Journal of Clinical Nursing最新文献

Aims: To assess the reliability and validity of a negative emotion scale for public health nurses conducting child abuse prevention activities.

Design: A four-phase mixed method design.

Methods: Participants were public health nurses with experience in child abuse prevention across Japan. The initial scale was developed and refined based on previous studies, expert panel reviews, interviews with public health nurses, and a questionnaire-based pilot study. In 2024, 549 public health nurses completed a questionnaire on scale items. Item analysis, exploratory factor analysis, confirmatory factor analysis, comparisons with a preexisting scale, the number of times negative attitudes and the types of behaviours exhibited by parents were used to narrow the scale and assess its psychometric properties.

Results: Item analysis and exploratory factor analysis reduced the scale to 15 items on two factors: 'negative emotions toward aggressive and emotional attitudes' and 'negative emotions toward rejecting and uncooperative attitudes.' Confirmatory factor analysis indicated a good model fit. The Cronbach's alpha was high, and the negative emotions scale score positively correlated with the pre-existing scale, negative attitudes and parental behaviours.

Conclusions: The Cronbach's alpha coefficient and other factors confirmed the scale's reliability, and correlations with other scales confirmed its validity.

Implications for the profession: Evaluating negative emotions provides critical insights into the quality of support and its influence on psychological well-being.

Impact: By assessing negative emotions that public health nurses find difficult using this scale, the support system for them can be examined.

Reporting methods: STROBE checklist for cross-sectional studies was followed.

Patient or public contribution: Public health nurses were involved in the generation of items for the scale. Their perspective was sought in determining the items for the scale.

Trial and protocol registration: Registered in the UMIIN Clinical Trial Registry (UMIN-CTR ID UMIN000054650).

Aim: To explore the existential lived experiences of emerging adult siblings of children with complex care needs.

Design: A qualitative phenomenological design.

Methods: In-depth conversational interviews were conducted between February and June 2022 with nine emerging adult siblings (aged 16-27), who grew up with a brother or sister with complex care needs. Data were analysed using van Manen's phenomenology of practice approach.

Results: Five core themes were identified: Loss of a familiar world: the profound changes and disruptions in siblings' lives. The sibling bond: endured and enduring love. Embracing the load: balancing responsibilities. Being behind the scenes: a lonely childhood. Jigsaw falling into place: siblings finding clarity and forging their own paths.

Conclusion: Early experiences of growing up with a sibling who has complex care needs, may resurface or shift in meaning, impacting long-term existential well-being, particularly when siblings feel overlooked by families, educators, and healthcare professionals. These silenced experiences often persist into emerging adulthood, shaping emotional health, relationships, and life choices.

Impact: The underrecognized existential needs of these siblings call for intentional, person-centred care. Our research advocates early, targeted interventions, emphasizing the pivotal role of nurses. A lifeworld-led phenomenological approach equips nurses to more effectively attend to the unmet needs of siblings within family care settings.

Reporting method: The research followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.

Patient and public contribution: Emerging adult siblings with lived experience of growing up alongside a brother or sister with complex care needs contributed important insights into the interpretation of findings, ensuring relevance to clinical nursing.

Background: Stroke nurses must perform dysphagia screening on all suspected stroke patients, adhering to best practice guidelines. While comprehensive training is essential for safe and competent screening, the variability in dysphagia screening tools leads to significant differences in education.

Aim: This scoping review aims to collate and report what education is provided to stroke nurses on the use of dysphagia screening tools.

Design: A scoping review guided by the PRISMA-ScR checklist.

Methods: A systematic review of three electronic databases identified 318 peer-reviewed studies. After screening and eligibility assessment in COVIDENCE, 10 studies were included. Data from these studies was analysed using Arksey and O'Malley's thematic framework.

Data sources: MEDLINE, CINHAL, Scopus.

Results: Ten studies were included in this review which yielded the following major themes: (1) comprehensive and structured training; (2) diversity of training methods; (3) ongoing education and competency assessment; and (4) standardised protocols and tools.

Conclusion: Offering comprehensive training programs to stroke nurses on dysphagia screening tools is associated with more timely interventions and improved outcomes; however inconsistent approaches to training make it difficult to benchmark outcomes of the education provided. Future research should explore stroke nurses' experiences with current training to guide future training program development.

Relevance to clinical practice: This review highlights the importance of training stroke nurses to use dysphagia screening tools to improve patient outcomes.

Patient or public contribution: No patient or public contribution.

Aim: To explore implementation patterns and perceived value of the SEXIT (SEXual health Identification Tool) method in the school health care (SHC) setting in Sweden.

Design: Mixed method survey using an online questionnaire with closed and free-text response options.

Methods: 115 SHC professionals who had completed SEXIT training responded to an online questionnaire (response rate 26%), between March and May 2024. Closed questions were answered on a five-point Likert scale, and responses trichotomised. Quantitative data were analysed using descriptive statistics, qualitative data with a deductive qualitative content analysis. CROSS guideline was used.

Results: 70 of 115 SHC professionals used SEXIT in their work. Findings suggest that SEXIT is appropriate and useful, supporting communication about topics such as sexual health and violence that both pupils and professionals may avoid addressing. Implementation patterns showed that 61% of those who had completed training also used SEXIT. 63% of those used SEXIT during regular health dialogues, but some did not use it with all pupils. The perceived value was that most SHC professionals felt that SEXIT helped them get a better understanding of the pupil's situation, an objection that it was too time-consuming.

Conclusion: Most SHC professionals who had completed SEXIT training used the method regularly and perceived the method as valuable and facilitating discussions about sexual ill health and experiences of violence with pupils. There are indications that SHC services fail to identify particularly at-risk young people. Sexual health inequity persists, as some structurally marginalised and vulnerable youths are excluded from the SEXIT dialogues. A follow-up study will focus on pupils' experiences.

Relevance: This study validates SEXIT in a new setting, SHC, and is relevant for the promotion of sexual and reproductive health for all, and for preventing violence and sexual ill health among young people.