Applied Nursing Research最新文献

Transcultural challenges in the nurse-migrant patient caring relationship: a phenomenological study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-16 DOI: 10.1016/j.apnr.2025.151954

Arianna Anzini , Gabriele Caggianelli , Rita Patrizia Tomasin , Alessia Segala , Stefania Giangrazi , Chiara Paccagnella , Stefano Mancin , Fabio Petrelli , Valentina Vanzi , Giovanni Cangelosi , Irene Dello Iacono

Background/aim

The rising migration to EU Member States has increased demographic diversity, posing challenges for healthcare systems in delivering culturally competent care. Nurses, often the first healthcare providers to interact with migrant patients, play a crucial role in addressing cultural differences. However, a lack of awareness and preparedness can negatively impact the nurse-patient relationship and overall care quality. This study aimed to explore the transcultural challenges nurses encounter when caring for migrant patients.

Methods

A qualitative phenomenological approach was used to examine the experiences of 19 nurses from two hospitals in Italy. Semi-structured interviews were conducted between June and August 2024. Giorgi's phenomenological method was applied to analyze the data and identify key themes related to transcultural care challenges.

Results

The findings revealed that language barriers significantly hinder communication, often requiring nurses to rely on non-verbal strategies. Cultural differences in health beliefs and expectations necessitate continuous adaptation of care plans. Building trust and empathy is crucial in fostering effective relationships, yet nurses face emotional and ethical challenges when patient values conflict with standard practices. Culturally competent staff act as essential mediators, bridging gaps in understanding and care delivery.

Conclusions

This study highlights the need for tailored interventions to support nurses in managing transcultural challenges. Addressing communication barriers and ethical dilemmas through training and the inclusion of cultural mediators is crucial to improving care quality for migrant patients. Further research is needed to develop evidence-based strategies for culturally competent nursing care.

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引用次数: 0

Nurses' perceptions of care practices for adults with cognitive impairment in hospital: a cross-sectional study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-11 DOI: 10.1016/j.apnr.2025.151953

Erin Rachel Davis , Christina Aggar , Michelle Bissett

Aim

To explore nurses' perceptions of care practices for adults with cognitive impairment.

Design

A cross-sectional survey using an amended psychometrically tested tool. This cross-sectional study followed the STROBE guidelines.

Methods

A cross-sectional study was conducted with nurses working on select surgical and medical hospital wards in 9 hospitals across a regional health district in NSW, Australia. Participants (N = 235) completed a survey which collected relevant demographic information and explored their perceptions of care practices for adults with cognitive impairment. A five-point Likert scale was utilised in the survey, with a higher score indicating higher usage of the care practice. For data analysis, descriptive statistics explored perceptions and correlation analysis examined associations between participant demographics and perceptions.

Results

Nurses react with care (median = 3.75) when adults with cognitive impairment display challenging behaviours and most often use their professional knowledge (median = 4.00) as an alternative to physical restraints. The results of this study suggest that nurses' experience and recent education focused on adults with cognitive impairment significantly influenced care practices.

Conclusion

Years of experience as a nurse and recent workplace education may positively influence the nursing practice of adults with cognitive impairment. This paper supports the development of mentorship programs led by experienced nurses and the provision of workplace education to improve nursing care practice for adults with cognitive impairment in hospital.

目的探讨护士对认知障碍成人护理措施的看法。这项横断面研究遵循了 STROBE 指南。方法对澳大利亚新南威尔士州一个地区卫生区内 9 家医院外科和内科病房的护士进行了横断面研究。参与者（N = 235）完成了一项调查，该调查收集了相关的人口统计学信息，并探讨了他们对认知障碍成人护理实践的看法。调查采用李克特五点量表，得分越高，说明护理实践的使用率越高。结果当有认知障碍的成年人表现出挑战性行为时，护士会做出护理反应（中位数 = 3.75），并最常使用其专业知识（中位数 = 4.00）来替代物理约束。本研究结果表明，护士的工作经验和近期接受的以认知障碍成人为重点的教育对护理实践有很大影响。本文支持制定由经验丰富的护士领导的导师计划，并提供工作场所教育，以改善医院对认知障碍成人的护理实践。

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引用次数: 0

Effects of effleurage massage on sleep quality in women hospitalized for high-risk pregnancies: A randomized crossover design

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-11 DOI: 10.1016/j.apnr.2025.151955

Yu-Ting Tien , Chi-Jane Wang , Chiung-Hsin Chang , Ying-Ju Chang , Hsiao-Ying Hung

Introduction

It is important for health care professionals to improve sleep quality of women hospitalized for high-risk pregnancies to avoid adverse maternal and infant consequences.

