Pub Date : 2025-03-13DOI: 10.1016/j.apnr.2025.151940
Xiaoyan Qi , Qian Zhao , Wenru Wang
Background
Social support is crucial for reducing nurses' somatic symptoms and insomnia, which are linked to stress perception. Understanding these relationships can help explain somatic symptom mechanisms in nursing staff.
Methods
We studied 293 front-line nurses using scales for perceived stress, social support, insomnia severity, and somatic symptoms. We analyzed the data with Pearson correlations and SPSS mediation model.
Results
Greater perceived social support was associated with fewer somatic symptoms, lower insomnia severity, and less perceived stress. Insomnia severity was linked to stress perception and somatic symptoms. Stress perception also correlated with somatic symptoms. Social support indirectly predicted somatic symptoms through insomnia severity and stress perception, explaining 6.62% of the total effect.
Conclusion
Social support indirectly affects somatic symptoms in nurses, with insomnia severity and stress perception playing a mediating role. This finding highlights the importance of addressing these factors to reduce somatic symptoms in nursing staff.
{"title":"Severity of insomnia and stress perception as a chained mediator between perceived social support and somatic symptoms in Chinese's nurses","authors":"Xiaoyan Qi , Qian Zhao , Wenru Wang","doi":"10.1016/j.apnr.2025.151940","DOIUrl":"10.1016/j.apnr.2025.151940","url":null,"abstract":"<div><h3>Background</h3><div>Social support is crucial for reducing nurses' somatic symptoms and insomnia, which are linked to stress perception. Understanding these relationships can help explain somatic symptom mechanisms in nursing staff.</div></div><div><h3>Methods</h3><div>We studied 293 front-line nurses using scales for perceived stress, social support, insomnia severity, and somatic symptoms. We analyzed the data with Pearson correlations and SPSS mediation model.</div></div><div><h3>Results</h3><div>Greater perceived social support was associated with fewer somatic symptoms, lower insomnia severity, and less perceived stress. Insomnia severity was linked to stress perception and somatic symptoms. Stress perception also correlated with somatic symptoms. Social support indirectly predicted somatic symptoms through insomnia severity and stress perception, explaining 6.62% of the total effect.</div></div><div><h3>Conclusion</h3><div>Social support indirectly affects somatic symptoms in nurses, with insomnia severity and stress perception playing a mediating role. This finding highlights the importance of addressing these factors to reduce somatic symptoms in nursing staff.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151940"},"PeriodicalIF":2.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632157","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 : 2025-03-11DOI: 10.1016/j.apnr.2025.151943
Chia-Jou Lin RN , Yun-Hsuan Lai RN, MSN , Donna Marie Fick RN, PhD , Chia-Chi Hsiao RN , Yi-Chen Chen RN , Sheng-Wen Huang MD , Hsiao-Yean Chiu RN, PhD
Aim
To translate and validate the confusion assessment method into traditional Chinese (CAM-TC) and explore the incidence of delirium following traumatic brain injury (TBI) in the ward setting.
Background
The CAM is a widely recognized tool for screening delirium, but it has not been translated into Traditional Chinese version, and it has seldom been used to assess delirium in TBI survivors in general wards.
Methods
Patients aged 20 years or older, diagnosed with TBI, and with a Glasgow Coma Scale (GCS) score of 9 or higher at admission were included. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria were employed as the gold standard. Cohen's kappa was used to calculate inter-rater reliability.
Results
Our study enrolled 100 patients with a mean age of 68.5 years and mild TBI. Post-TBI delirium was diagnosed in 10 % of the sample using DSM-5-TR criteria. A subset of 10 patients was selected for inter-rater reliability analysis, and a kappa value of 1.0 was obtained. The sensitivity, specificity, and area under the receiver operating characteristic curve values were 0.90, 0.98, and 0.94, respectively.
Conclusions
The CAM-TC is a reliable tool for screening delirium following TBI in the ward setting. Our findings provide new insights into post-TBI delirium in this environment. Implementing an applicable delirium screening tool for post-TBI patients could facilitate further research on prevention and intervention strategies.
