Applied Nursing Research最新文献_第10页

Network analysis and within-unit correlation of nurse fatigue and recovery measures and their association with unit manager fatigue and recovery 护士疲劳和恢复措施的网络分析和单位内相关性及其与单位经理疲劳和恢复的关系

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-30 DOI: 10.1016/j.apnr.2025.151958

Hyeonmi Cho , Anne L. Thatcher , Linsey M. Steege

Background

Nurse fatigue and recovery can influence staff well-being and patient outcomes. Understanding the relationships among different types of fatigue and recovery and the extent to which these measures are shared among nurses within the same unit is crucial for guiding effective interventions. Examining the relationship between unit managers' fatigue and recovery levels and those of staff nurses is also important, given managers' impact on unit dynamics and support.

Aim

This study aimed (1) to explore connections among nurse fatigue (mental, physical, acute, chronic) and inter-shift recovery using a network-based approach; (2) to quantify the extent to which fatigue and recovery vary among nurses within the same unit; and (3) to investigate the relationship between unit managers' and staff nurses' fatigue and recovery levels.

Methods

A cross-sectional descriptive study was conducted from April 2021 to July 2022 in 24 units across three U.S. Midwest hospitals. Data were collected via surveys from 24 managers and 598 staff nurses. Network analysis was used to map and identify central connections among fatigue and recovery measures, intra-class correlations were calculated to assess within-unit variability, and linear mixed models were employed to examine manager–staff relationships.

Results

Physical fatigue emerged as a central element within the network of fatigue and recovery measures, strongly connecting to other measures. Intra-class correlation values indicated that acute and physical fatigue varied meaningfully between units, while mental fatigue showed minimal variation. Unit managers' acute and physical fatigue levels were significantly associated with those of staff nurses.

Conclusions

The findings suggested the importance of physical fatigue as a leverage point for targeted interventions and highlight the need for unit-specific strategies that address both individual and collective sources of fatigue. By integrating a network-based perspective and examining manager–staff relationships, this study offers practical insights to improve nurse well-being and strengthen effective leadership.

护士疲劳和康复会影响工作人员的幸福感和患者的治疗结果。了解不同类型的疲劳和恢复之间的关系，以及在同一单位的护士之间共享这些措施的程度，对于指导有效的干预措施至关重要。考虑到管理人员对单位动态和支持的影响，检查单位管理人员的疲劳和恢复水平与护士工作人员的疲劳和恢复水平之间的关系也很重要。目的本研究旨在(1)利用基于网络的方法探讨护士疲劳（心理、生理、急性、慢性）与轮班间恢复的关系；(2)量化同一单位护士之间的疲劳和恢复差异程度；(3)考察单位管理人员和护士长疲劳程度与恢复水平的关系。方法横断面描述性研究于2021年4月至2022年7月在美国中西部三家医院的24个单位进行。数据通过对24名管理人员和598名护工的调查收集。网络分析用于绘制和识别疲劳和恢复措施之间的中心联系，计算类内相关性以评估单位内变异性，并采用线性混合模型来检查经理-员工关系。结果体力疲劳是疲劳和恢复措施网络中的核心要素，与其他措施密切相关。班级内相关值表明，急性疲劳和体力疲劳在单位之间有显著差异，而精神疲劳的变化最小。单位管理人员的急性疲劳水平和身体疲劳水平与普通护士显著相关。研究结果表明，身体疲劳作为有针对性的干预措施的杠杆点的重要性，并强调了针对个体和集体疲劳来源的单位特定策略的必要性。通过整合基于网络的视角和考察管理者与员工的关系，本研究为改善护士幸福感和加强有效领导提供了实用的见解。

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引用次数: 0

Nurses/midwives safety attitudes and their relationship to individual factors (personality characteristics, length and clinical setting of experience): A quantitative study 护士/助产士安全态度及其与个体因素（人格特征、经验长度和临床环境）的关系：一项定量研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-30 DOI: 10.1016/j.apnr.2025.151957

Yeojin Kil, Anna V. Chatzi

Background

Ensuring safe and effective delivery of patient care is currently under the spotlight worldwide. As the nursing and midwifery group holds the greatest proportion of global healthcare workforce, the need to minimise human error and promote patient safety is more demanding than ever. Existing literature is focusing on personality traits as a factor related to safety-related behaviours. Relevant findings could assist to the creation of processes/frameworks in education/training to minimise human error.

