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Interprofessional relationships and their impact on resident hospitalizations in nursing homes: A qualitative study 专业间关系及其对疗养院住院医师的影响:一项质性研究
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-27 DOI: 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.

目的本研究的目的是探讨护士和提供者(如医生、医疗主任、研究员和执业护士)在减少疗养院(NH)居民的可预防住院方面的经验和观点,涉及专业间关系和住院决策过程。背景:可预防的NH居民住院仍然是一个紧迫的公共卫生问题。研究表明,改善专业间关系可能有助于减少住院,但对不同NH工作人员之间的沟通过程和互动的研究仍然有限。方法定性描述性研究。两个焦点小组举行了14名护士和13个深入的,定性访谈进行了提供者从两个芝加哥国家医疗服务体系。对焦点小组会议和访谈进行转录、编码,并基于定性描述方法对共同主题进行分析。结果:所有研究参与者都同意,医疗服务提供者对住院决定负有最终责任。然而,护士认为他们可以影响这些决定,这取决于提供者的特点,信任和住院条件。护士和提供者体验和传达情绪的方式不同,影响住院决定的关键因素也不同,如结构或环境因素(例如,设施缺乏人员和设备,国家卫生院与医院之间沟通不良)和人际因素(例如,有效的护士或提供者的特征以及他们之间的有效互动)。结论人际关系因素,包括感知能力、尊重和信任,可能影响NH住院决定,并有针对性地减少居民的可预防住院。
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引用次数: 0
Demystifying the experience of participating in a root cause analysis: A hermeneutic phenomenological study 揭开参与根本原因分析经验的神秘面纱:解释学现象学研究
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-26 DOI: 10.1016/j.apnr.2023.151746
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

Aim

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.

目的本研究旨在探讨注册护士因参与不良事件而参加根本原因分析(RCA)会议的经验。RCA是组织在不良事件调查中最常用的策略。直接参与不良事件的护理保健专业人员可能会被要求参加RCA。然而,在文献中没有发现关于他们经历的研究。方法对13名参加RCA的注册护士进行半结构化录音访谈。利科的解释学现象学指导了数据分析。结果两种结构元素代表护士的世界:1)了解RCA和2)在RCA表的另一边。三个现象学主题出现了:1)预期的和具体化的恐惧,2)说或不说,3)后果。结论护士希望通过RCA教育获得护士领导的理解和支持。医疗保健组织必须创造一个安全和协作的环境,使护士能够在RCA过程中畅所欲言,并发出自己的声音。对护理领导的启示护士希望参加RCA会议。然而,领导者必须通过教育和培训为护士揭开RCA过程的神秘面纱。
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引用次数: 0
Application of “Partnership Care Model” in chronically ill adults and children: A systematic review and dose-response meta-analysis of randomized controlled trials “伙伴关系护理模式”在成人和儿童慢性病中的应用:随机对照试验的系统综述和剂量反应荟萃分析
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-04 DOI: 10.1016/j.apnr.2023.151744
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

Background

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。
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引用次数: 1
Unintended consequences of the electronic health record and cognitive load in emergency department nurses 急诊科护士电子健康记录和认知负荷的意外后果。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 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.

目的:本研究旨在探讨急诊科护士电子健康记录的意外后果与认知负荷之间的关系。方法:采用相关定量设计和调查方法进行研究。这项研究对304名国家急诊护理组织成员的急诊护士参与者的应答率为30.4%。数据分析包括两种仪器的描述性和相关性测量。结果:在本研究中,ED护士的CL和UC-EHR之间存在统计学意义上的弱负相关,rs(264)=-0.154,p 0.002。尽管在这项研究中发现了显著的弱相关性,但研究变量、分量表和人口统计数据分组呈现出中等到强烈的正相关,具有统计学意义。描述性频率数据揭示了EHR刺激的患者安全威胁,每周至每月发生一次。结论:本研究的新颖性为护理实践、政策和护理科学的未来提供了深刻的启示。建议对EHR进行优化,以最大限度地降低患者安全风险,并纳入本研究确定的亚组的最终用户。研究人员建议在护理实践中减轻EHR负担。
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引用次数: 0
A mixed-methods exploration of nurse loneliness and burnout during COVID-19 新冠肺炎期间护士孤独和倦怠的混合方法探索。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 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.

