首页 > 最新文献

Journal of Nursing Scholarship最新文献

英文 中文
Perceptions of Gender Equity and Workplace Bias Among Nurses: Implications for Job Satisfaction and Career Progression 护士性别平等和工作场所偏见的认知：对工作满意度和职业发展的影响。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-06-20 DOI: 10.1111/jnu.70029
Ateya Megahed Ibrahim

Background

Gender equity and workplace bias are critical factors influencing job satisfaction and career progression in healthcare. Despite global initiatives promoting equity, disparities persist within nursing, impacting organizational commitment and workforce retention.

Aim

This study investigates registered nurses' perceptions of gender equity and workplace bias and their impact on job satisfaction at King Khaled Hospital, Saudi Arabia.

Methods

A cross-sectional quantitative study design was employed, involving 246 randomly selected registered nurses. Data were collected using the gender equity in the Workplace Scale (GEWS), Workplace Gender Bias Scale (WGBS), and Job Satisfaction Survey (JSS). Descriptive statistics and Pearson correlation analyses were conducted using SPSS to assess gender differences and relationships between perceptions of equity, bias, and job satisfaction.

Results

The study revealed moderate agreement regarding gender equity in promotions (48.8%) and compensation (52%), indicating room for improvement in implementing equality policies. Workplace bias was perceived notably in stereotyping (50.8%) and differential treatment (60%), with female nurses reporting higher levels of bias. Job satisfaction was moderate, with 60% of participants expressing overall satisfaction and only 42% satisfied with promotional opportunities. Perceptions of gender equity positively correlated with job satisfaction (r = 0.65, p < 0.001), while workplace bias was inversely correlated (r = −0.54, p < 0.001).

Clinical Relevance

Persistent gender inequities and workplace biases negatively affect job satisfaction and career progression in nursing. Addressing these disparities through equitable organizational policies, diversity training, and inclusive leadership can enhance job satisfaction, improve retention, and foster a supportive work environment. These findings highlight the need for systemic reforms to promote workplace equity and well-being in healthcare organizations.

