Japan Journal of Nursing Science最新文献_第5页

Comparing factors related to perceived control and preventive behaviors from COVID-19 between Japanese and American nursing students: A cross-sectional study 比较日本和美国护理专业学生在 COVID-19 中感知控制和预防行为的相关因素：横断面研究

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2024-02-01 DOI: 10.1111/jjns.12585

Akiko Kondo, Renaguli Abuliezi, Kosuke Niitsu, Kazuko Naruse, Tomomi Oki, Erika Ota, Mabel C. Ezeonwu

Aim

Higher levels of perceived control are important to maintain health. The difference in factors related to perceived control and preventive behaviors during the COVID-19 pandemic between Japanese and American nursing students remains unknown. This study aimed to compare factors related to perceived control and infection preventive behaviors between the two countries.

Methods

This cross-sectional study included nursing students attending four universities in Japan and one in the United States. Using Google Forms, the participants answered a survey comprising sociodemographic data, the Perceived Control and Self-Efficacy Scale, the Perceived Health Competence Scale, and a preventive behavior questionnaire. The data were collected from November 2020 to May 2021. Linear and logistic regressions were used to analyze the factors related to perceived control and preventive behaviors, respectively.

Results

Data from 878 students were analyzed. University/campus emerged as a strong predictor for perceived control and preventive behaviors in both countries, with a positive correlation between perceived control and preventive behaviors. Older age, less frequent alcohol consumption, higher perceived health competence, less frequent work in Japan; and chronic conditions in the United States were associated with frequent preventive behaviors. Younger age was correlated with higher perceived control in Japan, while religion and increased workload were potential factors for American students.

Conclusion

Individual factors were pivotal in Japan, whereas interpersonal factors were more likely related to perceived control in the United States. Additionally, in both countries, policy or organizational factors significantly influenced students' preventive behaviors.

目的：较高水平的感知控制对保持健康非常重要。在 COVID-19 大流行期间，日本和美国护理专业学生在感知控制和预防行为相关因素方面的差异仍是未知数。本研究旨在比较两国之间感知控制和感染预防行为的相关因素：这项横断面研究包括在日本四所大学和美国一所大学就读的护理专业学生。参与者使用谷歌表格回答了一项调查，其中包括社会人口学数据、感知控制和自我效能量表、感知健康能力量表以及预防行为问卷。数据收集时间为 2020 年 11 月至 2021 年 5 月。分别采用线性回归和逻辑回归分析感知控制和预防行为的相关因素：对 878 名学生的数据进行了分析。在这两个国家中，大学/校园是感知控制和预防行为的有力预测因素，感知控制和预防行为之间呈正相关。在日本，年龄越大、饮酒次数越少、健康感知能力越强、工作次数越少；在美国，慢性病与预防行为的频繁程度相关。在日本，年轻与较高的感知控制能力相关，而宗教信仰和工作量增加则是美国学生的潜在因素：结论：在日本，个人因素至关重要，而在美国，人际因素更有可能与控制感知有关。此外，在这两个国家，政策或组织因素对学生的预防行为都有重大影响。

{"title":"Comparing factors related to perceived control and preventive behaviors from COVID-19 between Japanese and American nursing students: A cross-sectional study","authors":"Akiko Kondo, Renaguli Abuliezi, Kosuke Niitsu, Kazuko Naruse, Tomomi Oki, Erika Ota, Mabel C. Ezeonwu","doi":"10.1111/jjns.12585","DOIUrl":"10.1111/jjns.12585","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Higher levels of perceived control are important to maintain health. The difference in factors related to perceived control and preventive behaviors during the COVID-19 pandemic between Japanese and American nursing students remains unknown. This study aimed to compare factors related to perceived control and infection preventive behaviors between the two countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study included nursing students attending four universities in Japan and one in the United States. Using Google Forms, the participants answered a survey comprising sociodemographic data, the Perceived Control and Self-Efficacy Scale, the Perceived Health Competence Scale, and a preventive behavior questionnaire. The data were collected from November 2020 to May 2021. Linear and logistic regressions were used to analyze the factors related to perceived control and preventive behaviors, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Data from 878 students were analyzed. University/campus emerged as a strong predictor for perceived control and preventive behaviors in both countries, with a positive correlation between perceived control and preventive behaviors. Older age, less frequent alcohol consumption, higher perceived health competence, less frequent work in Japan; and chronic conditions in the United States were associated with frequent preventive behaviors. Younger age was correlated with higher perceived control in Japan, while religion and increased workload were potential factors for American students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Individual factors were pivotal in Japan, whereas interpersonal factors were more likely related to perceived control in the United States. Additionally, in both countries, policy or organizational factors significantly influenced students' preventive behaviors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652074","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

Effectiveness of a self-assessment application in evaluating the care coordination competency of intensive care unit nurses in managing patients on life support: An intervention study 自我评估应用程序在评估重症监护室护士管理生命支持患者的护理协调能力方面的有效性：干预研究。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2024-01-25 DOI: 10.1111/jjns.12584

Chie Takiguchi, Tomoko Inoue

Aim

To examine the effectiveness of the feedback from the Nurses' Care Coordination Competency Scale (NCCCS) application (app) used for self-assessing the care coordination competency of intensive care unit (ICU) nurses in managing patients on life support.