{"title":"Delirium in older adults following traumatic brain injury during the acute stage: Validation of the Chinese version of the confusion assessment method","authors":"Chia-Jou Lin RN , Yun-Hsuan Lai RN, MSN , Donna Marie Fick RN, PhD , Chia-Chi Hsiao RN , Yi-Chen Chen RN , Sheng-Wen Huang MD , Hsiao-Yean Chiu RN, PhD","doi":"10.1016/j.apnr.2025.151943","DOIUrl":"10.1016/j.apnr.2025.151943","url":null,"abstract":"<div><h3>Aim</h3><div>To translate and validate the confusion assessment method into traditional Chinese (CAM-TC) and explore the incidence of delirium following traumatic brain injury (TBI) in the ward setting.</div></div><div><h3>Background</h3><div>The CAM is a widely recognized tool for screening delirium, but it has not been translated into Traditional Chinese version, and it has seldom been used to assess delirium in TBI survivors in general wards.</div></div><div><h3>Methods</h3><div>Patients aged 20 years or older, diagnosed with TBI, and with a Glasgow Coma Scale (GCS) score of 9 or higher at admission were included. The <em>Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision</em> (<em>DSM-5-TR</em>) criteria were employed as the gold standard. Cohen's kappa was used to calculate inter-rater reliability.</div></div><div><h3>Results</h3><div>Our study enrolled 100 patients with a mean age of 68.5 years and mild TBI. Post-TBI delirium was diagnosed in 10 % of the sample using <em>DSM-5-TR</em> criteria. A subset of 10 patients was selected for inter-rater reliability analysis, and a kappa value of 1.0 was obtained. The sensitivity, specificity, and area under the receiver operating characteristic curve values were 0.90, 0.98, and 0.94, respectively.</div></div><div><h3>Conclusions</h3><div>The CAM-TC is a reliable tool for screening delirium following TBI in the ward setting. Our findings provide new insights into post-TBI delirium in this environment. Implementing an applicable delirium screening tool for post-TBI patients could facilitate further research on prevention and intervention strategies.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151943"},"PeriodicalIF":2.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628795","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 : 2025-03-01DOI: 10.1016/j.apnr.2025.151933
Canan Bozkurt , Hülya Bulut
Aim
This study examines the association between mental health symptoms (depression, anxiety, and stress) and quality of life (QoL) in lung cancer patients, stratified by the presence or absence of chronic obstructive pulmonary disease (COPD). It also identified predictors of physical and mental QoL.
Background
Lung cancer and COPD frequently coexist due to shared risk factors, such as smoking, which compounds physical and psychological burdens. Despite this, limited research has explored how this comorbidity affects mental health and QoL.
Methods
This cross-sectional study included 456 hospitalized lung cancer patients, of whom 235 had COPD. Depression, anxiety, and stress were assessed using the DASS-21, while QoL was measured using the SF-12. Multiple regression analyses were conducted to identify predictors of QoL.
Results
Patients with COPD reported significantly higher levels of depression, anxiety, and stress (p < .05). Stress was a significant negative predictor of physical QoL (adjusted R2: 0.103, p < .001), while COPD and anxiety significantly negatively predicted mental QoL (adjusted R2: 0.128, p < .001).
Conclusions
COPD exacerbates psychological distress and worsens QoL in lung cancer patients. Stress and anxiety significantly impair physical and mental QoL, underscoring the need for integrated care.
Implications for practice
Holistic care approaches that address stress and anxiety, promote smoking cessation, and provide personalized treatments are essential for improving QoL and outcomes in this vulnerable population.
目的本研究探讨肺癌患者心理健康症状（抑郁、焦虑和压力）与生活质量（QoL）之间的关系，并根据是否存在慢性阻塞性肺疾病（COPD）进行分层。它还确定了身体和精神生活质量的预测因素。肺癌和慢性阻塞性肺病经常共存，这是由于共同的危险因素，如吸烟，这加重了身体和心理负担。尽管如此，有限的研究探讨了这种合并症如何影响心理健康和生活质量。方法本横断面研究纳入456例住院肺癌患者，其中235例患有COPD。抑郁、焦虑和压力用DASS-21进行评估，生活质量用SF-12进行测量。采用多元回归分析确定生活质量的预测因素。结果COPD患者报告的抑郁、焦虑和压力水平显著升高(p <；. 05)。应激是生理生活质量的显著负向预测因子(调整R2: 0.103, p <；.001)，而COPD和焦虑显著负向预测精神生活质量(调整R2: 0.128, p <；措施)。结论copd加重了肺癌患者的心理困扰，加重了患者的生活质量。压力和焦虑显著损害身体和精神生活质量，强调需要综合护理。对实践的启示解决压力和焦虑、促进戒烟和提供个性化治疗的整体护理方法对于改善弱势群体的生活质量和结果至关重要。
{"title":"The association of depression, anxiety, stress, and quality of life with the presence or absence of chronic obstructive pulmonary disease in lung cancer patients","authors":"Canan Bozkurt , Hülya Bulut","doi":"10.1016/j.apnr.2025.151933","DOIUrl":"10.1016/j.apnr.2025.151933","url":null,"abstract":"<div><h3>Aim</h3><div>This study examines the association between mental health symptoms (depression, anxiety, and stress) and quality of life (QoL) in lung cancer patients, stratified by the presence or absence of chronic obstructive pulmonary disease (COPD). It also identified predictors of physical and mental QoL.</div></div><div><h3>Background</h3><div>Lung cancer and COPD frequently coexist due to shared risk factors, such as smoking, which compounds physical and psychological burdens. Despite this, limited research has explored how this comorbidity affects mental health and QoL.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 456 hospitalized lung cancer patients, of whom 235 had COPD. Depression, anxiety, and stress were assessed using the DASS-21, while QoL was measured using the SF-12. Multiple regression analyses were conducted to identify predictors of QoL.