目的:本研究调查护士孤独感作为职业倦怠的潜在因素。背景:护士的健康对于安全高效的医疗服务至关重要。然而,有证据表明护士的健康正处于危险之中。倦怠是衡量次优幸福感的最常见症状,其水平正在上升,这可能与一种基本上未被探索的现象有关:孤独。方法:采用混合方法调查美国中西部和东南部四家不同医院的直接护理护士的倦怠和孤独感。测量倦怠和孤独感,估计患病率,并检查相关性。使用解释性描述性调查和分析,对倦怠背景下的护士孤独感有了更丰富的理解。虽然这项研究没有明确探讨全球大流行的影响,但数据是在2021年末和2022年初德尔塔变异毒株浪潮期间收集的。结果:在研究人群(n=117)中,倦怠率很高,并且与孤独呈正相关。定性访谈(n=11)显示,护士感到被忽视,在情感上与工作脱节,没有人性。然而,与同龄人的社会联系是有保护作用的,护士们仍然表现出对职业的强烈奉献感和与同龄人的团结。结论:本研究深入了解了护士的孤独感,强调了社会联系对改善护士幸福感的重要性。
{"title":"A mixed-methods exploration of nurse loneliness and burnout during COVID-19","authors":"Rachel E. Wood PhD, RN, NPD-BC ,&nbsp;Michael Bleich PhD, RN, FAAN ,&nbsp;Jane Chung PhD, RN ,&nbsp;R.K. Elswick Jr PhD, NREMT-B ,&nbsp;Elizabeth Nease DNP, RN, NE-BC ,&nbsp;Lana Sargent PhD, FNP-C, GNP-BC ,&nbsp;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}
引用次数: 0
Translation and validation of the Italian version of the incivility in nursing education-revised scale 翻译和验证意大利语版《护理教育不文明行为修订量表》。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 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.

背景:护理教育中的不文明现象在世界范围内普遍存在,影响着所有参与者和师生关系。修订后的《护理教育中的不文明行为》(INE-R)是衡量学术不文明行为的有效且可靠的工具,但它在意大利语中不可用。该研究的目的是用意大利样本翻译和验证INE-R工具。方法:将INE-R从英语翻译成意大利语,对其内容和语言清晰度进行文化改编和试点。该问卷在网上向罗马萨皮恩扎大学的护理学院(NF)和护理学生(NS)发放,以评估不文明行为及其发生频率。对意大利版本的心理测量特性进行了调查。结果:79名意大利人参加了此次活动,其中63.3%为NS。四因子模型为NF和NS量表提供了最佳拟合。模型解释了78.2%(NF)和73.2%(NS)的量表方差。两个模型的近似均方根误差均为0.07,表明拟合可接受。所有48个NF和NS不文明项目的INE-R可靠性分别为0.962和0.954。建议衡量不文明程度并制定行为准则。结论:护理教育中的不文明行为会对教学环境产生负面影响,并可能导致相关人员的情绪或身体困扰。对不文明行为的零容忍政策、常规评估以及提高学生和教职员工的意识可以提高学术环境的质量。意大利INE-R是一种有效可靠的工具,可用于评估意大利护理项目中的不文明行为。
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引用次数: 0
The development and evaluation of a self-efficacy enhancement program for older adults with mild cognitive impairment 为患有轻度认知障碍的老年人制定和评估自我效能增强计划。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 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

目的:本研究旨在制定自我效能增强计划,并评估其对患有轻度认知障碍(MCI)的老年人(年龄≥65岁)的认知功能、痴呆知识、自我效能、抑郁和痴呆预防行为的影响,韩国。患有MCI的老年人被随机分配到实验组(EG,n=16)或对照组(CG,n=6)。EG采用自我效能增强策略进行了为期8周的干预(每周60分钟);CG接受常规护理。干预措施包括身体、认知和情绪活动,随后进行为期4周的维护,在此期间,两组都在家里学习痴呆症预防指南。在预测试时以及8、10和12周后对结果数据进行评估。本研究遵循CONSORT指南。结果:随着时间的推移,两组在认知功能、痴呆知识、自我效能感和痴呆预防行为方面存在显著差异,但在抑郁方面没有显著差异。关于认知功能亚域,在视觉空间/执行、注意力、语言和延迟回忆方面观察到显著差异。结论:由身体、认知和情绪活动组成的综合干预在改善认知功能、痴呆知识、自我效能和痴呆预防行为方面是有效的。这表明,该计划可以作为一项教育计划,在痴呆症支持中心、公共卫生中心、诊所和医院预防MCI老年人的痴呆症。试验注册:KCT0006094在临床研究信息服务。回顾登记于2021年4月23日,https://cris.nih.go.kr/cris/search/listDetail.do.
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引用次数: 0
Experiences of relatives of patients with delirium due to an acute health event - A systematic review of qualitative studies 急性健康事件所致谵妄患者亲属的经历——定性研究的系统综述。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 10.1016/j.apnr.2023.151722
Gesa Meyer , Melanie Mauch , Yvonne Seeger , Marion Burckhardt

Objective

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.