Methods

A non-randomized open-label study was conducted in Japan from November 2021 to March 2022. Participants were 318 ICU nurses from acute hospitals in Japan. They were divided manually into two groups based on their certification status. The intervention was immediate feedback on the results of the care coordination competency self-assessment through the NCCCS app; the control group performed the NCCCS survey with no feedback. The primary outcome was an increase in the NCCCS score 1 month after the intervention. Mann–Whitney U test was used to compare the scores of the intervention and control groups. Wilcoxon's signed rank sum test was used to compare the scores in the first and second NCCCS surveys.

Results

Forty-one participants were lost to follow-up, leaving 277 participants (intervention = 141, control = 136) for analysis. One month later, NCCCS scores similarly increased in both groups. For nurses with at least 5 years of ICU experience (n = 152), the NCCCS score increased in the intervention group (n = 75) (rising point mean: 4.8, standard deviation [SD]: 9.8) compared with that in the control group (n = 77) (rising point mean: 1.3, SD: 8.3) (p = .048).

Conclusions

Feedback from the NCCCS app can improve care coordination behavior. However, a certain level of ICU experience may be required to translate feedback into improved behavior.

目的：研究护士护理协调能力量表（NCCCS）应用程序（App）的反馈对重症监护室（ICU）护士在管理生命支持患者时进行护理协调能力自我评估的有效性：2021年11月至2022年3月在日本进行了一项非随机开放标签研究。参与者为来自日本急症医院的 318 名 ICU 护士。根据护士的资格认证情况将其手动分为两组。干预组通过 NCCCS 应用程序对护理协调能力自我评估结果进行即时反馈；对照组进行 NCCCS 调查，但无反馈。主要结果是干预 1 个月后 NCCCS 分数的提高。Mann-Whitney U 检验用于比较干预组和对照组的得分。Wilcoxon 符号秩和检验用于比较第一次和第二次 NCCCS 调查的得分：有 41 名参与者失去了随访机会，因此有 277 名参与者（干预组 = 141 人，对照组 = 136 人）需要进行分析。一个月后，两组的 NCCCS 分数都有类似的提高。对于至少有 5 年 ICU 经验的护士（n = 152），干预组（n = 75）的 NCCCS 得分（上升点平均值：4.8，标准差 [SD] ：9.8）与对照组（n = 77）的 NCCCS 得分（上升点平均值：1.3，标准差：8.3）相比有所增加（p = .048）：结论：NCCCS 应用程序的反馈可以改善护理协调行为。结论：NCCCS 应用程序的反馈可改善护理协调行为，但要将反馈转化为改善行为，可能需要一定的 ICU 经验。

{"title":"Effectiveness of a self-assessment application in evaluating the care coordination competency of intensive care unit nurses in managing patients on life support: An intervention study","authors":"Chie Takiguchi, Tomoko Inoue","doi":"10.1111/jjns.12584","DOIUrl":"10.1111/jjns.12584","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the effectiveness of the feedback from the Nurses' Care Coordination Competency Scale (NCCCS) application (app) used for self-assessing the care coordination competency of intensive care unit (ICU) nurses in managing patients on life support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A non-randomized open-label study was conducted in Japan from November 2021 to March 2022. Participants were 318 ICU nurses from acute hospitals in Japan. They were divided manually into two groups based on their certification status. The intervention was immediate feedback on the results of the care coordination competency self-assessment through the NCCCS app; the control group performed the NCCCS survey with no feedback. The primary outcome was an increase in the NCCCS score 1 month after the intervention. Mann–Whitney <i>U</i> test was used to compare the scores of the intervention and control groups. Wilcoxon's signed rank sum test was used to compare the scores in the first and second NCCCS surveys.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty-one participants were lost to follow-up, leaving 277 participants (intervention = 141, control = 136) for analysis. One month later, NCCCS scores similarly increased in both groups. For nurses with at least 5 years of ICU experience (<i>n</i> = 152), the NCCCS score increased in the intervention group (<i>n</i> = 75) (rising point mean: 4.8, standard deviation [SD]: 9.8) compared with that in the control group (<i>n</i> = 77) (rising point mean: 1.3, SD: 8.3) (<i>p</i> = .048).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Feedback from the NCCCS app can improve care coordination behavior. However, a certain level of ICU experience may be required to translate feedback into improved behavior.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.12584","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Music intervention in patients undergoing hematopoietic stem cell transplantation: A systematic review and meta-analysis 造血干细胞移植患者的音乐干预：系统回顾和荟萃分析。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2024-01-23 DOI: 10.1111/jjns.12586

Zijin Yao, Zhuolin Ma, Yichen Zhu, Xinan Lv

Aims

To explore whether music intervention improves the quality of life (QOL) of patients undergoing hematopoietic stem cell transplantation (HSCT) and to evaluate its impact on patients' symptoms of depression/anxiety and fatigue.

Methods

This systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items of Systematic reviews and Meta-Analyses (PRISMA) guidelines. The databases PubMed, Cochrane CENTRAL, and EMBASE were searched from inception to September 30, 2022. The search strategy used a combination of the keywords “music” and “hematopoietic stem cell transplantation” or “HSCT.” The outcomes assessed were QOL, depression and anxiety, and fatigue. Pooled standardized mean differences with 95% confidence intervals were calculated to compare the outcomes between the music intervention and control groups. Heterogeneity across the studies was assessed using a chi-square-based test, and the I² and Q statistics.

Results

Meta-analysis of the included study population showed that music intervention for patients undergoing HSCT was associated with patients' improved QOL, and resulted in reduced depression/anxiety and fatigue compared to patients without music intervention.