Objective

In this quantitative study, we aimed to investigate the relationship between safety attitudes and individual factors, specifically personality traits (extraversion; agreeableness; conscientiousness; neuroticism; openness), among nurses and midwives.

Design

We used a cross-sectional survey methodology.

Setting/participants

Nursing and midwifery professionals and university student participants (n = 380).

Results

We found that certain demographics (length of work experience and work settings) and personality traits (conscientiousness) were significantly associated with safety attitudes among nurses/midwives. Similarly, for student nurses/midwives, demographics (attended undergraduate program) and personality traits (agreeableness, openness, and neuroticism) were found to be linked to their reported safety attitudes.

Conclusion

Future safety educational/training programs in nursing and midwifery could be developed/amended to provide customized safety education/training to customized for individual personality traits’ needs. This proposed application could open new dimensions in safety within healthcare and especially nursing/midwifery.

目前，确保安全有效地提供患者护理是全世界关注的焦点。由于护理和助产组在全球医疗保健劳动力中所占比例最大，因此减少人为错误和促进患者安全的需求比以往任何时候都更加迫切。现有文献主要关注人格特征作为与安全相关行为相关的因素。相关的研究结果可以帮助在教育/培训中创建流程/框架，以尽量减少人为错误。目的通过定量研究，探讨安全态度与个体因素，特别是人格特质(外向性；随和性;责任心;神经质;开放性)，在护士和助产士中。我们采用了横断面调查方法。环境/参与者：护理和助产专业人员和大学生参与者（n = 380）。结果我们发现某些人口统计数据（工作经验和工作环境的长度）和人格特征（责任心）与护士/助产士的安全态度显著相关。同样，对于学生护士/助产士来说，人口统计学（参加过本科课程）和人格特征（随和、开放和神经质）被发现与他们报告的安全态度有关。结论未来护理助产安全教育/培训方案可根据个体人格特征的需要，进行个性化的安全教育/培训。这个提议的应用程序可以在医疗保健，特别是护理/助产安全方面开辟新的维度。

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引用次数: 0

Investigation of the relationship between work motivation, work performance and turnover intention of surgical nurses: a cross-sectional study 外科护士工作动机、工作绩效与离职意向关系的横断面研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-30 DOI: 10.1016/j.apnr.2025.151960

Nihal Celikturk Doruker PhD (Research Assistant) , Gulver Hacioglu RN , Birgul Nurulke RN , Leyla Ceylan RN

Objective

This study aims to examine the relationship between work motivation, performance, and turnover intentions among surgical nurses, and to explore their impact on nurse retention and care quality.

Methods

This descriptive and cross-sectional study was conducted in a university hospital's surgical units between March and August 2024. The study included 322 nurses working in clinics, intensive care units and operating rooms for at least six months. Sociodemographic and Descriptive Characteristics of Form, the Nurses Work Motivation Scale (NWMS), the Individual Work Performance Questionnaire (IWPQ) and the Nurse Turnover Intention Scale (NTIS) were used to collect the data.

Results

In this study, the mean total score of the NWMS was 58.66 ± 8.95. The mean total score of the IWPQ was 55.02 ± 8.65, the mean total score of the task subscale was 20.32 ± 3.77, the mean total score of the contextual performance subscale was 21.80 ± 5.37, and the median total score of the counterproductive work behaviour subscale was 14.00 ± 2.59. The mean total score of the NTIS was 37.88 ± 8.15. In this study, a positive and statistically significant relationship was found between the mean total scores of HWMS with IWPQ (r: 0.359, p: 0.000), task performance subscale (r: 0.321, p: 0.000), contextual performance subscale (r: 0.2851, p: 0.000) and counterproductive work behaviour subscale (r: 0.219, p: 0.000). A negative and statistically significant (r: −0.145, p: 0.009) relationship was also found between the mean total scores of NWMS and NTIS.

Conclusion

This study determined that as nurse work motivation increased, individual work performance increased and turnover intentions decreased.

