Applied Nursing Research最新文献_第8页

Nurses' perceptions of care practices for adults with cognitive impairment in hospital: a cross-sectional study 护士对医院成人认知障碍护理实践的看法：一项横断面研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-11 DOI: 10.1016/j.apnr.2025.151953

Erin Rachel Davis , Christina Aggar , Michelle Bissett

Aim

To explore nurses' perceptions of care practices for adults with cognitive impairment.

Design

A cross-sectional survey using an amended psychometrically tested tool. This cross-sectional study followed the STROBE guidelines.

Methods

A cross-sectional study was conducted with nurses working on select surgical and medical hospital wards in 9 hospitals across a regional health district in NSW, Australia. Participants (N = 235) completed a survey which collected relevant demographic information and explored their perceptions of care practices for adults with cognitive impairment. A five-point Likert scale was utilised in the survey, with a higher score indicating higher usage of the care practice. For data analysis, descriptive statistics explored perceptions and correlation analysis examined associations between participant demographics and perceptions.

Results

Nurses react with care (median = 3.75) when adults with cognitive impairment display challenging behaviours and most often use their professional knowledge (median = 4.00) as an alternative to physical restraints. The results of this study suggest that nurses' experience and recent education focused on adults with cognitive impairment significantly influenced care practices.

Conclusion

Years of experience as a nurse and recent workplace education may positively influence the nursing practice of adults with cognitive impairment. This paper supports the development of mentorship programs led by experienced nurses and the provision of workplace education to improve nursing care practice for adults with cognitive impairment in hospital.

目的探讨护士对认知障碍成人护理措施的看法。这项横断面研究遵循了 STROBE 指南。方法对澳大利亚新南威尔士州一个地区卫生区内 9 家医院外科和内科病房的护士进行了横断面研究。参与者（N = 235）完成了一项调查，该调查收集了相关的人口统计学信息，并探讨了他们对认知障碍成人护理实践的看法。调查采用李克特五点量表，得分越高，说明护理实践的使用率越高。结果当有认知障碍的成年人表现出挑战性行为时，护士会做出护理反应（中位数 = 3.75），并最常使用其专业知识（中位数 = 4.00）来替代物理约束。本研究结果表明，护士的工作经验和近期接受的以认知障碍成人为重点的教育对护理实践有很大影响。本文支持制定由经验丰富的护士领导的导师计划，并提供工作场所教育，以改善医院对认知障碍成人的护理实践。

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引用次数: 0

Effects of effleurage massage on sleep quality in women hospitalized for high-risk pregnancies: A randomized crossover design 排尿按摩对高危妊娠住院妇女睡眠质量的影响：随机交叉设计

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-11 DOI: 10.1016/j.apnr.2025.151955

Yu-Ting Tien , Chi-Jane Wang , Chiung-Hsin Chang , Ying-Ju Chang , Hsiao-Ying Hung

Introduction

It is important for health care professionals to improve sleep quality of women hospitalized for high-risk pregnancies to avoid adverse maternal and infant consequences.

Methods

A randomized crossover study was conducted at a medical center in southern Taiwan. Sixty hospitalized pregnant women were randomly assigned to receive either two consecutive nights of 20-minute effleurage massage followed by two nights of routine care, or the reverse order. Sleep quality was assessed using subjective measures, including the Pittsburgh Sleep Quality Index (PSQI) and the Verran and Snyder-Halpern Sleep Scale, as well as objective data collected via wrist actigraphy.

Results

The women perceived their sleep quality to be better when they received massages than when they received standard care (z = 5.801, p < .001). Additionally, the women had shorter sleep latency (z = −6.493, p < .001), less frequent awakenings (z = −4.829, p < .001), and longer total sleep duration (z = 5.713, p < .001) when receiving massage. These improvements were evident regardless of the women's initial sleep quality.

Conclusion

A 20-minute effleurage massage before bedtime for two consecutive days improves sleep quality of hospitalized women with high-risk pregnancies. Massage should be included in routine care for these women to avoid negative maternal and fetal health outcomes caused by insufficient sleep.