Methods

A randomized crossover study was conducted at a medical center in southern Taiwan. Sixty hospitalized pregnant women were randomly assigned to receive either two consecutive nights of 20-minute effleurage massage followed by two nights of routine care, or the reverse order. Sleep quality was assessed using subjective measures, including the Pittsburgh Sleep Quality Index (PSQI) and the Verran and Snyder-Halpern Sleep Scale, as well as objective data collected via wrist actigraphy.

Results

The women perceived their sleep quality to be better when they received massages than when they received standard care (z = 5.801, p < .001). Additionally, the women had shorter sleep latency (z = −6.493, p < .001), less frequent awakenings (z = −4.829, p < .001), and longer total sleep duration (z = 5.713, p < .001) when receiving massage. These improvements were evident regardless of the women's initial sleep quality.

Conclusion

A 20-minute effleurage massage before bedtime for two consecutive days improves sleep quality of hospitalized women with high-risk pregnancies. Massage should be included in routine care for these women to avoid negative maternal and fetal health outcomes caused by insufficient sleep.

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引用次数: 0

Educational needs of patients with pre-cancerous vulval conditions: An audit and cross-sectional survey

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-04 DOI: 10.1016/j.apnr.2025.151951

Natalie Williams RN, MPhil (Nursing & Midwifery) , Natarsha Wilson RN, Grad Cert , Hayley Fleay RN, Grad Dip , Bernadette McElhinney MB BAO BCH FRANZCOG

Background

A systematic approach to surveillance of vulval dermatoses and pre-cancers is recommended for early detection of vulval cancer and nurses are crucial in care delivery. Typically, patients with gynaecological cancers have significant unmet information needs; however the extent in patients with vulval dermatoses and pre-cancers is unknown.

Aim

To evaluate knowledge gaps and educational requirements of patients attending vulvoscopy clinics at a Western Australian tertiary centre.

Methods

A retrospective audit examined data of 307 patients attending vulvoscopy clinics. A cross-sectional survey collected quantitative and qualitative data from 61 clinic attendees between January 2024 and March 2024. Data underwent descriptive statistical and content analysis.

Results

Most audited patients attended with vulval intrepithelial neoplasia, vaginal intraepithelial neoplasia or lichen sclerosus diagnoses (n = 212; 69 %). Most survey respondents (n = 49; 84 %) were confident in vulval care, however, almost half (n = 27, 46 %) self-reported ‘low’ knowledge. In explaining their condition, most (n = 23; 48 %) provided symptom descriptions.

Face-to-face appointments with a health professional was the preferred way to receive education (n = 48; 79 %). There was interest in attending nurse-led support group or education sessions. Most (n = 50; 85 %) indicated they would use an information pack including various resource formats.

Conclusions

Patients know how to effect vulval care but may not understand why. Nurses are key to providing trusted care in conditions commonly associated with stigma and embarrassment. Development of nurse-led strategies to provide support and education, may assist reducing the risk of progression to cancer. Future research evaluating nurse-led interventions will support best practice and improve outcomes for people living with vulval conditions.

背景为及早发现外阴癌，建议采用系统的方法监测外阴皮肤病和癌前病变，而护士在提供护理方面至关重要。通常情况下，妇科癌症患者有大量信息需求未得到满足；但外阴皮肤病和癌前病变患者的信息需求未得到满足的程度尚不清楚。目的评估西澳大利亚州一家三级中心外阴镜检查门诊就诊患者的知识差距和教育需求。一项横断面调查收集了 2024 年 1 月至 2024 年 3 月期间 61 名门诊就诊者的定量和定性数据。结果大多数接受审计的患者诊断为外阴上皮内瘤变、阴道上皮内瘤变或苔藓样硬化（n = 212；69%）。大多数调查对象（n = 49；84 %）对外阴护理有信心，但也有近一半的调查对象（n = 27，46 %）自称对外阴护理知识 "知之甚少"。在解释病情时，大多数受访者（n = 23；48 %）都提供了症状描述。接受教育的首选方式是与医疗专业人员面对面预约（n = 48；79 %）。人们对参加由护士领导的支持小组或教育课程很感兴趣。大多数人（n = 50；85 %）表示会使用包括各种资源形式的信息包。在通常与耻辱和尴尬相关的情况下，护士是提供值得信赖的护理的关键。制定以护士为主导的策略来提供支持和教育，可能有助于降低恶化为癌症的风险。对护士主导的干预措施进行评估的未来研究将支持最佳实践，并改善外阴疾病患者的治疗效果。

