Pub Date : 2024-11-09DOI: 10.1016/j.apnr.2024.151866
Marie-Anne S. Rosemberg, Wei V. Li, Hannah Ratliff
Introduction
Most hotel workers represent disadvantaged populations in the United States. Socioecological stress-related factors increase the risk for poor mental health outcomes, yet accounts of worker perceptions of mental health are scarce.
Methods
We conducted five focus groups among 23 hotel room cleaners and individual interviews with six hotel managers.
Results
Four themes emerged: Mental health is related to mental illness, mental health is associated with being crazy, mental health can be controlled, and mental health is taboo yet universal.
Conclusion
These findings indicate mental health is poorly understood among this population. Education and tailored interventions are needed to address adverse mental health outcomes.
{"title":"Mental health misconceptions among at-risk populations: The case of hotel workers","authors":"Marie-Anne S. Rosemberg, Wei V. Li, Hannah Ratliff","doi":"10.1016/j.apnr.2024.151866","DOIUrl":"10.1016/j.apnr.2024.151866","url":null,"abstract":"<div><h3>Introduction</h3><div>Most hotel workers represent disadvantaged populations in the United States. Socioecological stress-related factors increase the risk for poor mental health outcomes, yet accounts of worker perceptions of mental health are scarce.</div></div><div><h3>Methods</h3><div>We conducted five focus groups among 23 hotel room cleaners and individual interviews with six hotel managers.</div></div><div><h3>Results</h3><div>Four themes emerged: Mental health is related to mental illness, mental health is associated with being crazy, mental health can be controlled, and mental health is taboo yet universal.</div></div><div><h3>Conclusion</h3><div>These findings indicate mental health is poorly understood among this population. Education and tailored interventions are needed to address adverse mental health outcomes.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151866"},"PeriodicalIF":2.7,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663717","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}
Pub Date : 2024-10-31DOI: 10.1016/j.apnr.2024.151865
Anthony Summers
Background
The Nurse Practitioner role in Australia is slowly expanding, with a well-established body of evidence supporting their introduction. Yet, there is a lack of consistent support from the medical profession for this role. Nurse Practitioners wishing to work in the community setting may, therefore, experience resistance from General Practitioners.
Objective
To identify and explore the attitudes and perceptions of Australian General Practitioners about Nurse Practitioners' community settings. To explore what is the view of GPs outside of Australia on this topic.
Method
A scoping review of the Cochrane, MEDLINE, Psych INFO, and CINHAL databases was undertaken from 1995 to April 2023 and reported using PRISMA. Quality evaluation tools devised by Dixon-Woods et al. (2005) and previously used by Paterson et al. (2015) were used to evaluate the included studies. A narrative synthesis was then undertaken using the method described by Whittemore and Knafl (2005).
Findings
The scoping review identified 1623 potential publications. After a comparison of the title and abstract to the inclusion and exclusion criteria, 20 publications underwent an in-depth review, eight publications met the inclusion criteria for a full review. The review did not identify a publication from Australia. Elsewhere the attitudes of General Practitioners were influenced by the lack of definition of the Nurse Practitioner role, a lack of knowledge of the Nurse Practitioner skill level, fear of service duplication, deterioration in patient relationships, who had responsibility for the role and funding for the role.
Conclusion
There is a lack of evidence in an Australian context to determine if General Practitioners in Australia have similar views to their international counterparts. Careful planning needs to be undertaken to overcome potential issues and to enable the Nurse Practitioner role to be effectively implemented in an Australian community setting.
