Pub Date : 2024-09-13DOI: 10.1101/2024.09.10.24313393
Christina Athanasia Sampani, Georgios Koukoulitsios, Athanasia Liveri, Dimitrios Papageorgiou
Aim:The aim of this study was to evaluate the quality of sleep in critically ill patients in the Intensive Care Unit (ICU). Method and Material:This study investigated the night-time sleep of 135 patients admitted to the general ICU of the General Hospital of Athens G. Gennimatas between January 2021 and December 2023. Data were collected using the Richards Campbell Sleep Questionnaire (RCSQ). Sensory stimuli, including noise, light, nursing activities, and invasive procedures, were reduced during the night to improve patients sleep. Measures to reduce light included implementing special lighting during nursing tasks and using bedside lamps during care. Noise reduction strategies involved closing doors, minimizing monitor alarms, and discouraging staff from speaking near patient beds. Grouping patient care activities was also promoted to limit sleep disturbances. Results:Patients in the intervention group showed improved sleep quality compared to the control group, with a significant overall RCSQ score (p<0.05). Gender and age did not significantly affect sleep quality. However, hospital stay duration differed between groups, with the control group experiencing shorter stays. A negative correlation was observed between the duration of hospitalization and sleep quality, with longer stays linked to lower RCSQ scores. Additionally, extended mechanical ventilation was associated with poorer sleep quality. Conclusion: Patients in the ICU often exhibit abnormal levels of alertness, poor quality of daytime sleep, disrupted nighttime sleep, and sleep patterns that lack both slow-wave and rapid eye movement (REM) sleep. Gaining a deeper understanding of the role circadian rhythms play in managing critical illness could pave the way for future chronotherapeutic strategies, enhancing clinical outcomes and promoting recovery for patients. Keywords: Intensive care unit, sleep quality, circadian rhythm
{"title":"SLEEP QUALITY AND CIRCADIAN RHYTHM DISRUPTION IN CRITICALLY ILL PATIENTS IN INTENSIVE CARE UNIT","authors":"Christina Athanasia Sampani, Georgios Koukoulitsios, Athanasia Liveri, Dimitrios Papageorgiou","doi":"10.1101/2024.09.10.24313393","DOIUrl":"https://doi.org/10.1101/2024.09.10.24313393","url":null,"abstract":"Aim:The aim of this study was to evaluate the quality of sleep in critically ill patients in the Intensive Care Unit (ICU).\u0000Method and Material:This study investigated the night-time sleep of 135 patients admitted to the general ICU of the General Hospital of Athens G. Gennimatas between January 2021 and December 2023. Data were collected using the Richards Campbell Sleep Questionnaire (RCSQ). Sensory stimuli, including noise, light, nursing activities, and invasive procedures, were reduced during the night to improve patients sleep. Measures to reduce light included implementing special lighting during nursing tasks and using bedside lamps during care. Noise reduction strategies involved closing doors, minimizing monitor alarms, and discouraging staff from speaking near patient beds. Grouping patient care activities was also promoted to limit sleep disturbances. Results:Patients in the intervention group showed improved sleep quality compared to the control group, with a significant overall RCSQ score (p<0.05). Gender and age did not significantly affect sleep quality. However, hospital stay duration differed between groups, with the control group experiencing shorter stays. A negative correlation was observed between the duration of hospitalization and sleep quality, with longer stays linked to lower RCSQ scores. Additionally, extended mechanical ventilation was associated with poorer sleep quality.\u0000Conclusion: Patients in the ICU often exhibit abnormal levels of alertness, poor quality of daytime sleep, disrupted nighttime sleep, and sleep patterns that lack both slow-wave and rapid eye movement (REM) sleep. Gaining a deeper understanding of the role circadian rhythms play in managing critical illness could pave the way for future chronotherapeutic strategies, enhancing clinical outcomes and promoting recovery for patients.\u0000Keywords: Intensive care unit, sleep quality, circadian rhythm","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142248097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-12DOI: 10.1101/2024.09.10.24313443
Lihong Yin, Liwen Qiu, Guozhou Zhang
Background China is now in the midst of period of large population aging, which coincides with a global nurse shortage. What added to this problem is the high turnover rate among nurses. Methods The longitudinal national statistics of registered nurses were analyzed in order to provide a broad background to understand and interpret the high turnover rate among nurses properly. Results A great number of beds, predominantly hospital-based beds, has been hurriedly prepared for potential inpatients in past two decades, and accordingly the increase of medical professionals especially registered nurses. The workload discrepancies of registered nurses among three tiers of hospitals may come from different sources. Conclusion This discrepancy is helpful in understanding of high nurse burnout and turnover rate though it seems as inherent systematic problems. A trend of high quality medical service attracting more inpatients has shown, this may cause concerns rather than an satisfied answer, were this trend continued.