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引用次数: 0

The association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-29 DOI: 10.1016/j.apnr.2025.151950

Jehad A. Rababah, Mohammed Munther Al-Hammouri, Ayat Radaideh

Background

Family caregivers play a pivotal role in post-discharge care, yet their ability to manage this responsibility is influenced by their level of health literacy. However, limited research has examined the relationship between health literacy and family caregivers' preparedness for discharge in the context of acute myocardial infarction.

Aim

This study aimed to explore the association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients.

Methods

A cross-sectional design was employed, with 123 family caregivers of acute myocardial infarction patients recruited from three hospitals in Jordan. Data were collected using the Health Literacy Questionnaire (HLQ) and the Readiness for Hospital Discharge Scale-Family Caregiver Form (FamRHDS). Bivariate correlations and multiple linear regression were used to perform data analysis.

Results

Bivariate correlations analysis revealed significant positive associations between all nine health literacy domains and readiness for hospital discharge. Multiple linear regression indicated that three HLQ scales significantly predicted caregivers' readiness for hospital discharge, F (4, 122) = 32.02, p < .001, R² = 0.52, explaining 50 % of the variance.

Conclusion

Health literacy significantly impacts family caregivers' readiness for hospital discharge, particularly in the domains of social support, appraisal, and understanding of health information. Healthcare providers should incorporate health literacy assessments and interventions into discharge planning for acute myocardial infarction patients and their family caregivers. Tailoring education to caregivers' health literacy levels can improve post-discharge care, patient outcomes, and the overall quality of the care transition.

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引用次数: 0

Psychometric testing of the Moral Neutralization Scale-Nurse Version (MNS-NV): An exploratory and confirmatory factor analyses

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-26 DOI: 10.1016/j.apnr.2025.151947

Daniel Joseph E. Berdida , Rizal Angelo N. Grande

Aim

To psychometrically validate the 15-item Moral Neutralization Scale-Nurse Version (MNS-NV).

Background

Nurses' moral neutralization techniques may adversely impact patient safety and healthcare outcomes. However, studies about moral neutralization in nursing remain a blank spot. More than ever, a valid and reliable scale is needed to measure nurses' moral neutralization.

Methods

A descriptive cross-sectional design. Participant nurses from three nursing colleges and five hospitals in Saudi Arabia were consecutively recruited and accomplished the 15-item MNS-NV. Polychoric correlations, exploratory factor analysis (EFA), Spearman's rank-order correlation, Kaiser-Meyer-Olkin test, and confirmatory factor analysis (CFA) were used for data analyses.

Results

Four items from the MNS-NV were omitted after EFA and CFA due to low inter-item correlations and low-factor loading difference. The MNS-NV was condensed to 11 items containing the three-factor structure: Negative Cognitive Reconstruction, Bullying Normalization, and Retribution Rationalization. Accordingly, results exhibited the scale's revised three-factor structure yielded good overall reliability and sub-scale consistencies while demonstrating acceptable construct validity following the CFA.

Conclusion

The 11-item MNS-NV is a practical scale with established construct validity and reliability. Healthcare institutions that employ nurses and their nurse managers may use this scale to evaluate nurses' moral neutralization techniques to provide evidence for creating and sustaining ethically and morally relevant nursing policies and practice.

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引用次数: 0

Constipation severity mediates the relationship between affective symptoms and sleep quality among people with schizophrenia: A multicenter cross-sectional study

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-25 DOI: 10.1016/j.apnr.2025.151948

Shu-Yin Huang , Li-Ru Wang , Chieh-Yu Liu , Chiu-Yueh Yang

Background

More than half of people with schizophrenia experience poor sleep quality, which is greater than the proportion among the general population and among individuals with bipolar disorder. Poor sleep is a key indicator of symptom stability. Constipation is also more common in this population. While emerging evidence suggests that gut-brain interactions play a role in affective disorders, the relationship between constipation severity and sleep disturbances remains underexplored.