背景：性别平等和工作场所偏见是影响医疗保健工作满意度和职业发展的关键因素。尽管有促进公平的全球倡议，但护理内部的差距仍然存在，影响了组织承诺和劳动力保留。目的：本研究调查了沙特阿拉伯哈立德国王医院注册护士对性别平等和工作场所偏见的看法及其对工作满意度的影响。方法：采用横断面定量研究设计，随机抽取246名注册护士。使用职场性别平等量表（GEWS）、职场性别偏见量表（WGBS）和工作满意度调查（JSS）收集数据。使用SPSS进行描述性统计和Pearson相关分析，以评估性别差异以及对公平、偏见和工作满意度的看法之间的关系。结果：研究显示，在晋升（48.8%）和薪酬（52%）方面，人们对性别平等的看法较为一致，这表明在执行平等政策方面还有改进的空间。工作场所偏见在刻板印象（50.8%）和差别待遇（60%）中被认为是显著的，女护士报告的偏见程度更高。工作满意度一般，60%的参与者表示总体满意，只有42%的人对晋升机会感到满意。临床相关性：持续存在的性别不平等和工作场所偏见对护理人员的工作满意度和职业发展产生负向影响。通过公平的组织政策、多元化培训和包容性领导来解决这些差异，可以提高工作满意度，提高保留率，并营造一个支持性的工作环境。这些发现突出了系统性改革的必要性，以促进医疗机构的工作场所公平和福祉。
{"title":"Perceptions of Gender Equity and Workplace Bias Among Nurses: Implications for Job Satisfaction and Career Progression","authors":"Ateya Megahed Ibrahim","doi":"10.1111/jnu.70029","DOIUrl":"10.1111/jnu.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Gender equity and workplace bias are critical factors influencing job satisfaction and career progression in healthcare. Despite global initiatives promoting equity, disparities persist within nursing, impacting organizational commitment and workforce retention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigates registered nurses' perceptions of gender equity and workplace bias and their impact on job satisfaction at King Khaled Hospital, Saudi Arabia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional quantitative study design was employed, involving 246 randomly selected registered nurses. Data were collected using the gender equity in the Workplace Scale (GEWS), Workplace Gender Bias Scale (WGBS), and Job Satisfaction Survey (JSS). Descriptive statistics and Pearson correlation analyses were conducted using SPSS to assess gender differences and relationships between perceptions of equity, bias, and job satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study revealed moderate agreement regarding gender equity in promotions (48.8%) and compensation (52%), indicating room for improvement in implementing equality policies. Workplace bias was perceived notably in stereotyping (50.8%) and differential treatment (60%), with female nurses reporting higher levels of bias. Job satisfaction was moderate, with 60% of participants expressing overall satisfaction and only 42% satisfied with promotional opportunities. Perceptions of gender equity positively correlated with job satisfaction (<i>r</i> = 0.65, <i>p</i> &lt; 0.001), while workplace bias was inversely correlated (r = −0.54, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Persistent gender inequities and workplace biases negatively affect job satisfaction and career progression in nursing. Addressing these disparities through equitable organizational policies, diversity training, and inclusive leadership can enhance job satisfaction, improve retention, and foster a supportive work environment. These findings highlight the need for systemic reforms to promote workplace equity and well-being in healthcare organizations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"829-837"},"PeriodicalIF":2.9,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Long-Term Effectiveness of Tobacco Smoking Cessation Interventions in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials 成人戒烟干预的长期有效性：随机对照试验的系统回顾和荟萃分析。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-06-18 DOI: 10.1111/jnu.70024
Dadang Saadulloh,  Rohman, Fitrian Rayasari, Amelia Ganefianty, Ninik Yunitri, Kuei-Ru Chou
<div> <section> <h3> Background</h3> <p>Smoking is a major global health problem. It kills more than half of the users. At least 1.18 billion people smoked cigarettes every day as of 2020. Although many interventions for tobacco smoking cessation have been implemented, their effectiveness remains unclear. This study aimed to assess the long-term effectiveness of various smoking cessation interventions in adults.</p> </section> <section> <h3> Design</h3> <p>We conducted a systematic review and meta-analysis of randomized controlled trials reporting long-term outcomes.</p> </section> <section> <h3> Methods</h3> <p>Evidence searches were conducted in the Cochrane Library, Embase, Medline-OVID, PubMed, Web of Science, and Clinicaltrials.gov. Two researchers searched until August 2023 without restrictions on country, language, or year of publication. The risk ratio (RR) for continuous abstinence was obtained through biochemical verification at measurements ≥ 6 months post-intervention. Data were extracted and assessed for quality using Risk of Bias 2. Meta-analysis was carried out using a random effects model. Subgroup analyses and meta-regression were performed to explore moderator variables. Sensitivity and publication bias analyses were also performed.</p> </section> <section> <h3> Results</h3> <p>Twenty-two effect sizes from 13 studies showed that tobacco smoking cessation interventions increased continuous abstinence by 2.5 times (RR 3.52; 95% CI; 2.19–5.65). The highest ratio was in the behavioral intervention (RR 7.83) with more than 6 months of therapy (RR 10.57). The tobacco smoking cessation intervention worked better in 55–64 years (RR 7.29), especially in Asia (RR 10.08). The intervention was more effective for female respondents (RR 4.21) and combination therapy format (RR 3.82). However, meta-regression showed that differences in gender and therapy format did not significantly influence the effectiveness of tobacco smoking cessation interventions in adults (<i>p</i> values 0.2748 and 0.8769). Sensitivity analysis (<i>p</i>-value 0.0025) further strengthens the evidence of the conclusions and credibility of the findings.</p> </section> <section> <h3> Conclusion</h3> <p>Behavioral therapy lasting more than 6 months was the most successful tobacco smoking cessation intervention in respondents aged 55–64 years, especially when implemented in Asia. Although not significant, therapies delivered in combination formats, especially in women, have the potential to increase continuous abstinence for adults. These findings provide important evidence for
背景：吸烟是一个主要的全球健康问题。它杀死了超过一半的使用者。截至2020年，每天至少有11.8亿人吸烟。虽然已经实施了许多戒烟干预措施，但其效果尚不清楚。本研究旨在评估各种成人戒烟干预措施的长期有效性。设计：我们对报告长期结果的随机对照试验进行了系统回顾和荟萃分析。方法：在Cochrane Library、Embase、Medline-OVID、PubMed、Web of Science和Clinicaltrials.gov中进行证据检索。两名研究人员搜索到2023年8月，没有国家、语言或出版年份的限制。干预后≥6个月，通过生化验证获得持续戒断的危险比（RR）。提取数据并使用Risk of Bias 2评估其质量。采用随机效应模型进行meta分析。采用亚组分析和元回归探讨调节变量。还进行了敏感性和发表偏倚分析。结果：来自13项研究的22个效应量显示，戒烟干预使持续戒烟增加了2.5倍(RR 3.52；95%可信区间;2.19 - -5.65)。治疗超过6个月的行为干预组（RR为7.83）比例最高（RR为10.57）。戒烟干预在55-64岁的人群中效果更好（RR 7.29），尤其是在亚洲（RR 10.08）。干预对女性受访者（RR 4.21）和联合治疗形式（RR 3.82）更有效。然而，meta回归显示，性别和治疗形式的差异对成人戒烟干预的有效性没有显著影响（p值分别为0.2748和0.8769）。敏感性分析（p值0.0025）进一步加强了结论的证据性和研究结果的可信度。结论：在55-64岁的受访者中，持续6个月以上的行为疗法是最成功的戒烟干预措施，尤其是在亚洲实施时。虽然不显著，但以联合形式提供的治疗，特别是在女性中，有可能增加成年人的持续禁欲。这些发现为制定有效的长期戒烟的预防和治疗策略提供了重要的证据，包括治疗的类型、形式和总量。
{"title":"Long-Term Effectiveness of Tobacco Smoking Cessation Interventions in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","authors":"Dadang Saadulloh,&nbsp; Rohman,&nbsp;Fitrian Rayasari,&nbsp;Amelia Ganefianty,&nbsp;Ninik Yunitri,&nbsp;Kuei-Ru Chou","doi":"10.1111/jnu.70024","DOIUrl":"10.1111/jnu.70024","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Smoking is a major global health problem. It kills more than half of the users. At least 1.18 billion people smoked cigarettes every day as of 2020. Although many interventions for tobacco smoking cessation have been implemented, their effectiveness remains unclear. This study aimed to assess the long-term effectiveness of various smoking cessation interventions in adults.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We conducted a systematic review and meta-analysis of randomized controlled trials reporting long-term outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Evidence searches were conducted in the Cochrane Library, Embase, Medline-OVID, PubMed, Web of Science, and Clinicaltrials.gov. Two researchers searched until August 2023 without restrictions on country, language, or year of publication. The risk ratio (RR) for continuous abstinence was obtained through biochemical verification at measurements ≥ 6 months post-intervention. Data were extracted and assessed for quality using Risk of Bias 2. Meta-analysis was carried out using a random effects model. Subgroup analyses and meta-regression were performed to explore moderator variables. Sensitivity and publication bias analyses were also performed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Twenty-two effect sizes from 13 studies showed that tobacco smoking cessation interventions increased continuous abstinence by 2.5 times (RR 3.52; 95% CI; 2.19–5.65). The highest ratio was in the behavioral intervention (RR 7.83) with more than 6 months of therapy (RR 10.57). The tobacco smoking cessation intervention worked better in 55–64 years (RR 7.29), especially in Asia (RR 10.08). The intervention was more effective for female respondents (RR 4.21) and combination therapy format (RR 3.82). However, meta-regression showed that differences in gender and therapy format did not significantly influence the effectiveness of tobacco smoking cessation interventions in adults (&lt;i&gt;p&lt;/i&gt; values 0.2748 and 0.8769). Sensitivity analysis (&lt;i&gt;p&lt;/i&gt;-value 0.0025) further strengthens the evidence of the conclusions and credibility of the findings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Behavioral therapy lasting more than 6 months was the most successful tobacco smoking cessation intervention in respondents aged 55–64 years, especially when implemented in Asia. Although not significant, therapies delivered in combination formats, especially in women, have the potential to increase continuous abstinence for adults. These findings provide important evidence for ","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"728-740"},"PeriodicalIF":2.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Virtual Reality Intervention for Fall Prevention in Older Adults: A Meta-Analysis 虚拟现实干预预防老年人跌倒：荟萃分析。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-06-18 DOI: 10.1111/jnu.70028
Ita Daryanti Saragih, Yao-Mei Chen, Ira Suarilah, Herry Susanto, Bih-O. Lee

Purpose

Falls among older adults are a major public health concern, often leading to serious outcomes such as fractures, head trauma, and increased mortality. Virtual reality (VR) interventions have emerged as a promising strategy for fall prevention by improving balance, reducing fear of falling, and enhancing confidence. However, the impact of VR interventions on specific outcomes such as fear of falling, balance, and postural control in older adults remains insufficiently synthesized.

Design

Systematic review and meta-analysis.

Methods

A comprehensive systematic search of six databases was conducted from inception to January 20, 2025. Randomized controlled trials (RCTs) evaluating VR interventions targeting fear of falling, balance, and postural control in older adults were included. Methodological quality was assessed using the Cochrane risk-of-bias tool (RoB-2). Pooled standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using random-effects models for each outcome.

