Pub Date : 2023-10-27DOI: 10.1016/j.apnr.2023.151747
Geraldine Luna MD, MPH, MBAc , Mhinjine Kim MHS , Richard Miller MD , Pooja Parekh MD , Esther S. Kim MD , Sophia Yaejin Park MD, MPH , Ummesalmah Abdulbaseer BA , Cristina Gonzalez BS , Emily Stiehl PhD
Aim
The aim of this study is to explore experiences and perspectives of nurses and providers (e.g., physicians, medical directors, fellows, and nurse practitioners) on reducing preventable hospitalizations of nursing home (NH) residents in relation to interprofessional relationship and hospitalization decision-making process.
Background
Preventable NH resident hospitalization continues to be a pressing public health issue. Studies show that improved interprofessional relationship may help reduce hospitalization, yet research on communication processes and interactions among different NH staff remains limited.
Methods
This is a qualitative descriptive study. Two focus groups were held with fourteen nurses and thirteen in-depth, qualitative interviews were conducted with providers from two Chicagoland NHs. Focus group sessions and interviews were transcribed, coded, and analyzed for common themes based on qualitative description method.
Results
All study participants agreed that providers have the ultimate responsibility for hospitalization decisions. However, nurses believed they could influence those decisions, depending on provider characteristics, trust, and resident conditions. Nurses and providers differed in the way they experienced and conveyed emotions, and differed in key elements affecting hospitalization decisions such as structural or environmental factors (e.g., lacking staff and equipment at the facility, poor communication between the NH and hospitals) and interpersonal factors (e.g., characteristics of effective nurses or providers and the effective interactions between them).
Conclusions
Interpersonal factors, including perceived competence, respect, and trust, may influence NH hospitalization decisions and be targeted for reducing preventable hospitalizations of residents.
{"title":"Interprofessional relationships and their impact on resident hospitalizations in nursing homes: A qualitative study","authors":"Geraldine Luna MD, MPH, MBAc , Mhinjine Kim MHS , Richard Miller MD , Pooja Parekh MD , Esther S. Kim MD , Sophia Yaejin Park MD, MPH , Ummesalmah Abdulbaseer BA , Cristina Gonzalez BS , Emily Stiehl PhD","doi":"10.1016/j.apnr.2023.151747","DOIUrl":"10.1016/j.apnr.2023.151747","url":null,"abstract":"<div><h3>Aim</h3><p>The aim of this study is to explore experiences and perspectives of nurses and providers (e.g., physicians, medical directors, fellows, and nurse practitioners) on reducing preventable hospitalizations of nursing home (NH) residents in relation to interprofessional relationship and hospitalization decision-making process.</p></div><div><h3>Background</h3><p>Preventable NH resident hospitalization continues to be a pressing public health issue. Studies show that improved interprofessional relationship may help reduce hospitalization, yet research on communication processes and interactions among different NH staff remains limited.</p></div><div><h3>Methods</h3><p>This is a qualitative descriptive study. Two focus groups were held with fourteen nurses and thirteen in-depth, qualitative interviews were conducted with providers from two Chicagoland NHs. Focus group sessions and interviews were transcribed, coded, and analyzed for common themes based on qualitative description method.</p></div><div><h3>Results</h3><p>All study participants agreed that providers have the ultimate responsibility for hospitalization decisions. However, nurses believed they could influence those decisions, depending on provider characteristics, trust, and resident conditions. Nurses and providers differed in the way they experienced and conveyed emotions, and differed in key elements affecting hospitalization decisions such as structural or environmental factors (e.g., lacking staff and equipment at the facility, poor communication between the NH and hospitals) and interpersonal factors (e.g., characteristics of effective nurses or providers and the effective interactions between them).</p></div><div><h3>Conclusions</h3><p>Interpersonal factors, including perceived competence, respect, and trust, may influence NH hospitalization decisions and be targeted for reducing preventable hospitalizations of residents.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"74 ","pages":"Article 151747"},"PeriodicalIF":2.2,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159592","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}
This study aimed to explore registered nurses' experience participating in a root cause analysis (RCA) meeting because of their involvement in an adverse event.
Background
An RCA is the most common strategy used by organizations for adverse event investigations. Nursing healthcare professionals directly involved in an adverse event may be asked to participate in the RCA. However, no studies were found in the literature on their experience.
Methods
Semi-structured audio-taped interviews were held with 13 registered nurses who participated in an RCA. Ricoeur's hermeneutic phenomenology guided data analysis.
Results
Two structural elements represented the world of the nurses: 1) Learning about an RCA, and 2) being on the other side of the RCA table. Three phenomenological themes emerged: 1) anticipatory and embodied fear, 2) to speak or not to speak, 3) the aftermath.
Conclusion
Nurses desire RCA education to assist in understanding and support from nurse leaders throughout the process. Healthcare organizations must create a safe and collaborative environment to empower nurses to speak up and have their voices heard during the RCA process.
