Nursing & Health Sciences最新文献

Diabetic foot ulcers represent a serious complication of diabetes mellitus, often associated with amputations and hospitalizations. Monitoring foot temperature allows early detection of the risk of developing DFUs. This study compares foot temperature monitoring methods in patients with diabetes mellitus and assesses their applicability in the early detection of foot temperature differences. A systematic literature review was conducted following Cochrane methodology. An electronic search was carried out across multiple scientific databases. The risk of bias was assessed using the Rob2 tool, and the meta-analysis was performed using the Cochrane platform, Review Manager 5.4. Eight studies were included, seven of which met the criteria for meta-analysis. The results indicate that diabetic foot ulcers and amputations were less frequent in the temperature monitoring group compared to the control groups. The meta-analysis underscores the potential of foot temperature monitoring to prevent diabetic foot ulcers and their recurrence. Nurses should implement interventions that promote temperature monitoring and adherence to preventive measures while raising awareness of the benefits of these actions.

Limited studies have addressed health-promoting behaviors (HPBs) during survivorship among rural and urban patients with cancer in Saudi Arabia. Previous research has found a link between place of residence and HPBs but has shown inconsistent results. This study aimed to assess and compare HPBs following primary treatment between rural and urban patients with cancer and identify their differences according to sociodemographic and clinical characteristics. A descriptive, comparative, cross-sectional study was conducted among a random sample of 148 adult rural and urban patients from two large hospitals in Saudi Arabia's Western region. The Health Promoting Lifestyle Profile II (HPLP-II) and sociodemographic and clinical surveys were completed by the participants. The study methods were compliant with the STROBE checklist. Data were analyzed using descriptive and inferential statistics. The mean overall HPLP-II and domain scores were comparable between the urban and rural groups, indicating a moderate level, except for physical activity, which was low. However, the rural participants had significantly higher nutrition (t = 2.022, p < 0.05) and stress management (t = 2.033, p < 0.05) scores than the urban participants. The physical activity scores significantly varied according to age, marital status, and treatment types. The HPBs did not differ significantly between the groups (t = 0.702, p = 0.483). Given the increased emphasis on patient-centered care, initiatives to support HPBs in both populations will require more rigorous evidence. This study provides valuable insights into HPBs, cancer survivorship, and residential locations that policymakers, researchers, and healthcare providers should consider to improve HPBs in this population.

In the context of a global shortage of nursing human resources, retaining junior nurses is crucial for alleviating the nursing shortage problem. This cross-sectional study investigates the relationships among team psychological safety, organizational identification, and job embeddedness in junior nurses, specifically examining the mediating role of organizational identification. From April to September 2023, a survey was conducted on 578 junior nurses from four public tertiary comprehensive hospitals in Shangdong province, China, using the Team Psychological Safety Climate Scale, Organizational Identification Scale, and Job Embeddedness Scale. The findings predict that team psychological safety positively influences both organizational identification and job embeddedness. Additionally, organizational identification was positively correlated with job embeddedness and partially mediated the relationship between team psychological safety and job embeddedness, with a mediating effect accounting for 52.55%. This study offers valuable insights for nursing managers to enhance retention strategies for junior nurses.

Exclusive breastfeeding is the best form of nutrition due to its benefits for the infant, the mother, society, and the environment. Despite its promotion, there are still barriers to making it a reality. To understand the reasons influencing the choice and abandonment of exclusive breastfeeding in women of Christian and Muslim religious beliefs. Descriptive phenomenological qualitative study. Two groups of women, one Muslim and one Christian. Four focus groups and in-depth interviews were conducted, recorded, transcribed, and analyzed using ATLAS.ti 9.0. An inductive analysis was carried out according to Moustakas' model. All participants signed the corresponding informed consent form. This study adhered to the consolidated criteria for reporting qualitative research. Four themes were identified: (1) sociodemographic characteristics related to breastfeeding, (2) religious belief and cultural influence on breastfeeding type, (3) type of delivery and breastfeeding type, and (4) knowledge about breastfeeding and support received. The variety of existing reasons may vary according to the mothers' religious beliefs, requiring nursing interventions to be adapted to the characteristics of the women and families they serve.