Findings

Seventeen RCTs involving 988 older adults, published between 2016 and 2025, met the inclusion criteria. VR interventions demonstrated significant effects in reducing fear of falling (SMD = −0.40; 95% CI: −0.72 to −0.08; I2 = 45.10%; p = 0.02), improving balance (SMD = 0.45; 95% CI: 0.07–0.83; I2 = 73.54%; p = 0.02), and enhancing postural control (SMD = 0.50; 95% CI: 0.13–0.86; I2 = 46.89%; p = 0.01).

Conclusion

This meta-analysis highlights the effectiveness of VR interventions in reducing fear of falling and improving balance and postural control among older adults.

Clinical Relevance

VR represents a valuable tool in fall prevention strategies, addressing key outcomes essential for maintaining independence and mobility in this population.

目的：老年人跌倒是一个主要的公共卫生问题，经常导致严重的后果，如骨折、头部创伤和死亡率增加。虚拟现实（VR）干预措施已经成为一种有希望的跌倒预防策略，可以改善平衡，减少对跌倒的恐惧，增强信心。然而，VR干预对老年人跌倒恐惧、平衡和姿势控制等具体结果的影响仍未充分综合。设计：系统回顾和荟萃分析。方法：对6个数据库进行全面系统检索，检索时间为成立至2025年1月20日。随机对照试验（rct）评估VR干预针对老年人跌倒恐惧、平衡和姿势控制。采用Cochrane风险偏倚工具（rob2）评估方法学质量。使用随机效应模型计算每个结果的95%置信区间（ci）的合并标准化平均差异（SMDs）。研究结果：2016年至2025年间发表的17项随机对照试验，涉及988名老年人，符合纳入标准。VR干预在减少跌倒恐惧方面显示出显著效果(SMD = -0.40；95% CI: -0.72 ~ -0.08；i2 = 45.10%；p = 0.02)，改善平衡感(SMD = 0.45；95% ci: 0.07-0.83；i2 = 73.54%；p = 0.02)，加强体位控制(SMD = 0.50；95% ci: 0.13-0.86；i2 = 46.89%；p = 0.01)。结论：这项荟萃分析强调了VR干预在减少老年人跌倒恐惧和改善平衡和姿势控制方面的有效性。临床相关性：虚拟现实是预防跌倒策略的一个有价值的工具，解决了维持这一人群的独立性和流动性所必需的关键结果。
{"title":"Virtual Reality Intervention for Fall Prevention in Older Adults: A Meta-Analysis","authors":"Ita Daryanti Saragih,&nbsp;Yao-Mei Chen,&nbsp;Ira Suarilah,&nbsp;Herry Susanto,&nbsp;Bih-O. Lee","doi":"10.1111/jnu.70028","DOIUrl":"10.1111/jnu.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Falls among older adults are a major public health concern, often leading to serious outcomes such as fractures, head trauma, and increased mortality. Virtual reality (VR) interventions have emerged as a promising strategy for fall prevention by improving balance, reducing fear of falling, and enhancing confidence. However, the impact of VR interventions on specific outcomes such as fear of falling, balance, and postural control in older adults remains insufficiently synthesized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive systematic search of six databases was conducted from inception to January 20, 2025. Randomized controlled trials (RCTs) evaluating VR interventions targeting fear of falling, balance, and postural control in older adults were included. Methodological quality was assessed using the Cochrane risk-of-bias tool (RoB-2). Pooled standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using random-effects models for each outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Seventeen RCTs involving 988 older adults, published between 2016 and 2025, met the inclusion criteria. VR interventions demonstrated significant effects in reducing fear of falling (SMD = −0.40; 95% CI: −0.72 to −0.08; <i>I</i><sup>2</sup> = 45.10%; <i>p</i> = 0.02), improving balance (SMD = 0.45; 95% CI: 0.07–0.83; <i>I</i><sup>2</sup> = 73.54%; <i>p</i> = 0.02), and enhancing postural control (SMD = 0.50; 95% CI: 0.13–0.86; I<sup>2</sup> = 46.89%; <i>p</i> = 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This meta-analysis highlights the effectiveness of VR interventions in reducing fear of falling and improving balance and postural control among older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>VR represents a valuable tool in fall prevention strategies, addressing key outcomes essential for maintaining independence and mobility in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"759-775"},"PeriodicalIF":2.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Career Cartography to Envision Careers That Advance Health and Health Policy 职业制图设想职业，促进健康和卫生政策。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-06-17 DOI: 10.1111/jnu.70027
Jennifer J. Doering, Suzanne Feetham, Rachel F. Schiffman

Introduction

Today in academia and health care, creating a vision and crafting a career path that progresses toward that vision is essential. Career cartography is the comprehensive and iterative process of applying the science of cartography within the context of policy toward achieving a career with impact.

Purpose

The purpose of this article is to advance the knowledge and application of the original publication as described by Feetham and Doering in 2015. Career cartography supports scientific thinking, communicates science, and addresses the uncertainty of a career.

Methods

We conducted a critical analysis of differences between the original publication and our current practical experience of career cartography. Workshops conducted the past 10 years have advanced our understanding of the career cartography components and their utility to one's career. This analysis is informed by a review of the 25 publications citing the 2015 publication to evaluate how scholars report applying the process across health professions and organizations.

Results

All components of career cartography are expanded beyond the 2015 publication to include application of the process with exemplars.

Conclusion

Career cartography is an effective guide across disciplines and at all stages of a career for determining, directing, evaluating, and communicating one's career and its impact.

Clinical Relevance

The intentional and ongoing use of career cartography maximizes the impact one's chosen career can have on improvements to health and health policy.