Conclusion

Music intervention benefits HSCT outcomes, including better QOL, less depression/anxiety, and less fatigue postoperatively. Future trials with larger samples are still warranted to strengthen the evidence supporting the benefits of music intervention in this patient population.

目的：探讨音乐干预是否能改善造血干细胞移植（HSCT）患者的生活质量（QOL），并评估其对患者抑郁/焦虑和疲劳症状的影响：本系统综述和荟萃分析是根据系统综述和荟萃分析首选报告项目（PRISMA）指南进行的。从开始到 2022 年 9 月 30 日，对 PubMed、Cochrane CENTRAL 和 EMBASE 等数据库进行了检索。搜索策略使用了关键词 "音乐 "和 "造血干细胞移植 "或 "HSCT "的组合。评估的结果包括 QOL、抑郁和焦虑以及疲劳。为了比较音乐干预组和对照组之间的结果，计算了汇总的标准化均值差异及 95% 的置信区间。使用基于卡方检验的I2和Q统计量评估了各研究之间的异质性：对纳入的研究人群进行的元分析表明，对接受造血干细胞移植的患者进行音乐干预与患者QOL的改善有关，与没有音乐干预的患者相比，音乐干预可减少抑郁/焦虑和疲劳：结论：音乐干预对造血干细胞移植的疗效有益，包括改善患者的生活质量、减少抑郁/焦虑以及减轻术后疲劳。未来仍需进行更大规模的样本试验，以加强支持音乐干预对这一患者群体有益的证据。

{"title":"Music intervention in patients undergoing hematopoietic stem cell transplantation: A systematic review and meta-analysis","authors":"Zijin Yao, Zhuolin Ma, Yichen Zhu, Xinan Lv","doi":"10.1111/jjns.12586","DOIUrl":"10.1111/jjns.12586","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To explore whether music intervention improves the quality of life (QOL) of patients undergoing hematopoietic stem cell transplantation (HSCT) and to evaluate its impact on patients' symptoms of depression/anxiety and fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items of Systematic reviews and Meta-Analyses (PRISMA) guidelines. The databases PubMed, Cochrane CENTRAL, and EMBASE were searched from inception to September 30, 2022. The search strategy used a combination of the keywords “music” and “hematopoietic stem cell transplantation” or “HSCT.” The outcomes assessed were QOL, depression and anxiety, and fatigue. Pooled standardized mean differences with 95% confidence intervals were calculated to compare the outcomes between the music intervention and control groups. Heterogeneity across the studies was assessed using a chi-square-based test, and the <i>I</i><sup>2</sup> and Q statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Meta-analysis of the included study population showed that music intervention for patients undergoing HSCT was associated with patients' improved QOL, and resulted in reduced depression/anxiety and fatigue compared to patients without music intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Music intervention benefits HSCT outcomes, including better QOL, less depression/anxiety, and less fatigue postoperatively. Future trials with larger samples are still warranted to strengthen the evidence supporting the benefits of music intervention in this patient population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521269","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

Development of Older Adults’ Perceptions on Community-based Connectedness with People Scale: Reliability and validity evaluation 开发老年人对社区与人联系感知量表：可靠性和有效性评估。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2024-01-12 DOI: 10.1111/jjns.12583

Mami Kikuchi, Atsuko Ikeda, Michiyo Hirano

Aim

We developed a self-assessment scale—Older Adults' Perceptions of Community-based Connectedness with People—to assess older adults' comprehensive perceptions of their connectedness with others in the community. A specific aim of this study is to evaluate the reliability and validity of this scale.

Methods

Participants consisted of 1000 men and women aged 65 years or older, living in Sapporo, Hokkaido, Japan. Factorial validity was assessed using exploratory and confirmatory factor analysis, while concurrent validity was assessed using correlation analysis. Reliability was confirmed by Cronbach's α coefficient using the internal consistency method, and the stability coefficient was confirmed using the test–retest method.

Results

Responses were received from 380 participants, and 358 participants who responded to all items were included in the analysis. The developed scale comprised 22 items with three factors: “Perception of Inclusion” (α = .947), “Perception of Reciprocity through Reception” (α = .937), and “Perception of Reciprocity through Provision” (α = .910). Correlation analyses indicated that concurrent scales were positively correlated with Ikigai and negatively correlated with loneliness on the total scale. The model fit was comparative fit index = 0.933, goodness-of-fit index = 0.854, adjusted goodness-of-fit index = 0.818, and root mean square of approximation = 0.081. The stability coefficient of the total scale scores was 0.875 (95% CI: [0.830, 0.908]).

Conclusions

The developed scale had adequate reliability and validity. The perceptions of connectedness measured using this scale can be used by public health and nursing care professionals to prevent loneliness and isolation among older adults living in the community.