</div></div><div><h3>Results</h3><div>Patients with COPD reported significantly higher levels of depression, anxiety, and stress (p < .05). Stress was a significant negative predictor of physical QoL (adjusted R<sup>2</sup>: 0.103, p < .001), while COPD and anxiety significantly negatively predicted mental QoL (adjusted R<sup>2</sup>: 0.128, p < .001).</div></div><div><h3>Conclusions</h3><div>COPD exacerbates psychological distress and worsens QoL in lung cancer patients. Stress and anxiety significantly impair physical and mental QoL, underscoring the need for integrated care.</div></div><div><h3>Implications for practice</h3><div>Holistic care approaches that address stress and anxiety, promote smoking cessation, and provide personalized treatments are essential for improving QoL and outcomes in this vulnerable population.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151933"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579123","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}
Adults receiving haemodialysis experience several physical and psychological problems. Recently, spiritual interventions have been commonly performed for haemodialysis, but evidence of their effectiveness is lacking.
Aim
To synthesize the effects of spiritual interventions on physical and psychological problems in haemodialysis.
Methods
The study protocol was registered with PROSPERO. We searched 11 electronic databases from inception to August 2024. Participants included: 1) adults 18 years and older receiving haemodialysis for at least three months; 2) studies implementing spiritual interventions; 3) studies evaluating spiritual interventions' effects on physical and psychological outcomes. Data synthesis was undertaken using Comprehensive Meta-analysis version 3. Random-effects meta-analysis was conducted to pool effects of interventions. The Grading of Recommendations, Assessment, Development, and Evaluations assessed evidence certainty.
Results
Twelve trials with 869 participants were included. Only one trial assessed physical outcomes, so they weren't included in the meta-analysis. For psychological outcomes, this intervention was not effective for anxiety and depression symptoms, with low-quality evidence. This intervention showed a medium positive effect on improving hope, with high-quality evidence. Subgroup analysis demonstrated that spiritual intervention, with or without prayer, was effective, and there was no difference between these variables in improving hope. Additionally, eight spiritual intervention sessions were more effective than fewer than eight sessions in improving hope for haemodialysis population.
Conclusions
This meta-analysis shows that spiritual interventions moderately improve hope with high-quality evidence but do not affect anxiety and depression symptoms in haemodialysis. Nurses and health professionals can use these interventions to enhance hope as evidence-based practice in haemodialysis.
{"title":"Spiritual interventions on physical and psychological outcomes in adults receiving haemodialysis: A systematic review and meta-analysis of randomized controlled studies","authors":"Şefika Tuğba Yangöz , Selma Turan Kavradim , Zeynep Özer","doi":"10.1016/j.apnr.2025.151918","DOIUrl":"10.1016/j.apnr.2025.151918","url":null,"abstract":"<div><h3>Background</h3><div>Adults receiving haemodialysis experience several physical and psychological problems. Recently, spiritual interventions have been commonly performed for haemodialysis, but evidence of their effectiveness is lacking.</div></div><div><h3>Aim</h3><div>To synthesize the effects of spiritual interventions on physical and psychological problems in haemodialysis.</div></div><div><h3>Methods</h3><div>The study protocol was registered with PROSPERO. We searched 11 electronic databases from inception to August 2024. Participants included: 1) adults 18 years and older receiving haemodialysis for at least three months; 2) studies implementing spiritual interventions; 3) studies evaluating spiritual interventions' effects on physical and psychological outcomes. Data synthesis was undertaken using Comprehensive Meta-analysis version 3. Random-effects meta-analysis was conducted to pool effects of interventions. The Grading of Recommendations, Assessment, Development, and Evaluations assessed evidence certainty.</div></div><div><h3>Results</h3><div>Twelve trials with 869 participants were included. Only one trial assessed physical outcomes, so they weren't included in the meta-analysis. For psychological outcomes, this intervention was not effective for anxiety and depression symptoms, with low-quality evidence. This intervention showed a medium positive effect on improving hope, with high-quality evidence. Subgroup analysis demonstrated that spiritual intervention, with or without prayer, was effective, and there was no difference between these variables in improving hope. Additionally, eight spiritual intervention sessions were more effective than fewer than eight sessions in improving hope for haemodialysis population.</div></div><div><h3>Conclusions</h3><div>This meta-analysis shows that spiritual interventions moderately improve hope with high-quality evidence but do not affect anxiety and depression symptoms in haemodialysis. Nurses and health professionals can use these interventions to enhance hope as evidence-based practice in haemodialysis.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151918"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681689","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 : 2025-02-27DOI: 10.1016/j.apnr.2025.151928
Allison R. Jones , Rebekah D. Day , Penni I. Watts
Aim
To evaluate and compare pre- and post-STB training outcomes of bleeding control knowledge, willingness to act and confidence in doing so.
