Applied Nursing Research最新文献

{"title":"Effects of a 12-week lower limb resistance training with breathing regulation in patients with diabetes-related foot ulcers: A randomized controlled trial","authors":"Jia-Ling Wu MS, RN ,&nbsp;Mei-Ling Yeh PhD, DMS, RN, FAAN (Distinguished Professor) ,&nbsp;Jocelyn Liao","doi":"10.1016/j.apnr.2025.151911","DOIUrl":"10.1016/j.apnr.2025.151911","url":null,"abstract":"<div><div>Patients with diabetes-related foot ulcers may require hospitalization and face an increased risk of amputation, which can significantly impact their quality of life. One potential solution is exercise, which can regulate blood glucose levels, improve wound healing, and enhance overall well-being. This randomized controlled trial aimed to evaluate the impact of a lower limb resistance training program combined with breathing-regulation techniques on glycemic control, wound healing, and quality of life in patients with diabetes-related foot ulcers. Patients hospitalized for type 2 diabetes-related foot ulcers were recruited from a single medical center and randomly divided into two groups. The control group (<em>n</em> = 31) received standard treatment, while the exercise group (<em>n</em> = 28) received standard treatment along with lower limb resistance training and breathing-regulation techniques. Assessments of fasting blood glucose levels, hemoglobin A1c (HbA1c) levels, wound healing, and quality of life were carried out at the start of the study and week 4, week 8, and week 12 of the intervention. The exercise group demonstrated significant improvements in fasting blood glucose and HbA1c levels, as well as in physical health, psychological well-being, social relationships, and environmental aspects of quality of life over the 12 weeks compared to both the control group and the baseline (<em>p</em> &lt; .05). However, no significant change was observed in wound healing (<em>p</em> &gt; .05). The resistance training program for the lower limbs, combined with breathing-regulation techniques, is recommended for improving blood glucose levels and quality of life over 12 weeks.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151911"},"PeriodicalIF":2.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348618","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}

{"title":"Effects of e-health literacy on health-related quality of life in young adults with type 2 diabetes: Parallel mediation of diabetes self-efficacy and self-care behaviors","authors":"Yura Jang ,&nbsp;Youngran Yang","doi":"10.1016/j.apnr.2025.151917","DOIUrl":"10.1016/j.apnr.2025.151917","url":null,"abstract":"<div><h3>Aim</h3><div>To explore the impact of e-health literacy (e-HL) on health-related quality of life (HRQOL) in young adults with type 2 diabetes (T2D), focusing on the mediating roles of diabetes self-efficacy and self-care behaviors.</div></div><div><h3>Background</h3><div>If glucose levels are not kept within the target range, people with T2D may experience complications such as retinopathy, kidney disease, and cardiovascular disorders.</div></div><div><h3>Methods</h3><div>The participants were 150 young adults, aged 18 to 39, with T2D. We assessed e-HL, diabetes self-care behaviors, diabetes self-efficacy, and HRQOL through a structured online survey. Data were analyzed using IBM SPSS Statistics, incorporating Pearson's correlation and PROCESS macro mediation analysis.</div></div><div><h3>Results</h3><div>E-HL, diabetes self-efficacy, and diabetes self-care behavior together accounted for 40.6 % of the variance in HRQOL. Higher e-HL was significantly correlated with improved HRQOL. A significant mediating effect of diabetes self-efficacy in the relationship between e-HL and HRQOL was observed, with an effect size of 0.300 ([95 % confidence interval = 0.055, 0.577]). However, the mediating effect of diabetes self-care behavior in the relationship between e-HL and HRQOL through diabetes self-efficacy was small and not statistically significant.</div></div><div><h3>Conclusions</h3><div>This study underscores the critical role of e-HL in enhancing HRQOL among young adults with T2D. It highlights the need for targeted digital health education, especially in subgroups with lower educational levels or poor health habits. The findings advocate for tailored interventions to boost self-efficacy and self-care behaviors, thereby improving overall quality of life in this population.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151917"},"PeriodicalIF":2.7,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143272501","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}