导言：在今天的学术界和医疗保健领域，创造一个愿景，并为实现这一愿景制定一条职业道路是至关重要的。职业制图是在实现有影响的职业的政策背景下应用制图科学的全面和反复的过程。目的：本文的目的是推进Feetham和Doering在2015年所描述的原始出版物的知识和应用。职业制图支持科学思维，沟通科学，并解决职业的不确定性。方法：我们对原始出版物与我们目前的职业制图实践经验之间的差异进行了批判性分析。过去10年举办的讲习班提高了我们对职业地图组成部分及其对职业的效用的理解。这一分析是通过对引用2015年出版物的25份出版物的审查来了解的，以评估学者如何报告在卫生专业和组织中应用该过程。结果：职业制图的所有组成部分都在2015年出版的基础上进行了扩展，包括了范例过程的应用。结论：职业制图是一种有效的跨学科指导，在职业生涯的所有阶段，用于确定、指导、评估和交流一个人的职业及其影响。临床相关性：有意和持续地使用职业地图，可以最大限度地提高一个人所选择的职业对改善健康和卫生政策的影响。
{"title":"Career Cartography to Envision Careers That Advance Health and Health Policy","authors":"Jennifer J. Doering,&nbsp;Suzanne Feetham,&nbsp;Rachel F. Schiffman","doi":"10.1111/jnu.70027","DOIUrl":"10.1111/jnu.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Today in academia and health care, creating a vision and crafting a career path that progresses toward that vision is essential. Career cartography is the comprehensive and iterative process of applying the science of cartography within the context of policy toward achieving a career with impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this article is to advance the knowledge and application of the original publication as described by Feetham and Doering in 2015. Career cartography supports scientific thinking, communicates science, and addresses the uncertainty of a career.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a critical analysis of differences between the original publication and our current practical experience of career cartography. Workshops conducted the past 10 years have advanced our understanding of the career cartography components and their utility to one's career. This analysis is informed by a review of the 25 publications citing the 2015 publication to evaluate how scholars report applying the process across health professions and organizations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All components of career cartography are expanded beyond the 2015 publication to include application of the process with exemplars.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Career cartography is an effective guide across disciplines and at all stages of a career for determining, directing, evaluating, and communicating one's career and its impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>The intentional and ongoing use of career cartography maximizes the impact one's chosen career can have on improvements to health and health policy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"816-828"},"PeriodicalIF":2.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Perceived Organizational Support for Strengths Use and Work-Related Flow: The Mediating Role of Self-Efficacy and Optimism 感知组织支持对优势使用和工作流的影响：自我效能和乐观的中介作用。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-06-10 DOI: 10.1111/jnu.70026
Chengzhi Bai, Baoyu Bai, Nian Zhong

Background

Work flow is critical for nurses due to the demanding nature of their profession, as it enhances stress resilience, engagement, and quality of care.

Aims

This study sought to examine the relationship between perceived organizational support for strengths use and work-related flow among nurses, and to explore the mediating roles of psychological capital components: self-efficacy, resilience, hope, and optimism.

Methods

This cross-sectional study, involving 607 nurses, was conducted in March 2024. Validated scales were employed to measure perceived organizational support for strengths use, psychological capital, and work-related flow. Data analysis was performed using SPSS version 25.0, along with the PROCESS macro for mediation analysis.

Results

The study revealed a significant positive relationship between perceived organizational support for strengths use, psychological capital, and work-related flow. Among the four psychological capital dimensions, only self-efficacy and optimism significantly mediated the relationship between perceived organizational support for strengths use and work-related flow.

Conclusion

These findings underscore the importance of fostering a strengths-based organizational climate and enhancing key psychological resources—particularly self-efficacy and optimism—to improve nurses' flow experiences at work.

Clinical Relevance

Enhancing perceived organizational support for strengths use can foster self-efficacy and optimism among nurses, thereby promoting work-related flow. By cultivating a strengths-based work environment and reinforcing key psychological resources, healthcare institutions can improve nurses' well-being, engagement, and ultimately the quality of patient care.