{"title":"What are the attitudes and perceptions of general practitioners about the role of nurse practitioners in the community care setting: A scoping review","authors":"Anthony Summers","doi":"10.1016/j.apnr.2024.151865","DOIUrl":"10.1016/j.apnr.2024.151865","url":null,"abstract":"<div><h3>Background</h3><div>The Nurse Practitioner role in Australia is slowly expanding, with a well-established body of evidence supporting their introduction. Yet, there is a lack of consistent support from the medical profession for this role. Nurse Practitioners wishing to work in the community setting may, therefore, experience resistance from General Practitioners.</div></div><div><h3>Objective</h3><div>To identify and explore the attitudes and perceptions of Australian General Practitioners about Nurse Practitioners' community settings. To explore what is the view of GPs outside of Australia on this topic.</div></div><div><h3>Method</h3><div>A scoping review of the Cochrane, MEDLINE, Psych INFO, and CINHAL databases was undertaken from 1995 to April 2023 and reported using PRISMA. Quality evaluation tools devised by <span><span>Dixon-Woods et al. (2005)</span></span> and previously used by <span><span>Paterson et al. (2015)</span></span> were used to evaluate the included studies. A narrative synthesis was then undertaken using the method described by <span><span>Whittemore and Knafl (2005)</span></span>.</div></div><div><h3>Findings</h3><div>The scoping review identified 1623 potential publications. After a comparison of the title and abstract to the inclusion and exclusion criteria, 20 publications underwent an in-depth review, eight publications met the inclusion criteria for a full review. The review did not identify a publication from Australia. Elsewhere the attitudes of General Practitioners were influenced by the lack of definition of the Nurse Practitioner role, a lack of knowledge of the Nurse Practitioner skill level, fear of service duplication, deterioration in patient relationships, who had responsibility for the role and funding for the role.</div></div><div><h3>Conclusion</h3><div>There is a lack of evidence in an Australian context to determine if General Practitioners in Australia have similar views to their international counterparts. Careful planning needs to be undertaken to overcome potential issues and to enable the Nurse Practitioner role to be effectively implemented in an Australian community setting.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151865"},"PeriodicalIF":2.7,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663719","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}
The concept of Health-Related Quality of life (HRQOL) of children and adolescents with Sickle cell disease (SCD) is not clearly understood due to the lack of available studies. This review aimed to elucidate various attributes and related concepts of HRQOL in children and adolescents with SCD using Rodgers' et al. (2018) concept analysis framework. A systematic search was performed to identify studies reporting the attributes, antecedents, consequences, surrogate terms, and related concepts of HRQOL in children and adolescents with SCD. The review included 75 articles, including 70 quantitative, two mixed-methods, and three qualitative studies. These were categorized into attributes, antecedents, consequences, surrogate terms, related concepts, and an exemplar of HRQOL in children and adolescents with SCD. The review identified nine important attributes. It includes multidimensional and dynamic concepts, acknowledging the illness, maintaining emotional balance and self-control, coping with the disease, pain management, stigma and discrimination, treatment burden, palliative care and personal resilience. The antecedents were knowledge and attitude toward the disease, self-efficacy, social support, spirituality and spiritual well-being, disease severity, access to healthcare, environmental factors, and financial considerations. The consequences were independence in personal life, improved physical health outcomes, psychological well-being, family and caregiver well-being, improved family, social and peer relationships and social interactions, improved school performance, and improved overall HRQOL and long-term outcomes. This analysis provides an overview of HRQOL concepts related to children and adolescents with SCD, guiding further research into nursing care and clinical practice.
{"title":"Health-related quality of life of children and adolescents with sickle cell disease: An evolutionary concept analysis","authors":"Suthan Pandarakutty RN, RM, BSN, MSN, PhD , Judie Arulappan RN, RM, BSN, MSN, PhD, DNSc, CHSE","doi":"10.1016/j.apnr.2024.151862","DOIUrl":"10.1016/j.apnr.2024.151862","url":null,"abstract":"<div><div>The concept of Health-Related Quality of life (HRQOL) of children and adolescents with Sickle cell disease (SCD) is not clearly understood due to the lack of available studies. This review aimed to elucidate various attributes and related concepts of HRQOL in children and adolescents with SCD using Rodgers' et al. (2018) concept analysis framework. A systematic search was performed to identify studies reporting the attributes, antecedents, consequences, surrogate terms, and related concepts of HRQOL in children and adolescents with SCD. The review included 75 articles, including 70 quantitative, two mixed-methods, and three qualitative studies. These were categorized into attributes, antecedents, consequences, surrogate terms, related concepts, and an exemplar of HRQOL in children and adolescents with SCD. The review identified nine important attributes. It includes multidimensional and dynamic concepts, acknowledging the illness, maintaining emotional balance and self-control, coping with the disease, pain management, stigma and discrimination, treatment burden, palliative care and personal resilience. The antecedents were knowledge and attitude toward the disease, self-efficacy, social support, spirituality and spiritual well-being, disease severity, access to healthcare, environmental factors, and financial considerations. The consequences were independence in personal life, improved physical health outcomes, psychological well-being, family and caregiver well-being, improved family, social and peer relationships and social interactions, improved school performance, and improved overall HRQOL and long-term outcomes. This analysis provides an overview of HRQOL concepts related to children and adolescents with SCD, guiding further research into nursing care and clinical practice.