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The effect of abdominal massage and in-bed ROM exercise on gastrointestinal complications and comfort in intensive care unit patients receiving enteral nutrition: A randomized controlled trial 腹部按摩和床上 ROM 运动对接受肠内营养的重症监护病房患者胃肠道并发症和舒适度的影响:随机对照试验。
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-05-08 DOI: 10.1111/jjns.12602
Mensure Turan, Zeliha Cengiz

Aim

Abdominal massage facilitates gastric and colonic motility, reduces intra-abdominal distension and increases circulation. In-bed range of motion (ROM) exercise has effects on muscle strength, cardiac parameters and excretion. The aim of this study was to assess the effects of abdominal massage and in-bed ROM exercise on gastrointestinal complications and patient comfort in intensive care patients receiving enteral nutrition.

Methods

This randomized controlled trial was conducted in the internal intensive care units of two tertiary public hospitals. The sample consisted of 130 patients randomly assigned to three groups (abdominal massage = 44, in-bed ROM exercise = 43, control = 43). The individuals received abdominal massage and in-bed ROM exercises every morning before enteral feeding for 3 days. We assessed gastrointestinal complications and comfort levels of the patients 24 h after each intervention.

Results

While the differences in abdominal distention, defecation status, constipation, and gastric residual volume complications were significant (p < .05), there was no significant difference in diarrhea and vomiting (p > .05). Comfort level showed a statistically significant change in the experimental groups in the in-group comparison (p < .05).

Conclusion

Abdominal massage and in-bed ROM exercise reduce abdominal distention, constipation and gastric residual volume. Abdominal massage affects the frequency of defecation; and, both interventions increase the comfort while reducing the pain level over time.

目的:腹部按摩可促进胃和结肠蠕动,减轻腹内胀气,促进血液循环。床上运动(ROM)对肌肉力量、心脏参数和排泄物有影响。本研究旨在评估腹部按摩和床上 ROM 运动对接受肠内营养的重症监护患者胃肠道并发症和患者舒适度的影响:这项随机对照试验在两家三级公立医院的内部重症监护病房进行。样本包括随机分配到三组的 130 名患者(腹部按摩组 44 人、床上 ROM 锻炼组 43 人、对照组 43 人)。这些患者每天早上在肠道喂养前接受腹部按摩和床上 ROM 锻炼,为期 3 天。每次干预 24 小时后,我们对患者的胃肠道并发症和舒适度进行评估:结果:腹胀、排便状况、便秘和胃残余容积并发症的差异显著(P .05)。在组内比较中,实验组患者的舒适度有显著统计学变化(P 结论:实验组患者的舒适度与对照组相比有显著统计学变化(P.05):腹部按摩和床上 ROM 运动可减少腹胀、便秘和胃残余容积。腹部按摩会影响排便频率;随着时间的推移,这两种干预措施都会提高舒适度,同时降低疼痛程度。
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引用次数: 0
Framework to elicit consent from lightly sedated mechanically ventilated intensive care patients in nursing practice 在护理实践中征得轻度镇静的机械通气重症监护患者同意的框架
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-05-02 DOI: 10.1111/jjns.12601
Yoko Onishi, Yoshiko Murai, Emiko Nakajima

Aim

The study aimed to ascertain a framework of nursing practices to elicit consent from lightly sedated ventilated patients.

Methods

Study participants were nurses working in intensive care and critical care wards, whose observations and semi-structured interviews were assessed using a modified grounded theory approach.

Results

A total of 15 concepts were generated, from which three categories and three subcategories were generated. Category 1: Nurses taking the lead in providing assistance by sharing signs of change while continuing the invasive treatment, working to maintain the patient's life, alleviation of pain, promotion of awareness of the current situation, and acclimating them to the treatment environment as the basis for building a relationship between patients and nurses. Category 2: Searching for points of agreement and reaching a compromise involves the nurse drawing out the patient's thoughts, hopes, and expectations, and transforming the relationship into a patient-centered one by sharing goals with the patient in order to achieve them. Category 3: Organizing collaboration within care supported the patient's ability to move safely while maintaining the patient's pace to achieve shared goals, and guided the patient's independent actions.