Implications for nursing leaders
Nurses want to participate in RCA meetings. However, leaders must demystify the RCA process for nurses through education and training.
{"title":"Demystifying the experience of participating in a root cause analysis: A hermeneutic phenomenological study","authors":"Tamu Abreu PhD, RN-BC, CPPS, CPHQ, Wyona M. Freysteinson PhD, MN, RN, FAAN, Paula Clutter PhD, RN, CNL, CNE, CENP, CMSRN, Rebecca Aulbach PhD, RN, ACNS-BC","doi":"10.1016/j.apnr.2023.151746","DOIUrl":"https://doi.org/10.1016/j.apnr.2023.151746","url":null,"abstract":"<div><h3>Aim</h3><p>This study aimed to explore registered nurses' experience participating in a root cause analysis (RCA) meeting because of their involvement in an adverse event.</p></div><div><h3>Background</h3><p>An RCA is the most common strategy used by organizations for adverse event investigations. Nursing healthcare professionals directly involved in an adverse event may be asked to participate in the RCA. However, no studies were found in the literature on their experience.</p></div><div><h3>Methods</h3><p>Semi-structured audio-taped interviews were held with 13 registered nurses<span> who participated in an RCA. Ricoeur's hermeneutic phenomenology guided data analysis.</span></p></div><div><h3>Results</h3><p>Two structural elements represented the world of the nurses: 1) Learning about an RCA, and 2) being on the other side of the RCA table. Three phenomenological themes emerged: 1) anticipatory and embodied fear, 2) to speak or not to speak, 3) the aftermath.</p></div><div><h3>Conclusion</h3><p>Nurses desire RCA education to assist in understanding and support from nurse leaders throughout the process. Healthcare organizations must create a safe and collaborative environment to empower nurses to speak up and have their voices heard during the RCA process.</p></div><div><h3>Implications for nursing leaders</h3><p>Nurses want to participate in RCA meetings. However, leaders must demystify the RCA process for nurses through education and training.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"74 ","pages":"Article 151746"},"PeriodicalIF":2.2,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136571178","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}
“Partnership Care Model (PCM)”, which is the first partnership conceptual framework founded on the Iranian culture to control chronic diseases, has been recently used in different fields of nursing research with no levels of valid evidence to support its application. Therefore, this systematic review and meta-analysis sought to clarify the impacts of interventions developed based on PCM on quality of life (QoL), sleep quality, anxiety, and depression among adults and children with chronic diseases.
Methods
International data sources (e.g., PubMed, Web of Science, Scopus) and national databases (e.g., SID, MagIran, IranDoc, IRCT) were searched from 2001 to September 23, 2023, to find Randomized Controlled Trials (RCTs) on PCM-driven interventions for the experimental groups versus no intervention or standard care groups. The studies' methodological quality and evidence quality were rated utilizing the Cochrane risk of bias instruction and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Data were pooled by a random-effects approach employing STATA (vers. 11.2).
Result
Eighteen RCTs, reported in 22 publications, were qualified. The PCM compared to the standard care significantly improved the QoL among both adults (10 effect sizes [ESs], mean difference [MD]: 3.17, P < 0.001) and children (4 ESs, MD: 4.45, P < 0.001). Likewise, the intervention enhanced adults' sleep quality (3 ESs, MD: 7.15, P < 0.001). The anxiety of adults and children was also significantly lower in the PCM group (4 ESs, MD: −4.52, P = 0.001; 2 ESs, MD: −4.04, P < 0.001, respectively). However, regarding depression, a significant effect of PCM was found only among children (3 ESs, MD: −7.99, P = 0.011). The methodological quality of the studies and the evidence quality were undesirable.
Conclusion
The PCM had a promising influence on the caring of adults and children suffering from chronic diseases. However, additional high-quality RCTs are needed to generate a higher quality of evidence concerning the clinical benefits of the PCM.
PROSPERO no
CRD42021253790.
