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Maternal experiences of pregnant women affected by natural disasters: A modified grounded theory approach. 受自然灾害影响的孕妇的孕产经验:改良的基础理论方法。
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-06-01 DOI: 10.1111/nhs.13135
Satoko Suzuki, Naho Sato, Misako Miyazaki

Pregnant women experience medical and psychological difficulties in their daily lives during disasters. Since the care provided to them in disaster situations is unclear, it is necessary to better understand their experiences. This study aims to identify the maternal experiences of pregnant women during natural disasters. This research employed a modified grounded theory approach. Twenty-three pregnant women, living in disaster-affected areas, were interviewed. The research methods were utilized and interpretive analysis was conducted, resulting in a diagram and storyline to describe the process. The characteristics of the maternal experiences fluctuated between "being unable to face pregnancy because of the disaster response" and "facing the fact of being pregnant." To maintain a fluctuation between their affected life and their pregnant life, it was necessary to control the weighting between "securing a safe and secure place," "encountering support based on pregnancy," and "signs from the fetus." Clarifying the maternal experiences of pregnant women living in disaster areas revealed a multilayered structure of categories and relationships. This study suggests that understanding the structure of fluctuations and control is critical for the nursing practice.

在灾害期间,孕妇在日常生活中会遇到医疗和心理方面的困难。由于在灾害情况下为她们提供的护理并不明确,因此有必要更好地了解她们的经历。本研究旨在确定自然灾害期间孕妇的母性体验。本研究采用了经过修改的基础理论方法。对 23 名生活在受灾地区的孕妇进行了访谈。采用研究方法并进行解释性分析,最终形成图表和故事情节来描述研究过程。孕产妇经历的特点在 "因救灾而无法面对怀孕 "和 "面对怀孕的事实 "之间波动。为了在受灾生活和怀孕生活之间保持波动,有必要控制 "确保安全和有保障的地方"、"遇到基于怀孕的支持 "和 "来自胎儿的迹象 "之间的权重。厘清生活在灾区的孕妇的孕产经验,揭示了一个多层次的类别和关系结构。这项研究表明,理解波动和控制的结构对于护理实践至关重要。
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引用次数: 0
Nurses' experience of end‐of‐life care for patients with COVID‐19: A descriptive phenomenology study 护士为 COVID-19 患者提供临终护理的经验:一项描述性现象学研究
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-05-01 DOI: 10.1111/nhs.13124
Yujin Kim, Dong‐Hee Kim
The mortality rates among critically ill patients with COVID‐19 have been high. The national and institutional infection control policies and resource shortages caused by the pandemic led patients to undergo deaths without dignity and inevitably changed intensive care unit (ICU) end‐of‐life care (EOLC) practices. This study explores ICU nurses' experiences of providing EOLC for patients with COVID‐19 who died. Eight nurses participated in a qualitative phenomenological study. Semi‐structured interviews were conducted from July to September 2022. Colaizzi's data analysis method was used, and the following four main themes emerged: (i) only companion in the death journey; (ii) helping families prepare for death; (iii) EOLC trapped within a framework; and (iv) EOLC in retrospect. To secure high‐quality EOLC in ICU, it is important to promote practical support for nurses and EOLC‐related discussions/education. Technical support, such as digital communication technologies, should be reinforced to help patients and their families participate in EOLC.
感染 COVID-19 的重症患者死亡率一直居高不下。国家和机构的感染控制政策以及大流行造成的资源短缺导致患者在没有尊严的情况下死亡,并不可避免地改变了重症监护病房(ICU)的临终关怀(EOLC)实践。本研究探讨了 ICU 护士为 COVID-19 死亡患者提供临终关怀的经验。八名护士参与了定性现象学研究。研究人员于 2022 年 7 月至 9 月进行了半结构化访谈。研究采用Colaizzi数据分析方法,得出以下四个主题:(i) 死亡旅程中的唯一陪伴者;(ii) 帮助家属为死亡做好准备;(iii) 被困在框架内的EOLC;(iv) 回想中的EOLC。为了确保重症监护病房中高质量的临终关怀,必须促进对护士的实际支持以及与临终关怀相关的讨论/教育。应加强技术支持,如数字通信技术,以帮助患者及其家属参与生命终结治疗。
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引用次数: 0
Experiences of families with children diagnosed with Autism Spectrum Disorder in World Health Organization Afro‐Regions: A scoping review 世界卫生组织非洲地区被诊断患有自闭症谱系障碍儿童的家庭的经历:范围界定审查
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-05-01 DOI: 10.1111/nhs.13123
Olivia Baloyi, Mary Ann Jarvis, Geldine Chironda, Pretty Mbeje, Silingene Joyce Ngcobo, Thusile Gqaleni, Euphemia Mbali Mhlongo, Winnie Baphumelele Ngcobo, Petra Brysiewicz
A scoping review on Autism Spectrum Disorder (ASD) and its impact on the families of affected children was undertaken due to insufficient information available on the diverse experiences impacting their lives. Using the Joanna Briggs Institute methodology, eligibility criteria were guided by Population (families), Concept (family experiences), and Context (African region). English‐language articles were sought from a variety of databases and search engines. The publication date of the identified articles ranged from 2003 to 2021 with most published in 2020 (n = 10), and the majority using qualitative methodologies (n = 51). Most family members involved were parents (n = 51) and their ages ranged from 18 to 75 years. The families experienced various challenges related to their child with regard to education, healthcare, and the broader community including lack of support. Family coping strategies included believing in God, attending counseling sessions, adapting, and accepting the situation. Healthcare professionals should be prepared and positioned to educate families and siblings on various aspects of ASD. There is a need for active, continued research on families within most countries of World Health Organization Afro‐region.