Conclusions

Even when patients recover from an acute life-threatening situation, their physical sensations remain vague and their functional decline continues. Rather than simply eliciting consent from patients, the structure of nursing practice to elicit such response from patients involves drawing out the patient's thoughts, hopes, and expectations, as well as guiding the patient toward goals that they have created together with the nurse and utilizing the patient's strengths to achieve these goals.

方法 研究参与者为在重症监护室和危重症监护病房工作的护士,采用改良的基础理论方法对他们的观察和半结构式访谈进行评估。结果 总共产生了 15 个概念,从中产生了三个类别和三个子类别。第一类:护士带头提供帮助,在继续进行侵入性治疗的同时分享变化的迹象,努力维持病人的生命,减轻疼痛,促进对现状的认识,使他们适应治疗环境,以此作为建立病人与护士之间关系的基础。第二类:寻找共同点并达成妥协,护士要了解病人的想法、希望和期望,并通过与病人分享目标,将护患关系转变为以病人为中心的关系,以实现这些目标。第三类:在护理中组织协作,支持患者安全移动的能力,同时保持患者的步伐以实现共同目标,并指导患者独立行动。护理实践的结构不是简单地征得患者的同意,而是要引出患者的想法、希望和期望,引导患者实现与护士共同制定的目标,并利用患者的优势来实现这些目标。
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引用次数: 0
Effects of an individualized nutritional educational program in pregnant women: A randomized controlled trial in Japan 孕妇个性化营养教育计划的效果:日本的随机对照试验
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-04-18 DOI: 10.1111/jjns.12599
Hisae Fujimoto, Mariko Iida, Shoko Takeuchi, Eriko Shinohara, Kazumi Kubota, Sachiyo Nakamura

Aim

To evaluate the effectiveness of an individualized nutritional education program in promoting adequate nutrient intake in pregnant women.

Methods

A stratified randomized controlled trial was conducted. Participants were stratified by factors affecting the primary outcome and randomly assigned to the intervention or control groups. Intervention group participants received an individualized 30-min booklet-based education program in their 2nd and 3rd trimesters; the control group received usual care. The primary outcome was protein intake after the intervention, which was compared between the intervention and control groups. Secondary outcomes included comparing the amount of increase of protein before and after the intervention. Nutrient intake was measured using a self-administered short dietary history questionnaire, and analyses of covariance and t tests were performed.

Results

Of the 130 participants, 66 were assigned to the intervention group and 64 to the control group. There was no difference in protein intake between the two groups after the intervention (p = .051, 95% CI [−0.021, 12.4]). Comparing the increase in protein intake before and after intervention, the intervention group was 7.4 g/day higher than that of the control group (p = .040; F = 4.31; effect size = 0.36).

Conclusions

The primary outcome, a comparison of protein intake between the groups after the program, revealed no significant differences. However, on comparing the amount of protein increase before and after the intervention, the intervention group's increase was significantly higher than that of the control group. Results indicate the potential for individualized face-to-face interventions for pregnant women in Japan.

目的评估个性化营养教育计划在促进孕妇摄入充足营养方面的效果。 方法进行分层随机对照试验。根据影响主要结果的因素对参与者进行分层,并随机分配到干预组或对照组。干预组的参与者在怀孕第 2 和第 3 个月接受 30 分钟基于小册子的个性化教育计划;对照组接受常规护理。主要结果是干预后的蛋白质摄入量,并在干预组和对照组之间进行比较。次要结果包括比较干预前后蛋白质的增加量。营养素摄入量采用自填式简短饮食史问卷进行测量,并进行协方差分析和 t 检验。干预后,两组的蛋白质摄入量没有差异(p = .051,95% CI [-0.021, 12.4])。比较干预前后蛋白质摄入量的增加情况,干预组比对照组每天多摄入 7.4 克蛋白质(p = .040;F = 4.31;效应大小 = 0.36)。然而,在比较干预前后蛋白质的增加量时,干预组的增加量明显高于对照组。研究结果表明,针对日本孕妇的个性化面对面干预很有潜力。
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引用次数: 0
Correction to “Effectiveness of a preceptors' social support program to aid novice nurses' error experience on preceptors' skill and novice nurses' perception of social support: A quasi-experimental study” 更正 "戒律员社会支持计划对新手护士错误经历的帮助对戒律员技能和新手护士社会支持感知的影响:准实验研究"。
IF 1.7 4区 医学 Q2 Nursing Pub Date : 2024-04-01 DOI: 10.1111/jjns.12598