目的研究外科护士的工作动机、工作绩效和离职意向之间的关系，并探讨其对护士留任率和护理质量的影响。方法于2024年3月至8月在某大学附属医院外科科室进行描述性和横断面研究。这项研究包括322名在诊所、重症监护病房和手术室工作至少6个月的护士。采用社会人口学和描述性特征表、护士工作动机量表（NWMS）、个人工作绩效问卷（IWPQ）和护士离职意向量表（NTIS）收集数据。结果本组患者NWMS平均总分为58.66±8.95分。IWPQ的平均总分为55.02±8.65分，任务分量表的平均总分为20.32±3.77分，情境绩效分量表的平均总分为21.80±5.37分，反生产行为分量表的平均总分为14.00±2.59分。NTIS的平均总分为37.88±8.15分。在本研究中，HWMS的平均总分与IWPQ （r: 0.359, p: 0.000）、任务绩效子量表（r: 0.321, p: 0.000）、情境绩效子量表（r: 0.2851, p: 0.000）和反生产行为子量表（r: 0.219, p: 0.000）之间存在显著正相关。NWMS和NTIS的平均总分之间也存在负相关且有统计学意义（r: - 0.145, p: 0.009）。结论护士工作动机越高，个人工作绩效越高，离职意向越低。

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引用次数: 0

The effects of communication competence, meaning of work, and work-life balance on turnover intention in Generation Z nurses in South Korea: A cross-sectional study 沟通能力、工作意义、工作与生活平衡对韩国Z世代护士离职意向的影响：一项横断面研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-24 DOI: 10.1016/j.apnr.2025.151952

Kyu-Yeon Jeong , MiRa Yun , Eun-Hi Choi

Aim

This study aimed to identify the effects of communication skills, meaningfulness of work, and work-life balance on turnover intention in Generation Z nurses, and investigate the correlations between these factors.

Background

Nursing organizations need to reassess staff retention strategies to accommodate the unique attributes of Generation Z, which is just beginning to enter the workforce.

Methods

Data were collected from July 24 to September 10, 2023, using a convenience sample of Generation Z nurses employed in three university hospitals, each with over 500 beds, in D Metropolitan City. A total of 179 nurses participated in the study, all born after 1995 and with >6 months of clinical experience.

Results

Turnover intention was significantly correlated with meaningfulness of work (r = –0.327, p < 0.001) and work-life balance (r = –0.613, p < 0.001). However, communication skills were not found to be significantly correlated with turnover intention. Hierarchical multiple regression analysis revealed statistically significant relationships between turnover intention and clinical experience (β = 0.139, p = 0.020), engaging in hobbies once a month (β = –0.166, p = 0.036), and work-life balance (β = –0.603, p < 0.001). The explanatory power was 45.6 % in model 3.

Conclusions

Based on these results, it is recommended that organizations develop and manage intervention programs for Generation Z nurses to improve their satisfaction with their current work units. Additionally, measures to promote work-life balance should be explored and implemented to reduce turnover.

目的探讨沟通技巧、工作意义、工作与生活平衡对Z世代护士离职意向的影响，并探讨这些因素之间的相关性。护理机构需要重新评估员工保留策略，以适应刚刚开始进入职场的Z世代的独特属性。方法数据采集时间为2023年7月24日至9月10日，选取D市3所大学医院500张以上床位的Z世代护士作为方便样本。共有179名护士参与研究，均为95后，具有6个月临床经验。结果员工离职意向与工作意义性显著相关(r = -0.327, p <；0.001)和工作-生活平衡(r = -0.613, p <；0.001)。然而，沟通技巧与离职倾向并无显著相关。分层多元回归分析显示，离职意向与临床经验（β = 0.139, p = 0.020）、每月一次业余爱好（β = -0.166, p = 0.036）、工作与生活平衡(β = -0.603, p <；0.001)。模型3的解释能力为45.6%。结论基于这些结果，建议组织制定和管理针对Z世代护士的干预方案，以提高他们对当前工作单位的满意度。此外，应该探索和实施促进工作与生活平衡的措施，以减少人员流失。

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引用次数: 0

A bibliometric study of compassion fatigue, compassion satisfaction, secondary traumatic stress, and professional quality of life in nursing research 护理研究中同情疲劳、同情满意度、二次创伤应激与职业生活质量的文献计量学研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-17 DOI: 10.1016/j.apnr.2025.151956

Neta Roitenberg

Aim

The purpose of this study was to conduct a bibliometric analysis of the thematic advances and trajectory of compassion fatigue, compassion satisfaction, secondary traumatic stress, and professional quality of life in the field of nursing.