由于有关影响自闭症儿童生活的各种经历的信息不足,我们对自闭症谱系障碍(ASD)及其对自闭症儿童家庭的影响进行了范围界定研究。采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的方法,以人群(家庭)、概念(家庭经历)和背景(非洲地区)作为资格标准。我们从各种数据库和搜索引擎中搜索英文文章。所确定文章的出版日期从 2003 年到 2021 年不等,其中大多数发表于 2020 年(n = 10),大多数采用定性方法(n = 51)。大多数涉及的家庭成员都是父母(n = 51),年龄从 18 岁到 75 岁不等。这些家庭经历了与孩子有关的各种挑战,包括教育、医疗保健和更广泛的社区,包括缺乏支持。家庭的应对策略包括相信上帝、参加咨询课程、适应和接受现状。医疗保健专业人员应做好准备,并有能力就 ASD 的各个方面对家庭和兄弟姐妹进行教育。世界卫生组织非洲地区的大多数国家都需要对家庭进行积极、持续的研究。
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引用次数: 0
Exploring nurses' difficulties and strategies when caring for patients with dementia in a neurological ward 探讨护士在神经科病房护理痴呆症患者时遇到的困难和采取的策略
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-04-17 DOI: 10.1111/nhs.13119
Ko‐Xin Chen, Min‐Chi Pai, Wei‐Pin Hong, Chi‐Jane Wang, Jing‐Jy Wang
Nurses in neurological wards face numerous challenges when caring for patients with dementia, particularly those who also present other acute illnesses. However, studies focusing on this area are limited. This study aimed to explore the difficulties and strategies in caring for patients with dementia among nurses working in a neurological ward. A qualitative descriptive design was adopted. Twelve nurses from a neurology ward participated in individual semi‐structured interviews. The data collected through these interviews were subjected to qualitative content analysis. Two main themes emerged from the analysis: (i) various shortcomings and concerns, which include subthemes: insufficient support, worry about patient safety, inadequate care ability of the caregiver, and insufficient self‐competence, and (ii) unique clinical strategies, which include subthemes: cooperate with the caregiver, improve self‐competence in dementia care, and employ meticulous resorts. The findings highlighted the nurses' dedication to minimizing patient risks and utilizing available resources as well as stakeholders to provide optimal care. To enhance patient care quality, it is essential to support nurses by addressing care‐related barriers, offering continuous education, and establishing care pathways.
