Applied Nursing Research最新文献_第3页

Nurses' knowledge and evidence-based practice in pain management for sedated ICU patients: Results of a national cross-sectional study 护士在镇静ICU患者疼痛管理方面的知识和循证实践：一项全国性横断面研究的结果

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-10-29 DOI: 10.1016/j.apnr.2025.152022

Nurdan Yalçın Atar PhD, RN, Asst. Prof. , Semra Açıksöz PhD, RN, Asst. Prof. , Öznur Tuğba Çelebi Dursun MSc, RN, Lect.

Aim

This study aimed to evaluate intensive care nurses' knowledge and evidence-based practices regarding pain management in sedated patients and to identify influencing factors.

Background

Pain management is a critical component of nursing care in intensive care units, yet managing pain in sedated patients remains complex and requires specialized competencies. To date, no study has specifically examined ICU nurses' knowledge and practices related to pain management in this population, nor the factors influencing them.

Methods

A descriptive, cross-sectional study was conducted among 218 ICU nurses using standardized self-report instruments. Data were collected using the “Descriptive Information Form,” the “Pain Management Knowledge Test in Sedated Patients,” and the “Evidence-based Practices Test for Pain Management in Sedated Patients.”

Results

The mean knowledge score was 26.48 ± 7.01 (range: 0–35), significantly differing by education and professional background (p < 0.05). The mean evidence-based practice score was 27.47 ± 6.74 (range: 13–39), with no significant demographic differences. Although nurses' knowledge varied according to education and experience, their practices were similar across groups.

Conclusion

Given that sedated ICU patients often receive end-of-life care, improving nurses' pain management competencies may directly enhance palliative outcomes. İnstitutional protocols and ongoing training programs are recommended.

目的本研究旨在评估重症监护护士对镇静患者疼痛管理的知识和循证实践，并确定影响因素。背景：疼痛管理是重症监护室护理的关键组成部分，然而镇静患者的疼痛管理仍然很复杂，需要专业能力。迄今为止，还没有研究专门调查ICU护士在这一人群中与疼痛管理相关的知识和实践，也没有研究调查影响这些知识和实践的因素。方法采用标准化自我报告工具对218名ICU护士进行描述性横断面调查。使用“描述性信息表”、“镇静患者疼痛管理知识测试”和“镇静患者疼痛管理循证实践测试”收集数据。结果平均知识得分为26.48±7.01分（范围：0 ~ 35分），学历、专业差异有统计学意义（p < 0.05）。平均循证实践评分为27.47±6.74（范围：13-39），人口统计学差异无统计学意义。尽管护士的知识因教育程度和经验而异，但他们的做法在不同群体中是相似的。结论镇静ICU患者常接受临终关怀，提高护士疼痛管理能力可直接提高姑息治疗效果。建议使用İnstitutional协议和正在进行的培训计划。

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引用次数: 0

The relationship between anxiety about artificial intelligence and nurses' perceptions of job security: The impact of technological transformation 人工智能焦虑与护士工作安全感之间的关系：技术转型的影响

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-10-28 DOI: 10.1016/j.apnr.2025.152023

Ganime Esra SOYSAL, Mehmet Ali CALIŞKAN, Aykut TURGUT

Aim

The objective of this study is to evaluate the anxiety levels of nurses regarding artificial intelligence and its impact on their perception of job security.

Background

The nursing profession, which is affected by artificial intelligence, has concerns about this transformation.

Design

This study employed a cross-sectional and descriptive.

Methods

The was conducted with 104 nurses working in a hospital between December 2024 and March 2025. Data was collected using the Descriptive Information Form, Artificial Intelligence Anxiety Scale and Job Security Perception Scale.

Results

The nurses participating in this study exhibited moderate anxiety towards artificial intelligence according to the scores they received from the Artificial Intelligence Anxiety Scale. The relationship between nurses' artificial intelligence anxiety and the perception of job security was not statistically significant (p ≥ 0.165). Nurses with ≥10 years' experience had higher AIA scores than those with less experience, but this difference was not significant (p = 0.056). It was stated that 80.8 % (n:84) of the nurses did not use ChatGPT or any other application supported by artificial intelligence in their professional life. The Job Security Perception Scale scores were no different between those who saw artificial intelligence as a threat and those who did not (p = 0.870).

Conclusions

It was observed that nurses were inadequate in using artificial intelligence technologies and experienced moderate anxiety, but there was no significant relationship between this anxiety and their perceptions of job security.