Background
Stop the Bleed® (STB) training improves trainees' willingness to intervene in pre-hospital bleeding emergencies and confidence in doing so, but few studies report associated knowledge-based outcomes.
Methods
A cross-sectional, observational study was performed using a pre-/post-test approach. Lay community members aged ≥18 who read and spoke English were included. On enrollment, participants completed the Stop the Bleed Training Survey (STB-TS) (five self-assessment and three knowledge-based items), and provided demographics and work history data; the STB-TS was completed again immediately after training. Descriptive statistics were used to characterize the sample. Paired t-tests were used to compare STB-TS self-assessment items. McNemar's Test was used to compare proportions of correct answers to STB-TS knowledge-based items.
Results
Trainees (N = 31) had a mean age of 33 ± 16 years, identified as mostly female (58.1 %) and people of color (54.8 %), and reported little experience with bleeding control emergencies. Total STB-TS scores increased from 14.4 ± 6.7 to 17.0 ± 10.8 (p = .26), indicating greater knowledge, confidence, and willingness to act. Correct response rates increased significantly from pre- to post-training (27.6 % vs 69.2 %, p = .003) on only one of the knowledge-based items: proper tourniquet application.
Discussion
Findings suggest a disconnect among trainees' willingness to act and confidence in doing so compared to their knowledge of bleeding control intervention. Incorporating use of high-fidelity simulation and standardized evaluation instruments may enhance content and skill mastery.
目的评价和比较性病患者出血控制知识、行动意愿和信心培训前后的效果。stop the Bleed®（STB）培训提高了受训者对院前出血紧急情况进行干预的意愿和信心，但很少有研究报告相关的基于知识的结果。方法采用前/后测试方法进行横断面观察性研究。年龄≥18岁、能阅读和说英语的外行社区成员被纳入研究对象。在入组时，参与者完成了停止流血培训调查（STB-TS）（5项自我评估和3项基于知识的项目），并提供了人口统计和工作经历数据；STB-TS在训练后立即再次完成。使用描述性统计来描述样本的特征。采用配对t检验比较STB-TS自评项目。McNemar's Test用于比较STB-TS知识题的正确答案比例。结果31例患者平均年龄（33±16岁），以女性（58.1%）和有色人种（54.8%）为主。STB-TS总分从14.4±6.7分上升到17.0±10.8分（p = 0.26），表明患者的知识、信心和行动意愿增强。正确反应率从培训前到培训后显著增加（27.6% vs 69.2%, p = 0.003），只有一个基于知识的项目：正确使用止血带。研究结果表明，与他们对出血控制干预的了解相比，受训者采取行动的意愿和信心存在脱节。结合使用高保真仿真和标准化评估工具可以提高内容和技能掌握。
{"title":"Does confidence mirror competence? Outcomes following Stop the Bleed® training among lay community members","authors":"Allison R. Jones , Rebekah D. Day , Penni I. Watts","doi":"10.1016/j.apnr.2025.151928","DOIUrl":"10.1016/j.apnr.2025.151928","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate and compare pre- and post-STB training outcomes of bleeding control knowledge, willingness to act and confidence in doing so.</div></div><div><h3>Background</h3><div>Stop the Bleed® (STB) training improves trainees' willingness to intervene in pre-hospital bleeding emergencies and confidence in doing so, but few studies report associated knowledge-based outcomes.</div></div><div><h3>Methods</h3><div>A cross-sectional, observational study was performed using a pre-/post-test approach. Lay community members aged ≥18 who read and spoke English were included. On enrollment, participants completed the Stop the Bleed Training Survey (STB-TS) (five self-assessment and three knowledge-based items), and provided demographics and work history data; the STB-TS was completed again immediately after training. Descriptive statistics were used to characterize the sample. Paired <em>t</em>-tests were used to compare STB-TS self-assessment items. McNemar's Test was used to compare proportions of correct answers to STB-TS knowledge-based items.</div></div><div><h3>Results</h3><div>Trainees (<em>N</em> = 31) had a mean age of 33 ± 16 years, identified as mostly female (58.1 %) and people of color (54.8 %), and reported little experience with bleeding control emergencies. Total STB-TS scores increased from 14.4 ± 6.7 to 17.0 ± 10.8 (<em>p</em> = .26), indicating greater knowledge, confidence, and willingness to act. Correct response rates increased significantly from pre- to post-training (27.6 % vs 69.2 %, <em>p</em> = .003) on only one of the knowledge-based items: proper tourniquet application.</div></div><div><h3>Discussion</h3><div>Findings suggest a disconnect among trainees' willingness to act and confidence in doing so compared to their knowledge of bleeding control intervention. Incorporating use of high-fidelity simulation and standardized evaluation instruments may enhance content and skill mastery.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151928"},"PeriodicalIF":2.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520592","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 : 2025-02-22DOI: 10.1016/j.apnr.2025.151932
Lating Zhang , Xianzhen Jin , Na Cheng , Ruhua Wang , Xinhui Liang , Haiyan Fan , Xue Jiang
Background