目的：我们开发了一个自我评估量表--"老年人对社区中与他人联系的看法"，以评估老年人对其在社区中与他人联系的综合看法。本研究的一个具体目的是评估该量表的可靠性和有效性：参与者包括居住在日本北海道札幌市的 1000 名 65 岁或以上的男性和女性。采用探索性和确认性因子分析评估因子效度，采用相关性分析评估并发效度。采用内部一致性方法通过克朗巴赫 α 系数确认了信度，并采用重测法确认了稳定性系数：结果：共收到 380 名参与者的回答，其中 358 名参与者回答了所有项目并被纳入分析。所编制的量表由 22 个项目组成，包含三个因子："包容感"（α = .947）、"接受互惠感"（α = .937）和 "提供互惠感"（α = .910）。相关分析表明，并行量表与 "Ikigai "呈正相关，与总量表中的 "孤独感 "呈负相关。模型拟合度为比较拟合指数 = 0.933，拟合优度指数 = 0.854，调整后拟合优度指数 = 0.818，近似均方根 = 0.081。量表总分的稳定系数为 0.875（95% CI：[0.830，0.908]）：结论：所编制的量表具有充分的信度和效度。公共卫生和护理专业人员可利用该量表测量的联系感来预防社区老年人的孤独和孤立。

{"title":"Development of Older Adults’ Perceptions on Community-based Connectedness with People Scale: Reliability and validity evaluation","authors":"Mami Kikuchi, Atsuko Ikeda, Michiyo Hirano","doi":"10.1111/jjns.12583","DOIUrl":"10.1111/jjns.12583","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>We developed a self-assessment scale—Older Adults' Perceptions of Community-based Connectedness with People—to assess older adults' comprehensive perceptions of their connectedness with others in the community. A specific aim of this study is to evaluate the reliability and validity of this scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants consisted of 1000 men and women aged 65 years or older, living in Sapporo, Hokkaido, Japan. Factorial validity was assessed using exploratory and confirmatory factor analysis, while concurrent validity was assessed using correlation analysis. Reliability was confirmed by Cronbach's α coefficient using the internal consistency method, and the stability coefficient was confirmed using the test–retest method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Responses were received from 380 participants, and 358 participants who responded to all items were included in the analysis. The developed scale comprised 22 items with three factors: “Perception of Inclusion” (α = .947), “Perception of Reciprocity through Reception” (α = .937), and “Perception of Reciprocity through Provision” (α = .910). Correlation analyses indicated that concurrent scales were positively correlated with <i>Ikigai</i> and negatively correlated with loneliness on the total scale. The model fit was comparative fit index = 0.933, goodness-of-fit index = 0.854, adjusted goodness-of-fit index = 0.818, and root mean square of approximation = 0.081. The stability coefficient of the total scale scores was 0.875 (95% CI: [0.830, 0.908]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The developed scale had adequate reliability and validity. The perceptions of connectedness measured using this scale can be used by public health and nursing care professionals to prevent loneliness and isolation among older adults living in the community.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433181","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

Knowledge, attitude, and practice of critical care nurses and their influence on acute skin failure patients in China: A multicenter cross-sectional study 中国重症监护护士的知识、态度和实践及其对急性皮肤衰竭患者的影响：一项多中心横断面研究

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2024-01-12 DOI: 10.1111/jjns.12582

Lisang Fu, Yiyuan Chen, Libin Lin, Zhenmei Xu, Yaoning Zhuang

Aim

Acute skin failure (ASF) can happen in critically ill patients. Therefore, adequate knowledge and skills regarding ASF are essential to manage this disorder. The aim of this work was to investigate the nurses' knowledge, attitude, and practice (KAP) regarding ASF patients and to analyze its influencing factors in the intensive care unit.

Methods

A multicenter cross-sectional study was performed in 10 tertiary hospitals in March 2022. Eligible nurses received a survey with a self-designed questionnaire about their KAP regarding ASF, which included three dimensions and a maximum score of 120. A higher score corresponded to better KAP.

Results

A total of 255 nurses participated in this study. The mean KAP score was 75.6 ± 16.9. The mean scores of the knowledge, attitude, and practice dimensions were 26.2 ± 10.6, 38.2 ± 6.1, and 11.3 ± 4.3, respectively. The dimensions were ranked according to score (from low to high) as follows: knowledge (2.6 ± 1.1), practice (2.8 ± 1.1), and attitude (3.8 ± 0.6). Multivariate linear regression analysis showed that more training sessions and an advanced professional title were associated with higher KAP scores.

Conclusions

The overall KAP score on ASF was low in nurses. Nurses had a positive attitude towards ASF, but their knowledge and practice required significant improvement. Those who had received more training and held a more advanced professional title exhibited higher KAP scores regarding ASF. Therefore, nurse managers should establish a relevant knowledge training system, strengthen relevant training, and improve nursing practices for ASF in order to achieve a high level of KAP in nurses who treat ASF patients.

危重病人可能会出现急性皮肤衰竭（ASF）。因此，充分掌握有关 ASF 的知识和技能对于处理这种疾病至关重要。这项工作旨在调查重症监护病房护士对急性皮肤衰竭患者的知识、态度和实践（KAP），并分析其影响因素。

{"title":"Knowledge, attitude, and practice of critical care nurses and their influence on acute skin failure patients in China: A multicenter cross-sectional study","authors":"Lisang Fu, Yiyuan Chen, Libin Lin, Zhenmei Xu, Yaoning Zhuang","doi":"10.1111/jjns.12582","DOIUrl":"10.1111/jjns.12582","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Acute skin failure (ASF) can happen in critically ill patients. Therefore, adequate knowledge and skills regarding ASF are essential to manage this disorder. The aim of this work was to investigate the nurses' knowledge, attitude, and practice (KAP) regarding ASF patients and to analyze its influencing factors in the intensive care unit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicenter cross-sectional study was performed in 10 tertiary hospitals in March 2022. Eligible nurses received a survey with a self-designed questionnaire about their KAP regarding ASF, which included three dimensions and a maximum score of 120. A higher score corresponded to better KAP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 255 nurses participated in this study. The mean KAP score was 75.6 ± 16.9. The mean scores of the knowledge, attitude, and practice dimensions were 26.2 ± 10.6, 38.2 ± 6.1, and 11.3 ± 4.3, respectively. The dimensions were ranked according to score (from low to high) as follows: knowledge (2.6 ± 1.1), practice (2.8 ± 1.1), and attitude (3.8 ± 0.6). Multivariate linear regression analysis showed that more training sessions and an advanced professional title were associated with higher KAP scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The overall KAP score on ASF was low in nurses. Nurses had a positive attitude towards ASF, but their knowledge and practice required significant improvement. Those who had received more training and held a more advanced professional title exhibited higher KAP scores regarding ASF. Therefore, nurse managers should establish a relevant knowledge training system, strengthen relevant training, and improve nursing practices for ASF in order to achieve a high level of KAP in nurses who treat ASF patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458916","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

