Applied Nursing Research最新文献_第7页

Investigation of the comfort level of patients with chronic obstructive pulmonary disease within the scope of Kolcaba's comfort theory Kolcaba舒适理论范围内慢性阻塞性肺疾病患者舒适度的调查

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-05-13 DOI: 10.1016/j.apnr.2025.151964

Aylin Bilgin PhD, RN , Goncagul Aldan MSc, RN , Leyla Ozdemir PhD, RN , Sibel Gunay MD

Aim

This study aimed to determine the effects of physical, psychospiritual, sociocultural, and environmental factors on the comfort level among patients with chronic obstructive pulmonary disease (COPD) based on Kolcaba's comfort theory.

Background

Comfort is the fulfillment of holistic needs, physical, psychospiritual, sociocultural, and environmental, that contribute to well-being. In patients with COPD, comfort is compromised due to persistent symptoms and disease-related limitations.

Methods

A cross-sectional study was conducted with 140 COPD patients between June 2022 and April 2023. Data were collected using a sociodemographic questionnaire, the General Comfort Questionnaire Short Form, COPD Assessment Test, and Depression Anxiety Stress Scale Short Form. The data were analyzed using descriptive statistics, and structural equation modeling.

Results

The model explained 65.1 % of the variance in comfort level among patients. Physical factors such as age (β = −0.137, p = 0.007), symptom burden (β = −0.614, p < 0.001), receiving oxygen therapy at home (β = −0.134, p = 0.008), and duration of COPD diagnosis (β = 0.102, p = 0.048) were associated with comfort levels. Among psychospiritual factors, depression (β = −0.145, p = 0.004), anxiety (β = −0.184, p < 0.001), and stress (β = −0.378, p < 0.001) had the strongest negative impact on comfort. Marital status (being married) positively affected comfort within the sociocultural domain (β = 0.112, p = 0.026). Environmental factors, such as rural or urban living location, were not significantly associated with comfort.

Conclusions

Physical and psychospiritual factors had the strongest impact on the comfort level of patients with COPD.

Clinical implications

Interventions focusing on symptom management and psychological support may enhance comfort. Healthcare professionals should consider personalized interventions targeting key discomfort domains to improve overall patient well-being.

目的基于Kolcaba舒适理论，探讨生理、心理、社会文化和环境因素对慢性阻塞性肺疾病（COPD）患者舒适水平的影响。舒适是对身体、心理、社会文化和环境的整体需求的满足，有助于幸福。在COPD患者中，由于持续的症状和疾病相关的限制，舒适度受到损害。方法对2022年6月至2023年4月期间140例COPD患者进行横断面研究。使用社会人口调查问卷、一般舒适问卷简表、COPD评估测试和抑郁焦虑压力量表简表收集数据。采用描述性统计和结构方程模型对数据进行分析。结果该模型解释了患者舒适度差异的65.1%。生理因素如年龄（β = - 0.137, p = 0.007）、症状负担(β = - 0.614, p <；0.001)、在家接受氧疗（β = - 0.134, p = 0.008）和COPD诊断持续时间（β = 0.102, p = 0.048）与舒适度相关。心理因素中，抑郁（β = - 0.145, p = 0.004）、焦虑(β = - 0.184, p <；0.001)，应力(β = - 0.378, p <；0.001)对舒适度有最强的负面影响。婚姻状况（已婚）正向影响社会文化领域的舒适度（β = 0.112, p = 0.026）。环境因素，如农村或城市居住地点，与舒适度没有显著关联。结论生理和心理因素对慢性阻塞性肺病患者舒适度的影响最大。临床意义着重于症状管理和心理支持的干预措施可提高舒适度。医疗保健专业人员应考虑针对关键不适领域的个性化干预措施，以改善患者的整体健康状况。

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引用次数: 0

Factors enhancing critical care nurses' utilization frequency of behavioral pain assessment tools for critically ill adults unable to self-report 对无法自我报告的危重症成人，提高重症护理护士使用行为疼痛评估工具频率的因素

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-05-12 DOI: 10.1016/j.apnr.2025.151963

Yuan-Mei Liao , Shu-Fen Niu , Louise Rose , Tzu-Ying Wu , Yen-Kuang Lin , Jui-Chen Tsai , Zhi-Han Cai , Ying-Shan Chen

Aim

This study investigated the factors associated with nurses' often and routine utilization of behavioral pain assessment tools for critically ill adults unable to self-report.