{"title":"Hypoglycemia knowledge assessment tool — Development and validation of the Hypoglycemia Management Knowledge Scale in Taiwan","authors":"Mei-Chuan Huang PhD ,&nbsp;Hua-Tsen Hsiao PhD ,&nbsp;Ya-Ping Yang PhD ,&nbsp;Hsiu-Ling Liang Master, RN ,&nbsp;Chung-Yuan Chen MD","doi":"10.1016/j.apnr.2025.151916","DOIUrl":"10.1016/j.apnr.2025.151916","url":null,"abstract":"<div><h3>Background</h3><div>Knowledge can guide and support behaviors. With accurate knowledge, patients are better equipped to engage in appropriate self-care behaviors and effectively manage hypoglycemia. However, there is currently a lack of reliable and valid assessment scales specifically designed to measure hypoglycemia knowledge, which could serve as valuable clinical evaluation tools for healthcare professionals.</div></div><div><h3>Aim</h3><div>To develop and validate a reliable and valid hypoglycemia management knowledge scale to assess the knowledge of hypoglycemia management in patients with diabetes.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted, recruiting 300 patients with type 2 diabetes who had experienced hypoglycemic events from a medical center and a primary care clinic in southern Taiwan between December 2021 and September 2023.</div></div><div><h3>Results</h3><div>Initially, 25 questions were selected, achieving a content validity index of 0.92. Through exploratory factor analysis and confirmatory factor analysis, the scale was refined into an 8-factor and 3-factor model, with factor loadings ranging from 0.5 to 0.9. The questions were categorized into three factors: blood glucose determination, carbohydrate supplementation, and blood glucose testing. The internal consistency, measured using the <em>Kuder</em>-<em>Richardson 20</em> (KR-20), was 0.758.</div></div><div><h3>Conclusions</h3><div>The hypoglycemia management knowledge scale developed in this study demonstrated sufficient validity and reliability, making it a useful tool for quickly assessing patients' knowledge of hypoglycemia management and serving as a reference for hypoglycemia education.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151916"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143272504","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}

{"title":"Exploring the impact and challenges of tele-ICU: A qualitative study on nursing perspectives","authors":"Ahmad Rajeh Saifan PhD, RN ,&nbsp;Mohammad Sameer Odeh MSN, RN ,&nbsp;Bayan Oleimat MSN, RN ,&nbsp;Mohannad Eid AbuRuz PhD, RN, CNS ,&nbsp;Alaa Mohammad Ahmed ,&nbsp;Nadin M. Abdel Razeq Ph.D., RN, NIDCAP ,&nbsp;Waddah D'emeh PhD, RN ,&nbsp;Mohammad Yahya Ayoub MPH, RN ,&nbsp;Nabeel Al-Yateem Ph.D., RN","doi":"10.1016/j.apnr.2025.151914","DOIUrl":"10.1016/j.apnr.2025.151914","url":null,"abstract":"<div><h3>Aim</h3><div>The primary objectives of this study were to explore ICU and Tele-ICU nurses' perceptions of Tele-ICU, focusing on its perceived benefits, challenges, and implications for integration into critical care settings.</div></div><div><h3>Background</h3><div>Tele-Intensive Care Unit (Tele-ICU) services are reshaping critical care by enabling remote monitoring and enhancing patient outcomes. This study investigates the experiences of nurses transitioning from bedside ICU to Tele-ICU roles, focusing on the impact on patient care, organizational benefits, and implementation challenges.</div></div><div><h3>Methods</h3><div>A qualitative approach was used, involving semi-structured interviews with ICU nurses who transitioned to Tele-ICU roles. An interview guide was developed to explore key topics, including the benefits, challenges, and future implications of TeleICU. Thematic analysis was applied to identify recurring themes and subthemes.</div></div><div><h3>Results</h3><div>Participants highlighted several benefits of Tele-ICU, including continuous patient monitoring, improved infection control, and enhanced resource utilization. Organizational advantages included reduced length of stay, lower readmission rates, and improved post-discharge planning. However, significant barriers were identified, such as technological infrastructure issues, financial constraints, resistance to workflow changes, and gaps in training. Cultural preferences for in-person care and regulatory challenges were also noted.</div></div><div><h3>Conclusions</h3><div>Tele-ICU presents significant opportunities to improve critical care delivery, but its success depends on addressing implementation barriers. Investments in technology, comprehensive training, and supportive policies are essential for maximizing its potential and facilitating broader adoption in healthcare settings.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151914"},"PeriodicalIF":2.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143272483","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}