对医疗保健专业人员来说，改善高危妊娠住院妇女的睡眠质量以避免母婴不良后果是非常重要的。方法在台湾南部某医学中心进行随机交叉研究。60名住院孕妇被随机分配连续两晚接受20分钟的排尿按摩，然后接受两晚的常规护理，或者相反。睡眠质量的评估采用主观测量方法，包括匹兹堡睡眠质量指数（PSQI）和Verran和Snyder-Halpern睡眠量表，以及通过手腕活动记录仪收集的客观数据。结果女性接受按摩后的睡眠质量明显优于接受标准护理后的睡眠质量(z = 5.801, p <；措施)。此外，这些女性的睡眠潜伏期更短(z = - 6.493, p <；.001)，更少的醒来频率(z = - 4.829, p <；.001)，总睡眠时间较长(z = 5.713, p <；.001)。无论女性最初的睡眠质量如何，这些改善都是明显的。结论连续2天睡前20分钟分泌物按摩可改善住院高危妊娠妇女的睡眠质量。按摩应纳入这些妇女的日常护理，以避免因睡眠不足引起的母婴健康不良后果。

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引用次数: 0

Educational needs of patients with pre-cancerous vulval conditions: An audit and cross-sectional survey 外阴癌前病变患者的教育需求：审计和横断面调查

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-04-04 DOI: 10.1016/j.apnr.2025.151951

Natalie Williams RN, MPhil (Nursing & Midwifery) , Natarsha Wilson RN, Grad Cert , Hayley Fleay RN, Grad Dip , Bernadette McElhinney MB BAO BCH FRANZCOG

Background

A systematic approach to surveillance of vulval dermatoses and pre-cancers is recommended for early detection of vulval cancer and nurses are crucial in care delivery. Typically, patients with gynaecological cancers have significant unmet information needs; however the extent in patients with vulval dermatoses and pre-cancers is unknown.

Aim

To evaluate knowledge gaps and educational requirements of patients attending vulvoscopy clinics at a Western Australian tertiary centre.

Methods

A retrospective audit examined data of 307 patients attending vulvoscopy clinics. A cross-sectional survey collected quantitative and qualitative data from 61 clinic attendees between January 2024 and March 2024. Data underwent descriptive statistical and content analysis.

Results

Most audited patients attended with vulval intrepithelial neoplasia, vaginal intraepithelial neoplasia or lichen sclerosus diagnoses (n = 212; 69 %). Most survey respondents (n = 49; 84 %) were confident in vulval care, however, almost half (n = 27, 46 %) self-reported ‘low’ knowledge. In explaining their condition, most (n = 23; 48 %) provided symptom descriptions.

Face-to-face appointments with a health professional was the preferred way to receive education (n = 48; 79 %). There was interest in attending nurse-led support group or education sessions. Most (n = 50; 85 %) indicated they would use an information pack including various resource formats.

Conclusions

Patients know how to effect vulval care but may not understand why. Nurses are key to providing trusted care in conditions commonly associated with stigma and embarrassment. Development of nurse-led strategies to provide support and education, may assist reducing the risk of progression to cancer. Future research evaluating nurse-led interventions will support best practice and improve outcomes for people living with vulval conditions.

背景为及早发现外阴癌，建议采用系统的方法监测外阴皮肤病和癌前病变，而护士在提供护理方面至关重要。通常情况下，妇科癌症患者有大量信息需求未得到满足；但外阴皮肤病和癌前病变患者的信息需求未得到满足的程度尚不清楚。目的评估西澳大利亚州一家三级中心外阴镜检查门诊就诊患者的知识差距和教育需求。一项横断面调查收集了 2024 年 1 月至 2024 年 3 月期间 61 名门诊就诊者的定量和定性数据。结果大多数接受审计的患者诊断为外阴上皮内瘤变、阴道上皮内瘤变或苔藓样硬化（n = 212；69%）。大多数调查对象（n = 49；84 %）对外阴护理有信心，但也有近一半的调查对象（n = 27，46 %）自称对外阴护理知识 "知之甚少"。在解释病情时，大多数受访者（n = 23；48 %）都提供了症状描述。接受教育的首选方式是与医疗专业人员面对面预约（n = 48；79 %）。人们对参加由护士领导的支持小组或教育课程很感兴趣。大多数人（n = 50；85 %）表示会使用包括各种资源形式的信息包。在通常与耻辱和尴尬相关的情况下，护士是提供值得信赖的护理的关键。制定以护士为主导的策略来提供支持和教育，可能有助于降低恶化为癌症的风险。对护士主导的干预措施进行评估的未来研究将支持最佳实践，并改善外阴疾病患者的治疗效果。