Background

Few studies have explored the factors associated with critical care nurses' utilization frequency of behavioral pain assessment tools.

Methods

This cross-sectional study used a questionnaire to collect data from critical care nurses. Descriptive statistics and multivariate multinomial logistic regression analysis were used to present collected data and identify the associated factors.

Results

We received responses from 477 nurses. Respondents were classified into three utilization frequency groups–infrequent (≤50 %), often (51–75 %), or routine (>75 %)–use of behavioral pain assessment tools. Factors associated with nurses' often or routine use of behavioral pain assessment tools included receipt of relevant training, perceptions that pain assessment tools and frequent pain assessment and documentation as being extremely important, and being employed at institutions where pain assessment tools were available. Working in surgical units was associated with often use of behavioral pain assessment tools, whereas routine discussion of pain assessment findings during nursing handovers was associated with routine use.

Conclusions

Routine discussion of pain assessment findings during nursing handovers influenced nurses' utilization frequency of behavioral pain assessment tools. The identified associated factors are modifiable and, therefore, amenable to healthcare quality improvement projects. Well-structured interventions and interprofessional educational programs, including discussion of pain assessment findings during nursing handovers, prioritization of pain healthcare quality, utilization of adequate tools to assess pain, and strategies for effective communication between healthcare providers, should be delivered regularly.

目的探讨护士对不能自我报告的危重成人患者使用行为疼痛评估工具的相关因素。背景很少有研究探讨重症护理护士使用行为疼痛评估工具频率的相关因素。方法采用问卷调查的方法对重症监护护士进行调查。使用描述性统计和多元多项式逻辑回归分析来呈现收集到的数据并确定相关因素。结果共收到477名护士的反馈。受访者被分为三个使用频率组-不经常（≤50%），经常（51 - 75%）或常规(> 75%) -使用行为疼痛评估工具。与护士经常或常规使用行为疼痛评估工具相关的因素包括接受相关培训，认为疼痛评估工具和频繁的疼痛评估和记录非常重要，以及在有疼痛评估工具的机构工作。在外科单位工作与经常使用行为疼痛评估工具有关，而在护理交接期间对疼痛评估结果的常规讨论与常规使用有关。结论护理交接时对疼痛评估结果的常规讨论影响护士对行为疼痛评估工具的使用频率。确定的相关因素是可修改的，因此适用于医疗保健质量改进项目。应定期提供结构良好的干预措施和跨专业教育计划，包括在护理移交期间讨论疼痛评估结果，疼痛医疗质量的优先级，使用适当的工具来评估疼痛，以及医疗保健提供者之间有效沟通的策略。

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引用次数: 0

Challenges navigating thymectomy with myasthenia gravis: A qualitative study of patient treatment experiences 重症肌无力患者胸腺切除术的挑战：患者治疗经验的定性研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-05-08 DOI: 10.1016/j.apnr.2025.151961

Malene Missel , Rene Horsleben Petersen , Erik Lilja Secher , Estephani Birkenfeldt Zeballos Medeiros , Katrine Rude , Joan Lilja Sunnleyg Højgaard , Niels Erik Viby , Simone Birnbaum , Nanna Witting , Linda Kahr Andersen

Aim

This study explores myasthenia gravis patients' experiences with the thymectomy treatment pathway.

Background

Myasthenia gravis is a chronic autoimmune neuromuscular disorder causing skeletal muscle weakness. While thymectomy can alleviate symptoms, little is known about patients' subjective experiences.

Methods

An exploratory qualitative design was employed, utilizing interviews with 10 individuals with myasthenia gravis who have undergone thymectomy. Data analysis involves thematic analysis to identify common patterns and themes in patients' experiences.