A survey of screening and support systems for socially high-risk pregnancies at obstetric facilities in Japan 日本产科机构社会高危妊娠筛查和支持系统调查。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-12-25 DOI: 10.1111/jjns.12581

Kumiko Otsuka, Aiko Okatsu, Satoko Wada, Nobuaki Mitsuda, Yaeko Kataoka

Aim

To clarify the state of screening and support systems for socially high-risk pregnant women at obstetric facilities across Japan and identify the characteristics of facilities related to the implementation of screening.

Methods

This cross-sectional study used a self-administered questionnaire. Participants were managers of hospitals, clinics, and midwifery birth centers handling deliveries in 47 prefectures across Japan. The questionnaire comprised items regarding the characteristics of participants and their facilities, service provision related to socially high-risk women available at the facility, the number of specified pregnant women (tokutei ninpu) per year, methods of screening, and support systems within the obstetric facilities. Descriptive statistics and multivariate logistic regression analysis were performed using IBM-SPSS version 24 for the association between facility characteristics and screening practices for socially high-risk pregnant women.

Results

Valid responses were received from 716 of 2512 obstetric facilities. Rates of specified expectant mothers per annual number of deliveries were identified as follows: perinatal medical centers (2.7%), general hospitals (1.6%), obstetrics and gynecology hospitals (1.0%), and clinics (0.8%). A total of 426 facilities (60.6%) reported screening all expectant mothers to identify socially high-risk pregnant women. Multiple logistic regression analysis revealed that facility characteristics and service/care provision related to screening practices included availability of in-hospital midwife-led care and in-hospital midwifery clinics (adjusted odds ratio 1.61; 95% CI [1.30, 1.47]), one-on-one care by midwife (1.73; 95% CI [1.15, 2.59]), multidisciplinary meetings within the facility (1.70; 95% CI [1.14, 2.56]), follow-up support systems after discharge (1.90; 95% CI [1.17, 3.09]), and participation in the regional council for children in need of protection (2.33; 95% CI [1.13, 4.81]).

Conclusions

Approximately 60% of surveyed obstetric facilities screen for socially high-risk women. Increasing service provision at facilities may be necessary to implement screening.

目的：了解日本各地产科机构为社会高危孕妇提供筛查和支持系统的情况，并确定与实施筛查有关的产科机构的特点：这项横断面研究采用了自填式问卷。调查对象为日本 47 个都道府县的医院、诊所和助产分娩中心的管理人员。调查问卷的项目包括：参与者及其机构的特征、机构为社会高危妇女提供的服务、每年特定孕妇（tokutei ninpu）的数量、筛查方法以及产科机构内部的支持系统。使用 IBM-SPSS 第 24 版进行了描述性统计和多变量逻辑回归分析，以研究机构特征与社会高危孕妇筛查方法之间的关联：在 2512 家产科机构中，有 716 家做出了有效回复。每年度分娩数量中特定孕妇的比率如下：围产期医疗中心（2.7%）、综合医院（1.6%）、妇产科医院（1.0%）和诊所（0.8%）。共有 426 家机构（60.6%）报告对所有孕妇进行筛查，以识别社会高危孕妇。多元逻辑回归分析表明，与筛查实践相关的设施特征和服务/护理提供包括院内助产士主导的护理和院内助产诊所（调整后的几率比 1.61；95% CI [1.30，1.47]）、助产士一对一护理（1.73；95% CI [1.15，2.59]）、机构内的多学科会议（1.70；95% CI [1.14，2.56]）、出院后的后续支持系统（1.90；95% CI [1.17，3.09]）以及参与需要保护儿童的地区委员会（2.33；95% CI [1.13，4.81]）：在接受调查的产科机构中，约有 60% 的机构对社会高危妇女进行筛查。要实施筛查，可能需要增加产科机构提供的服务。