目的本研究旨在评估护士对人工智能的焦虑程度及其对工作安全感的影响。受人工智能影响的护理行业对这种转变感到担忧。本研究采用横断面和描述性方法。方法对2024年12月~ 2025年3月在某医院工作的104名护士进行问卷调查。采用描述性信息表、人工智能焦虑量表和工作安全感知量表收集数据。结果根据人工智能焦虑量表得分，参与本研究的护士对人工智能表现出中度焦虑。护士人工智能焦虑与工作安全感感知的关系无统计学意义（p≥0.165）。经验≥10年的护士AIA得分高于经验不足的护士，但差异无统计学意义（p = 0.056）。80.8% （n:84）的护士在职业生活中未使用ChatGPT或其他人工智能支持的应用程序。将人工智能视为威胁的人与不将其视为威胁的人之间的工作安全感知量表得分没有差异（p = 0.870）。结论护理人员对人工智能技术的使用不足，存在中度焦虑，但焦虑与工作安全感无显著关系。

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引用次数: 0

Sustained quality-of-life gains following nurse-led cardiac rehabilitation: A longitudinal study to support nursing practice 护士主导的心脏康复后持续的生活质量提高：一项支持护理实践的纵向研究

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-10-24 DOI: 10.1016/j.apnr.2025.152020

María José Ferreira Díaz

Background

Cardiac rehabilitation (CR) is a key component of secondary prevention in cardiovascular care. While its effects on clinical outcomes are well established, the long-term impact on health-related quality of life (HRQoL) and the specific contribution of nurse-led care remain underexplored in real-world settings.

Aims

To evaluate longitudinal changes in HRQoL among patients who completed a structured nurse-led CR program, and to identify subgroup differences and predictors of sustained improvement.

Methods

A prospective cohort study was conducted with 181 patients following myocardial infarction or cardiac surgery. HRQoL was assessed using the SF-36 questionnaire at four time points: baseline, discharge, 6 months, and 12 months. Sociodemographic, clinical, and psychosocial variables were analyzed. Nurse-led interventions were guided by standardized NIC classifications, including health education (NIC 5240), cardiac rehabilitation (NIC 5246), and emotional support (NIC 5270).

Results

HRQoL improved significantly across all SF-36 domains over 12 months (p < 0.001), especially in physical functioning, vitality, and general health. Women, patients with low education, and those with baseline anxiety showed lower initial scores but meaningful gains. Adherence to the full program was strongly associated with sustained improvements.

Conclusions

Nurse-led CR is effective in promoting sustained HRQoL gains across physical and emotional domains. Standardized interventions based on NIC contribute to structured, person-centered care delivery, especially in vulnerable populations.

Implications for nursing practice

Monitoring HRQoL through validated tools and NIC-guided nursing plans enhances long-term cardiovascular recovery. Integration of psychosocial assessment and extended follow-up may improve equity and personalization in post-cardiac care.

背景心脏康复（CR）是心血管护理二级预防的关键组成部分。虽然它对临床结果的影响已经确定，但对健康相关生活质量（HRQoL）的长期影响以及护士主导的护理的具体贡献在现实环境中仍未得到充分探讨。目的评估完成结构化护士主导的CR项目的患者HRQoL的纵向变化，并确定亚组差异和持续改善的预测因素。方法对181例心肌梗死或心脏手术患者进行前瞻性队列研究。采用SF-36问卷在基线、出院、6个月和12个月四个时间点评估HRQoL。分析了社会人口学、临床和社会心理变量。护士主导的干预以标准化NIC分类为指导，包括健康教育（NIC 5240）、心脏康复（NIC 5246）和情感支持（NIC 5270）。结果在12个月内，SF-36各领域的患者生活质量均有显著改善（p < 0.001），特别是在身体功能、活力和一般健康方面。女性、受教育程度低的患者和基线焦虑患者的初始得分较低，但有意义的提高。坚持整个计划与持续的改善密切相关。结论护士主导的CR能有效促进身体和情绪领域HRQoL的持续提高。基于NIC的标准化干预有助于结构化的、以人为本的护理提供，特别是在弱势群体中。通过有效的工具和nic指导的护理计划监测HRQoL可以提高心血管的长期康复。整合心理社会评估和延长随访可以提高心脏后护理的公平性和个性化。

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引用次数: 0

Cross-cultural adaptation and psychometric validation of an Arabic version of the 12-item Zarit burden interview 阿拉伯语版12题Zarit负担访谈的跨文化适应与心理计量学验证

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-10-20 DOI: 10.1016/j.apnr.2025.152021

Eman Alhalal RN, MScN, PhD

Background

Globally, there is a demand for long-term care, driven by an aging population and the prevalence of chronic diseases. Informal caregivers play a role in contributing to healthcare services. The Zarit Burden Interview (ZBI-12) is one of the several scales that assess caregiver burden; however, its psychometric evaluation is lacking in the Arab context.