{"title":"Past and present of registered nurse in China--descriptive analysis of longitudinal national statistics of registered nurse","authors":"Lihong Yin, Liwen Qiu, Guozhou Zhang","doi":"10.1101/2024.09.10.24313443","DOIUrl":"https://doi.org/10.1101/2024.09.10.24313443","url":null,"abstract":"Background China is now in the midst of period of large population aging, which coincides with a global nurse shortage. What added to this problem is the high turnover rate among nurses.\u0000Methods The longitudinal national statistics of registered nurses were analyzed in order to provide a broad background to understand and interpret the high turnover rate among nurses properly. Results A great number of beds, predominantly hospital-based beds, has been hurriedly prepared for potential inpatients in past two decades, and accordingly the increase of medical professionals especially registered nurses. The workload discrepancies of registered nurses among three tiers of hospitals may come from different sources. Conclusion This discrepancy is helpful in understanding of high nurse burnout and turnover rate though it seems as inherent systematic problems. A trend of high quality medical service attracting more inpatients has shown, this may cause concerns rather than an satisfied answer, were this trend continued.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-06DOI: 10.1101/2024.09.05.24313119
Alberto Rubio-López, Teresa Sierra-Puerta, Alejandro Rubio Navas
Background Intensive Care Units (ICUs) are recognized as highly demanding environments that significantly contribute to stress and burnout among nursing staff. Despite increasing concern over burnout in healthcare, the relationship between physiological stress indicators, such as heart rate variability (HRV), and psychometric assessments has not been thoroughly explored in this setting.
{"title":"Integrating Heart Rate Variability and Psychometric Assessments to Evaluate Stress and Burnout in ICU Nursing Staff: A Pilot Study","authors":"Alberto Rubio-López, Teresa Sierra-Puerta, Alejandro Rubio Navas","doi":"10.1101/2024.09.05.24313119","DOIUrl":"https://doi.org/10.1101/2024.09.05.24313119","url":null,"abstract":"<strong>Background</strong> Intensive Care Units (ICUs) are recognized as highly demanding environments that significantly contribute to stress and burnout among nursing staff. Despite increasing concern over burnout in healthcare, the relationship between physiological stress indicators, such as heart rate variability (HRV), and psychometric assessments has not been thoroughly explored in this setting.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-22DOI: 10.1101/2024.08.21.24312378
Shelly Hogan, Madeline Metcalf, Ann Galloway, Nicole Krueger, Laura Larsson
Aim: This study provides insights into student perceptions of a hands-on, interprofessional pediatric clinical experience within Montanas tribal communities through the Mobile Health Training Program (MHTP). Specifically, it explores how the MHTP aligns with AACN core competencies and evaluates the impact of these practical experiences on nursing students competencies and readiness. Background: A well-prepared nursing workforce is crucial for addressing the healthcare needs of rural, underserved, and Indigenous communities in the United States. Montana's Indigenous communities face significant systemic economic and social challenges that limit access to healthcare services and contribute to a disproportionate disease burden. Over the past two years, the MHTP at a land grant university in the western U.S. conducted preschool health screening clinics for children aged 0-5 at four partner Tribal nations in Montana. Design: This qualitative study captures and analyzes the experiences and perceptions of undergraduate nursing students participating in the MHTP at a land grant university in the western U.S. Data were collected through post-MHTP clinic surveys administered through Qualtrics, after the completion of each 2-3 day MHTP clinic. Methods: A total of 160 nursing undergraduate nursing students completed post-clinical surveys between September 2022 and May 2024. Using inductive and deductive coding approaches, survey responses were analyzed qualitatively to identify themes related to rural healthcare, culturally responsive care, exposure to diverse communities, and professional growth. Results: The MHTP experience was found to be valuable by 95% of students. Four main themes emerged: insight into rural healthcare, practicing culturally responsive care, exposure to diverse communities, and professional growth. American Indian/Alaska Native student perspectives highlighted the need for culturally reflective opportunities for all students. The MHTP effectively aligned with AACN competencies, enhancing skills in patient-centered care, cultural competence and humility, interprofessional collaboration, and systems-based practice. Conclusion: The MHTP represents a contemporary and practical model in nursing education by integrating mobile, immersive, and patient-focused clinical experiences, while also providing students an opportunity to engage with high priority communities. Students valued working with rural and Indigenous populations, recognizing the critical need for culturally responsive care and professional development. This study contributes to the limited literature on rural and Tribal clinical placements, highlighting the importance of balancing simulation with direct clinical practice. The MHTP effectively equips nursing students to navigate the complexities of healthcare systems in rural and underserved settings and advancing nursing education to address workforce needs in these areas.