Tomooka, M., Matsumoto, C., & Maeda, H. (2024). Effectiveness of a preceptors' social support program to aid novice nurses' error experience on preceptors' skill and novice nurses' perception of social support: A quasi-experimental study. Japan Journal of Nursing Science, 21(1), e12563. https://doi.org/10.1111/jjns.12563

The percentages of medical error experience in Table 5 for control group and intervention group are incorrect. It should read as:

Whereas, the percentages of 27.6% and 72.3% for the Medical error experience of the control group in Table 5 should be 97.6% and 2.3%, respectively.

The percentages of 22.2% and 77.8% for the Medical error experience of the intervention group in Table 5 should be 92.5% and 7.5% respectively.

We apologize for this error.

Tomooka, M., Matsumoto, C., & Maeda, H. (2024)。 戒律员社会支持计划对戒律员技能和新手护士社会支持感知的影响:一项准实验研究。日本护理科学杂志》,21(1),e12563。https://doi.org/10.1111/jjns.12563 表 5 中对照组和干预组的医疗差错经验百分比有误。应为 表 5 中对照组医疗差错经历的百分比分别为 27.6% 和 72.3%,而干预组医疗差错经历的百分比分别为 97.6% 和 2.3%,表 5 中干预组医疗差错经历的百分比分别为 22.2% 和 77.8%,而对照组医疗差错经历的百分比分别为 92.5% 和 7.5%,我们对此错误深表歉意。
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引用次数: 0
The use of ultrasonography in education for undergraduate nursing students: A literature review 在护理本科生教育中使用超声波检查:文献综述。
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-03-25 DOI: 10.1111/jjns.12596
Eri Kubo, Miu Nagata, Naoki Yoshinaga

Aim

The incorporation of ultrasonography into nursing practice is becoming more common, but how ultrasonography is used or applied in nursing student education is still unclear. This study aimed to review and synthesize relevant literature on the use of ultrasonography in education for undergraduate nursing students.

Methods

An electronic literature search was conducted in June 2022 (updated in June 2023) using MEDLINE, CINAHL, Scopus, and Ichushi-Web databases. Two researchers independently screened/assessed the eligibility of the studies, synthesized extracted data using a narrative synthesis (due to anticipated heterogeneity across studies), and evaluated the methodological quality of quantitative studies using the Medical Education Research Study Quality Instrument.

Results

Thirteen peer-reviewed articles were included in the review. All of the studies were conducted in high-income countries, and the majority of them employed an uncontrolled single-group design. Ultrasonography was used mainly for visualizing the vascular system to improve students' puncture skills, but it was also used with various other applications. The included studies were predominantly of moderate quality and heterogeneous, but all of them reported at least some benefits in nursing student education, such as enhancing knowledge and understanding of subcutaneous anatomical structures, and improving confidence in and/or skills of venipuncture and other visualization/assessment methods.

Conclusions

This review provides a broad perspective and highlights the potential use of ultrasonography in education for undergraduate nursing students. Further research is needed to develop standardized teaching methods/curriculum and competency assessments in order to ensure minimum competency standards for students and to improve clinical outcomes for patients.