{"title":"A survey of screening and support systems for socially high-risk pregnancies at obstetric facilities in Japan","authors":"Kumiko Otsuka, Aiko Okatsu, Satoko Wada, Nobuaki Mitsuda, Yaeko Kataoka","doi":"10.1111/jjns.12581","DOIUrl":"10.1111/jjns.12581","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To clarify the state of screening and support systems for socially high-risk pregnant women at obstetric facilities across Japan and identify the characteristics of facilities related to the implementation of screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study used a self-administered questionnaire. Participants were managers of hospitals, clinics, and midwifery birth centers handling deliveries in 47 prefectures across Japan. The questionnaire comprised items regarding the characteristics of participants and their facilities, service provision related to socially high-risk women available at the facility, the number of specified pregnant women (<i>tokutei ninpu</i>) per year, methods of screening, and support systems within the obstetric facilities. Descriptive statistics and multivariate logistic regression analysis were performed using IBM-SPSS version 24 for the association between facility characteristics and screening practices for socially high-risk pregnant women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Valid responses were received from 716 of 2512 obstetric facilities. Rates of specified expectant mothers per annual number of deliveries were identified as follows: perinatal medical centers (2.7%), general hospitals (1.6%), obstetrics and gynecology hospitals (1.0%), and clinics (0.8%). A total of 426 facilities (60.6%) reported screening all expectant mothers to identify socially high-risk pregnant women. Multiple logistic regression analysis revealed that facility characteristics and service/care provision related to screening practices included availability of in-hospital midwife-led care and in-hospital midwifery clinics (adjusted odds ratio 1.61; 95% CI [1.30, 1.47]), one-on-one care by midwife (1.73; 95% CI [1.15, 2.59]), multidisciplinary meetings within the facility (1.70; 95% CI [1.14, 2.56]), follow-up support systems after discharge (1.90; 95% CI [1.17, 3.09]), and participation in the regional council for children in need of protection (2.33; 95% CI [1.13, 4.81]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Approximately 60% of surveyed obstetric facilities screen for socially high-risk women. Increasing service provision at facilities may be necessary to implement screening.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038157","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

Investigation of the possibility of using an augmented reality-based endotracheal aspiration simulation tool for nursing education 基于增强现实技术的气管插管模拟工具用于护理教育的可能性调查

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-12-12 DOI: 10.1111/jjns.12573

Mikako Arakida, Tokiichiro Takahashi, Yuko Matsuda, Yuta Yamabe, Chizuko Miyamoto, Emiko Aoki, Sawako Takahashi, Mizuho Ando, Tomoaki Moriya, Shuhei Kodama, Ruriko Yamashita, Takahiro Igarashi, Keito Tanizaki, Kenta Uchida

Aim

We developed an augmented reality technology-based endotracheal aspiration simulation tool (the AR tool) consisting of three modes: a mode for nursing students to learn endotracheal aspiration by themselves (learning mode); a mode for repeated practice (practice mode); and a mode for confirmation testing (test mode). This study aimed to compare the learning outcomes of the AR tool with traditional training mannequins and identify potential uses and improvements of the AR tool.

Methods

We invited students, and faculty members from the three universities who agreed to cooperate in conducting this study. Fifty-four students and nine faculty members agreed to participate in this study. The students were divided into two groups. One group was to study with the AR tool and the other group was to study with the traditional half-body training mannequin for suction. The students in both groups were asked to demonstrate endotracheal aspiration on another full-body type training mannequin which could be used as a patient with a tracheostomy (Skill test). Group interviews with faculty members focused on the topic of the AR tool's potential use in nursing education and improvement needed.

Results

There was little significant difference in the skill test results of endotracheal aspiration of students in both groups. The students and faculty members both expressed an interest in the AR tool. They said it was suitable for self-study of endotracheal aspiration.

Conclusions

This AR tool is an effective teaching tool for learning the sequence of endotracheal suctioning, although there are some areas that need improvement.

我们开发了一种基于增强现实技术的气管内吸痰模拟工具(AR工具)，包括三种模式:一种是护生自学气管内吸痰的模式(学习模式);一种重复练习模式(练习模式);以及用于确认测试的模式(测试模式)。本研究旨在比较AR工具与传统训练模型的学习结果，并确定AR工具的潜在用途和改进。

{"title":"Investigation of the possibility of using an augmented reality-based endotracheal aspiration simulation tool for nursing education","authors":"Mikako Arakida, Tokiichiro Takahashi, Yuko Matsuda, Yuta Yamabe, Chizuko Miyamoto, Emiko Aoki, Sawako Takahashi, Mizuho Ando, Tomoaki Moriya, Shuhei Kodama, Ruriko Yamashita, Takahiro Igarashi, Keito Tanizaki, Kenta Uchida","doi":"10.1111/jjns.12573","DOIUrl":"10.1111/jjns.12573","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>We developed an augmented reality technology-based endotracheal aspiration simulation tool (the AR tool) consisting of three modes: a mode for nursing students to learn endotracheal aspiration by themselves (learning mode); a mode for repeated practice (practice mode); and a mode for confirmation testing (test mode). This study aimed to compare the learning outcomes of the AR tool with traditional training mannequins and identify potential uses and improvements of the AR tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We invited students, and faculty members from the three universities who agreed to cooperate in conducting this study. Fifty-four students and nine faculty members agreed to participate in this study. The students were divided into two groups. One group was to study with the AR tool and the other group was to study with the traditional half-body training mannequin for suction. The students in both groups were asked to demonstrate endotracheal aspiration on another full-body type training mannequin which could be used as a patient with a tracheostomy (Skill test). Group interviews with faculty members focused on the topic of the AR tool's potential use in nursing education and improvement needed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was little significant difference in the skill test results of endotracheal aspiration of students in both groups. The students and faculty members both expressed an interest in the AR tool. They said it was suitable for self-study of endotracheal aspiration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This AR tool is an effective teaching tool for learning the sequence of endotracheal suctioning, although there are some areas that need improvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jjns.12573","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138632359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The process through which nurses providing care to COVID-19 patients recognize professional growth: A Trajectory Equifinality Model 为 COVID-19 患者提供护理的护士认识到专业成长的过程：轨迹平等模型

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-12-10 DOI: 10.1111/jjns.12577

Maho Inoue, Yukie Takemura, Aya Kitamura, Tamaki Isobe

Aim

This study investigated the ways in which nurses caring for COVID-19 patients during the pandemic's early stages recognized professional growth through their experiences and continued working for several years, as well as the key experiences for identifying professional growth, external factors, and career intentions.