{"title":"“Improving postnatal maternity care following severe perineal trauma by evaluating end-user's experiences of a pilot trial exploring laxative management; A qualitative study”","authors":"R. Sfreddo RM ,&nbsp;V. Hoang MBBS PhD ,&nbsp;E.M.A. Murphy MBBS PhD ,&nbsp;B. Turner BSc ,&nbsp;K. Juszczyk MBBS ,&nbsp;J. Barnes MBBS ,&nbsp;A. Parange MBBS ,&nbsp;J. Tucker RM PhD","doi":"10.1016/j.apnr.2025.151913","DOIUrl":"10.1016/j.apnr.2025.151913","url":null,"abstract":"<div><h3>Background</h3><div>Trauma to the anal sphincter following vaginal birth increases the risk of anal incontinence. Laxative management in the postnatal period is recommended to improve defecation and reduce the risk of wound breakdown. Research underpinning management guidelines is lacking and omits end-users (clinicians and birthing women) involvement in evaluating pilot studies. Incorporating end-users' enhances the relevance of the research to those being investigated, improves the design, and translation of findings into clinical practice. No studies have evaluated end-users' experiences in research which investigates laxative management following anal sphincter injury.</div></div><div><h3>Aim</h3><div>This study identifies the barriers and facilitators in a pilot study research design and suggests improvements to inform larger scale research to improve clinical practice.</div></div><div><h3>Methods</h3><div>A phenomenological qualitative study using semi-structured interviews was adopted. Purposeful sampling of health professionals (<em>n</em> = 85) involved in the direct care of women following OASIs and women (<em>n</em> = 64) sustaining OASIs during the recent pilot trial. Data analysis employing thematic analysis.</div></div><div><h3>Findings</h3><div>The consensus from interviews (<em>n</em> = 23) highlighted the research was feasible with suggested improvements to enhance future recruitment, information for linguistically diverse women and review of quality-of-life tools. The evaluation process enhanced future research engagement.</div></div><div><h3>Conclusions</h3><div>The reliability and validity of future research can be improved adopting a qualitative framework and end-users' to evaluate pilot studies. Findings from this pilot study identified issues including recruitment, CALD participant information and accuracy of QoL data collection tools that needed to be addressed enhancing future findings that are relevant to the needs of the study population and enhance translation into practice.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151913"},"PeriodicalIF":2.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143271802","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}

