Nursing & Health Sciences最新文献

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.

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 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.

This quasi-experimental study examined the effect of ReMind (Resourcefulness + Mindfulness) behavior modification program on symptoms of depression (SoD) and long-term prognosis of patients after percutaneous coronary intervention (PCI). Four groups of quasi-experimental training were used: 12 weeks of intervention and 12 weeks of follow-up. One hundred thirty-two participants were allocated into the resourcefulness coaching group (RG), the mindfulness training group (MG), theReMind behavior modification program group (RMG), and the control group (CG) at a 1:1:1:1 ratio. The data were collected using related questionnaires. A mixed effects model was used to analyze data. Results revealed that after the intervention, compared to CG and RG, SoD was reduced and the long-term prognosis improved in RMG (least square mean difference = 19.45, 76.26; least squares mean difference = 10.99, 33.92, all p < 0.01). Three months after the intervention ended, compared to CG and MG, SoD and long-term prognosis were improved in RMG (least squares mean difference = 13.03, 53.15; least squares mean difference = 7.37, 34.19, all p < 0.05). The findings of this study provide evidence that resourcefulness coaching combined with mindfulness training can be effective in reducing SoD after PCI. Trial Registration: Chinese Clinical Trial Registry: ChiCTR2100052937.

This concept analysis explores the nature of safe sex among adolescents, offering insights to empower them in making informed sexual decisions. Using Walker and Avant's methodological framework and a scoping review approach, we conducted an extensive literature search in PubMed, SCOPUS, CINAHL-Complete, and Thai Journal Online, identifying 1414 records. After duplicate removal, 1288 records were screened, with 43 studies included in the final review. Our analysis defines safe sex by identifying its attributes, antecedents, consequences, and empirical referents. Four key attributes emerged: (1) condom use as a protective measure, (2) avoidance of substance use, (3) monogamy, and (4) effective communication. Antecedents include access to sexual health education, positive peer and parental influences, and availability of protective resources. Consequences include reduced risk of unintended pregnancies and sexually transmitted infections, as well as enhanced emotional well-being and relationship quality. Model, borderline, related, and contrary cases were developed to distinguish safe sex from related but incomplete behaviors. Findings emphasize the need for comprehensive, age-appropriate sexual health education. Healthcare providers should integrate these elements into routine adolescent health visits to promote safer sexual practices.

This study aims to investigate the mediating role of medication self-management ability in the relationship between transitional care quality and medication discrepancy among older individuals with chronic kidney disease (CKD) during the hospital-home transition. A cross-sectional study was conducted on 262 older individuals with CKD in two hospitals utilizing a general information questionnaire, medication discrepancy tool, self-administration of medication tool, and partner at care transitions measure. Data analyses were performed using IBM SPSS Statistics version 27.0, and the mediating role was scrutinized via the SPSS PROCESS 4.0 plugin. The results showed that the incidence of medication discrepancy was 79.4% at 8 weeks post-discharge. A positive correlation was found between transitional care quality and medication self-management ability (r = 0.527, p < 0.001). Negative correlations were observed between medication self-management ability and medication discrepancy (β = -0.205, OR = 0.814, p < 0.001), as well as between transitional care quality and medication discrepancy (β = -0.249, OR = 0.780, p < 0.001). It is concluded that improved transitional care quality and medication self-management ability reduce the incidence of medication discrepancies, with medication self-management ability partially mediating the role of transitional care quality in medication discrepancies.