Aim

This study examined the mediating effect of constipation severity on the relationship between affective symptoms and sleep quality in people with schizophrenia.

Methods

We conducted a cross-sectional study involving 256 participants with schizophrenia across two psychiatric hospitals. Structured questionnaires were used to assess affective symptoms, constipation severity, and sleep quality. We analyzed the mediating role of constipation severity while controlling for seven covariates by conducting multiple regression analysis using the SPSS PROCESS macro model 4.

Results

Anxiety, depressive symptoms, constipation severity, and sleep quality were found to be interconnected. The findings showed that neither anxiety nor depressive symptoms significantly impacted sleep quality when accounting for constipation severity, indicating that constipation fully mediated the relationship between affective symptoms and sleep quality.

Conclusion

In individuals with schizophrenia, constipation has a greater negative impact on sleep quality than affective symptoms. This study highlights the need to address constipation in mental health care, as managing it may improve both sleep and emotional well-being. A holistic approach that includes constipation management should be part of treatment plans for those facing mental health and sleep issues.

{"title":"Constipation severity mediates the relationship between affective symptoms and sleep quality among people with schizophrenia: A multicenter cross-sectional study","authors":"Shu-Yin Huang , Li-Ru Wang , Chieh-Yu Liu , Chiu-Yueh Yang","doi":"10.1016/j.apnr.2025.151948","DOIUrl":"10.1016/j.apnr.2025.151948","url":null,"abstract":"<div><h3>Background</h3><div>More than half of people with schizophrenia experience poor sleep quality, which is greater than the proportion among the general population and among individuals with bipolar disorder. Poor sleep is a key indicator of symptom stability. Constipation is also more common in this population. While emerging evidence suggests that gut-brain interactions play a role in affective disorders, the relationship between constipation severity and sleep disturbances remains underexplored.</div></div><div><h3>Aim</h3><div>This study examined the mediating effect of constipation severity on the relationship between affective symptoms and sleep quality in people with schizophrenia.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study involving 256 participants with schizophrenia across two psychiatric hospitals. Structured questionnaires were used to assess affective symptoms, constipation severity, and sleep quality. We analyzed the mediating role of constipation severity while controlling for seven covariates by conducting multiple regression analysis using the SPSS PROCESS macro model 4.</div></div><div><h3>Results</h3><div>Anxiety, depressive symptoms, constipation severity, and sleep quality were found to be interconnected. The findings showed that neither anxiety nor depressive symptoms significantly impacted sleep quality when accounting for constipation severity, indicating that constipation fully mediated the relationship between affective symptoms and sleep quality.</div></div><div><h3>Conclusion</h3><div>In individuals with schizophrenia, constipation has a greater negative impact on sleep quality than affective symptoms. This study highlights the need to address constipation in mental health care, as managing it may improve both sleep and emotional well-being. A holistic approach that includes constipation management should be part of treatment plans for those facing mental health and sleep issues.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151948"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748098","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

Temporal trends in quality of work life, burnout, resilience, and turnover intention among newly employed nurses

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-25 DOI: 10.1016/j.apnr.2025.151949

Chien-Chou Su , Hsiang-Chin Hsu , Hsuan-Man Hung , Shih-Yu Chang , Huan-Fang Lee , Susan Fetze , Miaofen Yen

Aims

As the global nursing shortage continues to worsen, the influence of newly employed nurses' attributes on nurse retention requires attention. This study examined quality of work life (QWL), resilience, and burnout on the turnover intention of new nurses during their first six months of employment.

Methods

A longitudinal study recruited newly employed nurses providing direct patient care in six hospitals across Taiwan. Validated instruments related to QWL, burnout, resilience, and turnover intention collected data at the first, third, and sixth month of employment. Sample characteristics were summarized with descriptive statistics. Longitudinal data was analyzed using generalized estimating equations (GEE) to examine the relationships among the variables and turnover intention.

Results

Newly employed nurses (n = 615) reported moderately high QWL, low resilience, and moderate burnout. Turnover intention increased significantly over six months. Male, older, and unmarried nurses reported greater turnover intention, while high QWL and resilience reduced turnover risk. Emotional exhaustion and depersonalization, two factors contributing to burnout, strongly predicted greater turnover intention.

Conclusion

Turnover intention among new nurses increases in the first six months of employment, influenced by individual and workplace factors. Targeted early interventions to enhance QWL, reduce burnout, and build resilience are critical for improving retention rates among newly employed nurses.