This study explored operating room nurses' awareness, practices, and perceived barriers regarding environmental sustainability. The study was conducted between January and February 2025 using in-depth, semi-structured interviews with 15 operating room nurses. Data were collected using an interview form and a personal information form, employing maximum variation and snowball sampling techniques. The data were analyzed using content analysis, which yielded four main themes and 10 subthemes: (1) knowledge and awareness of environmental sustainability, (2) experiences with environmental sustainability in the operating room, (3) nurses' role in environmental sustainability, and (4) recommendations for environmental sustainability. Operating room nurses had limited awareness of environmental sustainability, revealing gaps in knowledge, support, and practices. The findings highlighted both positive and negative experiences related to sustainability practices. To improve sustainable practices, it is essential to increase awareness, expand educational opportunities, and develop institutional policies that are crucial. The limited awareness of environmental sustainability highlights the need for targeted educational programs aimed at increasing nurses' knowledge. Enhancing nurses' awareness and understanding is pivotal in implementing sustainable practices in the operating room, contributing to efficient resource utilization and benefiting both the environment and healthcare institutions.

Lymphoedema is a chronic condition caused by lymphatic dysfunction, resulting in persistent swelling. Although men are significantly affected, their experiences, particularly regarding masculine identity, remain underexplored. This UK-based study examined how men live with non-cancer-related lymphoedema, drawing on hegemonic masculinity and the Health, Illness, Men, and Masculinities (HIMM) framework. A qualitative narrative inquiry was conducted with 12 men who completed solicited diaries over 2 weeks. Thematic and structural analyses identified one overarching theme-vulnerability-and two subthemes: lymphoedema as a constant reminder of disruption, and routine as a means of control and masculine continuity. Participants described concealment, emotional strain, and social withdrawal, especially in response to stigma and misunderstanding in public and clinical settings. Many developed routines to regain autonomy, preserve identity, and express competence. Some upheld traditional masculine traits such as stoicism, while others redefined masculinity through reflection, disclosure, or relational support. These findings show how men negotiate identity in the context of chronic illness and adapt to long-term self-management. The study highlights the need for gender-sensitive care that recognizes how masculinities shape the lived experience of lymphoedema.

Dietary management is crucial in the disease management of patients with chronic kidney disease (CKD). However, there is still a lack of research on the genuine experiences and needs of patients, caregivers, and healthcare professionals involved in CKD dietary management, especially in the Chinese context. To explore the experiences and needs of Chinese patients with CKD, caregivers, and healthcare professionals regarding dietary management. A descriptive qualitative study was conducted to gather data using semi-structured in-depth interviews, with data examined by thematic analysis. A total of 36 participants were involved in the interviews. Five themes were identified in the study: (1) Dilemmas: disease threat perception; (2) Practice divide: obstacles to the implementation of the guide; (3) Disease adaptation: reconstruction of dietary identity; (4) Precision education: demand-driven educational strategies; (5) Multilevel collaboration: building support networks. These findings establish a scientific foundation for policy formulation and enhancements in medical practice. Future research should evaluate the practicality of dietary guidance frameworks and develop intelligent assistive tools to support dietary decision-making, thereby promoting sustainable improvements in patients' dietary management.

Intra-organizational workplace psychological violence has a significant impact on the physical and mental health of nurses. This study aimed to explore Chinese nurses' perceptions of intra-organizational workplace psychological violence and examine their attitudes, coping strategies, and the ramifications of such violent incidents. Semi-structured interviews were conducted with 18 nurses from a tertiary hospital in China, and the data were analyzed using the Colaizzi 7-step analysis method. Three main themes and 11 subthemes were extracted. The three themes included (a) nurses' perceptions and attitudes; (b) nurses' response ways; (c) the coexistence of positive and negative influences. Intra-organizational workplace psychological violence manifests in diverse forms and is driven by complex factors, which exert profound effects on nurses. Moreover, nurses exhibit cognitive biases and adopt different coping mechanisms to face these challenges. Consequently, the management staff needs to work toward enhancing nurses' understanding of intra-organizational psychological violence and offering effective guidance on coping strategies. By fostering a culture that encourages the reconstruction of meaning, managers can help reduce both the prevalence and negative repercussions of psychological violence in the workplace.

Continuous and systematic monitoring, evaluation, and restructuring of postgraduate nursing education-through active stakeholder engagement-has become increasingly vital. This qualitative study aimed to explore the perspectives of graduates, nurse educators, and practicing nurses concerning the competencies acquired through postgraduate nursing education. A total of 24 participants from these three stakeholder groups contributed to the research. Data were collected via tailored information forms and semistructured interview guides, and analyzed using the MAXQDA software. The findings were categorized into three main themes and 14 subthemes. The results revealed a strong alignment between the competencies expected from postgraduate education and those actually attained, while also highlighting several challenges and offering constructive recommendations. The study underscores the need to enhance postgraduate nursing education within a competency-based framework and calls for further research involving broader and more diverse populations to facilitate both national and international comparisons.