背景“伙伴关系护理模式”是建立在伊朗文化基础上的第一个控制慢性病的伙伴关系概念框架,最近被用于不同的护理研究领域,但没有有效的证据支持其应用。因此,本系统综述和荟萃分析试图阐明基于PCM制定的干预措施对患有慢性病的成人和儿童的生活质量(QoL)、睡眠质量、焦虑和抑郁的影响。方法检索2001年至2023年9月23日期间的国际数据源(如PubMed、Web of Science、Scopus)和国家数据库(如SID、MagIran、IranDoc、IRCT),以查找实验组与无干预组或标准护理组PCM驱动干预的随机对照试验(RCT)。利用Cochrane偏倚风险指导和建议评估、发展和评估分级(GRADE)对研究的方法学质量和证据质量进行评级。采用STATA(第11.2版)的随机效应方法收集数据。结果22篇出版物中报道的18项随机对照试验合格。与标准护理相比,PCM显著改善了成人(10个效应大小[ES],平均差异[MD]:3.17,P<;0.001)和儿童(4个效应大小,MD:4.45,P<)的生活质量。同样,干预提高了成人的睡眠质量(3个ESs,MD:7.15,P<;0.001)。PCM组成人和儿童的焦虑也显著降低(分别为4个ES,MD:-4.52,P=0.001;2个ES,MD:-4.04,P<:0.001)。然而,关于抑郁症,PCM的显著影响仅在儿童中发现(3个ESs,MD:-7.99,P=0.011)。研究的方法学质量和证据质量不理想。结论PCM对成人和儿童慢性病患者的护理具有良好的效果。然而,需要额外的高质量随机对照试验来产生关于PCM临床益处的更高质量的证据。PROSPERO编号CRD42021253790。
{"title":"Application of “Partnership Care Model” in chronically ill adults and children: A systematic review and dose-response meta-analysis of randomized controlled trials","authors":"Morteza Nasiri , Fatemeh Yarahmadi , Mehrnaz Ardaneh , Mehran Naghibeiranvand , Mohammad Sadegh Aghili Nasab , Sahar Zonoori , Maryam Babaei Khomeini , Mahya Torkaman , Mohammad Reza Rajabi , Masoud Rezaei , Masoomeh Asadi , Zohre Jafari","doi":"10.1016/j.apnr.2023.151744","DOIUrl":"https://doi.org/10.1016/j.apnr.2023.151744","url":null,"abstract":"<div><h3>Background</h3><p>“<em>Partnership Care Model (PCM)</em><span><span>”, which is the first partnership conceptual framework founded on the Iranian culture to control chronic diseases, has been recently used in different fields of nursing research with no levels of valid evidence to support its application. Therefore, this </span>systematic review and meta-analysis sought to clarify the impacts of interventions developed based on PCM on quality of life (QoL), sleep quality, anxiety, and depression among adults and children with chronic diseases.</span></p></div><div><h3>Methods</h3><p>International data sources (e.g., PubMed, Web of Science, Scopus) and national databases (e.g., SID, MagIran, IranDoc, IRCT) were searched from 2001 to September 23, 2023, to find Randomized Controlled Trials (RCTs) on PCM-driven interventions for the experimental groups versus no intervention or standard care groups. The studies' methodological quality and evidence quality were rated utilizing the Cochrane risk of bias instruction and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Data were pooled by a random-effects approach employing STATA (vers. 11.2).</p></div><div><h3>Result</h3><p>Eighteen RCTs, reported in 22 publications, were qualified. The PCM compared to the standard care significantly improved the QoL among both adults (10 effect sizes [ESs], mean difference [MD]: 3.17, <em>P</em> < 0.001) and children (4 ESs, MD: 4.45, <em>P</em> < 0.001). Likewise, the intervention enhanced adults' sleep quality (3 ESs, MD: 7.15, <em>P</em> < 0.001). The anxiety of adults and children was also significantly lower in the PCM group (4 ESs, MD: −4.52, <em>P</em> = 0.001; 2 ESs, MD: −4.04, <em>P</em> < 0.001, respectively). However, regarding depression, a significant effect of PCM was found only among children (3 ESs, MD: −7.99, <em>P</em> = 0.011). The methodological quality of the studies and the evidence quality were undesirable.</p></div><div><h3>Conclusion</h3><p>The PCM had a promising influence on the caring of adults and children suffering from chronic diseases. However, additional high-quality RCTs are needed to generate a higher quality of evidence concerning the clinical benefits of the PCM.</p></div><div><h3>PROSPERO no</h3><p>CRD42021253790.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"74 ","pages":"Article 151744"},"PeriodicalIF":2.2,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50203680","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}
Pub Date : 2023-10-01DOI: 10.1016/j.apnr.2023.151724
Carolyn S. Harmon Ph.D., DNP, RN-BC , Swann Arp Adams Ph.D., MS, FACE , Jean E. Davis Ph.D., RN, FAAN , Sheila M. Gephart Ph.D., RN , Sara B. Donevant Ph.D., RN, CCRN
Aim
The study aimed to explore the relationship between the unintended consequences of the electronic health record and cognitive load in emergency department nurses.
Methods
The study utilized a correlational quantitative design with a survey method approach. This study had a 30.4 % response rate for a total of 304 ED nurse participants who were members of a national ED nursing organization. Data analysis included descriptive and correlational measurements of two instruments.
Results
In this study, there was a statistically significant, weak negative relationship between CL and UC-EHR in ED nurses, rs (264) = −0.154, p 0.002. Although a significant weak relationship was identified in this study, the study variables, subscales, and demographic data groupings presented moderate-to-strong positive, statistically significant correlations. Descriptive frequency data unveiled EHR stimulated patient safety threats occurring once a week to monthly.
Conclusions
The novelty of this research study provided profound implications for the future of nursing practice, policy, and nursing science. EHR optimization to minimize patient safety risks is recommended with the inclusion of end-users from this study's identified subgroups. The researchers propose a reduction of EHR burden in nursing practice.