Design

Bibliometric analytic methods.

Methods

The Bibliometrix Package in R software was used to analyze the data and create the graphic illustrations. The methods used included descriptive analysis, citation analysis, collaboration analysis, co-word analysis, and thematic map analysis.

Data sources

On April 5, 2025, bibliometric data was downloaded from the Web of Science Core Collection database.

Findings

The analysis showed that 3053 authors produced relevant publications between 2001 and 2024, resulting in 1408 author keywords. Over the past 24 years, there has been a generally rising trend in published papers, with an annual growth rate of 23.81 %. The fundamental themes forming the field's backbone were: “empathy,” “compassion fatigue,” “secondary,” “compassion,” and “qualitative.” The main hot research topics were: “mindfulness” and “death.”

Conclusions

The growing understanding of the significance of professional quality of life in nursing research is reflected in the bibliometric study, which shows a notable growth in research on the topic. The results show increased interest internationally, with varied collaboration patterns between nations.

Reporting method

Complying with accepted bibliometric reporting guidelines (specifically, the EQUATOR recommendations).

No patient or public contribution

This study was not designed, conducted, analyzed, interpreted, or prepared by patients; rather, it is based entirely on previously published material.

目的通过文献计量学分析护理领域同情疲劳、同情满意度、二次创伤应激和职业生活质量的主题进展和轨迹。设计文献计量分析方法。方法采用R软件中的Bibliometrix Package进行数据分析，并制作图形插图。研究方法包括描述分析、引文分析、合作分析、共词分析和专题图分析。数据来源2025年4月5日，从Web of Science Core Collection数据库下载了文献计量学数据。分析结果显示，2001年至2024年间，3053位作者发表了相关论文，产生了1408个作者关键词。在过去的24年中，发表的论文总体呈上升趋势，年增长率为23.81%。构成该领域主干的基本主题是：“同理心”、“同情疲劳”、“次要”、“同情”和“定性”。主要的研究热点是：“正念”和“死亡”。文献计量学研究反映了对职业生活质量在护理研究中的重要性的日益认识，这表明该主题的研究显着增长。结果显示，国际上的兴趣增加了，国家之间的合作模式也有所不同。报告方法遵循公认的文献计量报告指南（特别是EQUATOR的建议）。本研究不是由患者设计、实施、分析、解释或准备的；相反，它完全基于以前发表的材料。

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引用次数: 0

Transcultural challenges in the nurse-migrant patient caring relationship: a phenomenological study 护士-流动病人护理关系中的跨文化挑战：现象学研究

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.

背景/目的向欧盟成员国移民的增加增加了人口多样性，对医疗保健系统在提供文化上合格的护理方面提出了挑战。护士通常是第一个与移民患者互动的医疗保健提供者，在解决文化差异方面发挥着至关重要的作用。然而，缺乏意识和准备会对护患关系和整体护理质量产生负面影响。本研究旨在探讨护士在照顾流动病人时所遇到的跨文化挑战。方法采用定性现象学方法对意大利两所医院19名护士的护理经历进行分析。半结构化访谈于2024年6月至8月进行。Giorgi的现象学方法被用于分析数据，并确定与跨文化护理挑战相关的关键主题。结果研究发现，语言障碍严重阻碍了护士的沟通，往往需要依靠非语言策略。在健康信仰和期望方面的文化差异要求不断调整护理计划。建立信任和同理心对于培养有效的关系至关重要，然而，当患者的价值观与标准做法发生冲突时，护士面临情感和道德上的挑战。具有文化能力的工作人员充当重要的调解人，弥合理解和提供护理方面的差距。结论：本研究强调需要有针对性的干预措施来支持护士应对跨文化挑战。通过培训和接纳文化调解人来解决沟通障碍和道德困境，对于提高流动患者的护理质量至关重要。需要进一步的研究来制定基于证据的文化能力护理策略。

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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 护士对医院成人认知障碍护理实践的看法：一项横断面研究

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 排尿按摩对高危妊娠住院妇女睡眠质量的影响：随机交叉设计

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.