背景：工作流程对护士来说是至关重要的，因为他们的职业要求很高，因为它可以提高压力恢复能力、参与度和护理质量。目的：本研究旨在探讨护士对优势使用的组织支持感知与工作流程的关系，并探讨自我效能感、弹性、希望和乐观心理资本成分的中介作用。方法：于2024年3月对607名护士进行横断面研究。采用有效的量表来测量组织对优势使用、心理资本和工作流的感知支持。使用SPSS 25.0版本进行数据分析，并使用PROCESS宏进行中介分析。结果：本研究揭示了优势利用、心理资本和工作流三者之间的显著正相关关系。在四个心理资本维度中，只有自我效能感和乐观主义显著中介了组织对优势使用的支持感与工作流的关系。结论：这些发现强调了培养以优势为基础的组织氛围和增强关键心理资源（尤其是自我效能感和乐观主义）对于改善护士工作中的心流体验的重要性。临床相关性：增强对优势使用的感知组织支持可以培养护士的自我效能感和乐观情绪，从而促进工作流程。通过培养以优势为基础的工作环境和加强关键的心理资源，医疗机构可以提高护士的幸福感、参与度，并最终提高患者护理的质量。
{"title":"Perceived Organizational Support for Strengths Use and Work-Related Flow: The Mediating Role of Self-Efficacy and Optimism","authors":"Chengzhi Bai,&nbsp;Baoyu Bai,&nbsp;Nian Zhong","doi":"10.1111/jnu.70026","DOIUrl":"10.1111/jnu.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Work flow is critical for nurses due to the demanding nature of their profession, as it enhances stress resilience, engagement, and quality of care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study sought to examine the relationship between perceived organizational support for strengths use and work-related flow among nurses, and to explore the mediating roles of psychological capital components: self-efficacy, resilience, hope, and optimism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study, involving 607 nurses, was conducted in March 2024. Validated scales were employed to measure perceived organizational support for strengths use, psychological capital, and work-related flow. Data analysis was performed using SPSS version 25.0, along with the PROCESS macro for mediation analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study revealed a significant positive relationship between perceived organizational support for strengths use, psychological capital, and work-related flow. Among the four psychological capital dimensions, only self-efficacy and optimism significantly mediated the relationship between perceived organizational support for strengths use and work-related flow.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings underscore the importance of fostering a strengths-based organizational climate and enhancing key psychological resources—particularly self-efficacy and optimism—to improve nurses' flow experiences at work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Enhancing perceived organizational support for strengths use can foster self-efficacy and optimism among nurses, thereby promoting work-related flow. By cultivating a strengths-based work environment and reinforcing key psychological resources, healthcare institutions can improve nurses' well-being, engagement, and ultimately the quality of patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"808-815"},"PeriodicalIF":2.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Peer Review: By Human Reviewers or by Artificial Intelligence? 同行评议：由人类评议还是由人工智能？
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-06-05 DOI: 10.1111/jnu.70019
Shigeki Matsubara
{"title":"Peer Review: By Human Reviewers or by Artificial Intelligence?","authors":"Shigeki Matsubara","doi":"10.1111/jnu.70019","DOIUrl":"10.1111/jnu.70019","url":null,"abstract":"","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 4","pages":"706-707"},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
People's Experiences of Their Involvement in Nursing Care: A Qualitative Systematic Review With Meta-Aggregation Synthesis 人们参与护理的经验：一项荟萃综合的质性系统回顾。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-06-05 DOI: 10.1111/jnu.70025
Diana Gabriela Simões Marques dos Santos, Eduardo José Ferreira dos Santos, Fernando Alberto Soares Petronilho, António Fernando Salgueiro Amaral
<div> <section> <h3> Introduction</h3> <p>Global organizations have pronounced about the importance of involving people in health care, however, this process is challenging. Given the availability of evidence that addresses people's experiences of involvement in nursing care, it is important to produce recommendations at this point by synthesizing the evidence. So, this review aims to synthesize the available qualitative evidence about people's experiences of their involvement in nursing care in a hospital setting.</p> </section> <section> <h3> Design</h3> <p>Systematic review of qualitative evidence.</p> </section> <section> <h3> Methods</h3> <p>This systematic review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A comprehensive search strategy was conducted in nine databases/resources. The selection process, methodological quality assessment, and data extraction were conducted independently by two reviewers. The data were synthesized using the meta-aggregation approach, and the results were graded according to ConQual.</p> </section> <section> <h3> Results</h3> <p>A total of 75 findings and 141 illustrations were extracted from the 15 included studies. These findings were aggregated into 12 categories and generated into three synthesized findings: (1) People who are hospitalized conceptualize and attribute importance to involvement in nursing care as an active process of participation and monitoring of care, decision-making, opinion, and partnership; (2) The establishment of a relationship between hospitalized people and nurses, trust, communication, and information are essential for participation in care; (3) People's participation in care is affected by the person's own constraints and preference for assuming a passive role, by barriers associated with a lack of information, the organization of care, the relationship established between nurses, and paternalistic attitudes.</p> </section> <section> <h3> Conclusion</h3> <p>People who were admitted to hospital conceptualized and attached importance to this phenomenon, perceived the conditions necessary to promote it, and the barriers they experienced.</p> </section> <section> <h3> Clinical Relevance</h3> <p>This systematic review provides recommendations for nurses' clinical practice (with grade B). It recommends that nurses should establish a partnership relationship with hospitalized people, through trust, communication and information; give people the opportunity to mon
导言：全球组织都强调了让人们参与卫生保健的重要性，然而，这一进程具有挑战性。鉴于有证据表明人们参与护理的经验，在这一点上通过综合证据提出建议是很重要的。因此，本综述旨在综合现有的关于人们参与医院护理的定性证据。设计：对定性证据进行系统回顾。方法：采用JBI方法对定性证据进行系统评价。在九个数据库/资源中进行了全面的搜索策略。选择过程、方法学质量评估和数据提取由两位审稿人独立进行。采用meta-aggregation方法对数据进行综合，并根据conquest对结果进行评分。结果：从纳入的15项研究中提取了75项发现和141例插图。这些研究结果被汇总为12个类别，并产生了三个综合发现：(1)住院患者将参与护理的重要性概念化并归因为积极参与和监督护理、决策、意见和伙伴关系的过程；(2)建立住院患者与护士之间的关系、信任、沟通和信息是参与护理的必要条件；(3)人们对护理的参与受到以下因素的影响：个人自身的约束和对被动角色的偏好、与信息缺乏相关的障碍、护理组织、护士之间建立的关系和家长式态度。结论：入院的人对这一现象有概念和重视，认识到促进这一现象的必要条件，以及他们所经历的障碍。临床相关性：本系统综述为护士临床实践提供了建议（B级）。它建议护士应通过信任、沟通和信息与住院患者建立伙伴关系；使人们有机会监测护理、参与决策并发表意见；评估个人对参与和其他因素的偏好；在此确定的这一进程的障碍应在每种情况下加以评估和解决。因此，本综述为护士的临床实践提供了非常有价值的信息，也应纳入卫生政策。协议注册：PROSPERO CRD42024506501。
{"title":"People's Experiences of Their Involvement in Nursing Care: A Qualitative Systematic Review With Meta-Aggregation Synthesis","authors":"Diana Gabriela Simões Marques dos Santos,&nbsp;Eduardo José Ferreira dos Santos,&nbsp;Fernando Alberto Soares Petronilho,&nbsp;António Fernando Salgueiro Amaral","doi":"10.1111/jnu.70025","DOIUrl":"10.1111/jnu.70025","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Global organizations have pronounced about the importance of involving people in health care, however, this process is challenging. Given the availability of evidence that addresses people's experiences of involvement in nursing care, it is important to produce recommendations at this point by synthesizing the evidence. So, this review aims to synthesize the available qualitative evidence about people's experiences of their involvement in nursing care in a hospital setting.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Systematic review of qualitative evidence.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This systematic review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A comprehensive search strategy was conducted in nine databases/resources. The selection process, methodological quality assessment, and data extraction were conducted independently by two reviewers. The data were synthesized using the meta-aggregation approach, and the results were graded according to ConQual.