Methods

We used a qualitative research method called the Trajectory Equifinality Model (TEM). The participants were nine nurses caring for COVID-19 patients during the pandemic's early stages and had already recognized professional growth through a series of experiences. We constructed a TEM diagram based on two interviews per participant (in February–March, and July–August 2022).

Results

The process by which the participants recognized professional growth through a series of experiences was divided into Phases 1–4. The participants experienced adversity in Phases 1 and 3, and the following professional growth in Phases 2 and 4: gaining confidence as a nurse performing tasks of great social significance by acquiring the ability to fulfill my roles and realizing I could use the skills I had acquired by providing nursing care to COVID-19 patients in other situations, respectively. The key experiences for identifying professional growth as well as the inhibiting and facilitating factors of the process differed depending on the phase. The participants' career intention was wanting to continue to be involved in nursing by utilizing the skills and experience I have accumulated.

Conclusion

Managers and directors of nursing should provide appropriate support in each phase to help nurses recognize their professional growth during emerging epidemics.

本研究调查了在大流行初期护理 COVID-19 患者的护士是如何通过自身经历认识到专业成长并持续工作数年的，以及识别专业成长的关键经历、外部因素和职业意向。

{"title":"The process through which nurses providing care to COVID-19 patients recognize professional growth: A Trajectory Equifinality Model","authors":"Maho Inoue, Yukie Takemura, Aya Kitamura, Tamaki Isobe","doi":"10.1111/jjns.12577","DOIUrl":"10.1111/jjns.12577","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigated the ways in which nurses caring for COVID-19 patients during the pandemic's early stages recognized professional growth through their experiences and continued working for several years, as well as the key experiences for identifying professional growth, external factors, and career intentions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a qualitative research method called the Trajectory Equifinality Model (TEM). The participants were nine nurses caring for COVID-19 patients during the pandemic's early stages and had already recognized professional growth through a series of experiences. We constructed a TEM diagram based on two interviews per participant (in February–March, and July–August 2022).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The process by which the participants recognized professional growth through a series of experiences was divided into Phases 1–4. The participants experienced adversity in Phases 1 and 3, and the following professional growth in Phases 2 and 4: <i>gaining confidence as a nurse performing tasks of great social significance by acquiring the ability to fulfill my roles</i> and <i>realizing I could use the skills I had acquired by providing nursing care to COVID-19 patients in other situations</i>, respectively. The key experiences for identifying professional growth as well as the inhibiting and facilitating factors of the process differed depending on the phase. The participants' career intention was <i>wanting to continue to be involved in nursing by utilizing the skills and experience I have accumulated</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Managers and directors of nursing should provide appropriate support in each phase to help nurses recognize their professional growth during emerging epidemics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138569697","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

The effect of using birth ball and squatting position during labor on pain, duration, and satisfaction: A randomized controlled trial 分娩时使用分娩球和蹲位对疼痛、持续时间和满意度的影响：随机对照试验

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-12-10 DOI: 10.1111/jjns.12580

Fatma Dunmez, Tulay Yilmaz

Aim

The aim of this study is to assess the effect of using a birth ball and squatting position during labor on labor pain, duration of labor, and satisfaction.

Methods

This study is a randomized controlled experimental trial. It was conducted in the delivery unit of Başakşehir Çam and Sakura City Hospital. The study sample consisted of a total of 159 women, 53 in the birth ball application room, 53 in the squatting position group, and 53 in the control group. The “Information Form,” “Visual Analog Scale,” “Partograph,” and “Maternal Satisfaction Assessment at Delivery Scale-Normal Birth” were used in the data collection. Data were analyzed using analysis of variance, Pearson's Chi-square test, Pillai's trace test.

Results

The present study revealed that the pain perception level was lower in the birth ball and squatting position groups compared to the control group, and there was a statistically significant difference between them (p < .05). The duration of the first and second stages of labor and the total duration of labor decreased in the birth ball and squatting position groups (p < .05). The difference was statistically significant in comparing the level of satisfaction (p < .05). It was found that the highest satisfaction was in the birth ball group.

Conclusion

Using a birth ball and squatting position during labor are effective methods of reducing labor pain, shortening the duration of labor, and increasing the level of satisfaction. There is a need for more studies on the effects of the birth ball and squatting position. ClinicalTrials.gov Identifier: NCT05360823.