{"title":"Enhancing Nursing Education through Mobile Health Clinics: Aligning AACN Core Competencies with Pediatric Clinical Experiences in Rural and Indigenous Communities","authors":"Shelly Hogan, Madeline Metcalf, Ann Galloway, Nicole Krueger, Laura Larsson","doi":"10.1101/2024.08.21.24312378","DOIUrl":"https://doi.org/10.1101/2024.08.21.24312378","url":null,"abstract":"Aim: This study provides insights into student perceptions of a hands-on, interprofessional pediatric clinical experience within Montanas tribal communities through the Mobile Health Training Program (MHTP). Specifically, it explores how the MHTP aligns with AACN core competencies and evaluates the impact of these practical experiences on nursing students competencies and readiness.\u0000Background: A well-prepared nursing workforce is crucial for addressing the healthcare needs of rural, underserved, and Indigenous communities in the United States. Montana's Indigenous communities face significant systemic economic and social challenges that limit access to healthcare services and contribute to a disproportionate disease burden. Over the past two years, the MHTP at a land grant university in the western U.S. conducted preschool health screening clinics for children aged 0-5 at four partner Tribal nations in Montana.\u0000Design: This qualitative study captures and analyzes the experiences and perceptions of undergraduate nursing students participating in the MHTP at a land grant university in the western U.S. Data were collected through post-MHTP clinic surveys administered through Qualtrics, after the completion of each 2-3 day MHTP clinic.\u0000Methods: A total of 160 nursing undergraduate nursing students completed post-clinical surveys between September 2022 and May 2024. Using inductive and deductive coding approaches, survey responses were analyzed qualitatively to identify themes related to rural healthcare, culturally responsive care, exposure to diverse communities, and professional growth.\u0000Results: The MHTP experience was found to be valuable by 95% of students. Four main themes emerged: insight into rural healthcare, practicing culturally responsive care, exposure to diverse communities, and professional growth. American Indian/Alaska Native student perspectives highlighted the need for culturally reflective opportunities for all students. The MHTP effectively aligned with AACN competencies, enhancing skills in patient-centered care, cultural competence and humility, interprofessional collaboration, and systems-based practice.\u0000Conclusion: The MHTP represents a contemporary and practical model in nursing education by integrating mobile, immersive, and patient-focused clinical experiences, while also providing students an opportunity to engage with high priority communities. Students valued working with rural and Indigenous populations, recognizing the critical need for culturally responsive care and professional development. This study contributes to the limited literature on rural and Tribal clinical placements, highlighting the importance of balancing simulation with direct clinical practice. The MHTP effectively equips nursing students to navigate the complexities of healthcare systems in rural and underserved settings and advancing nursing education to address workforce needs in these areas.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142226107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-13DOI: 10.1101/2024.08.09.24311763
Hiroko Ota, Naohiro Hohashi
Background and purpose When caring for patients hospitalized with cerebrovascular disease, a caring phenomenon occurs between the patient’s family and the nurse, and according to Hohashi’s Family Care/Caring Theory, the family and the nurse achieve self-actualization. However, the contents of self-actualization through specific care/caring are unclear. The purpose of this integrative review was to clarify the self-actualization of the nurse as an outcome of family care/caring, and the self-actualization of other individuals (that is, the family) who are supported by nurses. Methods Conducting a search using Ichushi-Web, CiNii and J-STAGE, which are extensive Japanese literature databases, 1,061 original articles were identified using the keywords “cerebrovascular disease AND nurse.” The quality of the articles was assessed according to the Joanna Briggs Institute critical appraisal checklists. We conducted an integrative review of 11 articles describing transactions between nurses and families according to Toronto and Remington. Self-actualization of the nurse and self-actualization of other individuals were classified as subcategories and then as categories. Results Of the 11 studies utilized, 10 were qualitative studies and one was a quantitative descriptive study. Eight categories were identified for self-actualization of families with a cerebrovascular patient by nurses, including “Families can realize their hopes through the provision of an environment by nurses.” Three categories of self-actualization of the nurse were identified, including “Nurses can obtain a sense of satisfaction from the family.” Conclusion During the recovery process after hospitalization for cerebrovascular disease, a caring phenomenon occurs between the patient’s family and nurses, which can be understood using Family Care/Caring Theory. The family’s self-actualization and the nurse’s self-actualization were achieved through reciprocal concern between the two.
