Journal of Nursing Scholarship最新文献_第7页

The effect of motivational interviewing on peer bullying and cyberbullying in adolescents: A randomized controlled trial 动机访谈对青少年同伴欺凌和网络欺凌的影响：随机对照试验

IF 3.4 3区医学 Q1 Nursing

Journal of Nursing Scholarship

Pub Date : 2024-01-25 DOI: 10.1111/jnu.12959

Semra Seyhan Şahin PhD, Sultan Ayaz-Alkaya PhD

Purpose

The study was carried out to investigate the effect of motivational interviewing on peer bullying and cyberbullying among adolescents.

Design

A parallel-group randomized controlled trial.

Methods

The study population consisted of ninth-grade (aged 14 years) high school students (n = 200). The study was completed with 48 participants (intervention: 24; control: 24). The data were collected using the Participant Information Form, the Stages of Change Questionnaire, the Peer Bullying Scale, and the Cyberbullying Scale. The intervention group received a preparatory session and five weekly motivational interviewing sessions. Instruments were administered to both groups before the intervention, at the end of the last motivational interviewing session (post-test), and at 3rd- and 6th-month follow-ups. The data were analyzed using chi-square test, independent sample t-test, and two-way mixed-design ANOVA with Bonferroni's test.

Results

In the pre-test, no statistically significant difference was observed between the intervention and control groups regarding mean scores for peer bullying and cyberbullying (p > 0.05). Following the motivational interviewing sessions, adolescents in the intervention group had a significantly lower mean score for peer bullying and cyberbullying than the control group at the post-test and follow-up tests (p < 0.001).

Conclusion

The present study concluded that motivational interviewing effectively reduced peer bullying and cyberbullying behaviors among adolescents.

Clinical Relevance

Nurses would implement motivational interviewing to prevent bullying behaviors in schools.

目的：本研究旨在调查动机访谈对青少年同伴欺凌和网络欺凌的影响：设计：平行分组随机对照试验：研究对象包括九年级（14 岁）高中学生（n = 200）。研究共有 48 名参与者（干预组：24 人；对照组：24 人）。使用参与者信息表、变化阶段问卷、同伴欺凌量表和网络欺凌量表收集数据。干预组接受了一次预备课程和每周五次的动机访谈课程。在干预前、最后一次动机访谈课程结束时（后测）、第 3 个月和第 6 个月的随访中，两组都进行了问卷调查。数据分析采用了卡方检验、独立样本 t 检验和双向混合设计方差分析，并进行了 Bonferroni 检验：在前测中，干预组和对照组在同伴欺凌和网络欺凌的平均得分上没有明显的统计学差异（P > 0.05）。经过激励式面谈课程后，干预组青少年在后测和跟踪测试中的同伴欺凌和网络欺凌平均得分明显低于对照组（P 结论：本研究得出结论，激励式面谈是一种有效的教育方法：本研究的结论是，动机访谈能有效减少青少年的同伴欺凌和网络欺凌行为：临床相关性：护士可实施动机访谈法来预防校园欺凌行为。

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引用次数: 0

I'm a 45-year-old woman in the body of an 80-year-old: The multiple losses of living and aging in the shadow of prostitution 我是一个拥有 80 岁身体的 45 岁女人：在卖淫阴影下生活和衰老的多重损失。

IF 3.4 3区医学 Q1 Nursing

Journal of Nursing Scholarship

Pub Date : 2024-01-24 DOI: 10.1111/jnu.12958

Nora Gnaim-Mwassi, Tova Band Winterstein, Hila Avieli

Introduction

Research on aging women who are involved in prostitution is currently limited, both in terms of the number of studies conducted and their scope. Nevertheless, the available research suggests that women who are aging while involved in prostitution may confront some unique challenges. Thus, the study aims to explore the experiences of aging as narrated by Arab women in prostitution, using Intersectionality as a theoretical framework.

Method

Interpretive phenomenological analysis was used, and semistructured interviews were performed with 12 participants.

Findings

Four themes emerged: “I'm a 45-year-old woman in the body of an 80-year-old:” Loss of physical and mental health; “There is no retirement plan in prostitution: Economic and social losses; As they were taken, my soul went with them too: The loss of the parenting experience and motherhood”; and “I'm going to get older with the disgust clinging to me:” The loss of authentic identity and dignity.

Conclusion

The findings demonstrate how aging serves to exacerbate overlapping forms of discrimination and marginalization.

Clinical Relevance

Healthcare professionals, including nurses caring for older women in prostitution, should be aware of their unique circumstances, considering the social, economic, and healthcare obstacles they face. By being cognizant of these factors, healthcare practitioners can provide meaningful assistance in their pursuit of improved quality of life.

导言：目前，对从事卖淫活动的老年妇女的研究数量和范围都很有限。不过，现有研究表明，卖淫妇女在步入老年后可能会面临一些独特的挑战。因此，本研究以交叉性为理论框架，旨在探讨阿拉伯卖淫妇女讲述的衰老经历：方法：采用解释现象学分析方法，对 12 名参与者进行了半结构式访谈：出现了四个主题："我是一名 45 岁的女性，却拥有 80 岁的身体："身心健康的损失；"卖淫没有退休计划：经济和社会损失；当她们被带走时，我的灵魂也随之而去：失去为人父母的经验和母性"；以及 "我将带着对自己的厌恶变老："失去真实的身份和尊严：结论：研究结果表明，老龄化是如何加剧重叠形式的歧视和边缘化的：医疗保健专业人员，包括护理老年卖淫妇女的护士，应了解她们的特殊情况，考虑到她们面临的社会、经济和医疗保健障碍。认识到这些因素，医护人员就能为她们提供有意义的帮助，帮助她们提高生活质量。