ICU nurses frequently confront lengthy working hours, elevated job intensity, heavy medical responsibilities, round-the-clock shifts, and a comparatively closed working environment. The high-risk, high-intensity, high-stress nature of the profession may prompt nurses to consider resignation, culminating in a significant shortage of nursing staff, adversely affecting the health and well-being of nurses. Necessitating a comprehensive investigation into the factors influencing their subjective well-being and the interrelations among these factors, thereby establishing a theoretical foundation for a more focused intervention program aimed at enhancing the subjective well-being of nurses.
Methods
This study employed a cross-sectional design in accordance with STROBE criteria. Two hundred forty-seven ICU nurses from four tertiary general hospitals were intentionally chosen to take an online survey. Metrics encompassed self-efficacy, work-family balance, and subjective well-being.
Results
The findings demonstrated that self-efficacy strongly influenced nurses' work-family balance and subjective well-being. The work-family balance served as a mediating factor in the association between self-efficacy and subjective well-being. Mediation analysis indicated a substantial overall influence of self-efficacy on subjective well-being (β = 0.758, p < 0.01). In addition, self-efficacy had a direct effect on subjective well-being (β = 0.575, p < 0. 01), on work-family balance (β = 0.458, p < 0. 01), and work-family balance had a direct effect on subjective well-being (β = 0.399, p < 0.01).
Conclusion
This study found that among nurses in ICU have moderate levels of self-efficacy and subjective well-being, which are positively correlated. This suggests that improving the self-efficacy and work-family balance of ICU nurses may help enhance their subjective well-being levels.
icu护士经常面临工作时间长、工作强度高、医疗责任重、24小时轮班和相对封闭的工作环境。这一职业的高风险、高强度、高压力的性质可能促使护士考虑辞职，最终导致护理人员严重短缺，对护士的健康和福祉产生不利影响。有必要对影响护士主观幸福感的因素及各因素之间的相互关系进行全面调查，从而为更有针对性地提高护士主观幸福感的干预方案奠定理论基础。方法采用STROBE标准的横断面设计。选择四所三级综合医院的247名ICU护士进行在线调查。衡量标准包括自我效能、工作与家庭平衡和主观幸福感。结果自我效能感对护士工作家庭平衡和主观幸福感有显著影响。工作家庭平衡在自我效能感与主观幸福感之间起中介作用。中介分析显示，自我效能感对主观幸福感有显著的整体影响(β = 0.758, p <；0.01)。此外，自我效能感对主观幸福感有直接影响(β = 0.575, p <；0. 01)，工作家庭平衡(β = 0.458, p <；0. 01)，工作家庭平衡对主观幸福感有直接影响(β = 0.399, p <；0.01)。结论ICU护士自我效能感与主观幸福感呈中等水平正相关。提示提高ICU护士的自我效能感和工作与家庭的平衡有助于提高其主观幸福感水平。
{"title":"Work-family balance mediates self-efficacy and subjective well-being among nurses in Chinese intensive care units: A cross-sectional study","authors":"Lating Zhang , Xianzhen Jin , Na Cheng , Ruhua Wang , Xinhui Liang , Haiyan Fan , Xue Jiang","doi":"10.1016/j.apnr.2025.151932","DOIUrl":"10.1016/j.apnr.2025.151932","url":null,"abstract":"<div><h3>Background</h3><div>ICU nurses frequently confront lengthy working hours, elevated job intensity, heavy medical responsibilities, round-the-clock shifts, and a comparatively closed working environment. The high-risk, high-intensity, high-stress nature of the profession may prompt nurses to consider resignation, culminating in a significant shortage of nursing staff, adversely affecting the health and well-being of nurses. Necessitating a comprehensive investigation into the factors influencing their subjective well-being and the interrelations among these factors, thereby establishing a theoretical foundation for a more focused intervention program aimed at enhancing the subjective well-being of nurses.</div></div><div><h3>Methods</h3><div>This study employed a cross-sectional design in accordance with STROBE criteria. Two hundred forty-seven ICU nurses from four tertiary general hospitals were intentionally chosen to take an online survey. Metrics encompassed self-efficacy, work-family balance, and subjective well-being.</div></div><div><h3>Results</h3><div>The findings demonstrated that self-efficacy strongly influenced nurses' work-family balance and subjective well-being. The work-family balance served as a mediating factor in the association between self-efficacy and subjective well-being. Mediation analysis indicated a substantial overall influence of self-efficacy on subjective well-being (β = 0.758, p < 0.01). In addition, self-efficacy had a direct effect on subjective well-being (β = 0.575, p < 0. 01), on work-family balance (β = 0.458, p < 0. 01), and work-family balance had a direct effect on subjective well-being (β = 0.399, p < 0.01).</div></div><div><h3>Conclusion</h3><div>This study found that among nurses in ICU have moderate levels of self-efficacy and subjective well-being, which are positively correlated. This suggests that improving the self-efficacy and work-family balance of ICU nurses may help enhance their subjective well-being levels.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151932"},"PeriodicalIF":2.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Self-care is essential for patient with chronic conditions such as heart failure. Self-care facilitates adaptation in patients with a Left Ventricular Assist Device (LVAD), improving their outcomes and preventing complications. Currently, no studies provide an overview of self-care in people with LVADs.