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151862"},"PeriodicalIF":2.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552223","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}
Pub Date : 2024-10-22DOI: 10.1016/j.apnr.2024.151864
Peter Fieger , John Rice
The COVID-19 pandemic has exerted many effects on populations worldwide. Due to the nature of the pandemic, health and specifically nursing sectors have been particularly impacted. While the nursing sector had to grapple with the impact of the pandemic as well as associated government interventions, nursing students have experienced changes in their job prospects, satisfaction with their training and their propensity to engage in further studies, all impinging on the sustainability of nursing education. This study aims to analyze educational outcomes for nursing graduates undertaking VET (vocational education and training) programs in Australia. Impacts assessed include employment, satisfaction, and further study after completion. The paper is based on analysis of five large waves of a comprehensive survey of Australian vocational education completers, from 2018 to 2022 inclusive. We develop three separate logistic regression models for the outcomes of employment, satisfaction, and enrollment in further study in order to estimate the predictive margins for the interactions between year and field of education, including the Diploma of Nursing, all other health qualifications, and all other qualifications. Our results show that these graduates saw significantly improved employment outcomes and heightened satisfaction during and after the pandemic, pointing to the sector meeting sustainability challenges. Interestingly, enrolment in further studies, after a notable increase earlier in the pandemic, returned to pre-pandemic levels as the crises abated.
{"title":"Graduate pathways following nursing education during COVID-19","authors":"Peter Fieger , John Rice","doi":"10.1016/j.apnr.2024.151864","DOIUrl":"10.1016/j.apnr.2024.151864","url":null,"abstract":"<div><div>The COVID-19 pandemic has exerted many effects on populations worldwide. Due to the nature of the pandemic, health and specifically nursing sectors have been particularly impacted. While the nursing sector had to grapple with the impact of the pandemic as well as associated government interventions, nursing students have experienced changes in their job prospects, satisfaction with their training and their propensity to engage in further studies, all impinging on the sustainability of nursing education. This study aims to analyze educational outcomes for nursing graduates undertaking VET (vocational education and training) programs in Australia. Impacts assessed include employment, satisfaction, and further study after completion. The paper is based on analysis of five large waves of a comprehensive survey of Australian vocational education completers, from 2018 to 2022 inclusive. We develop three separate logistic regression models for the outcomes of employment, satisfaction, and enrollment in further study in order to estimate the predictive margins for the interactions between year and field of education, including the Diploma of Nursing, all other health qualifications, and all other qualifications. Our results show that these graduates saw significantly improved employment outcomes and heightened satisfaction during and after the pandemic, pointing to the sector meeting sustainability challenges. Interestingly, enrolment in further studies, after a notable increase earlier in the pandemic, returned to pre-pandemic levels as the crises abated.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151864"},"PeriodicalIF":2.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142529097","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}
Pub Date : 2024-10-16DOI: 10.1016/j.apnr.2024.151863
Stefano Ardenghi , Michela Luciani , Selena Russo , Giulia Rampoldi , Marco Bani , Davide Ausili , Stefania Di Mauro , Maria Grazia Strepparava
Aim
The present study aimed to evaluate the contribution of personality, empathy, and the perception of instructor's caring in predicting burnout in nursing students.
Background
Burnout is alarmingly prevalent and rising among nursing students. Furthering our understanding of individual and clinical environmental antecedents of burnout is crucial to shield nursing students' well-being during their training.
Methods
In a cross-sectional study design, the Ten Item Personality Inventory (TIPI), the Brief version of the Interpersonal Reactivity Index (BIRI), the Nursing Students' Perception of Instructor Caring (NSPIC), and the Copenhagen Burnout Inventory (CBI) were administered to 361 (83.9 % females) Italian nursing students between July and December 2021. t-Tests, analyses of variance, Pearson's correlations, and hierarchical regressions were performed to examine the association of CBI with socio-demographics, TIPI, BIRI, and NSPIC.