{"title":"Self-actualization of families with a cerebrovascular disease patient by nurses, and of self-actualization of nurses themselves: An integrative review based on Family Care/Caring Theory","authors":"Hiroko Ota, Naohiro Hohashi","doi":"10.1101/2024.08.09.24311763","DOIUrl":"https://doi.org/10.1101/2024.08.09.24311763","url":null,"abstract":"Background and purpose\u0000When caring for patients hospitalized with cerebrovascular disease, a caring phenomenon occurs between the patient’s family and the nurse, and according to Hohashi’s Family Care/Caring Theory, the family and the nurse achieve self-actualization. However, the contents of self-actualization through specific care/caring are unclear. The purpose of this integrative review was to clarify the self-actualization of the nurse as an outcome of family care/caring, and the self-actualization of other individuals (that is, the family) who are supported by nurses.\u0000Methods\u0000Conducting a search using Ichushi-Web, CiNii and J-STAGE, which are extensive Japanese literature databases, 1,061 original articles were identified using the keywords “cerebrovascular disease AND nurse.” The quality of the articles was assessed according to the Joanna Briggs Institute critical appraisal checklists. We conducted an integrative review of 11 articles describing transactions between nurses and families according to Toronto and Remington. Self-actualization of the nurse and self-actualization of other individuals were classified as subcategories and then as categories.\u0000Results\u0000Of the 11 studies utilized, 10 were qualitative studies and one was a quantitative descriptive study. Eight categories were identified for self-actualization of families with a cerebrovascular patient by nurses, including “Families can realize their hopes through the provision of an environment by nurses.” Three categories of self-actualization of the nurse were identified, including “Nurses can obtain a sense of satisfaction from the family.”\u0000Conclusion\u0000During the recovery process after hospitalization for cerebrovascular disease, a caring phenomenon occurs between the patient’s family and nurses, which can be understood using Family Care/Caring Theory. The family’s self-actualization and the nurse’s self-actualization were achieved through reciprocal concern between the two.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hypertension is a known factor for cognitive impairment, especially in midlife. However, whether the cognitive function declines before and shortly after new-onset hypertension remains largely unknown. Objectives: We aimed to examine the cognitive trajectories before and after new-onset hypertension among community-dwelling midlife and older participants. Methods: This study included 2,964 participants from the English Longitudinal Study of Ageing who were free of hypertension at baseline. Participants who had a stroke at baseline or during follow-up were excluded. Global cognition (a summary of semantic fluency, orientation, and memory) was assessed at baseline (wave 2, 2004) and at least once from wave 3 to wave 9 (2018). New-onset hypertension was defined by self-reported doctor diagnosis, use of antihypertensive medications, and blood measurements < 140/90 mmHg. Results: Over a median follow-up of 13.6 years, 1,121 (37.8%) participants developed hypertension. The cognitive decline rate among those who later developed hypertension during the pre-hypertension period was similar to the rate among those who remained hypertension-free throughout the study. After the onset of hypertension, the rate of cognitive decline accelerated in global cognition (β, -0.015 SD/year; 95% CI, -0.026 to -0.003; p=0.011), semantic fluency (β, -0.015 SD/year; 95% CI, -0.027 to -0.003; p=0.017), and memory (β, -0.022 SD/year; 95% CI, -0.033 to -0.010; p<0.001), but not in orientation ability (β, -0.012 SD/year; 95% CI, -0.028 to 0.005; p=0.157). Participants who developed hypertension in older age did not experience a reduced impact of post-hypertension cognitive decline compared to those who developed hypertension in midlife. Conclusions: Participants experienced accelerated cognitive decline upon developing new-onset hypertension. Older participants are equally susceptible to cognitive impairment due to hypertension. Early antihypertensive initiation is crucial in both midlife and later life to protect cognitive health.