神经科病房的护士在护理痴呆症患者,尤其是同时患有其他急性疾病的患者时面临着诸多挑战。然而,针对这一领域的研究却十分有限。本研究旨在探讨在神经科病房工作的护士在护理痴呆症患者时遇到的困难和采取的策略。研究采用了定性描述设计。来自神经科病房的 12 名护士参加了个人半结构化访谈。通过访谈收集的数据进行了定性内容分析。分析得出两大主题:(i) 各种缺点和顾虑,包括副主题:支持不足、担心患者安全、护理人员护理能力不足、自我能力不足;(ii) 独特的临床策略,包括副主题:与护理人员合作、提高痴呆症护理的自我能力、采用细致的度假胜地。研究结果表明,护士们致力于将患者风险降至最低,并利用现有资源和利益相关者提供最佳护理。为了提高患者护理质量,有必要通过解决护理相关障碍、提供持续教育和建立护理路径来支持护士。
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引用次数: 0
Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross‐sectional descriptive study 新生儿重症监护室护士文化能力的生态预测因素:横断面描述性研究
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-04-12 DOI: 10.1111/nhs.13115
Na Rae Kim, Ja‐yin Lee, Jiyoung Park, Siew Tiang Lau
Active migration and globalization have led to increased opportunities for critical care nurses to care for patients from diverse racial and cultural backgrounds. This study thus aimed to identify the individual, interpersonal, and organizational factors affecting cultural competence levels among neonatal intensive care unit (NICU) nurses based on an ecological model. This was a cross‐sectional descriptive study that included 135 NICU nurses in South Korea. A hierarchical multiple linear regression analysis was conducted using the proposed ecological model, and a regression model for each of the four subdomains of cultural competence was constructed and compared. NICU nurses' cultural competencies were influenced not only by the “necessity of multicultural education” and “ethnocultural empathy” at the individual level but by the “hospital's readiness and support for cultural competencies” at the organizational level. To promote the cultural competence of nurses in critical care settings, environmental and organizational support should be improved, along with developing strategies that focus on nurses' individual characteristics. It is also necessary to investigate the “intersectionality” of the effects of individual and environmental factors on cultural competence.
积极的移民和全球化使重症监护护士有更多机会护理来自不同种族和文化背景的病人。因此,本研究以生态模型为基础,旨在确定影响新生儿重症监护室(NICU)护士文化能力水平的个人、人际和组织因素。这是一项横断面描述性研究,包括 135 名韩国新生儿重症监护室护士。研究利用所提出的生态模型进行了分层多元线性回归分析,并为文化胜任力的四个子域分别构建了回归模型并进行了比较。NICU 护士的文化胜任力不仅在个人层面受到 "多元文化教育的必要性 "和 "民族文化移情 "的影响,在组织层面也受到 "医院对文化胜任力的准备和支持 "的影响。为了提高危重症护理环境中护士的文化能力,应改善环境和组织支持,同时制定针对护士个人特点的策略。此外,还有必要研究个人和环境因素对文化能力影响的 "交叉性"。
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引用次数: 0
Trying to understand the illness: A qualitative investigation of health literacy of patients undergoing maintenance hemodialysis 试图理解疾病:对维持性血液透析患者健康知识的定性调查
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-04-12 DOI: 10.1111/nhs.13120
Berlian Ayu Rahmawati, Erna Rochmawati
Limited health literacy is high among patients with chronic kidney disease, which can pose challenges in health care. Evidence of health literacy in Indonesia, particularly regarding patients undergoing hemodialysis, is lacking. In this study, we aimed to explore health literacy in adult patients undergoing maintenance hemodialysis. An inductive qualitative study was conducted. Individual semi‐structured interviews were conducted with 10 adult patients undergoing hemodialysis, four family caregivers, and four healthcare professionals. Interviews were transcribed verbatim and analyzed thematically. Three themes emerged from the data: “Trying to understand the illness,” “searching and obtaining health information,” and “applying health information.” Understanding and accepting the illness included raising awareness of the changes in their lives and accepting these changes. Participants actively sought information from healthcare professionals and other sources and used it carefully. Behavioral changes included patients' adherence to therapy, although participants often felt bored during the illness trajectory. Understanding the illness and being willing to seek and critically evaluate health information before implementing it are important. These aspects may affect patient outcomes and require further intervention and research.