本研究旨在评估分娩过程中使用分娩球和下蹲姿势对分娩疼痛、产程时间和满意度的影响。

{"title":"The effect of using birth ball and squatting position during labor on pain, duration, and satisfaction: A randomized controlled trial","authors":"Fatma Dunmez, Tulay Yilmaz","doi":"10.1111/jjns.12580","DOIUrl":"10.1111/jjns.12580","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to assess the effect of using a birth ball and squatting position during labor on labor pain, duration of labor, and satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study is a randomized controlled experimental trial. It was conducted in the delivery unit of Başakşehir Çam and Sakura City Hospital. The study sample consisted of a total of 159 women, 53 in the birth ball application room, 53 in the squatting position group, and 53 in the control group. The “Information Form,” “Visual Analog Scale,” “Partograph,” and “Maternal Satisfaction Assessment at Delivery Scale-Normal Birth” were used in the data collection. Data were analyzed using analysis of variance, Pearson's Chi-square test, Pillai's trace test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The present study revealed that the pain perception level was lower in the birth ball and squatting position groups compared to the control group, and there was a statistically significant difference between them (<i>p</i> < .05). The duration of the first and second stages of labor and the total duration of labor decreased in the birth ball and squatting position groups (<i>p</i> < .05). The difference was statistically significant in comparing the level of satisfaction (<i>p</i> < .05). It was found that the highest satisfaction was in the birth ball group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Using a birth ball and squatting position during labor are effective methods of reducing labor pain, shortening the duration of labor, and increasing the level of satisfaction. There is a need for more studies on the effects of the birth ball and squatting position. ClinicalTrials.gov Identifier: NCT05360823.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138565851","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

Evaluation of a concise fall risk stratification among older adults with cataracts in day surgery settings: A historically controlled study 评估老年白内障患者日间手术中跌倒风险分层:一项历史对照研究。

IF 1.7 4区医学 Q2 Nursing

Japan Journal of Nursing Science

Pub Date : 2023-12-06 DOI: 10.1111/jjns.12579

Ya-ping Wang, Can Dai, Ping Ou-yang, Yan-hua Zhao, Dan Xu

Aim

This study aimed to evaluate the use of a concise fall risk stratification in assessing and predicting falls compared with the Morse Falls Scale among older adults with cataracts in day surgery settings.

Methods

A historically controlled study conducted from July 2020 to June 2022 was used in a municipal ophthalmic hospital in China. The concise fall risk stratification which directly graded fall risk by multifactorial judgment was used during the intervention period, while the Morse Falls Scale which graded fall risk by scale scores was used during the control period. The fall risk levels, fall assessment time, fall rates, fall-related injuries, predictive validity, and patient satisfaction with day surgery care were extracted. Propensity score matching was performed to balance baselines.

Results

After matching, 4132 patients were included in the final analysis. Compared with the control group, the intervention group had significantly higher assessment results for fall risk level, a significantly shorter (by 48.15%) fall assessment time, and higher patient satisfaction. There were no differences in fall rates and fall-related injuries. Compared with the Morse Falls Scale, the concise fall risk stratification had higher sensitivity and negative predictive validity, and lower specificity and positive predictive validity, while the area under curve did not differ significantly.

Conclusion

The use of the concise fall risk stratification reduced fall assessment time, improved patient satisfaction, and is unlikely to impact falls with an overall predictive performance comparable to that of the Morse Falls Scale for older cataract adults in day surgery settings.

目的:本研究旨在评价在评估和预测老年白内障患者日间手术中跌倒风险分层与莫尔斯跌倒量表的应用。方法:于2020年7月至2022年6月在中国一家市立眼科医院进行历史对照研究。干预期采用多因素判断直接分级的简明跌倒风险分层法，对照组采用莫尔斯跌倒量表，按量表得分对跌倒风险进行分级。提取跌倒风险水平、跌倒评估时间、跌倒率、跌倒相关损伤、预测效度和患者对日间手术护理的满意度。进行倾向评分匹配以平衡基线。结果:经匹配，最终纳入4132例患者。干预组与对照组相比，跌倒危险程度评估结果显著提高，跌倒评估时间显著缩短(48.15%)，患者满意度显著提高。在跌倒率和跌倒相关损伤方面没有差异。与莫尔斯瀑布量表相比，简洁的跌倒风险分层具有更高的敏感性和负预测效度，较低的特异性和正预测效度，而曲线下面积无显著差异。结论:使用简明的跌倒风险分层减少了跌倒评估时间，提高了患者满意度，并且不太可能影响跌倒的总体预测性能，与莫尔斯跌倒量表在日间手术环境中对老年白内障患者的预测性能相当。

{"title":"Evaluation of a concise fall risk stratification among older adults with cataracts in day surgery settings: A historically controlled study","authors":"Ya-ping Wang, Can Dai, Ping Ou-yang, Yan-hua Zhao, Dan Xu","doi":"10.1111/jjns.12579","DOIUrl":"10.1111/jjns.12579","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate the use of a concise fall risk stratification in assessing and predicting falls compared with the Morse Falls Scale among older adults with cataracts in day surgery settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A historically controlled study conducted from July 2020 to June 2022 was used in a municipal ophthalmic hospital in China. The concise fall risk stratification which directly graded fall risk by multifactorial judgment was used during the intervention period, while the Morse Falls Scale which graded fall risk by scale scores was used during the control period. The fall risk levels, fall assessment time, fall rates, fall-related injuries, predictive validity, and patient satisfaction with day surgery care were extracted. Propensity score matching was performed to balance baselines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After matching, 4132 patients were included in the final analysis. Compared with the control group, the intervention group had significantly higher assessment results for fall risk level, a significantly shorter (by 48.15%) fall assessment time, and higher patient satisfaction. There were no differences in fall rates and fall-related injuries. Compared with the Morse Falls Scale, the concise fall risk stratification had higher sensitivity and negative predictive validity, and lower specificity and positive predictive validity, while the area under curve did not differ significantly.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The use of the concise fall risk stratification reduced fall assessment time, improved patient satisfaction, and is unlikely to impact falls with an overall predictive performance comparable to that of the Morse Falls Scale for older cataract adults in day surgery settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500059","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