Results

Derived from the collected interviews, challenges and experiences perceived by individuals with myasthenia gravis throughout the thymectomy treatment pathway was described. Patients narrated about feelings of being caught in a fragmented process contributing to their sense of uncertainty. Despite these challenges, positive experiences were also expressed, emphasizing the importance of individualized acknowledgment of patient needs. Despite a well-organized and streamlined treatment pathway in a highly specialized thymectomy center, patients felt that their body was split in two and highlighted the need for better integration between specialities, as well as greater understanding and support from surgical nursing staff. Furthermore, patients expressed uncertainties regarding postoperative care, underscoring the need for clearer guidance and support beyond the surgical hospital stay.

Conclusions

Addressing individual patient needs, enhancing interdisciplinary coordination, and strengthening surgical nursing support can improve the thymectomy experience. Post-surgical discharge follow-up plans are essential for providing comprehensive care and meeting the diverse needs of individuals with myasthenia gravis throughout their medical and surgical treatment journey.

目的探讨重症肌无力患者胸腺切除术的治疗途径。背景重症肌无力是一种引起骨骼肌无力的慢性自身免疫性神经肌肉疾病。虽然胸腺切除术可以缓解症状，但对患者的主观体验知之甚少。方法采用探索性定性设计，对10例行胸腺切除术的重症肌无力患者进行访谈。数据分析包括专题分析，以确定患者经历中的共同模式和主题。结果从收集的访谈中，描述了重症肌无力患者在胸腺切除术治疗过程中感受到的挑战和经验。患者讲述了他们被困在一个支离破碎的过程中的感觉，这加剧了他们的不确定感。尽管存在这些挑战，但也表达了积极的经验，强调了个性化承认患者需求的重要性。尽管在一个高度专业化的胸腺切除中心有一个组织良好和简化的治疗途径，但患者觉得他们的身体被一分为二，并强调需要更好地整合专业，以及手术护理人员更多的理解和支持。此外，患者对术后护理表示不确定，强调需要在手术住院期之外提供更明确的指导和支持。结论重视患者个体化需求，加强跨学科协调，加强手术护理支持，可提高胸腺切除术患者的手术体验。术后出院随访计划对于在整个医疗和手术治疗过程中提供全面的护理和满足重症肌无力患者的不同需求至关重要。

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引用次数: 0

Exploring nurses perceived self-efficacy and mental health competency for enhancing psychiatric care delivery in non-psychiatric settings 探讨护士自我效能感和心理健康能力对提高非精神科护理服务的作用

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-05-03 DOI: 10.1016/j.apnr.2025.151959

Ahmad A. Abujaber PhD , Abdulqadir J. Nashwan PhD(c) , Mutaz I. Othman MSc , George V. Joy PhD(c) , Ananth Nazarene PhD , Fadi A. Amro MSc

Background

Nursing care is essential for providing high-quality, safe, and person-centered care, particularly for patients with mental health diagnoses. Mental illness poses significant global health challenges, and nurses often encounter difficulties in delivering care due to negative attitudes, poor mental health literacy, and fear, especially in non-psychiatric settings.

Objective

This study aims to investigate the perceived self-efficacy and mental health competency among nurses delivering psychiatric care in non-psychiatric settings.

Methods

A quantitative descriptive-cross-sectional design was employed. The study involved nurses from various non-psychiatric hospital settings, selected through convenience sampling to ensure a diverse representation in terms of experience, educational background, and exposure to psychiatric care. Participants' perceived competencies were assessed using the Behavioral Health Care Competency (BHCC) survey, while self-efficacy was measured using the Nursing Professional Self-Efficacy Scale—Version 2 (NPSES2).

Data analysis

Statistical analysis conducted using SPSS version 26, focusing on descriptive and inferential statistics at a significance level of p < 0.05 (two-tailed).

Result

Among 280 nurses, significant differences were found in nurse-perceived BHCC and NPSE based on training, with a notable correlation between perceived BHCC and NPSES, while sociodemographic factors like sex and education showed no significant impact.