Objective
The present literature review aims to summarize the current scientific evidence relating to self-care behaviors in this population.
Methods
A systematic review with narrative synthesis was conducted. The databases consulted were Medline, Scopus, and CHINAL, and free research was performed on Google Scholar. The review included all the articles whose titles, abstracts, and text were considered relevant to the research purpose. The PRISMA flowchart was used to choose all the appropriate studies, and the final sample was deemed pertinent to the SPIDER methodology. Finally, the studies were subjected to a critical assessment of the methodological quality.
Results
Of the 487 studies initially identified, 15 met the inclusion criteria. This review provides a comprehensive overview of self-care behaviors in LVAD patients across all dimensions of self-care: self-care maintenance, self-care monitoring, self-care management, and self-care Confidence. Findings indicate that self-care positively influences LVAD patients by facilitating adaptation to the device and enhancing quality of life.
Conclusions
Self-care is crucial in LVAD patients, facilitating their adaptation and improving their outcomes. Health education focused on self-care appears particularly relevant in this population, but a more in-depth investigation is needed.
{"title":"Self-care in patients with a Left Ventricular Assist Device (LVAD): A systematic review","authors":"Federica Dellafiore , Luca Guardamagna , Morgana Milani , Lorenzo Casole , Gloria Modena , Orejeta Diamanti , Pierpaolo Servi , Alessia Trenta , Tiziana Nania","doi":"10.1016/j.apnr.2025.151929","DOIUrl":"10.1016/j.apnr.2025.151929","url":null,"abstract":"<div><h3>Background</h3><div>Self-care is essential for patient with chronic conditions such as heart failure. Self-care facilitates adaptation in patients with a Left Ventricular Assist Device (LVAD), improving their outcomes and preventing complications. Currently, no studies provide an overview of self-care in people with LVADs.</div></div><div><h3>Objective</h3><div>The present literature review aims to summarize the current scientific evidence relating to self-care behaviors in this population.</div></div><div><h3>Methods</h3><div>A systematic review with narrative synthesis was conducted. The databases consulted were Medline, Scopus, and CHINAL, and free research was performed on Google Scholar. The review included all the articles whose titles, abstracts, and text were considered relevant to the research purpose. The PRISMA flowchart was used to choose all the appropriate studies, and the final sample was deemed pertinent to the SPIDER methodology. Finally, the studies were subjected to a critical assessment of the methodological quality.</div></div><div><h3>Results</h3><div>Of the 487 studies initially identified, 15 met the inclusion criteria. This review provides a comprehensive overview of self-care behaviors in LVAD patients across all dimensions of self-care: self-care maintenance, self-care monitoring, self-care management, and self-care Confidence. Findings indicate that self-care positively influences LVAD patients by facilitating adaptation to the device and enhancing quality of life.</div></div><div><h3>Conclusions</h3><div>Self-care is crucial in LVAD patients, facilitating their adaptation and improving their outcomes. Health education focused on self-care appears particularly relevant in this population, but a more in-depth investigation is needed.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151929"},"PeriodicalIF":2.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510958","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 : 2025-02-21DOI: 10.1016/j.apnr.2025.151930
Miyase Avcı PhD , Ahmet Avcı PhD
{"title":"Turnover intention, collaboration and competences of intensive care unit nurses: A descriptive correlational study","authors":"Miyase Avcı PhD , Ahmet Avcı PhD","doi":"10.1016/j.apnr.2025.151930","DOIUrl":"10.1016/j.apnr.2025.151930","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151930"},"PeriodicalIF":2.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509141","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 : 2025-02-19DOI: 10.1016/j.apnr.2025.151931
Lu-Yen Anny Chen PhD , Chu-Ying Huang RN, MSc , Yueh-Hsin Wang MD , Po-Chin Yang MD , Hsiao-Ting Chang MD, PhD , Ming-Hwai Lin MD, PhD , Tzu-Ting Huang PhD , Cheng-Pei Lin PhD
Background
Discussing advance care planning (ACP) preferences for nasogastric tube (NG) insertion remains challenging among older adults. Multimedia decision-making aids have demonstrated potential to enhance understanding and support informed decision-making.