目的:将超声波检查纳入护理实践越来越普遍,但超声波检查如何在护理学生教育中使用或应用仍不清楚。本研究旨在回顾和总结在护理本科生教育中使用超声波检查的相关文献:于 2022 年 6 月使用 MEDLINE、CINAHL、Scopus 和 Ichushi-Web 数据库进行电子文献检索(2023 年 6 月更新)。两名研究人员独立筛选/评估了研究的资格,采用叙事综合法对提取的数据进行了综合(由于预计各研究之间存在异质性),并采用医学教育研究质量工具对定量研究的方法学质量进行了评估:结果:13 篇经同行评审的文章被纳入综述。所有研究都是在高收入国家进行的,其中大部分采用了单组非对照设计。超声波主要用于观察血管系统,以提高学生的穿刺技能,但也用于其他各种用途。纳入的研究主要是中等质量和异质性的,但所有研究都报告了至少在护理学生教育中的一些益处,如增强对皮下解剖结构的认识和理解,提高静脉穿刺和其他可视化/评估方法的信心和/或技能:本综述提供了一个广阔的视角,强调了超声造影在护理本科生教育中的潜在用途。需要进一步研究开发标准化的教学方法/课程和能力评估,以确保学生达到最低能力标准,并改善患者的临床治疗效果。
{"title":"The use of ultrasonography in education for undergraduate nursing students: A literature review","authors":"Eri Kubo,&nbsp;Miu Nagata,&nbsp;Naoki Yoshinaga","doi":"10.1111/jjns.12596","DOIUrl":"10.1111/jjns.12596","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The incorporation of ultrasonography into nursing practice is becoming more common, but how ultrasonography is used or applied in nursing student education is still unclear. This study aimed to review and synthesize relevant literature on the use of ultrasonography in education for undergraduate nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An electronic literature search was conducted in June 2022 (updated in June 2023) using MEDLINE, CINAHL, Scopus, and Ichushi-Web databases. Two researchers independently screened/assessed the eligibility of the studies, synthesized extracted data using a narrative synthesis (due to anticipated heterogeneity across studies), and evaluated the methodological quality of quantitative studies using the Medical Education Research Study Quality Instrument.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirteen peer-reviewed articles were included in the review. All of the studies were conducted in high-income countries, and the majority of them employed an uncontrolled single-group design. Ultrasonography was used mainly for visualizing the vascular system to improve students' puncture skills, but it was also used with various other applications. The included studies were predominantly of moderate quality and heterogeneous, but all of them reported at least some benefits in nursing student education, such as enhancing knowledge and understanding of subcutaneous anatomical structures, and improving confidence in and/or skills of venipuncture and other visualization/assessment methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review provides a broad perspective and highlights the potential use of ultrasonography in education for undergraduate nursing students. Further research is needed to develop standardized teaching methods/curriculum and competency assessments in order to ensure minimum competency standards for students and to improve clinical outcomes for patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk factors of skin barrier dysfunction in older adults: A systematic review 老年人皮肤屏障功能障碍的风险因素:系统综述。
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-03-22 DOI: 10.1111/jjns.12597
Issei Konya, Inaho Shishido, Moe Nemoto, Rika Yano

Aim

Skin barrier dysfunction can trigger various skin disorders in older adults. Skin barrier assessment is essential for nurses and caregivers to prevent skin disorders; however, the evidence available for clinical assessment is limited. This systematic review aimed to clarify the risk factors of skin barrier dysfunction in older adults.

Methods

This review adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The four databases were searched using multiple terms related to “aged” and “skin barrier.” The search was initially run on April 19, 2023, and rerun on October 12, 2023. Peer-reviewed quantitative studies in English were included, with no publication time limit being set. Two reviewers assessed the risk of bias in a blinded and independent manner using JBI tools. Owing to the heterogeneity of the results, a narrative synthesis was performed.

Results

Among the database-identified 4833 studies, 20 studies were included. The extracted factors were categorized as demographic characteristics, functional characteristics, chronic diseases, nutritional status, skin condition, and environmental factors. However, owing to high risk of bias and inconsistent results across studies, only chronic kidney disease and dry skin were considered risk factors for skin barrier dysfunction in older adults.

Conclusions

Assessment of chronic kidney disease and dry skin in daily skin care may guide the development of personalized skincare programs to maintain skin integrity in older adults. Furthermore, cohort studies that consider confounding factors and the reliability of measurements are needed for an in-depth investigation into skin barrier dysfunction and more risk factors.