Results
Being female and having a low household income were predictors of Personal Burnout and Work-related Burnout. Personal Burnout was positively associated with TIPI-Neuroticism and BIRI-Personal Distress. Work-related Burnout was positively associated with BIRI-Personal Distress and NSPIC-Control, and negatively associated TIPI-Openness to Experience, NSPIC-Support, NSPIC-Confidence. Client-related Burnout was negatively associated with TIPI-Agreeableness, NSPIC-Support, NSPIC-Confidence. Beyond the effect of socio-demographics, TIPI, and BIRI, NSPIC subscales significantly contributed to the explained variance in CBI scores.
Conclusions
Sex, household income, personality, and empathy should be considered when designing interventions to decrease burnout in nursing students. Promoting caring relationships between clinical instructors and their pupils may contribute to reduce nursing students' burnout.
背景职业倦怠在护理专业学生中非常普遍，且呈上升趋势。进一步了解职业倦怠的个体和临床环境前因对于保护护生在培训期间的身心健康至关重要。方法采用横断面研究设计，对 361 名意大利护生（83.t检验、方差分析、Pearson相关性和分层回归检验了CBI与社会人口统计学、TIPI、BIRI和NSPIC的关系。个人职业倦怠与神经质 TIPI 和个人压力 BIRI 呈正相关。工作相关倦怠与 BIRI-个人压力和 NSPIC-控制力呈正相关，与 TIPI-体验开放性、NSPIC-支持和 NSPIC-自信呈负相关。与客户相关的职业倦怠与 TIPI--同意度、NSPIC--支持度、NSPIC--自信度呈负相关。除了社会人口统计学、TIPI 和 BIRI 的影响外，NSPIC 子量表对 CBI 分数的解释方差也有显著贡献。结论在设计干预措施以降低护理学生的职业倦怠时，应考虑性别、家庭收入、个性和移情能力。促进临床带教老师与学生之间的关爱关系可能有助于减少护生的职业倦怠。
{"title":"The role of personality, empathy, and the perception of the instructor's caring on nursing students' burnout: A cross-sectional study","authors":"Stefano Ardenghi , Michela Luciani , Selena Russo , Giulia Rampoldi , Marco Bani , Davide Ausili , Stefania Di Mauro , Maria Grazia Strepparava","doi":"10.1016/j.apnr.2024.151863","DOIUrl":"10.1016/j.apnr.2024.151863","url":null,"abstract":"<div><h3>Aim</h3><div>The present study aimed to evaluate the contribution of personality, empathy, and the perception of instructor's caring in predicting burnout in nursing students.</div></div><div><h3>Background</h3><div>Burnout is alarmingly prevalent and rising among nursing students. Furthering our understanding of individual and clinical environmental antecedents of burnout is crucial to shield nursing students' well-being during their training.</div></div><div><h3>Methods</h3><div>In a cross-sectional study design, the Ten Item Personality Inventory (TIPI), the Brief version of the Interpersonal Reactivity Index (BIRI), the Nursing Students' Perception of Instructor Caring (NSPIC), and the Copenhagen Burnout Inventory (CBI) were administered to 361 (83.9 % females) Italian nursing students between July and December 2021. <em>t</em>-Tests, analyses of variance, Pearson's correlations, and hierarchical regressions were performed to examine the association of CBI with socio-demographics, TIPI, BIRI, and NSPIC.</div></div><div><h3>Results</h3><div>Being female and having a low household income were predictors of Personal Burnout and Work-related Burnout. Personal Burnout was positively associated with TIPI-Neuroticism and BIRI-Personal Distress. Work-related Burnout was positively associated with BIRI-Personal Distress and NSPIC-Control, and negatively associated TIPI-Openness to Experience, NSPIC-Support, NSPIC-Confidence. Client-related Burnout was negatively associated with TIPI-Agreeableness, NSPIC-Support, NSPIC-Confidence. Beyond the effect of socio-demographics, TIPI, and BIRI, NSPIC subscales significantly contributed to the explained variance in CBI scores.</div></div><div><h3>Conclusions</h3><div>Sex, household income, personality, and empathy should be considered when designing interventions to decrease burnout in nursing students. Promoting caring relationships between clinical instructors and their pupils may contribute to reduce nursing students' burnout.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151863"},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577883","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}
Compassion fatigue and burnout have detrimental effects on nursing students. Moral distress has been recognized as a contributing factor to both, potentially impacting the intention to leave nursing programme.