Aim
To evaluate the effectiveness of the EATING program (multimedia decision-making aids + traditional educational module) compared to usual care (traditional educational module alone) in improving ACP readiness on NG insertion for community older adults with chronic illness.
Methods
A single blind, two-arm parallel cluster randomized controlled trial was conducted across four community villages in Northern Taiwan. Participants from two villages received the EATING program, while the other two villages received the usual care. Eligible criteria included community older adults aged ≥65 with at least one chronic disease who were able to provide informed consent. Exclusion criteria included hearing or visual impairments or a history of mental illness. Pre- and post-intervention outcomes, along with one-month follow-up data, were analyzed using descriptive statistics and generalized estimating equations.
Results
Both groups showed significant immediate improvements in knowledge (p < 0.001), belief/behavior (p < 0.001), decision confidence (p < 0.001), and readiness for ACP (p < 0.001). The experimental group showed greater improvement, particularly in emotional response and preferences (Z = -5.51, p < 0.001), observed only in this group. Sustained effect on knowledge (B = 35.029, p < 0.001), emotional response and preferences (B = 9.342, p < 0.001), refusal NG tube insertion (Z = -2.770, p = 0.006), and likelihood of signing official documents (p = 0.035) were observed after one month.
Conclusion
The study highlights the potential of multimedia program to enhance NG insertion discussions among community older adults. Further qualitative investigations and cultural adaptation are recommended.
背景：在老年人中讨论鼻胃管（NG）置入的预先护理计划（ACP）偏好仍然具有挑战性。多媒体决策辅助工具已显示出增强理解和支持知情决策的潜力。目的评价进食计划（多媒体决策辅助+传统教育模块）与常规护理（单独的传统教育模块）相比，在提高社区慢性病老年人植入术的ACP准备度方面的有效性。方法在台湾北部4个社区村进行单盲、双臂平行整群随机对照试验。来自两个村庄的参与者接受了饮食计划，而其他两个村庄的参与者接受了常规护理。入选标准包括年龄≥65岁且至少患有一种慢性疾病且能够提供知情同意的社区老年人。排除标准包括听力或视觉障碍或精神病史。使用描述性统计和广义估计方程对干预前后的结果以及一个月的随访数据进行分析。结果两组在知识方面均有显著的即时改善(p <；0.001)，信念/行为(p <；0.001)，决策置信度(p <；0.001)， ACP准备情况(p <；0.001)。实验组表现出更大的改善，特别是在情绪反应和偏好方面(Z = -5.51, p <；0.001)，仅在该组中观察到。对知识的持续影响(B = 35.029, p <；0.001)、情绪反应和偏好(B = 9.342, p <；0.001)、1个月后拒绝插入NG管（Z = -2.770, p = 0.006）、签署官方文件的可能性（p = 0.035）。结论本研究强调了多媒体节目在社区老年人中促进NG插入讨论的潜力。建议进一步进行定性调查和文化适应。
{"title":"Use of multimedia shared decision-making aids (EATING program) for improving advance care planning engagement among community-dwelling older adults with chronic diseases: A cluster randomized controlled trial","authors":"Lu-Yen Anny Chen PhD , Chu-Ying Huang RN, MSc , Yueh-Hsin Wang MD , Po-Chin Yang MD , Hsiao-Ting Chang MD, PhD , Ming-Hwai Lin MD, PhD , Tzu-Ting Huang PhD , Cheng-Pei Lin PhD","doi":"10.1016/j.apnr.2025.151931","DOIUrl":"10.1016/j.apnr.2025.151931","url":null,"abstract":"<div><h3>Background</h3><div>Discussing advance care planning (ACP) preferences for nasogastric tube (NG) insertion remains challenging among older adults. Multimedia decision-making aids have demonstrated potential to enhance understanding and support informed decision-making.</div></div><div><h3>Aim</h3><div>To evaluate the effectiveness of the EATING program (multimedia decision-making aids + traditional educational module) compared to usual care (traditional educational module alone) in improving ACP readiness on NG insertion for community older adults with chronic illness.</div></div><div><h3>Methods</h3><div>A single blind, two-arm parallel cluster randomized controlled trial was conducted across four community villages in Northern Taiwan. Participants from two villages received the EATING program, while the other two villages received the usual care. Eligible criteria included community older adults aged ≥65 with at least one chronic disease who were able to provide informed consent. Exclusion criteria included hearing or visual impairments or a history of mental illness. Pre- and post-intervention outcomes, along with one-month follow-up data, were analyzed using descriptive statistics and generalized estimating equations.