Aim

To test the internal consistency, structural validity (factor structure), and convergent validity of the 12-item ZBI translated version among informal caregivers.

Design

A cross-sectional, multiregional study.

Methods

A random sample of 476 informal caregivers was recruited from 11 cities across four regions in Saudi Arabia. After translating the ZBI-12, assessing content validity, and conducting pilot testing, a structured telephone interview was conducted. For exploratory and confirmatory factor analysis, the full sample was randomly split into two subsamples. To assess its convergent validity, a correlation analysis was conducted with the psychological distress scale. Internal consistency was assessed.

Results

Structural validity analysis supported the three-factor model: role strain, personal strain, and guilt. A positive correlation with psychological distress (r

=

0.461) supported convergent validity. Internal consistency was evidenced by the Cronbach's alpha coefficient (α

=

0.929) and McDonald's omega (ω

=

0.923).

Conclusion

The study demonstrates evidence that the Arabic ZBI-12 is a psychometrically robust scale. The availability of this version provides healthcare providers with a screening tool to identify caregiver burden in Arabic-speaking populations. It can be used in guiding evidence-based interventions. The scale has implications for cross-cultural research and the development of health policies related to Arab informal caregiving.

在全球范围内，由于人口老龄化和慢性病的流行，对长期护理有需求。非正式护理人员在促进保健服务方面发挥着作用。Zarit负担访谈（ZBI-12）是评估照顾者负担的几个量表之一；然而，其心理测量评估缺乏在阿拉伯的背景下。目的检验12项ZBI译文在非正式照顾者中的内部一致性、结构效度（因子结构）和收敛效度。设计一项横断面、多地区的研究。方法从沙特阿拉伯四个地区的11个城市随机抽取476名非正式护理人员。在翻译完ZBI-12，评估内容效度，并进行试点测试后，进行结构化电话访谈。为了进行探索性和验证性因子分析，整个样本被随机分成两个子样本。为了评估其收敛效度，我们与心理困扰量表进行了相关分析。评估内部一致性。结果结构效度分析支持角色应变、个人应变和内疚三因素模型。与心理困扰正相关（r=0.461）支持收敛效度。Cronbach's α系数（α=0.929）和McDonald's ω (ω =0.923)证明了内部一致性。结论阿拉伯语ZBI-12量表具有较强的心理测量稳健性。该版本的可用性为医疗保健提供者提供了一种筛选工具，以确定阿拉伯语人口的护理负担。它可用于指导循证干预措施。该量表对跨文化研究和制定与阿拉伯非正式照料有关的卫生政策具有影响。

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引用次数: 0

Examination of the sleep quality status of patients who underwent cranial surgery in terms of perceived stress, socio-demographic, and clinical characteristics 从感知压力、社会人口统计学和临床特征方面对颅脑手术患者的睡眠质量状况进行检查

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-10-14 DOI: 10.1016/j.apnr.2025.152019

Altun Baksi , Esra Ertuğrul , Saadet Çömez , Furkan Ersen

Background

Sleep quality is important for both the recovery and quality of life of patients who underwent cranial surgery.

Objectives

This study aimed to examine the relationship between sleep quality and perceived stress, as well as the socio-demographic and clinical characteristics of patients who underwent cranial surgical intervention.

Methods

A descriptive and correlational research design was employed. The study enrolled 142 patients at the neurosurgery clinic of a university hospital in Türkiye between December 2019 and December 2020. Data were collected using the Descriptive Characteristic Form, Richards–Campbell Sleep Questionnaire, and Perceived Stress Scale.