{"title":"Trajectories of Cognitive Decline Before and After New-onset Hypertension","authors":"Qingmei Chen, Jianye Dong, Guo-Chong Chen, Haibin Li, Yueping Shen, Jianian Hua","doi":"10.1101/2024.08.03.24311456","DOIUrl":"https://doi.org/10.1101/2024.08.03.24311456","url":null,"abstract":"Background: Hypertension is a known factor for cognitive impairment, especially in midlife. However, whether the cognitive function declines before and shortly after new-onset hypertension remains largely unknown. Objectives: We aimed to examine the cognitive trajectories before and after new-onset hypertension among community-dwelling midlife and older participants.\u0000Methods: This study included 2,964 participants from the English Longitudinal Study of Ageing who were free of hypertension at baseline. Participants who had a stroke at baseline or during follow-up were excluded. Global cognition (a summary of semantic fluency, orientation, and memory) was assessed at baseline (wave 2, 2004) and at least once from wave 3 to wave 9 (2018). New-onset hypertension was defined by self-reported doctor diagnosis, use of antihypertensive medications, and blood measurements < 140/90 mmHg. Results: Over a median follow-up of 13.6 years, 1,121 (37.8%) participants developed hypertension. The cognitive decline rate among those who later developed hypertension during the pre-hypertension period was similar to the rate among those who remained hypertension-free throughout the study. After the onset of hypertension, the rate of cognitive decline accelerated in global cognition (β, -0.015 SD/year; 95% CI, -0.026 to -0.003; p=0.011), semantic fluency (β, -0.015 SD/year; 95% CI, -0.027 to -0.003; p=0.017), and memory (β, -0.022 SD/year; 95% CI, -0.033 to -0.010; p<0.001), but not in orientation ability (β, -0.012 SD/year; 95% CI, -0.028 to 0.005; p=0.157). Participants who developed hypertension in older age did not experience a reduced impact of post-hypertension cognitive decline compared to those who developed hypertension in midlife. Conclusions: Participants experienced accelerated cognitive decline upon developing new-onset hypertension. Older participants are equally susceptible to cognitive impairment due to hypertension. Early antihypertensive initiation is crucial in both midlife and later life to protect cognitive health.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141941388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-26DOI: 10.1101/2024.07.25.24309835
Zequan Wang, Sangchoon Jeon, Christine Tocchi, Samantha Conley, Stephen Walsh, Kyounghae Kim, Deborah Chyun, Nancy Redeker
ABSTRACT Background: The incidence of heart failure (HF) rises significantly as people age due to the accumulated influence of risk factors in cardiovascular structure and function. Among older adults with HF, symptoms are manifested in clustered symptoms. Few studies have addressed symptoms specifically in older adults with HF and most have been conducted with small samples. The aims of this study were to (1) describe symptom cluster profiles in older adults with HF in a nationally representative sample of community-dwelling older adults; and (2) determine the associations between demographic and clinical characteristics and membership in symptom cluster profiles. Methods: A secondary analysis was conducted using data from the Health and Retirement Study. Fatigue, shortness of breath, pain, swelling, depressive symptoms, and dizziness were measured. Latent class analysis was used to identify symptom cluster profiles. Bivariate associations and multinomial logistic regression were used to determine the associations between symptom cluster profiles and demographic and clinical characteristics. Results: The sample included 690 participants. Three symptom cluster profiles were identified [high-burden, low-burden, and cardiopulmonary-depressive]. Age, gender, BMI, marital status, alcohol consumption, diabetes, lung disease, and arthritis were significantly different across the three profiles. People in the high-burden and cardiopulmonary-depressive profiles, compared to those in low-burden, had higher odds of having lung disease and arthritis, yet lower odds of higher alcohol consumption. Conclusions: Older adults with HF residing in the community experienced distinct symptom cluster profiles. Research is needed to identify and test targeted interventions for specific symptom cluster profiles.
摘要 背景：随着年龄的增长，心血管结构和功能中的危险因素的累积影响导致心力衰竭（HF）的发病率大幅上升。在患有心力衰竭的老年人中，症状表现为聚集性症状。很少有研究专门针对患有高血压的老年人的症状，而且大多数研究都是在小样本的情况下进行的。本研究的目的是：(1) 在具有全国代表性的社区居住老年人样本中，描述患有高血压的老年人的症状群特征；(2) 确定人口统计学和临床特征与症状群特征之间的关联：方法：利用健康与退休研究（Health and Retirement Study）的数据进行了二次分析。对疲劳、气短、疼痛、肿胀、抑郁症状和头晕进行了测量。采用潜类分析法确定症状群特征。二元关联和多项式逻辑回归用于确定症状群特征与人口统计学和临床特征之间的关联。研究结果样本包括 690 名参与者。确定了三种症状群特征[高负担、低负担和心肺抑郁]。年龄、性别、体重指数、婚姻状况、饮酒量、糖尿病、肺部疾病和关节炎在这三种特征中存在显著差异。与低负担人群相比，高负担人群和心肺抑郁人群患肺病和关节炎的几率更高，但饮酒量较高的几率较低。结论居住在社区的高血压老年人有不同的症状群特征。需要进行研究，以确定和测试针对特定症状群特征的针对性干预措施。