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 75 findings and 141 illustrations were extracted from the 15 included studies. These findings were aggregated into 12 categories and generated into three synthesized findings: (1) People who are hospitalized conceptualize and attribute importance to involvement in nursing care as an active process of participation and monitoring of care, decision-making, opinion, and partnership; (2) The establishment of a relationship between hospitalized people and nurses, trust, communication, and information are essential for participation in care; (3) People's participation in care is affected by the person's own constraints and preference for assuming a passive role, by barriers associated with a lack of information, the organization of care, the relationship established between nurses, and paternalistic attitudes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;People who were admitted to hospital conceptualized and attached importance to this phenomenon, perceived the conditions necessary to promote it, and the barriers they experienced.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Clinical Relevance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This systematic review provides recommendations for nurses' clinical practice (with grade B). It recommends that nurses should establish a partnership relationship with hospitalized people, through trust, communication and information; give people the opportunity to mon","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"741-758"},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Efficacy of Nurse-Led Digitalized Diabetes Management Program for Community-Dwelling Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis 护士主导的数字化糖尿病管理项目对社区2型糖尿病患者的疗效：系统回顾和meta分析。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-06-03 DOI: 10.1111/jnu.70022
Makhfudli Makhfudli, Ferry Efendi, Rifky Octavia Pradipta, Amatus Yudi Ismanto, Mei-Chan Chong, Santo Imanuel Tonapa
<div> <section> <h3> Purpose</h3> <p>Despite evidence supporting nurse-led digitalized diabetes interventions, gaps persist in understanding their specific impact on community-dwelling patients with type 2 diabetes mellitus (T2DM). Prior reviews lacked a quantitative synthesis of these interventions' effects on outcomes like self-care, HbA1c, and quality of life (QoL), limiting their applicability to clinical practice. This study aimed to systematically evaluate and quantify the effectiveness of nurse-led digitalized diabetes management programmes for community-dwelling adults with T2DM.</p> </section> <section> <h3> Methods</h3> <p>We searched six databases to identify relevant articles from their inception to June 2024. Randomized controlled trials that evaluate the effects of nurse-led digitalized diabetes management programs for community-dwelling patients with T2DM were included. The Cochrane Risk of Bias tool version 2.0 was used to appraise the included studies. The pairwise meta-analysis was performed through the software Comprehensive Meta-Analysis Version 3.0.</p> </section> <section> <h3> Results</h3> <p>Eleven RCTs were included, encompassing 2943 participants from various regions. Nurse-led digitalized programs significantly improved self-care behaviors (SMD = 1.15; 95% CI: 0.49 to 1.81), and QoL (SMD = 0.65; 95% CI: 0.37 to 0.94). The interventions also demonstrated a clinically meaningful reduction in HbA1c levels (MD = -0.25%; 95% CI: −0.43 to −0.06), highlighting their potential in improving glycaemic control. Heterogeneity across studies was substantial for self-care but moderate for HbA1c and QoL.</p> </section> <section> <h3> Conclusions</h3> <p>Nurse-led digitalised diabetes management programmes effectively enhance self-care behavior, reduce HbA1c levels, and improve QoL among community-dwelling patients with T2DM. These findings underscore the potential of digitalised interventions as scalable and accessible alternatives to traditional diabetes management, particularly in non-institutionalized settings.</p> </section> <section> <h3> Clinical Relevance</h3> <p>Nurse-led digitalised diabetes management programmes can empower community-dwelling patients with T2DM to achieve better health outcomes by enhancing self-care and glycaemic control while improving QoL. Their integration into routine clinical practice could address barriers to care, optimize diabetes management, and reduce the long-term burden of the disease.</p> </section> <section> <h3> Review Registration</h3>
目的：尽管有证据支持护士主导的数字化糖尿病干预，但在了解其对社区2型糖尿病（T2DM）患者的具体影响方面仍然存在差距。先前的综述缺乏对这些干预措施对自我护理、糖化血红蛋白和生活质量（QoL）等结果影响的定量综合，限制了它们在临床实践中的适用性。本研究旨在系统地评估和量化护士主导的数字化糖尿病管理项目对社区居住的成人2型糖尿病患者的有效性。方法：检索6个数据库，检索自建库至2024年6月的相关文献。纳入了评估护士主导的数字化糖尿病管理项目对社区2型糖尿病患者效果的随机对照试验。采用Cochrane风险偏倚工具2.0版对纳入的研究进行评价。两两荟萃分析采用综合荟萃分析3.0版软件进行。结果：纳入11项随机对照试验，包括来自不同地区的2943名受试者。护士主导的数字化项目显著改善了自我护理行为(SMD = 1.15；95% CI: 0.49 ~ 1.81)，生活质量(SMD = 0.65；95% CI: 0.37 ~ 0.94)。干预还显示HbA1c水平有临床意义的降低(MD = -0.25%；95% CI: -0.43至-0.06)，突出了它们在改善血糖控制方面的潜力。各研究在自我护理方面存在显著异质性，但在糖化血红蛋白和生活质量方面存在中度异质性。结论：护士主导的数字化糖尿病管理方案有效地提高了社区居住T2DM患者的自我护理行为，降低了HbA1c水平，改善了生活质量。这些发现强调了数字化干预措施作为传统糖尿病管理的可扩展和可获得的替代方案的潜力，特别是在非机构环境中。临床意义：护士主导的数字化糖尿病管理项目可以通过加强自我保健和血糖控制，同时改善生活质量，使社区2型糖尿病患者获得更好的健康结果。将它们整合到常规临床实践中可以解决护理障碍，优化糖尿病管理，并减少疾病的长期负担。综述注册：国际前瞻性系统综述注册（PROSPERO）标识符：CRD42024594874。
{"title":"Efficacy of Nurse-Led Digitalized Diabetes Management Program for Community-Dwelling Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis","authors":"Makhfudli Makhfudli,&nbsp;Ferry Efendi,&nbsp;Rifky Octavia Pradipta,&nbsp;Amatus Yudi Ismanto,&nbsp;Mei-Chan Chong,&nbsp;Santo Imanuel Tonapa","doi":"10.1111/jnu.70022","DOIUrl":"10.1111/jnu.70022","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Purpose&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Despite evidence supporting nurse-led digitalized diabetes interventions, gaps persist in understanding their specific impact on community-dwelling patients with type 2 diabetes mellitus (T2DM). Prior reviews lacked a quantitative synthesis of these interventions' effects on outcomes like self-care, HbA1c, and quality of life (QoL), limiting their applicability to clinical practice. This study aimed to systematically evaluate and quantify the effectiveness of nurse-led digitalized diabetes management programmes for community-dwelling adults with T2DM.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We searched six databases to identify relevant articles from their inception to June 2024. Randomized controlled trials that evaluate the effects of nurse-led digitalized diabetes management programs for community-dwelling patients with T2DM were included. The Cochrane Risk of Bias tool version 2.0 was used to appraise the included studies. The pairwise meta-analysis was performed through the software Comprehensive Meta-Analysis Version 3.0.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Eleven RCTs were included, encompassing 2943 participants from various regions. Nurse-led digitalized programs significantly improved self-care behaviors (SMD = 1.15; 95% CI: 0.49 to 1.81), and QoL (SMD = 0.65; 95% CI: 0.37 to 0.94). The interventions also demonstrated a clinically meaningful reduction in HbA1c levels (MD = -0.25%; 95% CI: −0.43 to −0.06), highlighting their potential in improving glycaemic control. Heterogeneity across studies was substantial for self-care but moderate for HbA1c and QoL.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurse-led digitalised diabetes management programmes effectively enhance self-care behavior, reduce HbA1c levels, and improve QoL among community-dwelling patients with T2DM. These findings underscore the potential of digitalised interventions as scalable and accessible alternatives to traditional diabetes management, particularly in non-institutionalized settings.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Clinical Relevance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurse-led digitalised diabetes management programmes can empower community-dwelling patients with T2DM to achieve better health outcomes by enhancing self-care and glycaemic control while improving QoL. Their integration into routine clinical practice could address barriers to care, optimize diabetes management, and reduce the long-term burden of the disease.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Review Registration&lt;/h3&gt;\u0000 ","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"713-727"},"PeriodicalIF":2.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Nursing Care in Hospital Settings for Victims of Mental Disorders: Systematic Review With Meta-Aggregation 精神障碍受害者的医院护理：Meta-Aggregation的系统评价。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-05-25 DOI: 10.1111/jnu.70021
Rosany Cláudia Dantas Pereira, Allissany de Castro Passos Reis, Andressa Aléxia Santos Costa, Israel de Lima Florentino, Andreza Gysllaynny Delmondes Saraiva, Paula Eloíse de Sousa Campos, Luciana Patrícia Brito Lopes, Ferdinando Oliveira Carvalho, Lucimara Araújo Campos Alexandre, Luis Fernando Reis Macedo, Cynthia Layse Ferreira de Almeida, Gyllyandeson de Araújo Delmondes