Aim
To examine relationships among moral distress, compassion fatigue and burnout on intention to leave the nursing programme among nursing students.
Methods
A cross-sectional correlational design was used. Four hundred eighty-four nursing students from nine higher educations participated. Data were collected using the Moral Distress Scale-Revised, Compassion Fatigue Self-Test, and a single item examining the intention to leave.
Results
Mild to moderate levels of moral distress but high levels of compassion fatigue and burnout were reported. In regression analysis, year of study (OR = 14.323, CI = 1.273–161.143, p < 0.031), length of clinical learning (OR = 1.061, CI = 1.020–1.103, p < 0.003), moral distress (OR = 3.181, CI = 1.848–5.475, p < 0.001), burnout (OR = 1.165, CI = 1.118–1.214, p < 0.001) were associated with a higher chance of intention to leave. Attendance of an ethics course for >30 h (OR = 0.164, CI = 0.041–0.653, p < 0.010) and the interaction between moral distress and burnout (OR = 0.977, CI = 0.968–0.987, p < 0.001) were associated with a significant decrease in the intention to leave.
Conclusion
Burnout is a strong predictor for intention to leave the nursing programme among nursing students. Interventions addressing moral distress, compassion fatigue, and burnout might prevent intention to leave the nursing programme.
{"title":"Examining the effects of moral distress, compassion fatigue and burnout on intention to leave among nursing students in Hong Kong: A cross-sectional study","authors":"Winnie Lai-Sheung Cheng , Anson Chui-Yan Tang , Katherine Lai-Sheung Siu","doi":"10.1016/j.apnr.2024.151861","DOIUrl":"10.1016/j.apnr.2024.151861","url":null,"abstract":"<div><h3>Background</h3><div>Compassion fatigue and burnout have detrimental effects on nursing students. Moral distress has been recognized as a contributing factor to both, potentially impacting the intention to leave nursing programme.</div></div><div><h3>Aim</h3><div>To examine relationships among moral distress, compassion fatigue and burnout on intention to leave the nursing programme among nursing students.</div></div><div><h3>Methods</h3><div>A cross-sectional correlational design was used. Four hundred eighty-four nursing students from nine higher educations participated. Data were collected using the Moral Distress Scale-Revised, Compassion Fatigue Self-Test, and a single item examining the intention to leave.</div></div><div><h3>Results</h3><div>Mild to moderate levels of moral distress but high levels of compassion fatigue and burnout were reported. In regression analysis, year of study (OR = 14.323, CI = 1.273–161.143, p < 0.031), length of clinical learning (OR = 1.061, CI = 1.020–1.103, p < 0.003), moral distress (OR = 3.181, CI = 1.848–5.475, p < 0.001), burnout (OR = 1.165, CI = 1.118–1.214, p < 0.001) were associated with a higher chance of intention to leave. Attendance of an ethics course for >30 h (OR = 0.164, CI = 0.041–0.653, p < 0.010) and the interaction between moral distress and burnout (OR = 0.977, CI = 0.968–0.987, p < 0.001) were associated with a significant decrease in the intention to leave.</div></div><div><h3>Conclusion</h3><div>Burnout is a strong predictor for intention to leave the nursing programme among nursing students. Interventions addressing moral distress, compassion fatigue, and burnout might prevent intention to leave the nursing programme.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151861"},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142529096","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}
Pub Date : 2024-10-09DOI: 10.1016/j.apnr.2024.151860
Lütfiye Nur Uzun Asst. Prof., Hümeyra Hançer Tok Asst. Prof.