Conclusion

The research suggests the need for educational and training programs for non-psychiatric nurses to address the gap in patient care. Extensive training and education equip nurses to deliver optimal care and compassion for patients with psychiatric demands.

护理对于提供高质量、安全和以人为本的护理是必不可少的，特别是对于患有精神健康诊断的患者。精神疾病构成了重大的全球卫生挑战，由于消极态度、精神卫生知识贫乏和恐惧，特别是在非精神科环境中，护士在提供护理方面经常遇到困难。目的探讨非精神科护理护士的自我效能感和心理健康能力。方法采用定量描述性横断面设计。本研究涉及来自不同非精神病医院的护士，通过方便抽样选择，以确保在经验、教育背景和接触精神科护理方面具有多样化的代表性。参与者的感知胜任力采用行为健康护理胜任力（BHCC）量表进行评估，自我效能感采用护理专业自我效能量表-第2版（NPSES2）进行测量。数据分析使用SPSS 26版本进行统计分析，重点是在p <的显著性水平上进行描述性和推断性统计；0.05(双尾)。结果280名护士中，基于培训的护士感知BHCC和NPSE存在显著差异，感知BHCC与NPSE之间存在显著相关，性别、受教育程度等社会人口因素对其无显著影响。结论对非精神科护士进行教育和培训，以解决病人护理方面的差距。广泛的培训和教育使护士能够为有精神需求的病人提供最佳的护理和同情。

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引用次数: 0

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

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

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

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

Background

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

Aim

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

Methods

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

Results

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

Conclusions

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

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

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引用次数: 0

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

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

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

Yeojin Kil, Anna V. Chatzi

Background

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

Objective

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

Design

We used a cross-sectional survey methodology.

Setting/participants

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

Results

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

Conclusion

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

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

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引用次数: 0

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

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

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

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

Objective

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

Methods

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

Results

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

Conclusion

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

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

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引用次数: 0

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

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

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

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

Aim

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

Background

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

Methods

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

Results

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

Conclusions

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

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

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引用次数: 0

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

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

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

Neta Roitenberg

Aim

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

Design

Bibliometric analytic methods.

Methods

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

Data sources

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

Findings

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

Conclusions

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

Reporting method

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

No patient or public contribution

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

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

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引用次数: 0

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

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-16 DOI: 10.1016/j.apnr.2025.151954

Arianna Anzini , Gabriele Caggianelli , Rita Patrizia Tomasin , Alessia Segala , Stefania Giangrazi , Chiara Paccagnella , Stefano Mancin , Fabio Petrelli , Valentina Vanzi , Giovanni Cangelosi , Irene Dello Iacono

Background/aim

The rising migration to EU Member States has increased demographic diversity, posing challenges for healthcare systems in delivering culturally competent care. Nurses, often the first healthcare providers to interact with migrant patients, play a crucial role in addressing cultural differences. However, a lack of awareness and preparedness can negatively impact the nurse-patient relationship and overall care quality. This study aimed to explore the transcultural challenges nurses encounter when caring for migrant patients.

Methods

A qualitative phenomenological approach was used to examine the experiences of 19 nurses from two hospitals in Italy. Semi-structured interviews were conducted between June and August 2024. Giorgi's phenomenological method was applied to analyze the data and identify key themes related to transcultural care challenges.

Results

The findings revealed that language barriers significantly hinder communication, often requiring nurses to rely on non-verbal strategies. Cultural differences in health beliefs and expectations necessitate continuous adaptation of care plans. Building trust and empathy is crucial in fostering effective relationships, yet nurses face emotional and ethical challenges when patient values conflict with standard practices. Culturally competent staff act as essential mediators, bridging gaps in understanding and care delivery.

Conclusions

This study highlights the need for tailored interventions to support nurses in managing transcultural challenges. Addressing communication barriers and ethical dilemmas through training and the inclusion of cultural mediators is crucial to improving care quality for migrant patients. Further research is needed to develop evidence-based strategies for culturally competent nursing care.

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

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引用次数: 0