{"title":"Unintended consequences of the electronic health record and cognitive load in emergency department nurses","authors":"Carolyn S. Harmon Ph.D., DNP, RN-BC , Swann Arp Adams Ph.D., MS, FACE , Jean E. Davis Ph.D., RN, FAAN , Sheila M. Gephart Ph.D., RN , Sara B. Donevant Ph.D., RN, CCRN","doi":"10.1016/j.apnr.2023.151724","DOIUrl":"10.1016/j.apnr.2023.151724","url":null,"abstract":"<div><h3>Aim</h3><p>The study aimed to explore the relationship between the unintended consequences of the electronic health record and cognitive load in emergency department nurses.</p></div><div><h3>Methods</h3><p>The study utilized a correlational quantitative design with a survey method approach. This study had a 30.4 % response rate for a total of 304 ED nurse participants who were members of a national ED nursing organization. Data analysis included descriptive and correlational measurements of two instruments.</p></div><div><h3>Results</h3><p>In this study, there was a statistically significant, weak negative relationship between CL and UC-EHR in ED nurses, r<sub>s</sub> (264) = −0.154, <em>p 0.</em>002. Although a significant weak relationship was identified in this study, the study variables, subscales, and demographic data groupings presented moderate-to-strong positive, statistically significant correlations. Descriptive frequency data unveiled EHR stimulated patient safety threats occurring once a week to monthly.</p></div><div><h3>Conclusions</h3><p>The novelty of this research study provided profound implications for the future of nursing practice, policy, and nursing science. EHR optimization to minimize patient safety risks is recommended with the inclusion of end-users from this study's identified subgroups. The researchers propose a reduction of EHR burden in nursing practice.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"73 ","pages":"Article 151724"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301484","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}
Pub Date : 2023-10-01DOI: 10.1016/j.apnr.2023.151716
Rachel E. Wood PhD, RN, NPD-BC , Michael Bleich PhD, RN, FAAN , Jane Chung PhD, RN , R.K. Elswick Jr PhD, NREMT-B , Elizabeth Nease DNP, RN, NE-BC , Lana Sargent PhD, FNP-C, GNP-BC , Patricia A. Kinser PhD, WHNP-BC, FAAN
Aim
This study investigated the phenomenon of nurse loneliness as a potential contributor to burnout.
Background
Nurse wellbeing is critical for safe and efficient healthcare delivery. However, evidence indicates nurses' wellbeing is at risk. The levels of burnout, the most commonly measured symptom of suboptimal wellbeing, are rising and may relate to a largely unexplored phenomenon: loneliness.
Methods
A mixed-methods approach was used to investigate burnout and loneliness in direct-care nurses in four diverse hospitals in the midwestern and southeastern United States. Burnout and loneliness were measured, prevalence was estimated, and correlation was examined. Interpretive descriptive inquiry and analysis was used to develop a richer understanding of nurse loneliness in the context of burnout. While this study did not explicitly explore the impact of the global pandemic, data was collected in late 2021 and early 2022, during the Delta variant wave.
Results
In the study population (n = 117), rates of burnout are high and positively correlate with loneliness. Qualitative interviews (n = 11) revealed that nurses feel unseen, emotionally detached from their work, and dehumanized. However, social connection with peers is protective and nurses still report a strong sense of devotion to the profession and solidarity with peers.
Conclusions
This study offers insight into nurse loneliness, highlighting the importance of social connectedness to improve nurse wellbeing.
{"title":"A mixed-methods exploration of nurse loneliness and burnout during COVID-19","authors":"Rachel E. Wood PhD, RN, NPD-BC , Michael Bleich PhD, RN, FAAN , Jane Chung PhD, RN , R.K. Elswick Jr PhD, NREMT-B , Elizabeth Nease DNP, RN, NE-BC , Lana Sargent PhD, FNP-C, GNP-BC , Patricia A. Kinser PhD, WHNP-BC, FAAN","doi":"10.1016/j.apnr.2023.151716","DOIUrl":"10.1016/j.apnr.2023.151716","url":null,"abstract":"<div><h3>Aim</h3><p>This study investigated the phenomenon of nurse loneliness as a potential contributor to burnout.</p></div><div><h3>Background</h3><p>Nurse wellbeing is critical for safe and efficient healthcare delivery. However, evidence indicates nurses' wellbeing is at risk. The levels of burnout, the most commonly measured symptom of suboptimal wellbeing, are rising and may relate to a largely unexplored phenomenon: loneliness.</p></div><div><h3>Methods</h3><p>A mixed-methods approach was used to investigate burnout and loneliness in direct-care nurses in four diverse hospitals in the midwestern and southeastern United States. Burnout and loneliness were measured, prevalence was estimated, and correlation was examined. Interpretive descriptive inquiry and analysis was used to develop a richer understanding of nurse loneliness in the context of burnout. While this study did not explicitly explore the impact of the global pandemic, data was collected in late 2021 and early 2022, during the Delta variant wave.</p></div><div><h3>Results</h3><p>In the study population (<em>n</em> = 117), rates of burnout are high and positively correlate with loneliness. Qualitative interviews (<em>n</em><span> = 11) revealed that nurses feel unseen, emotionally detached from their work, and dehumanized. However, social connection with peers is protective and nurses still report a strong sense of devotion to the profession and solidarity with peers.</span></p></div><div><h3>Conclusions</h3><p>This study offers insight into nurse loneliness, highlighting the importance of social connectedness to improve nurse wellbeing.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"73 ","pages":"Article 151716"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10313371","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}
Pub Date : 2023-10-01DOI: 10.1016/j.apnr.2023.151728
Brigid Unim , Marco Santini , Roberto Latina , Giulia Gambale , Massimiliano Chiarini , Marzia Nicoli , Maria Sofia Cattaruzza
Background
Incivility in nursing education is present worldwide and impacts all those involved and the teacher-student relationship. The revised Incivility in Nursing Education (INE-R) is a validated and reliable instrument to measure academic incivility, but it is not available in Italian language. The aim of the study was to translate and validate the INE-R tool with an Italian sample.