Background
Male nurses in clinical and educational settings are discriminated against. It is thought that perceiving the current situation of minority male nurses, who have the potential for social exclusion and oppression, and positively developing the perceptions of nursing students who are at the beginning of their professionalization lives, will contribute to the professionalization of future members of the profession.
Objectives
This study was conducted to find solutions to the current and potential difficulties experienced by male nurses, first-year nursing students, through a forum theater activity.
Method
The sample consisted of 24 first-year nursing students. Participants were given awareness training on male nurse discrimination using forum theater. Were given participants awareness training on male nurse discrimination using forum theater.
Research data student information form, Gender Attitudes of Nursing Students Towards the Nursing Profession Scale and were used for qualitative data participant opinion form.
Results
It was determined that the forum theater activity increased the awareness level of firstyear nursing students regarding gender attitudes towards the nursing profession. Students stated that participating in forum theater training was a real life experience in the learning process, that they were happy to participate in this training, and that participating in these events increased their self-confidence.
Conclusion
In this study, it was concluded that forum theater was effective in improving the awareness level of discrimination in the male nurse discrimination training given to nursing students. Forum theater can be used in nursing education.
{"title":"Are male nurses oppressed? A forum theater application: A quasi-experimental study","authors":"Lütfiye Nur Uzun Asst. Prof., Hümeyra Hançer Tok Asst. Prof.","doi":"10.1016/j.apnr.2024.151860","DOIUrl":"10.1016/j.apnr.2024.151860","url":null,"abstract":"<div><h3>Background</h3><div>Male nurses in clinical and educational settings are discriminated against. It is thought that perceiving the current situation of minority male nurses, who have the potential for social exclusion and oppression, and positively developing the perceptions of nursing students who are at the beginning of their professionalization lives, will contribute to the professionalization of future members of the profession.</div></div><div><h3>Objectives</h3><div>This study was conducted to find solutions to the current and potential difficulties experienced by male nurses, first-year nursing students, through a forum theater activity.</div></div><div><h3>Method</h3><div>The sample consisted of 24 first-year nursing students. Participants were given awareness training on male nurse discrimination using forum theater. Were given participants awareness training on male nurse discrimination using forum theater.</div><div>Research data student information form, Gender Attitudes of Nursing Students Towards the Nursing Profession Scale and were used for qualitative data participant opinion form.</div></div><div><h3>Results</h3><div>It was determined that the forum theater activity increased the awareness level of firstyear nursing students regarding gender attitudes towards the nursing profession. Students stated that participating in forum theater training was a real life experience in the learning process, that they were happy to participate in this training, and that participating in these events increased their self-confidence.</div></div><div><h3>Conclusion</h3><div>In this study, it was concluded that forum theater was effective in improving the awareness level of discrimination in the male nurse discrimination training given to nursing students. Forum theater can be used in nursing education.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151860"},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433469","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}
Pub Date : 2024-10-09DOI: 10.1016/j.apnr.2024.151859
Heidi Luft , Roger Brown , Diane Lauver
{"title":"Corrigendum to “A hybrid type 2 effectiveness-implementation design to evaluate a community-based, heart-healthy intervention for women of low-socioeconomic status” [Appl. Nurs. Res. 71, 2023, 151686]","authors":"Heidi Luft , Roger Brown , Diane Lauver","doi":"10.1016/j.apnr.2024.151859","DOIUrl":"10.1016/j.apnr.2024.151859","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151859"},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423040","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}
Pub Date : 2024-10-01DOI: 10.1016/j.apnr.2024.151858
Ling-Fang Hsu , Yun-Hsiang Lee , Hui-Ying Yang , Yun-Jen Chou , Yu-Wen Tien , Chieh-Yu Liu , Shiow-Ching Shun
Objective
This study examined changes in nutritional status, fatigue, and quality of life, and identified longitudinal factors influencing changes in quality of life in patients with pancreatic cancer before and 12 months after surgery.
Methods
A longitudinal, correlational, single-group study was conducted on 89 patients with operable pancreatic cancer in Taiwan. Data were collected preoperatively (T0) and at 3 (T1), 6 (T2), and 12 (T3) months post-surgery using questionnaires— Mini Nutritional Assessment, Fatigue Symptom Inventory, and Functional Assessment of Cancer Therapy-General—and through bioelectrical impedance analysis, handgrip strength measurement, and the 30-s sit-to-stand test. Generalized estimating equation models were used to analyze variable changes and associated factors.