目的:评估亲属因亲人的急性健康事件而出现谵妄的经历,并根据这些综合结果为卫生保健专业人员编制实用建议。背景:急性健康事件引起的谵妄增加了患者长期住院和死亡的风险。谵妄发作也会影响到可能有助于诊断和康复的家庭成员。纳入标准:如果有适当的逐字证据,则纳入对在临床环境中目睹患者谵妄的家庭成员或其他护理人员的定性研究。排除了专门针对痴呆症、癌症、姑息治疗或药物依赖性情况下的谵妄的研究,如果不能将引用明确分配给亲属。方法:采用乔安娜·布里格斯研究所的元聚合方法对定性研究进行系统综述。2022年9月,在CINAHL complete®、MEDLINE®和几个论文数据库中进行了系统的文献检索。结果:包括八项基于半结构化访谈的定性研究。共有来自105名亲属的75项研究结果被汇总为13类。最后,三项综合研究结果为卫生保健专业人员提供了建议:充分提供信息,在卫生保健过程中进行沟通和整合,以及理解亲属对谵妄体验的看法。结论:卫生保健专业人员应考虑亲属的负担和需求,以增强他们的谵妄体验,从而通过让亲属更好地理解来改善患者护理。
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引用次数: 0
Effect of effleurage massage therapy on sleep disturbance, fatigue, pain, and anxiety in patients with multiple sclerosis: A quasi-experimental study 嗅觉按摩疗法对多发性硬化症患者睡眠障碍、疲劳、疼痛和焦虑的影响:一项准实验研究。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 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.

背景:疲劳、疼痛、睡眠障碍和焦虑是多发性硬化症(MS)的常见症状,也是MS患者经常抱怨的症状,降低了他们的生活质量。许多研究表明,按摩疗法可以改善多发性硬化症患者的症状。然而,埃及尚未研究埃夫勒按摩对多发性硬化症患者睡眠障碍、疲劳、疼痛和焦虑的影响,以及2019年5月至2020年1月在埃及一家医院的多发性硬化症住院诊所进行的前后测试。招募了60名MS成年女性患者,其中30名患者在对照组,30名在干预组。干预组每周3次,连续2周,每次约20min。对照组患者接受常规医院护理。在干预前后,使用患者的人口统计学和医学数据表、失眠严重程度指数、改良疲劳影响量表、数字疼痛评定量表和贝克焦虑量表收集数据。结果:患者在疼痛、睡眠、疲劳等方面均有明显改善,结论:根据目前的研究,对多发性硬化症患者进行胸腔按摩干预,对改善睡眠障碍、缓解疼痛、疲劳、减轻焦虑具有可能的临床价值。胸腔按摩可能是MS患者的一种辅助治疗方式;然而,还需要进行更重要的研究。
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引用次数: 0
The correlation of intrapersonal intelligence levels of nurses with their emotional contagion and caring behaviours 护士的人际智能水平与其情感传染和护理行为的相关性。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2023-10-01 DOI: 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.

目的:确定护士的个人智能水平与其情绪传染和护理行为的相关性。背景:人内智力是一个内向的概念,包括理解和反映自我的能力。高水平的个人智慧在道德上有助于世界,并促进在道德层面很重的职业中取得成功。有人指出,情绪传染是指情绪和情绪从一个人转移到另一个人,可以发生在两人或两人以上的群体中。在这种情况下,受情绪传染影响的护士可能更容易退出或对造成这种影响的人不敏感。这两种情况都可能导致基本和不可延迟的护理中断,并对护士的护理行为产生负面影响。方法:本描述性研究的样本包括在加济安泰普省工作的257名护士。本研究采用“个人信息表”、“多元智力量表”、《情感传染量表》和“关爱行为量表”作为数据收集工具。结果:护士的个人内智力平均得分为39.76±5.02,情感传染平均得分为50.09±8.32,关爱行为平均得分为5.06±0.75。随着参与者的内在智力水平的提高,他们的情绪传染和关爱行为也在增加。
{"title":"The correlation of intrapersonal intelligence levels of nurses with their emotional contagion and caring behaviours","authors":"Çiğdem Aksu,&nbsp;Duygu Ayar,&nbsp;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}
引用次数: 0
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Applied Nursing Research
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