</div></div><div><h3>Results</h3><div>Both groups showed significant immediate improvements in knowledge (<em>p</em> < 0.001), belief/behavior (p < 0.001), decision confidence (<em>p</em> < 0.001), and readiness for ACP (p < 0.001). The experimental group showed greater improvement, particularly in emotional response and preferences (Z = -5.51, <em>p</em> < 0.001), observed only in this group. Sustained effect on knowledge (B = 35.029, p < 0.001), emotional response and preferences (B = 9.342, p < 0.001), refusal NG tube insertion (Z = -2.770, <em>p</em> = 0.006), and likelihood of signing official documents (<em>p</em> = 0.035) were observed after one month.</div></div><div><h3>Conclusion</h3><div>The study highlights the potential of multimedia program to enhance NG insertion discussions among community older adults. Further qualitative investigations and cultural adaptation are recommended.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151931"},"PeriodicalIF":2.7,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453243","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 : 2025-02-18DOI: 10.1016/j.apnr.2025.151927
Jisu Park , Eun Kyoung Choi , Mona Choi
Background
This study aimed to develop a machine-learning-based predictive model to identify adolescents at high risk of depression using longitudinal analysis to determine changes in risk factors over time.
Methods
This longitudinal study used 4 years of data from the Korea Child and Youth Panel Survey (2018–2021). The classification of high-risk depression was the outcome variable, with predictors categorized into general characteristics and personal, family, and school factors. The machine learning algorithms used in the analysis included logistic regression, support vector machine, decision tree, random forest, and extreme gradient boosting.
Results
Among the 1833 adolescents classified as having a low risk of depression during the initial survey year, 27.8 % were identified as being at a high risk of depression over the subsequent 3 years. The extreme gradient boosting algorithm yielded the best performance with an area under the curve of 0.9302. The key predictors identified included violent tendencies, self-esteem, sleep duration, gender, and coercive parenting style.
Conclusion
A machine-learning-based predictive model for identifying adolescents at high risk of depression was developed. These findings provide a foundation for early screening and the development of intervention programs and policies aimed at mitigating adolescent depression risk.
{"title":"Longitudinal analysis of adolescents at high risk of depression: Prediction models","authors":"Jisu Park , Eun Kyoung Choi , Mona Choi","doi":"10.1016/j.apnr.2025.151927","DOIUrl":"10.1016/j.apnr.2025.151927","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to develop a machine-learning-based predictive model to identify adolescents at high risk of depression using longitudinal analysis to determine changes in risk factors over time.</div></div><div><h3>Methods</h3><div>This longitudinal study used 4 years of data from the Korea Child and Youth Panel Survey (2018–2021). The classification of high-risk depression was the outcome variable, with predictors categorized into general characteristics and personal, family, and school factors. The machine learning algorithms used in the analysis included logistic regression, support vector machine, decision tree, random forest, and extreme gradient boosting.</div></div><div><h3>Results</h3><div>Among the 1833 adolescents classified as having a low risk of depression during the initial survey year, 27.8 % were identified as being at a high risk of depression over the subsequent 3 years. The extreme gradient boosting algorithm yielded the best performance with an area under the curve of 0.9302. The key predictors identified included violent tendencies, self-esteem, sleep duration, gender, and coercive parenting style.</div></div><div><h3>Conclusion</h3><div>A machine-learning-based predictive model for identifying adolescents at high risk of depression was developed. These findings provide a foundation for early screening and the development of intervention programs and policies aimed at mitigating adolescent depression risk.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"82 ","pages":"Article 151927"},"PeriodicalIF":2.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474898","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}
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