Results
Body weight (T1, p < 0.01; T2, p < 0.01; T3, p < 0.01), visceral fat mass (T1, p < 0.01; T2, p < 0.01; T3, p < 0.01), and handgrip strength (T1, p < 0.01; T2, p < 0.01; T3, p < 0.01) decreased significantly after surgery. The quality of life significantly improved at T2 and T3 (T2, p = 0.04; T3, p = 0.04). Lower visceral fat mass (β = −2.27, p < 0.01), better overall nutritional status (β = 1.54, p < 0.01), and lower fatigue (β = −0.26, p < 0.01) were associated with higher quality of life from T0-T3.
Conclusions
Patients with pancreatic cancer should have their nutritional status and fatigue assessed early and continuously for at least 12 months post-surgery. Early preoperative interventions that can reduce visceral fat mass, combat malnutrition, and alleviate fatigue are recommended.
{"title":"Changes in nutritional status and fatigue and their associations with quality of life in patients with pancreatic cancer after surgery: A 12-month longitudinal study","authors":"Ling-Fang Hsu , Yun-Hsiang Lee , Hui-Ying Yang , Yun-Jen Chou , Yu-Wen Tien , Chieh-Yu Liu , Shiow-Ching Shun","doi":"10.1016/j.apnr.2024.151858","DOIUrl":"10.1016/j.apnr.2024.151858","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined changes in nutritional status, fatigue, and quality of life, and identified longitudinal factors influencing changes in quality of life in patients with pancreatic cancer before and 12 months after surgery.</div></div><div><h3>Methods</h3><div>A longitudinal, correlational, single-group study was conducted on 89 patients with operable pancreatic cancer in Taiwan. Data were collected preoperatively (T0) and at 3 (T1), 6 (T2), and 12 (T3) months post-surgery using questionnaires— Mini Nutritional Assessment, Fatigue Symptom Inventory, and Functional Assessment of Cancer Therapy-General—and through bioelectrical impedance analysis, handgrip strength measurement, and the 30-s sit-to-stand test. Generalized estimating equation models were used to analyze variable changes and associated factors.</div></div><div><h3>Results</h3><div>Body weight (T1, <em>p</em> < 0.01; T2, <em>p</em> < 0.01; T3, p < 0.01), visceral fat mass (T1, p < 0.01; T2, p < 0.01; T3, p < 0.01), and handgrip strength (T1, p < 0.01; T2, p < 0.01; T3, p < 0.01) decreased significantly after surgery. The quality of life significantly improved at T2 and T3 (T2, <em>p</em> = 0.04; T3, p = 0.04). Lower visceral fat mass (β = −2.27, <em>p</em> < 0.01), better overall nutritional status (β = 1.54, p < 0.01), and lower fatigue (β = −0.26, p < 0.01) were associated with higher quality of life from T0-T3.</div></div><div><h3>Conclusions</h3><div>Patients with pancreatic cancer should have their nutritional status and fatigue assessed early and continuously for at least 12 months post-surgery. Early preoperative interventions that can reduce visceral fat mass, combat malnutrition, and alleviate fatigue are recommended.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151858"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423039","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}
Pub Date : 2024-09-25DOI: 10.1016/j.apnr.2024.151857
Yi-Chen Yeh , Wang-Huei Sheng , Mei-Yan Pan , Hsiu-Yun Liu , Chieh-Yu Liu , Piao-Yi Chiou
Aim
This study aimed to classify coping strategies and resilience among nurses caring for COVID-19 patients using latent class analysis (LCA), and to compare variations across these subgroups.
Background
The pandemic of emerging infectious diseases is a traumatic stressor for frontline nurses, potentially leading to compassion fatigue. Effective coping strategies and resilience were essential for managing stress, but their nuanced classification and outcomes remain unclear.
Methods
A cross-sectional survey was conducted from January to March 2022. Purposive and snowball sampling was utilized to recruit participants.