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引用次数: 0

The association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients 急性心肌梗死患者家庭护理人员健康素养与出院准备之间的关系

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-29 DOI: 10.1016/j.apnr.2025.151950

Jehad A. Rababah, Mohammed Munther Al-Hammouri, Ayat Radaideh

Background

Family caregivers play a pivotal role in post-discharge care, yet their ability to manage this responsibility is influenced by their level of health literacy. However, limited research has examined the relationship between health literacy and family caregivers' preparedness for discharge in the context of acute myocardial infarction.

Aim

This study aimed to explore the association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients.

Methods

A cross-sectional design was employed, with 123 family caregivers of acute myocardial infarction patients recruited from three hospitals in Jordan. Data were collected using the Health Literacy Questionnaire (HLQ) and the Readiness for Hospital Discharge Scale-Family Caregiver Form (FamRHDS). Bivariate correlations and multiple linear regression were used to perform data analysis.

Results

Bivariate correlations analysis revealed significant positive associations between all nine health literacy domains and readiness for hospital discharge. Multiple linear regression indicated that three HLQ scales significantly predicted caregivers' readiness for hospital discharge, F (4, 122) = 32.02, p < .001, R² = 0.52, explaining 50 % of the variance.

Conclusion

Health literacy significantly impacts family caregivers' readiness for hospital discharge, particularly in the domains of social support, appraisal, and understanding of health information. Healthcare providers should incorporate health literacy assessments and interventions into discharge planning for acute myocardial infarction patients and their family caregivers. Tailoring education to caregivers' health literacy levels can improve post-discharge care, patient outcomes, and the overall quality of the care transition.

家庭照顾者在出院后护理中发挥着关键作用，但他们履行这一责任的能力受到其健康素养水平的影响。然而，有限的研究已经检查了健康素养和家庭照顾者的出院准备在急性心肌梗死的背景下的关系。目的探讨急性心肌梗死患者家庭护理人员健康素养与出院意愿的关系。方法采用横断面设计，从约旦三家医院招募123名急性心肌梗死患者的家庭护理人员。使用健康素养问卷（HLQ）和出院准备程度量表-家庭照顾者表格（FamRHDS）收集数据。采用双变量相关和多元线性回归进行数据分析。结果双变量相关分析显示，所有九个健康素养领域与出院准备之间存在显著正相关。多元线性回归表明，三个HLQ量表对护理人员出院准备程度有显著预测作用，F (4,122) = 32.02, p <；.001, R2 = 0.52，解释了50%的方差。结论健康素养显著影响家庭照顾者的出院准备，特别是在社会支持、健康信息评价和理解方面。医疗保健提供者应将健康素养评估和干预措施纳入急性心肌梗死患者及其家庭护理人员的出院计划。根据护理人员的健康素养水平定制教育可以改善出院后护理、患者预后和护理过渡的整体质量。

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引用次数: 0

Psychometric testing of the Moral Neutralization Scale-Nurse Version (MNS-NV): An exploratory and confirmatory factor analyses 道德中和量表-护士版（MNS-NV）的心理测试：探索性和验证性因素分析

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-26 DOI: 10.1016/j.apnr.2025.151947

Daniel Joseph E. Berdida , Rizal Angelo N. Grande

Aim

To psychometrically validate the 15-item Moral Neutralization Scale-Nurse Version (MNS-NV).

Background

Nurses' moral neutralization techniques may adversely impact patient safety and healthcare outcomes. However, studies about moral neutralization in nursing remain a blank spot. More than ever, a valid and reliable scale is needed to measure nurses' moral neutralization.

Methods

A descriptive cross-sectional design. Participant nurses from three nursing colleges and five hospitals in Saudi Arabia were consecutively recruited and accomplished the 15-item MNS-NV. Polychoric correlations, exploratory factor analysis (EFA), Spearman's rank-order correlation, Kaiser-Meyer-Olkin test, and confirmatory factor analysis (CFA) were used for data analyses.

