diets compared with any intermittent energy-restricted diet in obesity adults. The risk of bias was assessed using the Cochrane Risk of Bias Tool version 2.0, while the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system was used to assess the certainty of the evidence. A non-informative prior distribution Bayesian network meta-analysis was conducted. Thirty-eight studies (3039 participants) assessing four energy-restricted diets were included. Three RCTs were at high risk of bias with a very low to moderate certainty of evidence. Combined with pairwise comparisons and surface under the cumulative ranking curve, alternate-day fasting may be the best energy restriction regimen with the potential to have the most beneficial effects on various aspects of the obesity population. More rigorously designed and long-term follow-up studies are warranted.
这项荟萃分析比较了不同能量限制饮食对超重和肥胖人群的身体组成、葡萄糖代谢和脂质代谢的效果。研究人员检索了五个数据库,以确定从开始到 2023 年 7 月 20 日的相关英文研究,其中包括至少持续两周的随机对照试验,这些试验评估了持续性能量限制饮食与任何间歇性能量限制饮食对肥胖成年人的影响。采用 Cochrane Risk of Bias Tool 2.0 版评估偏倚风险,同时采用建议、评估、发展和评价分级(GRADE)系统评估证据的确定性。进行了非信息先验分布贝叶斯网络荟萃分析。共纳入 38 项研究(3039 名参与者),评估了四种能量限制饮食。三项 RCT 存在高偏倚风险,证据确定性为极低至中等。结合成对比较和累积排名曲线下表面,隔日禁食可能是最佳的能量限制方案,有可能对肥胖人群的各个方面产生最有益的影响。还需要进行更严格的设计和更长期的跟踪研究。
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引用次数: 0
The association between fear of childbirth and social support through the Internet and Social Networking Services in pregnant women: A cross-sectional study 孕妇对分娩的恐惧与通过互联网和社交网络服务获得的社会支持之间的关系:横断面研究
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-16 DOI: 10.1111/nhs.13082
Seto Natsuki, Emi Tahara-Sasagawa, Kaori Yonezawa, Hikita Naoko, Yuriko Usui, Megumi Haruna
Social support is an important factor in reducing fear of childbirth (FOC). Recently, the Internet and Social Networking Services (SNS) have become new forms of social support. However, it is unclear whether such support can reduce pregnant women's fear. This study aimed to investigate the association between FOC and social support through the Internet and SNS in pregnant women. A cross-sectional study using a web-based questionnaire including questions about FOC, social support, the Internet and SNS usage, psychological variables, and sociodemographic variables was conducted. Data from 111 participants were analyzed. A greater number of social support from people who are often seen during pregnancy, and becoming relieved by interaction with others through the Internet and SNS were negatively associated with FOC. This study showed that face-to-face social support was associated with lower FOC, while social support through the Internet and SNS was not. Further research is needed on how to use Internet and SNS to reduce FOC in pregnant women.
社会支持是减少分娩恐惧(FOC)的一个重要因素。最近,互联网和社交网络服务(SNS)已成为新的社会支持形式。然而,这种支持是否能减轻孕妇的恐惧还不清楚。本研究旨在通过互联网和社交网络服务调查孕妇分娩恐惧与社会支持之间的关系。本研究采用网络问卷进行横断面研究,问卷内容包括FOC、社会支持、互联网和SNS使用情况、心理变量和社会人口变量等问题。对 111 名参与者的数据进行了分析。结果表明,在怀孕期间获得更多经常见面的人的社会支持,以及通过互联网和社交网络服务与他人互动来缓解焦虑与焦虑症呈负相关。这项研究表明,面对面的社会支持与较低的 FOC 相关,而通过互联网和社交网络服务获得的社会支持则与之无关。如何利用互联网和社交网络服务来降低孕妇的 FOC 还需要进一步研究。
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引用次数: 0
Establishing the feasibility and preliminary efficacy of a health belief model based educational training program on health belief perceptions and dementia-preventive behaviors in people with type 2 diabetes 确定基于健康信念模式的教育培训计划对 2 型糖尿病患者的健康信念认知和痴呆症预防行为的可行性和初步疗效
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-16 DOI: 10.1111/nhs.13081
Noppamas Pipatpiboon, Jirapas Sripetchwandee, Nut Koonrungsesomboon, Pataporn Bawornthip, Daniel Bressington
This quasi-experimental study evaluated feasibility and preliminary efficacy of dementia-preventive educational training intervention program based on the health belief model for improving perceived health beliefs and dementia-preventive behaviors among people with type 2 diabetes mellitus. Two community hospitals with 72 eligible participants were chosen from 12 local institutions using simple random sampling method. One hospital (22 patients) was allocated to dementia-preventive educational training intervention, and the other hospital (23 patients) was allocated to control intervention (using simple random sampling). Primary study outcome was feasibility, and secondary outcomes were changes in dementia prevention behaviors and health belief perceptions. Recruitment rate was 62.5% (45/72) and 22 patients in each group totally completed outcome measures and attended sessions, indicating feasibility of the intervention and study design. There were no significant differences between groups at baseline. After training, participants in the intervention group had significantly higher scores than control group in prevention behaviors and perceptions of health beliefs. The intervention group experienced significant with-group changes in outcomes. Results show that conducting a subsequent fully powered experimental study is feasible, and the intervention has promising efficacy.
这项准实验研究评估了基于健康信念模型的痴呆症预防教育培训干预项目在改善2型糖尿病患者的健康信念感知和痴呆症预防行为方面的可行性和初步疗效。研究采用简单随机抽样方法,从当地 12 家机构中选择了两家社区医院,共 72 名符合条件的参与者。其中一家医院(22 名患者)被分配到痴呆预防教育培训干预项目中,另一家医院(23 名患者)被分配到对照干预项目中(采用简单随机抽样法)。研究的主要结果是可行性,次要结果是痴呆症预防行为和健康观念的变化。招募率为 62.5%(45/72),各组中均有 22 名患者完成了结果测量并参加了治疗,这表明干预措施和研究设计是可行的。基线时各组之间无明显差异。培训后,干预组参与者在预防行为和健康信念认知方面的得分明显高于对照组。干预组的结果与对照组相比有明显变化。研究结果表明,进行后续的完全有效的实验研究是可行的,而且干预措施具有良好的效果。
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引用次数: 0
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Nursing & Health Sciences
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