Methods
The INE-R was translated from English into Italian, culturally adapted and piloted for content and linguistic clarity. The questionnaire was administered online to Nursing Faculty (NF) and Nursing Students (NS) of Sapienza University of Rome to assess uncivil behaviors and their frequency of occurrence. The psychometric properties of the Italian version were investigated.
Results
79 Italians participated, of which 63.3 % were NS. Four-factor models provided the best fit for NF and NS scales. The models explained 78.2 % (NF) and 73.2 % (NS) of the variance of the scales. The Root Mean Square Error of Approximation for both models was 0.07, indicating an acceptable fit. INE-R reliability for all 48 NF and NS incivility items was 0.962 and 0.954, respectively. Measuring the degree of incivility and establishing codes of conduct were recommended.
Conclusions
Incivility in nursing education negatively impacts the teaching-learning environment and could cause emotional or physical distress for those involved. Zero-tolerance policy regarding incivility, routine evaluation, and raising awareness among students and faculty could improve the quality of academic settings. The Italian INE-R is a valid and reliable tool that can be used to evaluate incivility in Italian nursing programs.
{"title":"Translation and validation of the Italian version of the incivility in nursing education-revised scale","authors":"Brigid Unim , Marco Santini , Roberto Latina , Giulia Gambale , Massimiliano Chiarini , Marzia Nicoli , Maria Sofia Cattaruzza","doi":"10.1016/j.apnr.2023.151728","DOIUrl":"10.1016/j.apnr.2023.151728","url":null,"abstract":"<div><h3>Background</h3><p>Incivility in nursing education is present worldwide and impacts all those involved and the teacher-student relationship. The revised Incivility in Nursing Education (INE-R) is a validated and reliable instrument to measure academic incivility, but it is not available in Italian language. The aim of the study was to translate and validate the INE-R tool with an Italian sample.</p></div><div><h3>Methods</h3><p>The INE-R was translated from English into Italian, culturally adapted and piloted for content and linguistic clarity. The questionnaire was administered online to Nursing Faculty (NF) and Nursing Students (NS) of Sapienza University of Rome to assess uncivil behaviors and their frequency of occurrence. The psychometric properties of the Italian version were investigated.</p></div><div><h3>Results</h3><p>79 Italians participated, of which 63.3 % were NS. Four-factor models provided the best fit for NF and NS scales. The models explained 78.2 % (NF) and 73.2 % (NS) of the variance of the scales. The Root Mean Square Error of Approximation for both models was 0.07, indicating an acceptable fit. INE-R reliability for all 48 NF and NS incivility items was 0.962 and 0.954, respectively. Measuring the degree of incivility and establishing codes of conduct were recommended.</p></div><div><h3>Conclusions</h3><p>Incivility in nursing education negatively impacts the teaching-learning environment and could cause emotional or physical distress for those involved. Zero-tolerance policy regarding incivility, routine evaluation, and raising awareness among students and faculty could improve the quality of academic settings. The Italian INE-R is a valid and reliable tool that can be used to evaluate incivility in Italian nursing programs.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"73 ","pages":"Article 151728"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301479","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}
Pub Date : 2023-10-01DOI: 10.1016/j.apnr.2023.151726
Jungeun Lee PhD, RN , Eunhee Cho PhD, GNP-BC, RN, FAAN , Heejung Kim PhD, RN, GNP , Kyung Hee Lee PhD, RN , Eosu Kim MD, PhD , Byoung Seok Ye MD, PhD
Objective
The aims of this study were to develop a self-efficacy enhancement program and to evaluate its effect on cognitive function, dementia knowledge, self-efficacy, depression, and dementia preventive behaviors in older adults (age ≥ 65 years) with mild cognitive impairment (MCI).