Results

Four items from the MNS-NV were omitted after EFA and CFA due to low inter-item correlations and low-factor loading difference. The MNS-NV was condensed to 11 items containing the three-factor structure: Negative Cognitive Reconstruction, Bullying Normalization, and Retribution Rationalization. Accordingly, results exhibited the scale's revised three-factor structure yielded good overall reliability and sub-scale consistencies while demonstrating acceptable construct validity following the CFA.

Conclusion

The 11-item MNS-NV is a practical scale with established construct validity and reliability. Healthcare institutions that employ nurses and their nurse managers may use this scale to evaluate nurses' moral neutralization techniques to provide evidence for creating and sustaining ethically and morally relevant nursing policies and practice.

目的对护士版道德中和15项量表（MNS-NV）进行心理计量学验证。护士的道德中和技术可能会对患者安全和医疗保健结果产生不利影响。然而，关于护理中道德中和的研究仍然是一个空白。比以往任何时候都更需要一个有效可靠的量表来衡量护士的道德中立。方法采用描述性横断面设计。从沙特阿拉伯3所护理学院和5所医院连续招募参与护士，完成15项MNS-NV。采用多元相关、探索性因子分析（EFA）、Spearman秩序相关、Kaiser-Meyer-Olkin检验和验证性因子分析（CFA）进行数据分析。结果由于项目间相关性低，因子负荷差异小，在EFA和CFA后，MNS-NV中有4个项目被省略。MNS-NV被压缩为11个项目，包含三因素结构：负性认知重建、欺凌正常化和报复合理化。因此，结果显示量表修订后的三因素结构产生了良好的总体信度和子量表一致性，同时在CFA之后显示出可接受的结构效度。结论11项MNS-NV量表具有较强的结构效度和信度。雇用护士和他们的护士管理者的医疗机构可以使用这个量表来评估护士的道德中和技术，为创建和维持伦理和道德相关的护理政策和实践提供证据。

{"title":"Psychometric testing of the Moral Neutralization Scale-Nurse Version (MNS-NV): An exploratory and confirmatory factor analyses","authors":"Daniel Joseph E. Berdida , Rizal Angelo N. Grande","doi":"10.1016/j.apnr.2025.151947","DOIUrl":"10.1016/j.apnr.2025.151947","url":null,"abstract":"<div><h3>Aim</h3><div>To psychometrically validate the 15-item Moral Neutralization Scale-Nurse Version (MNS-NV).</div></div><div><h3>Background</h3><div>Nurses' moral neutralization techniques may adversely impact patient safety and healthcare outcomes. However, studies about moral neutralization in nursing remain a blank spot. More than ever, a valid and reliable scale is needed to measure nurses' moral neutralization.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design. Participant nurses from three nursing colleges and five hospitals in Saudi Arabia were consecutively recruited and accomplished the 15-item MNS-NV. Polychoric correlations, exploratory factor analysis (EFA), Spearman's rank-order correlation, Kaiser-Meyer-Olkin test, and confirmatory factor analysis (CFA) were used for data analyses.</div></div><div><h3>Results</h3><div>Four items from the MNS-NV were omitted after EFA and CFA due to low inter-item correlations and low-factor loading difference. The MNS-NV was condensed to 11 items containing the three-factor structure: <em>Negative Cognitive Reconstruction</em>, <em>Bullying Normalization</em>, and <em>Retribution Rationalization</em>. Accordingly, results exhibited the scale's revised three-factor structure yielded good overall reliability and sub-scale consistencies while demonstrating acceptable construct validity following the CFA.</div></div><div><h3>Conclusion</h3><div>The 11-item MNS-NV is a practical scale with established construct validity and reliability. Healthcare institutions that employ nurses and their nurse managers may use this scale to evaluate nurses' moral neutralization techniques to provide evidence for creating and sustaining ethically and morally relevant nursing policies and practice.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151947"},"PeriodicalIF":2.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716161","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}

引用次数: 0

Constipation severity mediates the relationship between affective symptoms and sleep quality among people with schizophrenia: A multicenter cross-sectional study 便秘严重程度介导精神分裂症患者情感症状与睡眠质量之间的关系：一项多中心横断面研究

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-25 DOI: 10.1016/j.apnr.2025.151948

Shu-Yin Huang , Li-Ru Wang , Chieh-Yu Liu , Chiu-Yueh Yang

Background

More than half of people with schizophrenia experience poor sleep quality, which is greater than the proportion among the general population and among individuals with bipolar disorder. Poor sleep is a key indicator of symptom stability. Constipation is also more common in this population. While emerging evidence suggests that gut-brain interactions play a role in affective disorders, the relationship between constipation severity and sleep disturbances remains underexplored.