{"title":"Symptom Cluster Profiles among Community-residing Older Adults with Heart Failure: Findings from the U.S. Health and Retirement Study","authors":"Zequan Wang, Sangchoon Jeon, Christine Tocchi, Samantha Conley, Stephen Walsh, Kyounghae Kim, Deborah Chyun, Nancy Redeker","doi":"10.1101/2024.07.25.24309835","DOIUrl":"https://doi.org/10.1101/2024.07.25.24309835","url":null,"abstract":"ABSTRACT Background: The incidence of heart failure (HF) rises significantly as people age due to the accumulated influence of risk factors in cardiovascular structure and function. Among older adults with HF, symptoms are manifested in clustered symptoms. Few studies have addressed symptoms specifically in older adults with HF and most have been conducted with small samples. The aims of this study were to (1) describe symptom cluster profiles in older adults with HF in a nationally representative sample of community-dwelling older adults; and (2) determine the associations between demographic and clinical characteristics and membership in symptom cluster profiles.\u0000Methods: A secondary analysis was conducted using data from the Health and Retirement Study. Fatigue, shortness of breath, pain, swelling, depressive symptoms, and dizziness were measured. Latent class analysis was used to identify symptom cluster profiles. Bivariate associations and multinomial logistic regression were used to determine the associations between symptom cluster profiles and demographic and clinical characteristics. Results: The sample included 690 participants. Three symptom cluster profiles were identified [high-burden, low-burden, and cardiopulmonary-depressive]. Age, gender, BMI, marital status, alcohol consumption, diabetes, lung disease, and arthritis were significantly different across the three profiles. People in the high-burden and cardiopulmonary-depressive profiles, compared to those in low-burden, had higher odds of having lung disease and arthritis, yet lower odds of higher alcohol consumption. Conclusions: Older adults with HF residing in the community experienced distinct symptom cluster profiles. Research is needed to identify and test targeted interventions for specific symptom cluster profiles.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141780561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1101/2024.06.30.24309743
JAMES AGAMAH ADABRE, VICTORIA Bubunyo Bam
ABSTRACT Background: Educational Materials (EMs) are vital in teaching and learning activities and contribute significantly to the acquisition of knowledge and skills for an enhanced performance. The right educational resources help stimulate, reinforce and make it more impact and beneficial. AIM: This study’s main goal is to identify the learning materials that are used regularly in nursing training schools and analyze the experiences of nurse trainees on their impact on the achievement of academic objectives. And to guide stakeholders in nursing education policy formulation. SETTING: This study was conducted in four (4) Nursing and Midwifery Training institutions in Ghana. Methods: A descriptive method was used for this study. An online survey was used to collect data from 47 nurse educators and 374 student nurses and analyzed using Stata version 16.0. The Kwame Nkrumah University of Science and Technology's Committee on Human Research, Publication, and Ethics (CHRPE) was consulted for ethical approval. Results: The common available EMs were handouts (80.1%), recommended textbooks (55.9%), and smartphones (54.6%). The EMs that were commonly used by students were the handout (58.6%), recommended textbooks (39.6%), and both internet information and PowerPoint slides (18.8%) each. Majority of the students (64.1%) reported that the commonly used EMs made good contributions towards their academic performance and 22.6% indicated that the used EMs made excellent contributions to their academic performance. Example e-books has OR of 0.43 and a p-value of 0.021. Conclusion: Modern Ems such as reliable internet access, 3D animation videos should be made readily available in schools to greatly help to improve the standards of nursing education and contribute to quality healthcare workforce. Contributions: Educational materials plays a vital role in health trainees’ education, increases nurses knowledge, and output on health care delivery
摘要 背景：教育材料（EMs）在教学活动中至关重要，对获取知识和技能以提高成绩大有裨益。正确的教育资源有助于激发、强化和提高教学效果和效益。目的：本研究的主要目的是确定护理培训学校经常使用的学习材料，并分析受训护士对这些材料对实现学术目标的影响的经验。并为利益相关者制定护理教育政策提供指导。环境：本研究在加纳的四（4）所护理和助产培训机构进行。方法：本研究采用描述性方法。通过在线调查收集了 47 名护士教育者和 374 名护士学生的数据，并使用 Stata 16.0 版本进行了分析。本研究获得了夸梅-恩克鲁玛科技大学人类研究、出版和伦理委员会（CHRPE）的伦理批准。研究结果常用的教育管理软件有讲义（80.1%）、推荐教科书（55.9%）和智能手机（54.6%）。学生常用的教育多媒体包括讲义（58.6%）、推荐课本（39.6%）以及互联网信息和幻灯片（各占 18.8%）。大部分學生（64.1%）表示常用的電子教 材對他們的學業成績有良好的貢獻，22.6%表示常用的電子教 材對他們的學業成績有卓越的貢獻。电子图书实例的 OR 值为 0.43，P 值为 0.021：现代教育资源，如可靠的互联网接入、三维动画视频等，应在学校中普及，这将大大有助于提高护理教育水平，并为培养高素质的医护人员做出贡献。贡献：教材在卫生学员的教育中发挥着重要作用，增加了护士的知识，提高了卫生保健服务的产出。