Introduction

Approximately 25% of the Brazilian population suffers from mental disorders, a prevalence exacerbated by systemic and cultural factors such as socioeconomic inequalities, underfunded mental health services, regional disparities, and persistent stigma. These conditions significantly impact hospital care. Nurses, due to their direct contact with these patients, face challenges ranging from managing physical conditions to handling verbal aggression and psychiatric crises. This study aimed to assess the scientific evidence regarding nursing care for hospitalized patients with psychiatric disorders.

Methods

A systematic review with a mixed-methods approach was conducted, registered in PROSPERO (#CRD42022359288) and guided by PRISMA standards. Databases, such as MEDLINE, LILACS, PubMed, Web of Science, Scopus, and BDEnf, were searched using keywords like “Mental disorder,” “Psychiatric health,” “Nursing care,” and “Hospital.” Methodological quality was assessed using JBI and SQUIRE tools. The integration of quantitative and qualitative components occurred through meta-aggregation of qualitative data and frequency-based coding of quantitative themes, allowing thematic convergence across study designs.

Results

Six studies were included. Meta-aggregation revealed frequent terms, such as “Nurse,” “Emergency,” “Screening,” “Patient,” and “Care.” Similarity analysis linked “Nurse” with “perception” and “experience” and “Emergency” with “Screening” and “Mental health,” highlighting the importance of experience and training. Five categories emerged: (1) professional experience (19.05%, showing skill gaps despite experience); (2) caring process (19.05%, stressing efficient screening); (3) barriers and challenges (19.05%, revealing difficulty with comorbidities); (4) training process (19.05%, identifying training deficiencies); and (5) therapeutic interventions (23.81%, discussing restraint use). These percentages refer to the proportional frequency of themes identified across the total number of studies analyzed. For thematic classification, only statistically significant chi-square values (p < 0.05) were considered in the grouping of content.

Conclusion

Nursing care for psychiatric patients in hospitals faces challenges like insufficient training and difficulty managing psychiatric comorbidities. Recommendations include incorporating structured mental health content into nursing curricula and hospital-based continuing education programs. These strategies may guide future healthcare

导言：巴西约25%的人口患有精神障碍，社会经济不平等、精神卫生服务资金不足、地区差异和持续的耻辱感等系统性和文化因素加剧了这一患病率。这些情况严重影响医院护理。护士由于直接接触这些病人，面临着从管理身体状况到处理言语攻击和精神危机等各种挑战。本研究旨在评估精神障碍住院患者护理的科学依据。方法：采用混合方法进行系统评价，在PROSPERO注册（#CRD42022359288），并以PRISMA标准为指导。使用“精神障碍”、“精神健康”、“护理”和“医院”等关键词搜索MEDLINE、LILACS、PubMed、Web of Science、Scopus和BDEnf等数据库。使用JBI和SQUIRE工具评估方法学质量。定量和定性成分的整合是通过定性数据的元聚合和定量主题的基于频率的编码来实现的，从而允许跨研究设计的主题趋同。结果：纳入6项研究。元聚合揭示了常见的术语，如“护士”、“急诊”、“筛查”、“患者”和“护理”。相似度分析将“护士”与“感知”和“经验”联系起来，将“急诊”与“筛查”和“心理健康”联系起来，突出了经验和培训的重要性。出现了五个类别：(1)专业经验（19.05%，尽管有经验，但仍存在技能差距）；(2)关爱过程（19.05%，强调高效筛选）；(3)障碍和挑战（19.05%，有合并症）；(4)培训过程（19.05%，识别培训不足）；(5)治疗干预（23.81%，讨论限制使用）。这些百分比是指在分析的研究总数中确定的主题的比例频率。结论：医院精神科患者护理面临培训不足、精神科合并症管理困难等挑战。建议包括将结构化的心理健康内容纳入护理课程和以医院为基础的继续教育计划。这些策略可以通过改善患者安全、减少医院再入院率和促进更人性化、基于证据的治疗干预措施来指导巴西未来的医疗保健政策。临床意义：研究结果强调迫切需要有针对性的教育和培训，以改善医院环境中精神病患者的护理。
{"title":"Nursing Care in Hospital Settings for Victims of Mental Disorders: Systematic Review With Meta-Aggregation","authors":"Rosany Cláudia Dantas Pereira,&nbsp;Allissany de Castro Passos Reis,&nbsp;Andressa Aléxia Santos Costa,&nbsp;Israel de Lima Florentino,&nbsp;Andreza Gysllaynny Delmondes Saraiva,&nbsp;Paula Eloíse de Sousa Campos,&nbsp;Luciana Patrícia Brito Lopes,&nbsp;Ferdinando Oliveira Carvalho,&nbsp;Lucimara Araújo Campos Alexandre,&nbsp;Luis Fernando Reis Macedo,&nbsp;Cynthia Layse Ferreira de Almeida,&nbsp;Gyllyandeson de Araújo Delmondes","doi":"10.1111/jnu.70021","DOIUrl":"10.1111/jnu.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Approximately 25% of the Brazilian population suffers from mental disorders, a prevalence exacerbated by systemic and cultural factors such as socioeconomic inequalities, underfunded mental health services, regional disparities, and persistent stigma. These conditions significantly impact hospital care. Nurses, due to their direct contact with these patients, face challenges ranging from managing physical conditions to handling verbal aggression and psychiatric crises. This study aimed to assess the scientific evidence regarding nursing care for hospitalized patients with psychiatric disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review with a mixed-methods approach was conducted, registered in PROSPERO (#CRD42022359288) and guided by PRISMA standards. Databases, such as MEDLINE, LILACS, PubMed, Web of Science, Scopus, and BDEnf, were searched using keywords like “Mental disorder,” “Psychiatric health,” “Nursing care,” and “Hospital.” Methodological quality was assessed using JBI and SQUIRE tools. The integration of quantitative and qualitative components occurred through meta-aggregation of qualitative data and frequency-based coding of quantitative themes, allowing thematic convergence across study designs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six studies were included. Meta-aggregation revealed frequent terms, such as “Nurse,” “Emergency,” “Screening,” “Patient,” and “Care.” Similarity analysis linked “Nurse” with “perception” and “experience” and “Emergency” with “Screening” and “Mental health,” highlighting the importance of experience and training. Five categories emerged: (1) professional experience (19.05%, showing skill gaps despite experience); (2) caring process (19.05%, stressing efficient screening); (3) barriers and challenges (19.05%, revealing difficulty with comorbidities); (4) training process (19.05%, identifying training deficiencies); and (5) therapeutic interventions (23.81%, discussing restraint use). These percentages refer to the proportional frequency of themes identified across the total number of studies analyzed. For thematic classification, only statistically significant chi-square values (<i>p</i> &lt; 0.05) were considered in the grouping of content.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nursing care for psychiatric patients in hospitals faces challenges like insufficient training and difficulty managing psychiatric comorbidities. Recommendations include incorporating structured mental health content into nursing curricula and hospital-based continuing education programs. These strategies may guide future healthcare","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 6","pages":"906-918"},"PeriodicalIF":2.9,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Relationship Between Musculoskeletal Disorders and Productivity Loss Among Hospital Nurses: An Analytical Cross-Sectional Study With Secondary Data Analysis 医院护士肌肉骨骼疾病与生产力损失的关系：一项具有二次数据分析的分析性横断面研究。
IF 2.9 3区 医学 Q1 NURSING
Journal of Nursing Scholarship
Pub Date : 2025-05-21 DOI: 10.1111/jnu.70020
Minkyung Kang, Inah Kim, Chang Park, Ari Min