慢性肾病患者的健康知识水平有限,这可能会给医疗保健带来挑战。印尼缺乏有关健康素养的证据,尤其是有关血液透析患者的证据。本研究旨在探讨接受维持性血液透析的成年患者的健康素养。我们开展了一项归纳式定性研究。我们对 10 名接受血液透析的成年患者、4 名家庭护理人员和 4 名医疗保健专业人员进行了个人半结构化访谈。对访谈内容进行了逐字记录和专题分析。数据中出现了三个主题:"试图理解疾病"、"搜索和获取健康信息 "以及 "应用健康信息"。了解和接受疾病包括提高对生活变化的认识并接受这些变化。参与者积极从医护人员和其他渠道寻求信息,并认真加以利用。行为改变包括患者坚持治疗,尽管参与者在患病期间经常感到厌倦。在实施健康信息之前,了解疾病并愿意寻求和批判性地评估健康信息非常重要。这些方面可能会影响患者的治疗效果,需要进一步的干预和研究。
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引用次数: 0
Older persons' perceptions and experiences of community palliative care 老年人对社区姑息关怀的看法和体验
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-04-11 DOI: 10.1111/nhs.13122
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引用次数: 0
Experiences of adults living with an implantable cardioverter defibrillator for cardiovascular disease 植入式心律转复除颤器治疗心血管疾病的成年人的生活经历
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-04-11 DOI: 10.1111/nhs.13121
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引用次数: 0
The effect of education given to hemodialysis patients based on the Roy Adaptation Model on fluid management, symptom control, and quality of life 根据罗伊适应模式为血液透析患者提供的教育对液体管理、症状控制和生活质量的影响
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-04-04 DOI: 10.1111/nhs.13118
Ozlem Ozdemir, Serap Unsar
This study aimed to determine the effect of fluid management, symptom control, and quality of life on education based on the Roy Adaptation Model. This randomized controlled study was conducted with the participation of 107 patients (53 intervention, 54 control). Data were collected using the “Patient Data Collection Form,” “Fluid Control in Hemodialysis Patients Scale,” “Dialysis Symptom Index,” and “Nottingham Health Profile.” The forms were filled out through face‐to‐face interviews with the patients in the intervention and control groups at the 0th (onset), 1st, and 3rd months. The patients in the intervention group were trained with an education booklet based on the Roy Adaptation Model. The results revealed that the education given according to the Roy Adaptation Model improved the compliance with fluid control, quality of life, and symptom control of hemodialysis patients. It is recommended that education based on the Roy Adaptation Model be systematically used by hemodialysis nurses. The results are limited to the population included in the study, and further research on hemodialysis populations is needed.
本研究旨在确定液体管理、症状控制和生活质量对基于罗伊适应模式的教育的影响。这项随机对照研究有 107 名患者(53 名干预者,54 名对照者)参与。使用 "患者数据收集表"、"血液透析患者液体控制量表"、"透析症状指数 "和 "诺丁汉健康档案 "收集数据。干预组和对照组患者分别在第 0 个月(发病)、第 1 个月和第 3 个月接受面对面访谈,填写上述表格。干预组患者接受了基于罗伊适应模式的教育手册培训。结果显示,根据罗伊适应模式进行的教育提高了血液透析患者对液体控制、生活质量和症状控制的依从性。建议血液透析护士系统地使用基于罗伊适应模式的教育。研究结果仅限于研究对象,还需要对血液透析人群进行进一步研究。
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引用次数: 0
The relationship between ethnocentrism and xenophobia level and predictors: A descriptive and correlational study of nurses working in two cities where refugees live intensively in Turkey 种族中心主义与仇外心理水平之间的关系及预测因素:对在土耳其难民集中居住的两个城市工作的护士进行的描述性和相关性研究
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-04-03 DOI: 10.1111/nhs.13107
İpek Köse Tosunöz, Ebru Öztürk Çopur
Determining the ethnocentrism and xenophobia levels of nurses contributes to nurses' awareness regarding their attitudes on the issue and providing quality care. This descriptive and correlational study aimed to determine the relationship between ethnocentrism and xenophobia levels of nurses working in hospitals located in two different border regions where refugees live intensively in Turkey. The study was conducted with 386 nurses who were working in two different hospitals located in two cities in the south of Turkey. Data were collected using the “Personal Information Form,” “Ethnocentrism Scale,” and “Xenophobia Scale.” About half of the nurses did not want to care for foreign patients. There was a positive and statistically significant relationship between mean scores of the Ethnocentrism Scale and the Xenophobia Scale (p < 0.05). The regression analysis indicated that the level of ethnocentrism explains the level of xenophobia by 9%. Nurses had a high level of xenophobia and moderate ethnocentric attitudes. The level of xenophobia increased as the ethnocentrism level of nurses increased. It is recommended to conduct further studies to determine different predictors of xenophobia among nurses.
确定护士的种族中心主义和仇外心理水平有助于护士了解自己对这一问题的态度并提供优质护理服务。这项描述性和相关性研究旨在确定在土耳其难民集中居住的两个不同边境地区的医院工作的护士的种族中心主义和仇外心理水平之间的关系。研究对象是在土耳其南部两个城市的两家不同医院工作的 386 名护士。研究使用 "个人信息表"、"种族中心主义量表 "和 "仇外心理量表 "收集数据。结果显示,约有一半的护士不愿意照顾外国病人。种族中心主义量表 "和 "排外主义量表 "的平均得分之间存在着积极的统计学关系(p < 0.05)。回归分析表明,民族中心主义水平可解释 9% 的排外水平。护士的排外程度较高,民族中心主义态度一般。随着护士种族中心主义水平的提高,排外水平也随之提高。建议开展进一步研究,以确定护士仇外心理的不同预测因素。
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引用次数: 0
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