{"title":"Challenges and benefits associated with educational materials: experiences of the Ghanaian nurse trainees.","authors":"JAMES AGAMAH ADABRE, VICTORIA Bubunyo Bam","doi":"10.1101/2024.06.30.24309743","DOIUrl":"https://doi.org/10.1101/2024.06.30.24309743","url":null,"abstract":"ABSTRACT\u0000Background: Educational Materials (EMs) are vital in teaching and learning activities and contribute significantly to the acquisition of knowledge and skills for an enhanced performance. The right educational resources help stimulate, reinforce and make it more impact and beneficial. AIM: This study’s main goal is to identify the learning materials that are used regularly in nursing training schools and analyze the experiences of nurse trainees on their impact on the achievement of academic objectives. And to guide stakeholders in nursing education policy formulation. SETTING: This study was conducted in four (4) Nursing and Midwifery Training institutions in Ghana. Methods: A descriptive method was used for this study. An online survey was used to collect data from 47 nurse educators and 374 student nurses and analyzed using Stata version 16.0. The Kwame Nkrumah University of Science and Technology's Committee on Human Research, Publication, and Ethics (CHRPE) was consulted for ethical approval. Results: The common available EMs were handouts (80.1%), recommended textbooks (55.9%), and smartphones (54.6%). The EMs that were commonly used by students were the handout (58.6%), recommended textbooks (39.6%), and both internet information and PowerPoint slides (18.8%) each. Majority of the students (64.1%) reported that the commonly used EMs made good contributions towards their academic performance and 22.6% indicated that the used EMs made excellent contributions to their academic performance. Example e-books has OR of 0.43 and a p-value of 0.021.\u0000Conclusion: Modern Ems such as reliable internet access, 3D animation videos should be made readily available in schools to greatly help to improve the standards of nursing education and contribute to quality healthcare workforce. Contributions: Educational materials plays a vital role in health trainees’ education, increases nurses knowledge, and output on health care delivery","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141528925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-28DOI: 10.1101/2024.06.27.24309626
liping wang, guixiang li, yu zhuo, jiayi liu
Abstract Objective;To search, evaluate and summarize the best evidence on nurse burnout intervention at home and abroad, and provide evidence-based basis for clinical nursing staff . Methods：The literature on nurse burnout intervention was searched in Chinese and English guideline websites and databases , including guidelines, evidence summaries, systematic reviews, clinical decision-making, expert consensus, and randomized controlled studies . The search period was from database establishment to December 31, 2023 . Results:16 articles were included, including 1 guideline , 1 consensus, 1 evidence summary , 1 randomized controlled study , and 12 systematic reviews . After comprehensive analysis and induction, we extracted five aspects , including effective communication, self-care, resource support, education and training, and social environment, with a total of 15 best evidence. Conclusion:The best evidence for evidence-based intervention for nurse burnout is scientific and practical, and can provide a certain reference for clinical practice in reducing nurse burnout . this manuscript has not been accepted or published by a journal
{"title":"Summary of best evidence for interventions for nurse burnout","authors":"liping wang, guixiang li, yu zhuo, jiayi liu","doi":"10.1101/2024.06.27.24309626","DOIUrl":"https://doi.org/10.1101/2024.06.27.24309626","url":null,"abstract":"Abstract Objective;To search, evaluate and summarize the best evidence on nurse burnout intervention at home and abroad, and provide evidence-based basis for clinical nursing staff . Methods：The literature on nurse burnout intervention was searched in Chinese and English guideline websites and databases , including guidelines, evidence summaries, systematic reviews, clinical decision-making, expert consensus, and randomized controlled studies . The search period was from database establishment to December 31, 2023 . Results:16 articles were included, including 1 guideline , 1 consensus, 1 evidence summary , 1 randomized controlled study , and 12 systematic reviews . After comprehensive analysis and induction, we extracted five aspects , including effective communication, self-care, resource support, education and training, and social environment, with a total of 15 best evidence. Conclusion:The best evidence for evidence-based intervention for nurse burnout is scientific and practical, and can provide a certain reference for clinical practice in reducing nurse burnout . this manuscript has not been accepted or published by a journal","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141503933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-22DOI: 10.1101/2024.06.20.24309021
Kawira Fridah Muchunku, Jane Karonjo, David Muya