Methods
This equivalent control group pretest-posttest study was conducted at a tertiary hospital in Seoul, South Korea. Older adults with MCI were randomly allocated to an experimental (EG, n = 16) or control group (CG, n = 16). The EG underwent an 8-week intervention (weekly 60-min session) utilizing self-efficacy enhancement strategies; the CG received usual care. The intervention was comprised of physical, cognitive, and emotional activities and was followed by 4-week maintenance during which both groups engaged in self-learning at home with a dementia preventive guidebook. Outcome data were evaluated at the pretest and 8, 10, and 12 weeks later. This study adhered to the CONSORT guidelines.
Results
There were significant differences in cognitive function, dementia knowledge, self-efficacy, and dementia preventive behaviors, but not in depression between the two groups over the time. Regarding cognitive function subdomains, significant differences were observed in visuospatial/executive, attention, language, and delayed recall.
Conclusion
The integrated intervention consisting of physical, cognitive, and emotional activities was effective in improving cognitive function, dementia knowledge, self-efficacy, and dementia preventive behaviors. This suggests that this program can be utilized as an educational program to prevent dementia in older adults with MCI in dementia support centers, public health centers, clinics, and hospitals.
Trial registration
KCT0006094 in the Clinical Research Information Service. Retrospectively registered 23 April 2021, https://cris.nih.go.kr/cris/search/listDetail.do
{"title":"The development and evaluation of a self-efficacy enhancement program for older adults with mild cognitive impairment","authors":"Jungeun Lee PhD, RN , Eunhee Cho PhD, GNP-BC, RN, FAAN , Heejung Kim PhD, RN, GNP , Kyung Hee Lee PhD, RN , Eosu Kim MD, PhD , Byoung Seok Ye MD, PhD","doi":"10.1016/j.apnr.2023.151726","DOIUrl":"10.1016/j.apnr.2023.151726","url":null,"abstract":"<div><h3>Objective</h3><p>The aims of this study were to develop a self-efficacy enhancement program and to evaluate its effect on cognitive function, dementia knowledge, self-efficacy, depression, and dementia preventive behaviors in older adults (age ≥ 65 years) with mild cognitive impairment (MCI).</p></div><div><h3>Methods</h3><p>This equivalent control group pretest-posttest study was conducted at a tertiary hospital in Seoul, South Korea. Older adults with MCI were randomly allocated to an experimental (EG, <em>n</em> = 16) or control group (CG, n = 16). The EG underwent an 8-week intervention (weekly 60-min session) utilizing self-efficacy enhancement strategies; the CG received usual care. The intervention was comprised of physical, cognitive, and emotional activities and was followed by 4-week maintenance during which both groups engaged in self-learning at home with a dementia preventive guidebook. Outcome data were evaluated at the pretest and 8, 10, and 12 weeks later. This study adhered to the CONSORT guidelines.</p></div><div><h3>Results</h3><p>There were significant differences in cognitive function, dementia knowledge, self-efficacy, and dementia preventive behaviors, but not in depression between the two groups over the time. Regarding cognitive function subdomains, significant differences were observed in visuospatial/executive, attention, language, and delayed recall.</p></div><div><h3>Conclusion</h3><p>The integrated intervention consisting of physical, cognitive, and emotional activities was effective in improving cognitive function, dementia knowledge, self-efficacy, and dementia preventive behaviors. This suggests that this program can be utilized as an educational program to prevent dementia in older adults with MCI in dementia support centers, public health centers, clinics, and hospitals.</p></div><div><h3>Trial registration</h3><p>KCT0006094 in the Clinical Research Information Service. Retrospectively registered 23 April 2021, <span>https://cris.nih.go.kr/cris/search/listDetail.do</span><svg><path></path></svg></p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"73 ","pages":"Article 151726"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301482","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}
Evaluate relatives' experience of delirium due to an acute health event in a loved person and to compile practical suggestions for health care professionals from these synthesized results.
Background
Delirium resulting from an acute health event places patients at increased risk for prolonged hospitalization and mortality. A delirium episode also affects family members who may assist in the diagnosis and recovery from this condition.
Inclusion criteria
Qualitative studies of family members or other caregivers who witnessed patient delirium in a clinical setting were included if they had appropriate verbatim evidence. Studies dealing exclusively with delirium in the context of dementia, cancer, palliative care, or drug dependence were excluded, and if quotes could not be clearly allocated to relatives.
Methods
A systematic review of qualitative studies adapted from the Joanna Briggs Institute meta-aggregation approach. A systematic literature search was conducted in CINAHL complete®, MEDLINE®, and several dissertation databases in September 2022.
Results
Eight qualitative studies based on semi-structured interviews were included. In total 75 findings from 105 relatives were aggregated into 13 categories. Finally, three synthesized findings reveal suggestions for health care professionals: providing information adequately, communication and integration during health care and understanding relatives' perspective on delirium experience.