Aim

To identify the prevalence of musculoskeletal disorders among hospital nurses and explore their effects on productivity loss.

Design

An analytical cross-sectional study with secondary data analysis was conducted.

Methods

Data were collected via an online survey of 607 registered nurses working in general and tertiary hospitals in South Korea. Multivariate logistic regression analysis was performed to examine the association between musculoskeletal disorders and four productivity loss indicators: absenteeism, presenteeism, perceived productivity loss, and work limitations.

Results

Musculoskeletal disorders were highly prevalent among hospital nurses, with 83.9% of participants reporting musculoskeletal disorder symptoms in the past week. Lower back complaints had the highest prevalence. Nurses with musculoskeletal disorders were 3.74 times more likely to experience presenteeism than those without musculoskeletal disorders. They were also 3.00 times more likely to report perceived productivity loss and 2.24 times more likely to experience work limitations. However, no significant relationship was observed between musculoskeletal disorders and absenteeism.

Conclusion

Musculoskeletal disorders contribute to presenteeism, productivity loss, and work limitations among hospital nurses. Targeted interventions for preventing and managing musculoskeletal disorders are essential to mitigate productivity losses and improve nurses' health and job performance. Strategies such as ergonomic workplace modifications, early detection, and effective management of musculoskeletal disorders can help maintain nurses' productivity and well-being.

Clinical Relevance

Addressing musculoskeletal disorders is critical for enhancing nurse productivity and for ensuring the delivery of high-quality patient care. Healthcare organizations can safeguard nurses' health and patient outcomes by reducing presenteeism and work limitations.

目的：了解医院护士中肌肉骨骼疾病的患病率，并探讨其对生产力损失的影响。设计：采用二次资料分析的分析性横断面研究。方法：对韩国综合医院和三级医院607名注册护士进行在线调查。进行多变量logistic回归分析以检验肌肉骨骼疾病与四项生产力损失指标之间的关系：旷工、出勤、感知生产力损失和工作限制。结果：肌肉骨骼疾病在医院护士中非常普遍，83.9%的参与者在过去一周内报告了肌肉骨骼疾病症状。下背部疾病的患病率最高。患有肌肉骨骼疾病的护士出勤的可能性是没有肌肉骨骼疾病的护士的3.74倍。他们也有3.00倍的可能性报告自己的生产力下降，2.24倍的可能性经历工作限制。然而，没有观察到肌肉骨骼疾病和旷工之间的显著关系。结论：肌肉骨骼疾病导致医院护士出勤、工作效率下降和工作限制。预防和管理肌肉骨骼疾病的有针对性的干预措施对于减轻生产力损失和改善护士的健康和工作绩效至关重要。诸如符合人体工程学的工作场所改造、早期发现和肌肉骨骼疾病的有效管理等策略可以帮助保持护士的生产力和福祉。临床相关性：解决肌肉骨骼疾病对提高护士工作效率和确保提供高质量的患者护理至关重要。医疗保健组织可以通过减少出勤和工作限制来保护护士的健康和患者的治疗结果。
{"title":"Relationship Between Musculoskeletal Disorders and Productivity Loss Among Hospital Nurses: An Analytical Cross-Sectional Study With Secondary Data Analysis","authors":"Minkyung Kang,&nbsp;Inah Kim,&nbsp;Chang Park,&nbsp;Ari Min","doi":"10.1111/jnu.70020","DOIUrl":"10.1111/jnu.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify the prevalence of musculoskeletal disorders among hospital nurses and explore their effects on productivity loss.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An analytical cross-sectional study with secondary data analysis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected via an online survey of 607 registered nurses working in general and tertiary hospitals in South Korea. Multivariate logistic regression analysis was performed to examine the association between musculoskeletal disorders and four productivity loss indicators: absenteeism, presenteeism, perceived productivity loss, and work limitations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Musculoskeletal disorders were highly prevalent among hospital nurses, with 83.9% of participants reporting musculoskeletal disorder symptoms in the past week. Lower back complaints had the highest prevalence. Nurses with musculoskeletal disorders were 3.74 times more likely to experience presenteeism than those without musculoskeletal disorders. They were also 3.00 times more likely to report perceived productivity loss and 2.24 times more likely to experience work limitations. However, no significant relationship was observed between musculoskeletal disorders and absenteeism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Musculoskeletal disorders contribute to presenteeism, productivity loss, and work limitations among hospital nurses. Targeted interventions for preventing and managing musculoskeletal disorders are essential to mitigate productivity losses and improve nurses' health and job performance. Strategies such as ergonomic workplace modifications, early detection, and effective management of musculoskeletal disorders can help maintain nurses' productivity and well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Addressing musculoskeletal disorders is critical for enhancing nurse productivity and for ensuring the delivery of high-quality patient care. Healthcare organizations can safeguard nurses' health and patient outcomes by reducing presenteeism and work limitations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"789-798"},"PeriodicalIF":2.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sigmapubs.onlinelibrary.wiley.com/doi/epdf/10.1111/jnu.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
首页 上一页 下一页 尾页
类型
全部 化学•材料 生命科学 医学 物理 工程技术 环境•农林 材料科学 地球科学 法学 管理学 化学 环境科学与生态学 计算机科学 教育学 经济学 农林科学 人文科学 生物学 数学 物理与天体物理 心理学 综合性期刊 其他 工业工程 理学 历史学 农学 文学 信息工程
数据库
全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley
期刊
Journal of Nursing Scholarship
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
﹀
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们：info@booksci.cn
Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1