Results

The mean age of patients who underwent cranial surgical intervention was 52.87 ± 14.16 years (range, 18–84). The mean sleep score was 46.68 ± 19.35 (range, 3–93) and the mean perceived stress score was 29.70 ± 4.29 (range, 20–44). Factors associated with lower sleep quality scores, in order of importance, were: presence of sleep problems after hospitalization (β = −0.363), presence of one attached medical equipment (β = −0.209), American Society of Anesthesiologists (ASA) physical status III prior to surgery (β = −0.205), and room occupancy of 2–3 patients (β = −0.134). Factors associated with higher sleep quality scores, in order of importance, were: absence of sleep problems after hospitalization (β = 0.384) and a higher total number of surgeries (β = 0.172).

Conclusions

The findings of this study indicate that patients undergoing cranial surgery experience moderate sleep quality and perceived stress levels. Evaluation of sleep quality should account for significant influencing factors, and additional studies in diverse patient samples are warranted.

背景：睡眠质量对颅脑手术患者的康复和生活质量都很重要。目的探讨颅脑外科手术患者的睡眠质量与感知压力的关系，以及患者的社会人口统计学和临床特征。方法采用描述性和相关性研究设计。该研究于2019年12月至2020年12月期间在泰国一家大学医院的神经外科诊所招募了142名患者。采用描述性特征表、Richards-Campbell睡眠问卷和感知压力量表收集数据。结果接受颅脑手术干预的患者平均年龄为52.87±14.16岁（范围18 ~ 84岁）。平均睡眠评分为46.68±19.35（范围3 ~ 93），平均应激感知评分为29.70±4.29（范围20 ~ 44）。与较低睡眠质量评分相关的因素，按重要性排序为：住院后是否存在睡眠问题（β = - 0.363），是否有一台附属医疗设备（β = - 0.209），手术前美国麻醉医师协会（ASA）的身体状况III (β = - 0.205)，以及2-3名患者的房间占用（β = - 0.134）。与较高睡眠质量评分相关的因素，按重要性排序为：住院后无睡眠问题（β = 0.384）和手术总次数较高（β = 0.172）。结论颅脑手术患者的睡眠质量和感知压力水平处于中等水平。对睡眠质量的评估应考虑到重要的影响因素，需要在不同的患者样本中进行额外的研究。

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引用次数: 0

Organizational change fatigue among nurses and its impact on work engagement: A qualitative study 护士组织变革疲劳及其对工作投入的影响：一项质的研究

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-10-06 DOI: 10.1016/j.apnr.2025.152018

Hui Duan , Dongmei He , Yanli Zeng , Xiaolin Ma , Qian Li , Xinxu Zhou

Aim

To explore how organizational change fatigue influences nurses' work engagement based on their lived experiences in tertiary hospitals in China.

Background

Organizational change fatigue undermines nurse engagement, a factor consistently linked to patient safety and workforce retention. Nurses are frequently positioned at the center of hospital reforms and must adapt to structural, technological, and policy-driven changes. These transitions often create cumulative stress, yet little is known about how nurses subjectively experience change fatigue or how it shapes their professional engagement. Addressing this gap is essential, as understanding lived experiences can inform leadership and policy strategies to sustain nurse well-being and ensure safe, high-quality patient care.

Methods

A descriptive phenomenological design was employed. Semi-structured interviews were conducted with 12 registered nurses from three tertiary hospitals using purposive sampling. Data were analyzed using Colaizzi's seven-step method, and reporting followed the Consolidated Criteria for Reporting Qualitative Research.

Results

Four themes were identified: perceptions of organizational change, emotional and behavioral responses, coping strategies and perceived support, and impact on work engagement. Nurses described a cyclical trajectory from emotional fatigue to disengagement, with the potential for re-engagement when supported by psychologically safe and inclusive environments.

Conclusions

Organizational change fatigue erodes nurses' motivation, professional commitment, and care quality. However, recovery is possible through relational leadership, transparent communication, and recognition of emotional labor. These findings highlight the need for human-centered change strategies to maintain engagement and ensure workforce sustainability during continuous healthcare reform.