{"title":"Temporal trends in quality of work life, burnout, resilience, and turnover intention among newly employed nurses","authors":"Chien-Chou Su , Hsiang-Chin Hsu , Hsuan-Man Hung , Shih-Yu Chang , Huan-Fang Lee , Susan Fetze , Miaofen Yen","doi":"10.1016/j.apnr.2025.151949","DOIUrl":"10.1016/j.apnr.2025.151949","url":null,"abstract":"<div><h3>Aims</h3><div><em>As the</em> global nursing shortage continues to worsen, the influence of newly employed nurses' attributes on nurse retention requires attention. This study examined quality of work life (QWL), resilience, and burnout on the turnover intention of new nurses during their first six months of employment.</div></div><div><h3>Methods</h3><div>A longitudinal study recruited newly employed nurses providing direct patient care in six hospitals across Taiwan. Validated instruments related to QWL, burnout, resilience, and turnover intention collected data at the first, third, and sixth month of employment. Sample characteristics were summarized with descriptive statistics. Longitudinal data was analyzed using generalized estimating equations (GEE) to examine the relationships among the variables and turnover intention.</div></div><div><h3>Results</h3><div>Newly employed nurses (<em>n</em> = 615) reported moderately high QWL, low resilience, and moderate burnout. Turnover intention increased significantly over six months. Male, older, and unmarried nurses reported greater turnover intention, while high QWL and resilience reduced turnover risk. Emotional exhaustion and depersonalization, two factors contributing to burnout, strongly predicted greater turnover intention.</div></div><div><h3>Conclusion</h3><div>Turnover intention among new nurses increases in the first six months of employment, influenced by individual and workplace factors. Targeted early interventions to enhance QWL, reduce burnout, and build resilience are critical for improving retention rates among newly employed nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151949"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747716","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

Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-22 DOI: 10.1016/j.apnr.2025.151946

Rose D. LaPlante MBA, MSN, RN, NEA-BC , Patricia Reid Ponte DNSc, RN, FAAN , Cherlie Magny-Normilus PhD, FNP-BC, FNYAM, FAAN

Background

Psychological safety is considered an essential component of highly effective teamwork in organizations, including healthcare organizations. This systematic review examines essential elements and outcomes of psychological safety in healthcare practice teams to determine best practices for implementing psychological safety.

Method

A systematic literature review of published studies that described psychological safety as a variable in healthcare practice settings was conducted. Articles were included if they were published in English, peer reviewed, included nurses or physicians either individually or as part of a team, incorporated psychological safety, presented workforce or patient outcomes, and published in the past 10 years.

Results

Out of 220 articles, 30 met the inclusion criteria. This review identifies five essential elements and outcomes of psychological safety in healthcare.

Conclusion

This systematic review corroborates the importance of psychological safety to healthcare teams. Directing resources toward ensuring the implementation and enhancement of psychological safety in healthcare teams would improve the likelihood of reliable, safe, and high-quality healthcare delivery.

背景心理安全被认为是包括医疗机构在内的组织中高效团队合作的重要组成部分。本系统性综述对医疗实践团队中心理安全的基本要素和结果进行了研究，以确定实施心理安全的最佳实践。在 220 篇文章中，有 30 篇符合纳入标准。本综述确定了医疗保健中心理安全的五个基本要素和结果。结论本系统性综述证实了心理安全对医疗保健团队的重要性。将资源用于确保在医疗团队中实施和加强心理安全将提高提供可靠、安全和高质量医疗服务的可能性。

{"title":"Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review","authors":"Rose D. LaPlante MBA, MSN, RN, NEA-BC , Patricia Reid Ponte DNSc, RN, FAAN , Cherlie Magny-Normilus PhD, FNP-BC, FNYAM, FAAN","doi":"10.1016/j.apnr.2025.151946","DOIUrl":"10.1016/j.apnr.2025.151946","url":null,"abstract":"<div><h3>Background</h3><div>Psychological safety is considered an essential component of highly effective teamwork in organizations, including healthcare organizations. This systematic review examines essential elements and outcomes of psychological safety in healthcare practice teams to determine best practices for implementing psychological safety.</div></div><div><h3>Method</h3><div>A systematic literature review of published studies that described psychological safety as a variable in healthcare practice settings was conducted. Articles were included if they were published in English, peer reviewed, included nurses or physicians either individually or as part of a team, incorporated psychological safety, presented workforce or patient outcomes, and published in the past 10 years.</div></div><div><h3>Results</h3><div>Out of 220 articles, 30 met the inclusion criteria. This review identifies five essential elements and outcomes of psychological safety in healthcare.</div></div><div><h3>Conclusion</h3><div>This systematic review corroborates the importance of psychological safety to healthcare teams. Directing resources toward ensuring the implementation and enhancement of psychological safety in healthcare teams would improve the likelihood of reliable, safe, and high-quality healthcare delivery.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151946"},"PeriodicalIF":2.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851702","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