目的:皮肤屏障功能障碍可引发老年人的各种皮肤疾病。皮肤屏障评估对护士和护理人员预防皮肤疾病至关重要;然而,用于临床评估的证据却很有限。本系统综述旨在明确老年人皮肤屏障功能障碍的风险因素:本综述遵循系统综述和元分析首选报告项目(PRISMA)指南。使用与 "老年人 "和 "皮肤屏障 "相关的多个术语对四个数据库进行了检索。该检索于 2023 年 4 月 19 日首次运行,并于 2023 年 10 月 12 日再次运行。收录了经同行评审的英文定量研究,未设定发表时间限制。两位审稿人使用 JBI 工具以盲法独立评估了偏倚风险。由于结果存在异质性,因此进行了叙述性综合:在数据库确定的 4833 项研究中,纳入了 20 项研究。提取的因素分为人口统计学特征、功能特征、慢性疾病、营养状况、皮肤状况和环境因素。然而,由于偏倚风险较高且各研究结果不一致,只有慢性肾病和皮肤干燥被认为是老年人皮肤屏障功能障碍的风险因素:结论:在日常皮肤护理中对慢性肾病和皮肤干燥进行评估可指导制定个性化的护肤方案,以保持老年人皮肤的完整性。此外,需要进行考虑混杂因素和测量可靠性的队列研究,以深入调查皮肤屏障功能障碍和更多风险因素。
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引用次数: 0
Association between organizational justice and serious psychological distress among hospital nursing staff during the COVID-19 pandemic: A cross-sectional study 组织公正与 COVID-19 大流行期间医院护理人员严重心理困扰之间的关系:一项横断面研究。
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-03-08 DOI: 10.1111/jjns.12595
Satoshi Ikeda, Makoto Masumitsu, Satomi Aomoto, Masanori Yamashita, Haruka Kakeda, Eri Nagatomo, Yukiko Kiyota, Michiko Matsueda, Hikaru Hori

Aim

Amidst the COVID-19 pandemic, the association between organizational justice and psychological distress among hospital nursing staff is underexplored. Thus, this cross-sectional study, conducted in Fukuoka Prefecture, Japan, examined the relationship between organizational justice and serious psychological distress (SPD) among hospital nursing staff during COVID-19.

Methods

The study surveyed 783 hospital nursing staff using the Organizational Justice Questionnaire and Effort-Reward Imbalance Questionnaire. The Kessler K6 scale was used to measure SPD. Sociodemographic and occupational characteristics were controlled for as potential confounders.

Results

The prevalence of SPD was 14.4%, with a mean K6 score of 6.5. Moderate procedural justice (odds ratio [OR] = 2.38, 95% confidence interval [CI] = 1.14–4.94, p = .021) and low distributive justice (effort-reward imbalance) (OR = 3.66, 95% CI = 2.01–6.67, p < .001) were associated with SPD, even after adjustment for confounders. Interactional justice showed significance only in the crude model. Effort-reward imbalance had the strongest association with SPD.

Conclusions

The findings showed that moderate procedural justice and low distributive justice were associated with SPD, highlighting the need for organizational interventions to address these factors. Imbalances in effort/reward had the greatest impact, highlighting the critical role of distributive justice in mental health. Thus, in the context of a pandemic, extreme procedural justice is not necessarily associated with mental health, and efforts to ensure distributive justice are critical to improving the mental health of hospital nursing staff. Moreover, organizational stressors should be addressed during disruptive conditions such as infectious disease outbreaks.

目的:在 COVID-19 大流行期间,组织公正与医院护理人员心理困扰之间的关系尚未得到充分探讨。因此,本横断面研究在日本福冈县进行,探讨了 COVID-19 期间医院护理人员的组织公正与严重心理困扰(SPD)之间的关系:研究使用组织公正问卷和努力-回报不平衡问卷对 783 名医院护理人员进行了调查。凯斯勒 K6 量表用于测量 SPD。社会人口学特征和职业特征作为潜在的混杂因素进行了控制:SPD 患病率为 14.4%,平均 K6 得分为 6.5。中度程序公正(几率比[OR] = 2.38,95% 置信区间[CI] = 1.14-4.94,p = .021)和低分配公正(努力-回报不平衡)(OR = 3.66,95% 置信区间 = 2.01-6.67,p 结论:中度程序公正和低分配公正(努力-回报不平衡)是SPD的主要影响因素:研究结果表明,适度的程序公正和低分配公正与 SPD 有关,这突出表明有必要针对这些因素采取组织干预措施。努力/回报不平衡的影响最大,这突出表明了分配公正在心理健康中的关键作用。因此,在大流行病的背景下,极端的程序公正并不一定与心理健康有关,努力确保分配公正对于改善医院护理人员的心理健康至关重要。此外,在传染病爆发等破坏性情况下,应解决组织压力问题。
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引用次数: 0
Diversity and limitations of electroencephalogram and event-related potential applications in nursing research: A scoping review 脑电图和事件相关电位在护理研究中应用的多样性和局限性:范围综述。
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-03-05 DOI: 10.1111/jjns.12593
Huiling Hu, Bilin Wu, Huijun Li, Binlin Wang, Xue Wu

Aims

This scoping review was conducted to provide a comprehensive summary of how electroencephalogram (EEG) and event-related potentials (ERPs) have been used in nursing research, with the goal of mapping the themes and methods of nursing research involving EEGs or ERPs as a measurement tool.