Conclusion
The identified burdens and needs of relatives should be considered by health care professionals to enhance the delirium experience for them, thus improving patient care by involving relatives with a better understanding.
{"title":"Experiences of relatives of patients with delirium due to an acute health event - A systematic review of qualitative studies","authors":"Gesa Meyer , Melanie Mauch , Yvonne Seeger , Marion Burckhardt","doi":"10.1016/j.apnr.2023.151722","DOIUrl":"10.1016/j.apnr.2023.151722","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluate relatives' experience of delirium due to an acute health event in a loved person and to compile practical suggestions for health care professionals from these synthesized results.</p></div><div><h3>Background</h3><p>Delirium resulting from an acute health event places patients at increased risk for prolonged hospitalization and mortality. A delirium episode also affects family members who may assist in the diagnosis and recovery from this condition.</p></div><div><h3>Inclusion criteria</h3><p>Qualitative studies of family members or other caregivers who witnessed patient delirium in a clinical setting were included if they had appropriate verbatim evidence. Studies dealing exclusively with delirium in the context of dementia, cancer, palliative care, or drug dependence were excluded, and if quotes could not be clearly allocated to relatives.</p></div><div><h3>Methods</h3><p>A systematic review<span> of qualitative studies adapted from the Joanna Briggs Institute meta-aggregation approach. A systematic literature search was conducted in CINAHL complete®, MEDLINE®, and several dissertation databases in September 2022.</span></p></div><div><h3>Results</h3><p>Eight qualitative studies based on semi-structured interviews were included. In total 75 findings from 105 relatives were aggregated into 13 categories. Finally, three synthesized findings reveal suggestions for health care professionals: providing information adequately, communication and integration during health care and understanding relatives' perspective on delirium experience.</p></div><div><h3>Conclusion</h3><p>The identified burdens and needs of relatives should be considered by health care professionals to enhance the delirium experience for them, thus improving patient care by involving relatives with a better understanding.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"73 ","pages":"Article 151722"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10308066","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}
Pub Date : 2023-10-01DOI: 10.1016/j.apnr.2023.151719
Samia Gaballah PhD (Associate professor) , Dalia Salah El-Deen PhD (Professor) , Mona Ibrahim Hebeshy PhD, RN (Assistant professor)
Background
Fatigue, pain, sleep disturbance, and anxiety are prevalent symptoms of multiple sclerosis (MS) and frequent complaints in MS patients, which reduce their quality of life. Many studies have shown that massage therapy improves MS patients' symptoms. However, the effect of effleurage massage on sleep disturbance, fatigue, pain, and anxiety in patients with MS is not studied in Egypt.
Aim
To examine the effect of Effleurage massage therapy on sleep disturbance, fatigue, pain, and anxiety in patients with multiple sclerosis (MS).
Methods
This research study has a quasi-experimental design, with control and intervention groups, and pre and post-tests conducted at the multiple sclerosis in-patient clinic at one Egyptian hospital between May 2019 and January 2020. Sixty adult female patients with MS were recruited, with 30 patients in the control group and 30 in the intervention group. The intervention group received Effleurage massage therapy intervention three times a week for two weeks, and each session lasted about 20 min. Patients in the control group received routine hospital care. Data were collected using the patient's demographic and medical data sheet, Insomnia Severity Index, Modified Fatigue Impact Scale, Numeric Pain Rating Scale, and Beck Anxiety Inventory before and after the intervention.
Results
Significant improvement was observed in pain, sleep, fatigue, and anxiety in the massage group (P < 0.001).
Conclusion
Based on the current study, Effleurage massage intervention for MS patients could have possible clinical value for improving sleep disturbance, palliating pain, fatigue, and reducing anxiety. Egyptian nurses can integrate massage therapy into the routine nursing care of patients with MS. Effleurage massage could be an adjunct treatment modality for MS patients; however, more significant studies are needed.