Aim

This study examined the mediating effect of constipation severity on the relationship between affective symptoms and sleep quality in people with schizophrenia.

Methods

We conducted a cross-sectional study involving 256 participants with schizophrenia across two psychiatric hospitals. Structured questionnaires were used to assess affective symptoms, constipation severity, and sleep quality. We analyzed the mediating role of constipation severity while controlling for seven covariates by conducting multiple regression analysis using the SPSS PROCESS macro model 4.

Results

Anxiety, depressive symptoms, constipation severity, and sleep quality were found to be interconnected. The findings showed that neither anxiety nor depressive symptoms significantly impacted sleep quality when accounting for constipation severity, indicating that constipation fully mediated the relationship between affective symptoms and sleep quality.

Conclusion

In individuals with schizophrenia, constipation has a greater negative impact on sleep quality than affective symptoms. This study highlights the need to address constipation in mental health care, as managing it may improve both sleep and emotional well-being. A holistic approach that includes constipation management should be part of treatment plans for those facing mental health and sleep issues.

超过一半的精神分裂症患者睡眠质量差，这比一般人群和双相情感障碍患者的比例要高。睡眠不佳是症状稳定的关键指标。便秘在这一人群中也更为常见。虽然新出现的证据表明肠-脑相互作用在情感性障碍中起作用，但便秘严重程度和睡眠障碍之间的关系仍未得到充分研究。目的探讨便秘严重程度对精神分裂症患者情感症状与睡眠质量关系的中介作用。方法：我们在两家精神病院进行了一项涉及256名精神分裂症患者的横断面研究。采用结构化问卷来评估情感症状、便秘严重程度和睡眠质量。我们使用SPSS PROCESS宏观模型4，在控制7个协变量的情况下，通过多元回归分析，分析便秘严重程度的中介作用。结果发现焦虑、抑郁症状、便秘严重程度与睡眠质量相互关联。研究结果显示，当考虑到便秘的严重程度时，焦虑和抑郁症状对睡眠质量都没有显著影响，这表明便秘完全介导了情感症状和睡眠质量之间的关系。结论在精神分裂症患者中，便秘对睡眠质量的负面影响大于情感性症状。这项研究强调了在精神卫生保健中解决便秘的必要性，因为控制便秘可能会改善睡眠和情绪健康。对于那些面临心理健康和睡眠问题的人来说，包括便秘管理在内的整体方法应该是治疗计划的一部分。

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引用次数: 0

Temporal trends in quality of work life, burnout, resilience, and turnover intention among newly employed nurses 新入职护士工作生活质量、倦怠、心理弹性及离职倾向的时间趋势

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-25 DOI: 10.1016/j.apnr.2025.151949

Chien-Chou Su , Hsiang-Chin Hsu , Hsuan-Man Hung , Shih-Yu Chang , Huan-Fang Lee , Susan Fetze , Miaofen Yen

Aims

As the global nursing shortage continues to worsen, the influence of newly employed nurses' attributes on nurse retention requires attention. This study examined quality of work life (QWL), resilience, and burnout on the turnover intention of new nurses during their first six months of employment.

Methods

A longitudinal study recruited newly employed nurses providing direct patient care in six hospitals across Taiwan. Validated instruments related to QWL, burnout, resilience, and turnover intention collected data at the first, third, and sixth month of employment. Sample characteristics were summarized with descriptive statistics. Longitudinal data was analyzed using generalized estimating equations (GEE) to examine the relationships among the variables and turnover intention.

Results

Newly employed nurses (n = 615) reported moderately high QWL, low resilience, and moderate burnout. Turnover intention increased significantly over six months. Male, older, and unmarried nurses reported greater turnover intention, while high QWL and resilience reduced turnover risk. Emotional exhaustion and depersonalization, two factors contributing to burnout, strongly predicted greater turnover intention.