对医疗保健专业人员来说，改善高危妊娠住院妇女的睡眠质量以避免母婴不良后果是非常重要的。方法在台湾南部某医学中心进行随机交叉研究。60名住院孕妇被随机分配连续两晚接受20分钟的排尿按摩，然后接受两晚的常规护理，或者相反。睡眠质量的评估采用主观测量方法，包括匹兹堡睡眠质量指数（PSQI）和Verran和Snyder-Halpern睡眠量表，以及通过手腕活动记录仪收集的客观数据。结果女性接受按摩后的睡眠质量明显优于接受标准护理后的睡眠质量(z = 5.801, p <；措施)。此外，这些女性的睡眠潜伏期更短(z = - 6.493, p <；.001)，更少的醒来频率(z = - 4.829, p <；.001)，总睡眠时间较长(z = 5.713, p <；.001)。无论女性最初的睡眠质量如何，这些改善都是明显的。结论连续2天睡前20分钟分泌物按摩可改善住院高危妊娠妇女的睡眠质量。按摩应纳入这些妇女的日常护理，以避免因睡眠不足引起的母婴健康不良后果。

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引用次数: 0

Educational needs of patients with pre-cancerous vulval conditions: An audit and cross-sectional survey 外阴癌前病变患者的教育需求：审计和横断面调查

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。

{"title":"Educational needs of patients with pre-cancerous vulval conditions: An audit and cross-sectional survey","authors":"Natalie Williams RN, MPhil (Nursing & Midwifery) , Natarsha Wilson RN, Grad Cert , Hayley Fleay RN, Grad Dip , Bernadette McElhinney MB BAO BCH FRANZCOG","doi":"10.1016/j.apnr.2025.151951","DOIUrl":"10.1016/j.apnr.2025.151951","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Aim</h3><div>To evaluate knowledge gaps and educational requirements of patients attending vulvoscopy clinics at a Western Australian tertiary centre.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151951"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817450","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 association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients 急性心肌梗死患者家庭护理人员健康素养与出院准备之间的关系

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.

家庭照顾者在出院后护理中发挥着关键作用，但他们履行这一责任的能力受到其健康素养水平的影响。然而，有限的研究已经检查了健康素养和家庭照顾者的出院准备在急性心肌梗死的背景下的关系。目的探讨急性心肌梗死患者家庭护理人员健康素养与出院意愿的关系。方法采用横断面设计，从约旦三家医院招募123名急性心肌梗死患者的家庭护理人员。使用健康素养问卷（HLQ）和出院准备程度量表-家庭照顾者表格（FamRHDS）收集数据。采用双变量相关和多元线性回归进行数据分析。结果双变量相关分析显示，所有九个健康素养领域与出院准备之间存在显著正相关。多元线性回归表明，三个HLQ量表对护理人员出院准备程度有显著预测作用，F (4,122) = 32.02, p <；.001, R2 = 0.52，解释了50%的方差。结论健康素养显著影响家庭照顾者的出院准备，特别是在社会支持、健康信息评价和理解方面。医疗保健提供者应将健康素养评估和干预措施纳入急性心肌梗死患者及其家庭护理人员的出院计划。根据护理人员的健康素养水平定制教育可以改善出院后护理、患者预后和护理过渡的整体质量。

{"title":"The association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients","authors":"Jehad A. Rababah, Mohammed Munther Al-Hammouri, Ayat Radaideh","doi":"10.1016/j.apnr.2025.151950","DOIUrl":"10.1016/j.apnr.2025.151950","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Aim</h3><div>This study aimed to explore the association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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, <em>F</em> (4, 122) = 32.02, <em>p</em> < .001, <em>R</em><sup><em>2</em></sup> = 0.52, explaining 50 % of the variance.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151950"},"PeriodicalIF":2.7,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738233","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