Methods

The eligibility criteria were determined according to the Population, Concept, and Context principle. A systematic electronic search of articles in the PubMed, Web of Science, Embase, CINAHL, APA PsycInfo, and Scopus databases was carried out for the period from database establishment to November 21, 2022. The included studies were analyzed using descriptive statistics and content analysis.

Results

The review process culminated in 45 articles, evidencing an increasing trend and dispersion characteristics of EEG in nursing research and reflecting five thematic domains of inquiry related to nursing. There was a deficiency of detailed reports of EEG recording and data analysis parameters in nursing research. The common EEG bands in nursing research were Delta, Theta, Alpha, Beta, Gamma. The ERP components used frequently were P3, P2, N1, N2, P1, N170, and feedback-related negativity.

Conclusions

The wide variety of EEG components used show broad potential for studying nursing questions. In the future, it will be necessary to increase the depth of the research content, the repeatability of the experiment and the standardization of the report. Nursing researchers should give full play to the characteristics of nursing and establish a systematic and complete EEG research system for nursing.

目的:本综述旨在全面总结脑电图(EEG)和事件相关电位(ERP)在护理研究中的应用情况,目的是勾勒出将脑电图或ERP作为测量工具的护理研究的主题和方法:根据 "人群、概念和背景 "原则确定资格标准。从数据库建立到 2022 年 11 月 21 日,对 PubMed、Web of Science、Embase、CINAHL、APA PsycInfo 和 Scopus 数据库中的文章进行了系统的电子检索。采用描述性统计和内容分析法对纳入的研究进行了分析:通过审查,共收集到 45 篇文章,表明脑电图在护理研究中的应用呈上升趋势和分散特征,并反映了与护理相关的五个专题领域。护理研究中缺乏有关脑电图记录和数据分析参数的详细报告。护理研究中常见的脑电图波段为Delta、Theta、Alpha、Beta、Gamma。经常使用的 ERP 成分有 P3、P2、N1、N2、P1、N170 和反馈相关负性:所使用的脑电图成分种类繁多,显示出研究护理问题的广泛潜力。今后,有必要增加研究内容的深度、实验的可重复性和报告的规范性。护理研究人员应充分发挥护理专业特点,建立系统完整的护理脑电研究体系。
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引用次数: 0
Enhancing learning motivation and academic achievement in nursing students through metaverse-based learning: A randomized controlled study 通过基于元数据的学习提高护理专业学生的学习动力和学业成绩:随机对照研究
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-02-29 DOI: 10.1111/jjns.12594
Esin Çetinkaya Uslusoy, Ayse Aydinli, Faruk Durna

Aim

Generation Z students do not get much benefit from traditional distance education methods. Instead, they need new platforms and methods that will motivate them and increase their success.

Methods

A randomized controlled study was performed on 42 students. The experimental group students were presented with metaverse, and the control group students were taught the distance education course.

Results

In this study, in the students' Instructional Materials Motivation Survey, the mean scores of both the experimental and control groups exhibited no significant difference before the intervention. Regarding the effect of metaverse-based learning on students' Instructional Materials Motivation Survey, the mean score of the control group was 82.55 ± 13.18, and the mean score of the experimental group was 96.52 ± 9.54 and there was a significant difference between groups after the intervention. When the academic achievement levels of the groups were examined, it was determined that the experimental group scored 76.57 ± 13.33 and the control group received 64.40 ± 16.42 points. It was determined there was a significant difference between the groups in terms of learning motivation and academic achievement.

Conclusion

The study results show that the participants accepted the important role of metaverse as an effective learning method compared to traditional distance education methods. It is recommended to expand the use of metaverse in various fields of nursing education.

