Applied Nursing Research最新文献

{"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}

{"title":"Implementing MATRIX acuity tool to improve nursing satisfaction on a stroke and epilepsy monitoring unit","authors":"Christina Ilao BSN, RN,&nbsp;Emerson B. Nairon BSA,&nbsp;Marie Cuffee BSN, RN,&nbsp;DaiWai M. Olson PhD, RN","doi":"10.1016/j.apnr.2024.151868","DOIUrl":"10.1016/j.apnr.2024.151868","url":null,"abstract":"<div><h3>Purpose</h3><div>Nursing satisfaction is a critical component of effective patient care. In the Acute Stroke Unit (ASU) and Epilepsy Monitoring Unit (EMU), patients have specialized needs that require critical nursing skills. The purpose of this study was to examine nurse satisfaction after implementation of the MATRIX acuity tool.</div></div><div><h3>Methods</h3><div>This prospective observational study used pre- and post- implementation data to determine if the revised staffing model improved nursing satisfaction on the ASU and EMU.</div></div><div><h3>Results</h3><div>30 nurses were enrolled in this study, with a mean of 12.9 (11.2) years of nursing experience. Following the implementation of the MATRIX, nurse opinions on staffing and workload were more favorable. A statistically significant finding was obtained in reducing a heavy workload (<em>P</em> &lt; .01) post-implementation.</div></div><div><h3>Conclusions</h3><div>The MATRIX acuity tool is associated with improved nursing satisfaction. Improving nurse satisfaction may have a positive downstream impact on patient safety by improving the ability of nurses to provide care.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151868"},"PeriodicalIF":2.7,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663704","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":"Artificial intelligence in nursing practice – A Delphi study with ChatGPT","authors":"Benjamin Bohn,&nbsp;Veronika Anselmann","doi":"10.1016/j.apnr.2024.151867","DOIUrl":"10.1016/j.apnr.2024.151867","url":null,"abstract":"<div><h3>Background</h3><div>The release of the open-source platform ChatGPT in November 2022 created massive interest in the possibilities of artificial intelligence–based chatbots. However, there is little knowledge about how artificial intelligence could be used in nursing practice.</div></div><div><h3>Aim</h3><div>In this study, we aimed to discover whether nurses' answers to nursing-related questions differ from those generated by artificial intelligence.</div></div><div><h3>Methods</h3><div>A qualitative consensus group research design was used in this study. We conducted a Delphi study in three different rounds. For the first round, the instrument included 57 questions derived from 10 national nursing expert standards. In the second round, the nurses and ChatGPT were asked to rate the answers from the first round in order of relevance to everyday nursing. The third round included writing an assessment and a nursing handover based on two vignettes.</div></div><div><h3>Results</h3><div>The study showed significant differences between the answers given by the group of nurses and those given by ChatGPT in all main categories. The results of the third round indicate that the answers from the nurses and ChatGPT did not differ, except for answers assigned to two categories.</div></div><div><h3>Conclusions</h3><div>Our results indicate that ChatGPT generates answers that are comparable to those given by nurses. We assume that ChatGPT could be an enrichment at the beginning of the nursing process by summarizing and categorizing patient information. Furthermore, it could be helpful for nurses in the care planning phase. Given ChatGPT's ability to communicate in different languages, it might be a possible intervention for overcoming language barriers.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151867"},"PeriodicalIF":2.7,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663705","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":"Mental health misconceptions among at-risk populations: The case of hotel workers","authors":"Marie-Anne S. Rosemberg,&nbsp;Wei V. Li,&nbsp;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}