{"title":"Effect of effleurage massage therapy on sleep disturbance, fatigue, pain, and anxiety in patients with multiple sclerosis: A quasi-experimental study","authors":"Samia Gaballah PhD (Associate professor) , Dalia Salah El-Deen PhD (Professor) , Mona Ibrahim Hebeshy PhD, RN (Assistant professor)","doi":"10.1016/j.apnr.2023.151719","DOIUrl":"10.1016/j.apnr.2023.151719","url":null,"abstract":"<div><h3>Background</h3><p>Fatigue, pain, sleep disturbance, and anxiety are prevalent symptoms of multiple sclerosis<span> (MS) and frequent complaints in MS patients, which reduce their quality of life. Many studies have shown that massage therapy improves MS patients' symptoms. However, the effect of effleurage massage on sleep disturbance, fatigue, pain, and anxiety in patients with MS is not studied in Egypt.</span></p></div><div><h3>Aim</h3><p>To examine the effect of Effleurage massage therapy on sleep disturbance, fatigue, pain, and anxiety in patients with multiple sclerosis (MS).</p></div><div><h3>Methods</h3><p><span>This research study has a quasi-experimental design, with control and intervention groups, and pre and post-tests conducted at the multiple sclerosis in-patient clinic at one Egyptian hospital between May 2019 and January 2020. Sixty adult female patients with MS were recruited, with 30 patients in the control group and 30 in the intervention group. The intervention group received Effleurage massage therapy intervention three times a week for two weeks, and each session lasted about 20 min. Patients in the control group received routine hospital care. Data were collected using the patient's demographic and medical data sheet, Insomnia Severity Index<span>, Modified Fatigue Impact Scale<span>, Numeric Pain Rating Scale, and </span></span></span>Beck Anxiety Inventory before and after the intervention.</p></div><div><h3>Results</h3><p>Significant improvement was observed in pain, sleep, fatigue, and anxiety in the massage group (<em>P</em> < 0.001).</p></div><div><h3>Conclusion</h3><p>Based on the current study, Effleurage massage intervention for MS patients could have possible clinical value for improving sleep disturbance, palliating pain, fatigue, and reducing anxiety. Egyptian nurses can integrate massage therapy into the routine nursing care of patients with MS. Effleurage massage could be an adjunct treatment modality for MS patients; however, more significant studies are needed.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"73 ","pages":"Article 151719"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10308069","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}
Pub Date : 2023-10-01DOI: 10.1016/j.apnr.2023.151733
Çiğdem Aksu, Duygu Ayar, Sebahat Kuşlu
Aim
Determine the correlation of the intrapersonal intelligence levels of nurses with their emotional contagion and caring behaviours.
Background
Intrapersonal intelligence is an introverted concept that includes the capacity to understand and reflect one's self. A high level of intrapersonal intelligence contributes morally to the world and promotes success in professions with a heavy moral dimension. It is stated that emotional contagion, which is defined as the transfer of emotions and moods from one person to another, can occur in groups of two or more people. Within this context, nurses who are affected by emotional contagion may be more likely to withdraw from or desensitise to the people who cause this effect. Both situations may lead to the disruption of essential and non-deferrable care and formation of negative effects on nurses' caring behaviours.
Methods
The sample of this descriptive study consisted of 257 nurses working in the Gaziantep province. A “Personal Information Form”, the “Multiple Intelligence Inventory”, the “Emotional Contagion Scale” and “Caring Behaviours Inventory” were used as data collection tools in the study.
Results
It was found that the mean scores of the nurses were 39.76 ± 5.02 for Intrapersonal Intelligence, 50.09 ± 8.32 for Emotional Contagion, and 5.06 ± 0.75 for Caring Behaviours.
Conclusions
It was determined that the intrapersonal intelligence levels, emotional contagion and caring behaviour levels of the nurses were above average. As the intrapersonal intelligence levels of the participants increased, so did their emotional contagion and caring behaviours.
{"title":"The correlation of intrapersonal intelligence levels of nurses with their emotional contagion and caring behaviours","authors":"Çiğdem Aksu, Duygu Ayar, Sebahat Kuşlu","doi":"10.1016/j.apnr.2023.151733","DOIUrl":"10.1016/j.apnr.2023.151733","url":null,"abstract":"<div><h3>Aim</h3><p>Determine the correlation of the intrapersonal intelligence levels of nurses with their emotional contagion and caring behaviours.</p></div><div><h3>Background</h3><p>Intrapersonal intelligence is an introverted concept that includes the capacity to understand and reflect one's self. A high level of intrapersonal intelligence contributes morally to the world and promotes success in professions with a heavy moral dimension. It is stated that emotional contagion, which is defined as the transfer of emotions and moods from one person to another, can occur in groups of two or more people. Within this context, nurses who are affected by emotional contagion may be more likely to withdraw from or desensitise to the people who cause this effect. Both situations may lead to the disruption of essential and non-deferrable care and formation of negative effects on nurses' caring behaviours.</p></div><div><h3>Methods</h3><p>The sample of this descriptive study consisted of 257 nurses working in the Gaziantep province. A “Personal Information Form”, the “Multiple Intelligence Inventory”, the “Emotional Contagion Scale” and “Caring Behaviours Inventory” were used as data collection tools in the study.</p></div><div><h3>Results</h3><p>It was found that the mean scores of the nurses were 39.76 ± 5.02 for Intrapersonal Intelligence, 50.09 ± 8.32 for Emotional Contagion, and 5.06 ± 0.75 for Caring Behaviours.</p></div><div><h3>Conclusions</h3><p>It was determined that the intrapersonal intelligence levels, emotional contagion and caring behaviour levels of the nurses were above average. As the intrapersonal intelligence levels of the participants increased, so did their emotional contagion and caring behaviours.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"73 ","pages":"Article 151733"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10313365","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}