目的探讨组织变革疲劳对三级医院护士工作投入的影响。组织变革疲劳会破坏护士的敬业度，而这一因素一直与患者安全和员工留任有关。护士经常被定位在医院改革的中心，必须适应结构、技术和政策驱动的变化。这些转变通常会产生累积的压力，但很少有人知道护士是如何主观地经历变化疲劳的，或者它是如何塑造他们的专业参与的。解决这一差距至关重要，因为了解生活经验可以为领导和政策战略提供信息，以维持护士的福祉，并确保安全、高质量的患者护理。方法采用描述现象学设计。采用有目的抽样方法，对来自三所三级医院的12名注册护士进行半结构化访谈。数据分析采用Colaizzi的七步法，报告遵循定性研究报告的统一标准。结果确定了四个主题：对组织变革的看法，情绪和行为反应，应对策略和感知支持，以及对工作投入的影响。护士们描述了从情绪疲劳到脱离的周期性轨迹，在心理安全和包容的环境支持下，有可能重新投入。结论组织变革疲劳会影响护士的工作积极性、职业承诺和护理质量。然而，通过关系型领导、透明的沟通和对情绪劳动的认识，恢复是可能的。这些发现强调了在持续的医疗改革期间，需要以人为中心的变革战略来保持参与并确保劳动力的可持续性。

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引用次数: 0

The role of sense of coherence, self-efficacy, social support and perceived stress on postpartum depression during the transition to motherhood: A path analysis. 融贯感、自我效能感、社会支持和感知压力对产后抑郁的影响：路径分析。

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-10-01 Epub Date: 2025-08-08 DOI: 10.1016/j.apnr.2025.151998

Lebeza Alemu Tenaw, Fei Wan Ngai, Ka Wai Katherine Lam

Background: The transition to motherhood is a women's life event that, while often joyful, can present challenges leading to postpartum depression. Understanding the roles of sense of coherence, self-efficacy, and social support in mitigating postpartum depression is crucial, particularly among Ethiopian mothers, where cultural practices may influence these dynamics.

Objectives: The objective of this study to evaluate the effect of sense of coherence, self-efficacy, social support, and stress on postpartum depression during the transition to motherhood.

Methods: This cross-sectional study involved 200 mothers recruited from Woldia Comprehensive Specialized Hospital, Ethiopia. The data collection conducted by two BSc midwives from 10 to 30 November 2024. Path analysis using Maximum Likelihood Estimation was performed to evaluate the effects of sense of coherence, self-efficacy, social support, and perceived stress on postpartum depression. Model fit evaluated using indices such as the Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), and Root-Mean-Square Error of Approximation (RMSEA).

Results: The modified path model demonstrated a good fit with the data, indicated by χ² = 1.64 (p > 0.44), CFI = 1.00, TLI = 1.02, RMSEA <0.001, and SRMR = 0.02. The model explained 29.8 % of the variance in postpartum depression. A higher sense of coherence significantly predicted lower levels of postpartum depression, with a path coefficient of β = -0.15 (p = 0.02). Similarly, sense of coherence was associated with lower perceived stress (β = -0.21, p = 0.02), while perceived stress was a significant positive predictor of postpartum depression (β = 0.49, p < 0.001). The model also demonstrated that both social support and self-efficacy were inversely related to postpartum depression.

Conclusions: Sense of coherence plays a direct role in preventing postpartum depression, while the effects of social support and self-efficacy on depressive symptoms are mediated through sense of coherence and perceived stress levels.

背景：转变为母亲是女性生活中的一件大事，虽然经常是快乐的，但也可能带来导致产后抑郁的挑战。理解连贯感、自我效能感和社会支持在减轻产后抑郁症中的作用至关重要，特别是在埃塞俄比亚母亲中，那里的文化习俗可能会影响这些动态。目的：本研究旨在探讨融贯感、自我效能感、社会支持和压力对产后抑郁的影响。方法：本横断面研究涉及从埃塞俄比亚Woldia综合专科医院招募的200名母亲。两名BSc助产士于2024年11月10日至30日进行了数据收集。采用最大似然估计法进行通径分析，评估连贯性感、自我效能感、社会支持和感知压力对产后抑郁的影响。使用比较拟合指数（CFI）、塔克-刘易斯指数（TLI）和近似均方根误差（RMSEA）等指标评估模型拟合。结果：修正路径模型与数据拟合良好，χ2 = 1.64 (p > 0.44), CFI = 1.00, TLI = 1.02， RMSEA。结论：连贯性感在预防产后抑郁中起直接作用，而社会支持和自我效能感通过连贯性感和应激感知水平介导对抑郁症状的影响。

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引用次数: 0

The chain mediating effects of psychological resilience and organizational commitment on the association between workplace incivility and job withdrawal among Chinese oncology nurses: A cross-sectional study. 心理弹性和组织承诺在中国肿瘤科护士工作场所不文明行为与工作退缩关系中的连锁中介作用：一项横断面研究。

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-10-01 Epub Date: 2025-08-07 DOI: 10.1016/j.apnr.2025.151999

Jiaxun Kang, Rui Zhao, Qiushi Zhang, Wenbo Jing, Hui Xu, Shanshan Wang

Background: Workplace incivility experienced by nurses has a substantial impact on job withdrawal, psychological resilience and organizational commitment also show certain associations with both incivility and work withdrawal. However, the specific mechanisms underlying these factors remain unclear.