Conclusion

Turnover intention among new nurses increases in the first six months of employment, influenced by individual and workplace factors. Targeted early interventions to enhance QWL, reduce burnout, and build resilience are critical for improving retention rates among newly employed nurses.

目的随着全球护士短缺的持续恶化，新入职护士的属性对护士保留的影响值得关注。本研究考察了新护士入职前六个月的工作生活质量、心理弹性和职业倦怠对离职意向的影响。方法采用纵向研究方法，招募台湾6家医院的新入职护士。与QWL、倦怠、弹性和离职意向相关的验证工具在就业的第一个月、第三个月和第六个月收集数据。用描述性统计方法总结样本特征。采用广义估计方程（GEE）对纵向数据进行分析，探讨各变量与离职意向之间的关系。结果615名新入职护士自我满意度中等，心理韧性低，职业倦怠中等。离职意向在六个月内显著增加。男性、年长和未婚护士报告了更高的离职意向，而高QWL和弹性降低了离职风险。情绪耗竭和人格解体是导致倦怠的两个因素，对离职倾向有较强的预测作用。结论新护士离职意向在入职前6个月呈上升趋势，受个人因素和工作场所因素影响。有针对性的早期干预措施，以提高QWL，减少倦怠，并建立弹性是提高新聘护士的保留率至关重要。

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引用次数: 0

Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review 心理安全的基本要素和结果在医疗实践设置：一个系统的回顾

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-22 DOI: 10.1016/j.apnr.2025.151946

Rose D. LaPlante MBA, MSN, RN, NEA-BC , Patricia Reid Ponte DNSc, RN, FAAN , Cherlie Magny-Normilus PhD, FNP-BC, FNYAM, FAAN

Background

Psychological safety is considered an essential component of highly effective teamwork in organizations, including healthcare organizations. This systematic review examines essential elements and outcomes of psychological safety in healthcare practice teams to determine best practices for implementing psychological safety.

Method

A systematic literature review of published studies that described psychological safety as a variable in healthcare practice settings was conducted. Articles were included if they were published in English, peer reviewed, included nurses or physicians either individually or as part of a team, incorporated psychological safety, presented workforce or patient outcomes, and published in the past 10 years.

Results

Out of 220 articles, 30 met the inclusion criteria. This review identifies five essential elements and outcomes of psychological safety in healthcare.

Conclusion

This systematic review corroborates the importance of psychological safety to healthcare teams. Directing resources toward ensuring the implementation and enhancement of psychological safety in healthcare teams would improve the likelihood of reliable, safe, and high-quality healthcare delivery.

背景心理安全被认为是包括医疗机构在内的组织中高效团队合作的重要组成部分。本系统性综述对医疗实践团队中心理安全的基本要素和结果进行了研究，以确定实施心理安全的最佳实践。在 220 篇文章中，有 30 篇符合纳入标准。本综述确定了医疗保健中心理安全的五个基本要素和结果。结论本系统性综述证实了心理安全对医疗保健团队的重要性。将资源用于确保在医疗团队中实施和加强心理安全将提高提供可靠、安全和高质量医疗服务的可能性。

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引用次数: 0

Adjustment to a temporary compared to a permanent ostomy: A qualitative analysis of survey responses 临时造口与永久性造口的比较：调查结果的定性分析

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-22 DOI: 10.1016/j.apnr.2025.151945

Ian Whiteley , Fiona F. Stanaway , Sue Randall

Aims

To describe differences and similarities in adaptation or adjustment to a new temporary compared to a new permanent ostomy.

Background

Few studies have assessed differences in adjustment between temporary and permanent ostomies. This is important as some evidence suggests that individuals with a temporary ostomy defer returning to pre-ostomy life until the ostomy is reversed, while those with a permanent ostomy adjust more quickly. Qualitative data can offer deeper insights by exploring personal perspectives, beliefs, and attitudes as people adapt and adjust to a new ostomy.

Design

This is a multicentre, longitudinal observational study in which adjustment to an ostomy was measured using open-ended, short answer questions added to the Ostomy Adjustment Inventory (OAI-23).

Methods

Sample: Seven hundred participants were recruited through 11 care facilities, 397 had a temporary ostomy and 303 had a permanent ostomy. This paper explores the 626 responses to open-ended questions.