Adjustment to a temporary compared to a permanent ostomy: A qualitative analysis of survey responses

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-22 DOI: 10.1016/j.apnr.2025.151945

Ian Whiteley , Fiona F. Stanaway , Sue Randall

Aims

To describe differences and similarities in adaptation or adjustment to a new temporary compared to a new permanent ostomy.

Background

Few studies have assessed differences in adjustment between temporary and permanent ostomies. This is important as some evidence suggests that individuals with a temporary ostomy defer returning to pre-ostomy life until the ostomy is reversed, while those with a permanent ostomy adjust more quickly. Qualitative data can offer deeper insights by exploring personal perspectives, beliefs, and attitudes as people adapt and adjust to a new ostomy.

Design

This is a multicentre, longitudinal observational study in which adjustment to an ostomy was measured using open-ended, short answer questions added to the Ostomy Adjustment Inventory (OAI-23).

Methods

Sample: Seven hundred participants were recruited through 11 care facilities, 397 had a temporary ostomy and 303 had a permanent ostomy. This paper explores the 626 responses to open-ended questions.

Data analysis: Data was uploaded into NVivo (14) software and responses were analysed as data corpus using thematic analysis.

Findings

The formation of a new temporary or permanent ostomy required a period of adaptation and adjustment. Thirteen sub-themes were identified and further refined into three major themes, adjusting to the unfamiliar and unpredictable body; navigating uncharted territory; and psychological adjustment. Whilst some minor differences were noted, these were far overshadowed by the similarities in adjustment between the two groups.

Conclusion

Adaptation to a temporary or permanent ostomy is an ongoing process with many similarities influencing adjustment outcomes. Improved comprehension of ostomy adjustment will assist planning services to meet the needs of this population.

{"title":"Adjustment to a temporary compared to a permanent ostomy: A qualitative analysis of survey responses","authors":"Ian Whiteley , Fiona F. Stanaway , Sue Randall","doi":"10.1016/j.apnr.2025.151945","DOIUrl":"10.1016/j.apnr.2025.151945","url":null,"abstract":"<div><h3>Aims</h3><div>To describe differences and similarities in adaptation or adjustment to a new temporary compared to a new permanent ostomy.</div></div><div><h3>Background</h3><div>Few studies have assessed differences in adjustment between temporary and permanent ostomies. This is important as some evidence suggests that individuals with a temporary ostomy defer returning to pre-ostomy life until the ostomy is reversed, while those with a permanent ostomy adjust more quickly. Qualitative data can offer deeper insights by exploring personal perspectives, beliefs, and attitudes as people adapt and adjust to a new ostomy.</div></div><div><h3>Design</h3><div>This is a multicentre, longitudinal observational study in which adjustment to an ostomy was measured using open-ended, short answer questions added to the Ostomy Adjustment Inventory (OAI-23).</div></div><div><h3>Methods</h3><div>Sample: Seven hundred participants were recruited through 11 care facilities, 397 had a temporary ostomy and 303 had a permanent ostomy. This paper explores the 626 responses to open-ended questions.</div><div>Data analysis: Data was uploaded into NVivo (14) software and responses were analysed as data c<em>orpus</em> using thematic analysis.</div></div><div><h3>Findings</h3><div>The formation of a new temporary or permanent ostomy required a period of adaptation and adjustment. Thirteen sub-themes were identified and further refined into three major themes, adjusting to the unfamiliar and unpredictable body; navigating uncharted territory; and psychological adjustment. Whilst some minor differences were noted, these were far overshadowed by the similarities in adjustment between the two groups.</div></div><div><h3>Conclusion</h3><div>Adaptation to a temporary or permanent ostomy is an ongoing process with many similarities influencing adjustment outcomes. Improved comprehension of ostomy adjustment will assist planning services to meet the needs of this population.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151945"},"PeriodicalIF":2.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725494","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