{"title":"The cultural difference between empowerment and job satisfaction among nurses: An umbrella review","authors":"Shih-Yu Chang,&nbsp;Shu-Zhuan Wang,&nbsp;Huan-Fang Lee","doi":"10.1016/j.apnr.2025.151912","DOIUrl":"10.1016/j.apnr.2025.151912","url":null,"abstract":"<div><h3>Aim</h3><div>To synthesize and analyze the relationship between empowerment and job satisfaction among nurses in the cultural context using an umbrella review.</div><div>Background: Empowerment improves individual autonomy, rights, and responsibilities, allowing employees to feel more control and accountability in their work and improving job satisfaction. Cultural differences also influence perceptions of power and responsibility, affecting empowerment, acceptance, and job satisfaction. Although some systematic reviews explored the relationship between empowerment and job satisfaction among nurses, the results were inconsistent, especially because of cultural contexts. Umbrella review can integrate and analyze the gap and provide final evidence.</div></div><div><h3>Methods</h3><div>An umbrella review was conducted using the JBI guidelines. Seven academic databases were searched, and papers were published from database inception until June 2024. Inclusion criteria were the systematic review related to the relationship between empowerment and job satisfaction among nurses.</div></div><div><h3>Results</h3><div>A total of five systematic reviews, including 67 single studies, were included. Empowerment is positively correlated with job satisfaction. Cultural differences may influence the levels of empowerment provided to nurses and the relationship between cultural differences and various forms of empowerment related to job satisfaction among nurses. Although the relationship between structural empowerment and job satisfaction does not show significant differences in cultural differences, psychological empowerment reveals weakness to moderate correlations, especially in Western contexts.</div></div><div><h3>Conclusion</h3><div>Enhancing psychological empowerment can improve job satisfaction, especially in Western cultures. Managers should consider cultural background to provide suitable empowerment, improve job satisfaction, potentially increase commitment and effectiveness, and reduce turnover.</div></div><div><h3>Registration</h3><div>This umbrella review has been registered in PROSPERO (CRD42024580679).</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151912"},"PeriodicalIF":2.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143271806","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}

{"title":"Efficacy of complex decongestive therapy in managing limb swelling, pain, and enhancing functional recovery after arthroscopic reconstruction of anterior cruciate ligament","authors":"Yuxiang Ren ,&nbsp;Ruolan Ge ,&nbsp;Cong Yang,&nbsp;Yanrong Tan,&nbsp;Huanhuan Song,&nbsp;Rui Liu,&nbsp;Miaomiao Huang,&nbsp;Zhenyu Niu,&nbsp;Li Yang,&nbsp;Weixuan Liu M.D.","doi":"10.1016/j.apnr.2025.151915","DOIUrl":"10.1016/j.apnr.2025.151915","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy of Complex Decongestive Therapy (CDT) in managing limb swelling, alleviating pain, and promoting functional recovery in patients following anterior cruciate ligament reconstruction (ACLR).</div></div><div><h3>Method</h3><div>This was a randomized controlled trial (RCT) involving 160 patients who underwent ACLR at a tertiary hospital in Shenzhen between August 2021 and April 2023. The study compared the outcomes of conventional nursing care with complex decongestive therapy (CDT). The differences in leg circumference, Visual Analog Scale (VAS) pain scores, and Active Range of Motion (AROM) were assessed at six time points during the perioperative period and up to 30 days post-surgery.</div></div><div><h3>Results</h3><div>This study included 69 patients in the experimental group and 64 patients in the control group. After one month of treatment with CDT, significant differences in calf circumference were observed between the experimental and control groups on the 3rd (<em>t</em> = −2.083, <em>P</em> = 0.039) and 5th (<em>t</em> = −2.078, <em>P</em> = 0.040) postoperative days. Regarding changes in central patellar circumference, a significant difference was noted on the 5th postoperative day (<em>t</em> = −2.092, <em>P</em> = 0.038) in the experimental group. However, no significant differences in thigh circumference were observed at any of the six time points (<em>P</em> &gt; 0.05). Visual analog scale (VAS) pain scores were significantly different on the 1st (<em>t</em> = −1.978, <em>P</em> = 0.048) and 3rd (<em>t</em> = −2.530, <em>P</em> = 0.011) postoperative days. Lysholm scores showed a significant difference between the groups on the 30th postoperative day (<em>t</em> = −3.438, <em>P</em> = 0.001), with no significant difference observed before surgery (<em>P</em> &gt; 0.05). Significant differences in AROM were found on the 14th (<em>t</em> = −3.919, <em>P</em> = 0.000) and 30th (<em>t</em> = −2.615, <em>P</em> = 0.009) postoperative days.</div></div><div><h3>Conclusion</h3><div>CDT can effectively reduce limb swelling on the 3rd and 5th postoperative days, alleviate pain on the 1st and 3rd postoperative days, and enhance joint functional recovery on the 14th and 30th postoperative days.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151915"},"PeriodicalIF":2.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143271807","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}