Results
A total of 215 clinical nurses (mean age 34.59 years) were recruited. A three-class model showed the best fit: class 1 (35.8 %) with proactive coping and high resilience, class 2 (29.8 %) with mixed coping and high resilience, and class 3 (34.4 %) with avoidance coping and low resilience. Compared to class 3, class 1 participants had lower stress (Odds Ratio (OR) = 0.37, 95 % CI: 0.143–0.950, P = 0.039), reduced risk of compassion fatigue (OR = 0.29, 95 % CI: 1.110–4.536, P < 0.001), and lower intention to quit (OR = 0.39, 95 % CI: 0.175–0.843, P = 0.017). Class 2 participants, with higher proportion to live with family, had longer work experience, higher income, and also showed significantly reduced intention to quit (OR = 0.386, 95 % CI: 0.168–0.887, P = 0.025).
Conclusions
Identifying these vulnerable groups can help in providing interventions to reduce stress and prevent compassion fatigue and intention to quit.
目的本研究旨在使用潜类分析法（LCA）对护理 COVID-19 患者的护士的应对策略和复原力进行分类，并比较这些亚组之间的差异。背景新发传染病的流行对一线护士来说是一种创伤性压力，有可能导致同情疲劳。有效的应对策略和抗压能力对管理压力至关重要，但其细微的分类和结果仍不清楚。方法2022年1月至3月进行了一项横断面调查。结果 共招募了 215 名临床护士（平均年龄 34.59 岁）。三类模型显示出最佳拟合度：第一类（35.8%）为主动应对和高复原力，第二类（29.8%）为混合应对和高复原力，第三类（34.4%）为回避应对和低复原力。与第三类相比，第一类参与者的压力较小（Odds Ratio (OR) = 0.37, 95 % CI: 0.143-0.950, P = 0.039），同情疲劳的风险较低（OR = 0.29, 95 % CI: 1.110-4.536, P < 0.001），辞职意愿较低（OR = 0.39, 95 % CI: 0.175-0.843, P = 0.017）。结论识别这些弱势群体有助于提供干预措施，以减轻压力、预防同情疲劳和戒烟意向。
{"title":"Stress coping and resilience of frontline nurses under the emergency infectious disease pandemic: A latent class analysis","authors":"Yi-Chen Yeh , Wang-Huei Sheng , Mei-Yan Pan , Hsiu-Yun Liu , Chieh-Yu Liu , Piao-Yi Chiou","doi":"10.1016/j.apnr.2024.151857","DOIUrl":"10.1016/j.apnr.2024.151857","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to classify coping strategies and resilience among nurses caring for COVID-19 patients using latent class analysis (LCA), and to compare variations across these subgroups.</div></div><div><h3>Background</h3><div>The pandemic of emerging infectious diseases is a traumatic stressor for frontline nurses, potentially leading to compassion fatigue. Effective coping strategies and resilience were essential for managing stress, but their nuanced classification and outcomes remain unclear.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted from January to March 2022. Purposive and snowball sampling was utilized to recruit participants.</div></div><div><h3>Results</h3><div>A total of 215 clinical nurses (mean age 34.59 years) were recruited. A three-class model showed the best fit: class 1 (35.8 %) with proactive coping and high resilience, class 2 (29.8 %) with mixed coping and high resilience, and class 3 (34.4 %) with avoidance coping and low resilience. Compared to class 3, class 1 participants had lower stress (Odds Ratio (<em>OR</em>) = 0.37, 95 % <em>CI</em>: 0.143–0.950, <em>P</em> = 0.039), reduced risk of compassion fatigue (<em>OR</em> = 0.29, 95 % <em>CI</em>: 1.110–4.536, <em>P</em> < 0.001), and lower intention to quit (<em>OR</em> = 0.39, 95 % <em>CI</em>: 0.175–0.843, <em>P</em> = 0.017). Class 2 participants, with higher proportion to live with family, had longer work experience, higher income, and also showed significantly reduced intention to quit (<em>OR</em> = 0.386, 95 % <em>CI</em>: 0.168–0.887, <em>P</em> = 0.025).</div></div><div><h3>Conclusions</h3><div>Identifying these vulnerable groups can help in providing interventions to reduce stress and prevent compassion fatigue and intention to quit.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151857"},"PeriodicalIF":2.7,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423038","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}
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