Numerous lives may be saved by maternal health care services despite the fact that millions of women of reproductive age die during pregnancy, delivery, and the postpartum period. More women are able to prevent short and long-term maternal disabilities and illnesses such as fistulas, infertility and depression. Kenya has developed a number of policies to improve maternal health. One such policy is the free maternity services policy that allows all pregnant mothers to have access to free maternity services in government facilities across the country. Free maternity services policy allows for provision of free delivery services to expectant women in health facilities run by the Kenyan Government. 189 nations ratified the Millennium Declaration and pledged to accomplish eight objectives by the turn of the twenty-first century. The study was a cross-sectional descriptive research design targeting population of 51,770 women of childbearing age in Imenti South Sub County. The sample size consisted of 100 respondents (women of childbearing aged between 18-49 years). The study employed qualitative and quantitative sampling methods. The sampling procedure was simple random sampling and purposive sampling. Data collection instruments were by questionnaires and observation schedule. Data was analyzed by use of descriptive statistics and results displayed using tables, bar charts, pie charts and presented using percentages, frequencies, means and standard deviations. Analysis was done using SPSS version 25. Uptake of maternity services. The negative attitude of health care workers greatly influenced Uptake of maternity services. Limited uptake was also linked to poor development of health infrastructure and usage of the facility, which ultimately influenced Uptake of maternity services. Awareness did not match Uptake of maternity services. The study concluded that social demographic factors, client related factors and health facility-related factors can influence the success or failure of Uptake of maternity services by women. It recommended a rights-based approach when designing and delivering free maternity services, strengthening client satisfaction programs and adopting a broader bottom-up approach when engaging rural women to ensure effective development of health infrastructure and usage of the facility. further suggestions for future research was recommended, including studies that explore attitudes and behaviours in varied settings, factors promoting positive attitudes and behaviours, and the effectiveness of interventions to address negative patient experiences in both three-level and other health facilities in Kenya.
{"title":"TO DETERMINE THE CLIENT RELATED FACTORS THAT INFLUENCE UPTAKE OF MATERNITY SERVICES BY WOMEN OF CHILDBEARING AGE ATTENDING LEVEL THREE HEALTH FACILITIES IN IMENTI SOUTH, MERU COUNTY","authors":"Kawira Fridah Muchunku, Jane Karonjo, David Muya","doi":"10.1101/2024.06.20.24309021","DOIUrl":"https://doi.org/10.1101/2024.06.20.24309021","url":null,"abstract":"Numerous lives may be saved by maternal health care services despite the fact that millions of women of reproductive age die during pregnancy, delivery, and the postpartum period. More women are able to prevent short and long-term maternal disabilities and illnesses such as fistulas, infertility and depression. Kenya has developed a number of policies to improve maternal health. One such policy is the free maternity services policy that allows all pregnant mothers to have access to free maternity services in government facilities across the country. Free maternity services policy allows for provision of free delivery services to expectant women in health facilities run by the Kenyan Government. 189 nations ratified the Millennium Declaration and pledged to accomplish eight objectives by the turn of the twenty-first century. The study was a cross-sectional descriptive research design targeting population of 51,770 women of childbearing age in Imenti South Sub County. The sample size consisted of 100 respondents (women of childbearing aged between 18-49 years). The study employed qualitative and quantitative sampling methods. The sampling procedure was simple random sampling and purposive sampling. Data collection instruments were by questionnaires and observation schedule. Data was analyzed by use of descriptive statistics and results displayed using tables, bar charts, pie charts and presented using percentages, frequencies, means and standard deviations. Analysis was done using SPSS version 25. Uptake of maternity services. The negative attitude of health care workers greatly influenced Uptake of maternity services. Limited uptake was also linked to poor development of health infrastructure and usage of the facility, which ultimately influenced Uptake of maternity services. Awareness did not match Uptake of maternity services. The study concluded that social demographic factors, client related factors and health facility-related factors can influence the success or failure of Uptake of maternity services by women. It recommended a rights-based approach when designing and delivering free maternity services, strengthening client satisfaction programs and adopting a broader bottom-up approach when engaging rural women to ensure effective development of health infrastructure and usage of the facility. further suggestions for future research was recommended, including studies that explore attitudes and behaviours in varied settings, factors promoting positive attitudes and behaviours, and the effectiveness of interventions to address negative patient experiences in both three-level and other health facilities in Kenya.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141503938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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