{"title":"Charting the future of applied nursing research: Priorities, opportunities, and vision","authors":"Stephen McGhee","doi":"10.1016/j.apnr.2025.151904","DOIUrl":"10.1016/j.apnr.2025.151904","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151904"},"PeriodicalIF":2.7,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143271803","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}

{"title":"The challenge of belonging: Exploring collegiality and incivility in the transition to academia for nurse clinicians","authors":"Dianne Stratton-Maher PhD (Dr.) ,&nbsp;Jennifer Kelly PhD (Professor) ,&nbsp;Karen Livesay PhD (Professor)","doi":"10.1016/j.apnr.2024.151889","DOIUrl":"10.1016/j.apnr.2024.151889","url":null,"abstract":"<div><h3>Background</h3><div>Registered nurses are ethically and professionally obligated to foster sustainable and respectful workplaces. However, when transitioning to academia, many nurses encounter unexpected challenges, including hierarchical and individualistic environments that contrast with the collaborative ethos of clinical practice.</div></div><div><h3>Method</h3><div>This qualitative study explored the experiences of 11 registered nurses from six Australian universities as they transitioned into academic roles. Participants highlighted a pervasive lack of collegiality and feelings of alienation within their institutions, impacting their integration and professional development.</div></div><div><h3>Discussion</h3><div>The findings reveal a significant disparity between participants' expectations of collegiality and their lived experiences. Participants reported isolation, limited mentorship, and insufficient support, which hindered their ability to navigate academic roles effectively. These outcomes underscore the need for academic institutions to adopt structured, supportive systems and cultivate a collegial culture that prioritises inclusivity and collaboration.</div></div><div><h3>Conclusion</h3><div>This study emphasises the importance of collegiality in fostering a sense of belonging among novice nurse academics. Academic institutions must create supportive, collegial environments that nurture new staff, promote open communication, and cultivate a sense of value and belonging. Addressing these challenges will improve transition experiences, enhance retention, and contribute to more positive academic environments.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151889"},"PeriodicalIF":2.7,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759623","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}

{"title":"The mediating role of health literacy for COVID-19 between preventive behaviors and quality of life","authors":"Wen-Hsuan Hou MD, PhD, MPH ,&nbsp;Jeng-Cheng Wu MD, MSc ,&nbsp;Hao-Yun Huang RN ,&nbsp;Hsin-Yen Yen PhD","doi":"10.1016/j.apnr.2024.151888","DOIUrl":"10.1016/j.apnr.2024.151888","url":null,"abstract":"<div><h3>Background</h3><div>The coronavirus disease 2019 (COVID-19) pandemic rapidly developed around the world. Plenty of health information about the virus was available from multiple media platforms, but such information was not always accurate. Identifying misinformation depends on an individual's health literacy.</div></div><div><h3>Aims</h3><div>The purposes of this study were to explore sociodemographic factors affecting health literacy in terms of COVID-19 and preventive behaviors, and relationships among health literacy, preventive behaviors, and quality of life by path modeling.</div></div><div><h3>Methods</h3><div>A cross-sectional study design was conducted in July to November 2020. Participants were healthy adults aged over 20 years in the United States. Data collection used self-developed questionnaires designed by our research team and the World Health Organization-Quality of Life Scale. Descriptive analyses, independent <em>t</em>-tests, a one-way analysis of variance, and a partial least squares path model were performed for the statistical analyses.</div></div><div><h3>Results</h3><div>In total, 467 people responded. Results showed significant differences in health literacy and preventive behavior scores in terms of age, gender, alcohol consumption, smoking status, being a health professional, and having been tested for COVID-19. A significant path model was developed with satisfactory to good composite reliability, good convergent validity and discriminant validity, and an acceptable model fit.</div></div><div><h3>Conclusions</h3><div>Health literacy was a significant mediator between preventive behaviors and quality of life in the path model. Individuals can improve their health literacy to reinforce engaging in preventive behaviors and promoting quality of life during the pandemic.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151888"},"PeriodicalIF":2.7,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759622","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}