Data analysis: Data was uploaded into NVivo (14) software and responses were analysed as data corpus using thematic analysis.

Findings

The formation of a new temporary or permanent ostomy required a period of adaptation and adjustment. Thirteen sub-themes were identified and further refined into three major themes, adjusting to the unfamiliar and unpredictable body; navigating uncharted territory; and psychological adjustment. Whilst some minor differences were noted, these were far overshadowed by the similarities in adjustment between the two groups.

Conclusion

Adaptation to a temporary or permanent ostomy is an ongoing process with many similarities influencing adjustment outcomes. Improved comprehension of ostomy adjustment will assist planning services to meet the needs of this population.

目的描述新的临时造口与新的永久性造口在适应或调整方面的异同。背景：很少有研究评估临时造口和永久性造口在调整方面的差异。这一点很重要，因为一些证据表明，临时造口术患者在造口术逆转之前会推迟回到造口术前的生活，而永久性造口术患者则会更快地适应。定性数据可以通过探索人们在适应和调整新造口术时的个人观点、信仰和态度，提供更深入的见解。设计：这是一项多中心的纵向观察性研究，在该研究中，对造口术的调整采用开放式的、简短的回答问题，并添加到造口术调整量表（OAI-23）中。方法：通过11家护理机构招募了700名参与者，其中397例为临时造口术，303例为永久性造口术。本文探讨了对开放式问题的626个回答。数据分析：将数据上传到NVivo（14）软件中，并使用主题分析将响应作为数据语料库进行分析。发现新的临时或永久造口的形成需要一段时间的适应和调整。确定了13个子主题，并进一步细化为三大主题，以适应不熟悉和不可预测的身体；在未知领域航行；还有心理调整。虽然我们注意到了一些细微的差异，但这些差异远远被两组之间在调整方面的相似之处所掩盖。结论对暂时性或永久性造口术的适应是一个持续的过程，有许多相似之处影响着适应的结果。提高对造口调整的理解将有助于规划服务以满足这一人群的需求。

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引用次数: 0

Correlation between perceived and actual diabetes knowledge among nurses in an outpatient setting 门诊护士糖尿病认知与实际知识的相关性

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research

Pub Date : 2025-03-19 DOI: 10.1016/j.apnr.2025.151944

Shannon Knapp , Melissa Matras , Susan Cotey , James Bena , Sarah Kirschling , Lee Anne Siegmund

Background

Nurses' perceived basic diabetes knowledge may not align with actual knowledge of diabetes basics. Prior to this study, little was known about basic diabetes knowledge among outpatient nurses.

Method

Surveys were used to collect data to identify differences between perceived and actual knowledge among outpatient nurses and data were analyzed using Kruskal-Wallis and Spearman's correlation as appropriate.

Results

There were 492 participants. Perceived knowledge was associated with actual (p = 0.009); however, the effect size was small (r = 0.12), indicating an unlikely correlation. Actual knowledge scores were higher for those who obtained diabetes information from job experience, recent continuing education, and those who reported having diabetes. Item discrimination showed higher overall test scores with higher item scores (>0.15).

Conclusions

Correlation between actual and perceived knowledge was negligible, indicating nurses may think they have high diabetes knowledge when they may not. Results reflect the need for ongoing diabetes continuing education for outpatient nurses, regardless of specialty.

背景护士感知到的糖尿病基础知识可能与实际的糖尿病基础知识不一致。在本研究之前，门诊护士对糖尿病的基本知识了解甚少。方法采用问卷调查的方法收集数据，确定门诊护士感知知识与实际知识之间的差异，并酌情采用Kruskal-Wallis和Spearman相关法对数据进行分析。结果共纳入492人。感知知识与实际知识相关（p = 0.009）；然而，效应量很小（r = 0.12），表明不太可能存在相关性。那些从工作经历、最近的继续教育和报告患有糖尿病的人中获得糖尿病信息的人的实际知识得分更高。项目辨别力表现为项目得分越高，整体测试得分越高（>0.15）。结论实际知识与感知知识的相关性可忽略不计，说明护士可能认为自己对糖尿病有较高的知识，而实际知识并非如此。结果反映了门诊护士需要持续的糖尿病继续教育，无论专业。

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