Aim: This study aimed to identify the relationship between workplace incivility and job withdrawal and the chain mediating effects of psychological resilience and organizational commitment.

Methods: A cross-sectional study was conducted with oncology nurses working in 7 hospitals using a convenience sampling method, which were all situated in central China, comprising four hospitals in Henan Province, two in Hunan Province, and one in Shandong Province. Demographic questionnaire and four validated and reliable scales were utilized for assessing demographic and occupational characteristics, workplace incivility, job withdrawal, psychological resilience, and organizational commitment. Participants (N = 1442) completed the survey.

Results: The effects of workplace incivility, job withdrawal, psychological resilience, and organizational commitment were interrelated (all p < 0.01). Workplace incivility influenced job withdrawal through three statistically significant indirect pathways: (a) the mediating effect of psychological resilience (β = 0.017; SE = 0.003; 95 % CI: 0.012, 0.022); (b) the mediating effect of organizational commitment (β = 0.011; SE = 0.002; 95 % CI: 0.006, 0.015) and (c) the chain mediating effect between psychological resilience and organizational commitment (β = 0.001; SE = 0.004; 95 % CI: 0.001, 0.002).

Conclusion: This study further elucidated the intrinsic connection between nurses' experiences of workplace incivility and their job withdrawal. This suggested that improving the working environment, reducing instances of uncivilized behavior in the workplace, enhancing psychological resilience and organizational commitment may contribute to reducing nurses' job withdrawal, thereby improving the quality of nursing care and ensuring patient safety.

背景：护士经历的职场不文明行为对工作退缩有实质性影响，心理弹性和组织承诺也与不文明行为和工作退缩有一定的关联。然而，这些因素背后的具体机制尚不清楚。目的：本研究旨在探讨职场不文明行为与工作退缩的关系，以及心理弹性和组织承诺的连锁中介效应。方法：采用方便抽样的方法，对河南省4家医院、湖南省2家医院和山东省1家医院7家医院的肿瘤护士进行横断面研究。采用人口统计问卷和四个有效可靠的量表来评估人口统计和职业特征、工作场所不礼貌、工作退缩、心理弹性和组织承诺。参与者（N = 1442）完成了调查。结果：工作场所不文明行为、工作退缩、心理弹性和组织承诺的影响相互关联（均为p）。结论：本研究进一步阐明了护士工作场所不文明经历与工作退缩之间的内在联系。因此，改善工作环境，减少工作场所不文明行为，增强心理弹性和组织承诺，有助于减少护士的离职现象，从而提高护理质量，保障患者安全。

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引用次数: 0

Effectiveness of light intervention on daytime sleepiness, fatigue, and sleep quality among female shift-working nurses - A randomized control trail 光干预对倒班女护士日间嗜睡、疲劳和睡眠质量的影响——一项随机对照试验

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-09-19 DOI: 10.1016/j.apnr.2025.152017

Shu-Fen Niu , Yu-Ying Lu , Yu-Chieh Lin , Kuei-Fen Liu

Background

Sleep disturbances and fatigue are prevalent among female shift-working nurses, adversely affecting their health and job performance.

Objectives

This study aimed to evaluate the effectiveness of light intervention in reducing daytime sleepiness, fatigue, and improving sleep quality among female shift-working nurses.

Methods

A randomized controlled trial was conducted at a medical center in northern Taiwan with 80 female nurses assigned to either an experimental or control group. Baseline assessments included demographics, work characteristics, and measures using the Epworth Sleepiness Scale (ESS), Brief Fatigue Inventory (BFI), and Pittsburgh Sleep Quality Index (PSQI). The experimental group used a wearable light device (Re-Timer®) for 30–40 min daily over four weeks, while the control group continued their usual routines. Follow-up assessments occurred on day 14 (T1) and day 28 (T2).