目的:Z 世代学生从传统远程教育方法中获益不多。相反,他们需要新的平台和方法来激励他们,提高他们的成功率:方法:对 42 名学生进行了随机对照研究。方法:对 42 名学生进行了随机对照研究,向实验组学生展示了 metaverse,向对照组学生讲授了远程教育课程:在这项研究中,在学生的教材动机调查中,实验组和对照组的平均得分在干预前没有明显差异。在基于元数据的学习对学生教材学习动机调查的影响方面,对照组的平均分为(82.55±13.18)分,实验组的平均分为(96.52±9.54)分,干预后组间差异显著。在考察各组的学习成绩水平时,实验组的成绩为(76.57 ± 13.33)分,对照组的成绩为(64.40 ± 16.42)分。实验组和对照组在学习动机和学业成绩方面存在显著差异:研究结果表明,与传统的远程教育方法相比,参与者认可元数据作为一种有效学习方法的重要作用。建议在护理教育的各个领域推广使用元数据。
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引用次数: 0
Implementation of peer-to-peer oral care objective structured clinical examination-based learning for nursing students 对护理专业学生实施同伴口腔护理目标结构化临床考试式学习。
IF 1.7 4区 医学 Q2 NURSING Pub Date : 2024-02-27 DOI: 10.1111/jjns.12591
Satoru Haresaku, Maki Miyoshi, Masumi Muramatsu, Mayumi Monji, Hisae Aoki, Hitomi Maeda, Mami Miyazono, Mika Obuse, Fuyuko Nakashima, Souhei Uchida, Hidechika Iino, Kazuyuki Akinaga, Akiko Chishaki, Toru Naito

Aim

Nurses' skills and confidence in providing oral care to patients play important roles in healthcare. Studies have proved that peer-to-peer learning and assessment can help improve nurses’ skills and confidence. However, no study has investigated it using an objective assessment checklist. This study investigated an oral hygiene practice training program for nursing students. It focused on their oral healthcare skills, confidence, and perspectives regarding implementing an objective structured clinical examination (OSCE).

Methods

A pre- and post-survey of 97 nursing students from a nursing school in Japan was conducted as a peer-to-peer oral health education training program that included an assessment and performance checklist.

Results

Confidence in performing and assessing oral care significantly improved after attending the program. Furthermore, the changes were significantly greater in the developed program than in the training program without the checklist. The mean total assessment scores (0–25) of the first, second, third, and fourth participants in the four-student groups were 22.1, 23.4, 23.9, and 24.1, respectively. The mean scores of the second, third, and fourth participant groups were significantly higher than that of the first participant group (p < .01). Fifty-two positive and 58 negative comments were received regarding the implementation of the program with professional assessments and the checklist. The most common positive comment mentioned that the evaluation by professionals improved oral care learning and skills.

Conclusions

This study developed a program to improve nursing students' confidence and oral care delivery skill building in an OSCE-style delivery.

目的:护士为患者提供口腔护理的技能和信心在医疗保健中发挥着重要作用。研究证明,同侪学习和评估有助于提高护士的技能和信心。然而,还没有研究使用客观评估清单对其进行调查。本研究调查了一项针对护理专业学生的口腔卫生实践培训计划。研究重点是他们的口腔保健技能、信心以及对实施客观结构化临床检查(OSCE)的看法:方法:对来自日本一所护理学校的 97 名护理专业学生进行了前后调查,作为一项同伴间口腔健康教育培训计划,其中包括评估和表现检查表:结果:参加该项目后,进行口腔护理和评估的信心明显提高。结果:参加培训项目后,进行口腔护理和评估的信心明显提高,而且,已制定的培训项目与未使用检查表的培训项目相比,变化明显更大。四名学员中,第一、第二、第三和第四名学员的平均评估总分(0-25 分)分别为 22.1、23.4、23.9 和 24.1 分。第二、第三和第四名学员组的平均得分明显高于第一名学员组(P 结论:第一名学员组的平均得分高于第二名学员组(P本研究开发了一种以 OSCE 方式授课的课程,以提高护理专业学生的自信心和口腔护理技能。
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引用次数: 0
期刊
Japan Journal of Nursing Science
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