Results

Results from Generalized Estimating Equations (GEEs) analysis showed significant reductions in sleepiness (ESS) at T2 and improvements in sleep quality (PSQI) at T1 and T2 in the experimental group compared to the control (p < .05). No significant changes were found in fatigue (BFI).

Conclusions

The study supports light intervention as a safe, low-cost, and non-pharmacological approach to reduce daytime sleepiness and enhance sleep in shift-working nurses, suggesting its integration into occupational health programs for healthcare providers.

睡眠障碍和疲劳在轮班工作的女性护士中普遍存在，对她们的健康和工作表现产生不利影响。目的探讨光干预对减少轮班女护士日间嗜睡、疲劳及改善睡眠质量的效果。方法在台湾北部某医疗中心进行随机对照试验，将80名女护士分为实验组和对照组。基线评估包括人口统计、工作特征和使用Epworth嗜睡量表（ESS）、简短疲劳量表（BFI）和匹兹堡睡眠质量指数（PSQI）的测量。实验组在四周内每天使用可穿戴照明设备（Re-Timer®）30-40分钟，而对照组则继续他们的日常生活。随访时间分别为第14天（T1）和第28天（T2）。结果广义估计方程（GEEs）分析结果显示，与对照组相比，实验组在T1和T2时嗜睡（ESS）显著减少，睡眠质量（PSQI）显著改善（p < 0.05）。疲劳（BFI）未见明显变化。结论：本研究支持轻干预作为一种安全、低成本和非药物的方法来减少轮班护士白天嗜睡和增强睡眠，建议将其纳入医疗保健提供者的职业健康计划。

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引用次数: 0

A multidimensional assessment of vibration and cold for venipuncture pain in children aged 7 and above: A randomized controlled trial 振动和寒冷对7岁及以上儿童静脉穿刺疼痛的多维评估：一项随机对照试验

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-09-12 DOI: 10.1016/j.apnr.2025.152012

Hu Long-yi , Zhou Zi-yun , Wang Ming-li , Zhou Le-shan

Aims

To investigate the effects of cold and vibration on venipuncture pain in children aged 7 and above, evaluating outcomes through subjective and objective child measures, parental feedback, and nurse assessments.

Method

This randomized controlled trial enrolled 120 children aged 7 and above undergoing venipuncture between July and November 2023. Participants were allocated into four groups using a random number table: cold, vibration, cold combined with vibration, and a control group. After procedure, pain and parental anxiety were assessed using a self-reported Numerical Rating Scale. Child anxiety was evaluated with the Children's Anxiety Meter Scale, while children's cooperation was evaluated by the operating nurse.

Results

External cold, vibration, and cold combined with vibration significantly reduced changes in children's pulse and pain (p < 0.05). Multiple comparisons indicated that the cold and vibration combination group exhibited the smallest pulse changes and the lowest pain scores(p < 0.05). However, it cannot yet be concluded that external cold and vibration effectively reduce children's anxiety, relatives' anxiety, or the cooperation of the children (p > 0.05).

Conclusion

Cold and vibration significantly reduced pain and physiological responses during venipuncture in children aged 7 and above, though no benefits were found for anxiety or cooperation. Future multicenter studies with larger sample sizes are recommended to further explore its role in pediatric pain management.

目的探讨低温和振动对7岁及以上儿童静脉穿刺疼痛的影响，通过主观和客观的儿童测量、家长反馈和护士评估来评估结果。方法本随机对照试验于2023年7月至11月对120名7岁及以上儿童进行静脉穿刺治疗。参与者使用随机数字表分为四组：冷、振动、冷与振动结合，以及对照组。手术后，疼痛和父母焦虑使用自我报告的数字评定量表进行评估。使用儿童焦虑量表评估儿童焦虑，由手术护士评估儿童合作能力。结果外寒、震动及寒颤联合震动均能显著降低患儿脉搏和疼痛的变化（p < 0.05）。多次比较显示，冷震动联合组脉搏变化最小，疼痛评分最低（p < 0.05）。但是，目前还不能得出外部寒冷和振动能有效降低儿童焦虑、亲属焦虑或儿童合作的结论（p > 0.05）。结论低温和振动可显著降低7岁及以上儿童静脉穿刺时的疼痛和生理反应，但对焦虑和合作无明显改善。未来的多中心研究，更大的样本量，建议进一步探讨其在儿童疼痛管理中的作用。

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引用次数: 0