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引用次数: 0

Scholarly discourse: Letters to the Editor 学术讨论：致编辑的信。

IF 3.4 3区医学 Q1 Nursing

Journal of Nursing Scholarship

Pub Date : 2024-01-23 DOI: 10.1111/jnu.12956

Susan Gennaro RN, PhD, FAAN

引用次数: 0

Intent to stay, moral distress, and nurse practice environment among long-term care nurses: A cross-sectional questionnaire survey study 长期护理护士的留职意愿、道德困扰和护士执业环境：横断面问卷调查研究。

IF 3.4 3区医学 Q1 Nursing

Journal of Nursing Scholarship

Pub Date : 2024-01-02 DOI: 10.1111/jnu.12953

Amil Kusain Tan Jr PhD, RN, MHC, MEDSURG-BC, Elizabeth Capezuti PhD, RN, FAAN, William Ellery Samuels PhD, Ramona Backhaus PhD, Laura M. Wagner PhD, RN, GNP, FAAN

Background

Many long-term care facilities in the United States face significant problems with nurse retention and turnover. These challenges are attributed, at least in part, to moral distress and a negative nurse practice environment.

Objective

The purpose of the study was divided into two parts: first, to investigate the relationships among nurse practice environment, moral distress, and intent to stay; second, to explore the potential mediating effect of the nurse practice environment on the intent to stay among those with high levels of moral distress.

Design

This study was a descriptive, cross-sectional survey using targeted sampling.

Participants

A total of 215 participants completed the surveys. Participants were nationally representative of long-term care nurses by age, years of experience, employment status, and type of health setting.

Methods

This study was an online national survey of long-term care nurses' perceptions of their intent to stay, moral distress level (Moral Distress Questionnaire), and nurse practice environment (Direct Care Staff Survey). Structural equation modeling analysis explored intent to stay, moral distress, and the nurse practice environment among long-term care nurses.

Results

The mean moral distress score was low, while the mean nurse practice environment and intent to stay scores were high. Moral distress had a significant, moderately negative association with the nurse practice environment (β = −0.41), while the nurse practice environment had a significant, moderately positive association with intent to stay (β = 0.46). The moral distress had a significant, moderately negative association with intent to stay (β = −0.20). The computed structural equation modeling suggested a partially mediated model (indirect effect = −0.19, p = 0.001).

Conclusion

Since the nurse practice environment partially mediates the relationship between moral distress and intent to stay, interventions to improve the nurse practice environment are crucial to alleviating moral distress and enhancing nurses' intent to stay in their jobs, organizations, and the nursing profession.

背景：美国许多长期护理机构都面临着护士留用和流失的严重问题。这些挑战至少部分归因于道德困扰和消极的护士执业环境：本研究的目的分为两部分：第一，调查护士执业环境、道德困扰和留任意愿之间的关系；第二，探讨护士执业环境对道德困扰程度高的护士留任意愿的潜在中介效应：本研究是一项描述性横断面调查，采用目标抽样法：共有 215 人完成了调查。根据年龄、工作年限、就业状况和医疗机构类型，参与者在全国长期护理护士中具有代表性：本研究是一项全国性在线调查，调查对象是长期护理护士对其留职意愿、道德困扰程度（道德困扰问卷）和护士执业环境（直接护理人员调查）的看法。结构方程模型分析探讨了长期护理护士的留职意愿、道德困扰和护士实践环境：结果：道德困扰的平均得分较低，而护士实践环境和留职意愿的平均得分较高。道德困扰与护士执业环境有明显的中度负相关（β = -0.41），而护士执业环境与护士的留任意愿有明显的中度正相关（β = 0.46）。道德压力与留职意愿有明显的中度负相关（β = -0.20）。计算得出的结构方程模型表明存在部分中介模型（间接效应 = -0.19，p = 0.001）：由于护士执业环境部分介导了道德困扰与留职意愿之间的关系，因此改善护士执业环境的干预措施对于减轻道德困扰、提高护士留职意愿、组织和护理专业至关重要：临床相关性：我们的研究表明，护士的执业环境在道德困扰和留任意愿之间起着中介作用。临床相关性：我们的研究表明，护士的执业环境是道德困扰和留职意愿的中介。改善护士执业环境的干预措施对于减轻道德困扰和提高护士留职意愿至关重要。

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引用次数: 0

Lived experiences: Growing up with a seriously mentally ill parent 生活经历与患有严重精神疾病的父母一起成长。

IF 3.4 3区医学 Q1 Nursing

Journal of Nursing Scholarship

Pub Date : 2024-01-02 DOI: 10.1111/jnu.12955

Alexander Shestiperov MSN, BSN, RN, Orli Grinstein-Cohen PhD, MSN, BSN, RN, Deborah Lindell DNP, MSN, RN, CNE, ANEF, FAAN, Elliane Irani PhD, RN, Ilya Kagan PhD, MA, MBA, RN

Introduction

Individuals with serious mental illness often have persistent and disruptive symptoms. These can profoundly affect their children's lives, exposing them to adverse social and psychological conditions. Such conditions can result in traumatic lived experiences during childhood, which can carry over into adulthood, influencing their self-perceptions and shaping their attitudes toward themselves and society. To gain insights into this phenomenon, this study explored the lived experiences of adults who grew up with a parent with serious mental illness and their perceptions of their lives in adulthood.

Design

This study used an interpretive phenomenological design.

Methods

Participants were invited to voluntarily participate in the study through a call posted on social media. Semi-structured interviews were conducted with 30 adults (age range, 20–55 years) who grew up with a parent with serious mental illness. The interviews were recorded and transcribed, and inductive thematic analysis was used to identify main and overarching themes.

Results

The overarching theme of transition from childhood survival to adulthood survival emerged and included four main themes: (1) a traumatic childhood, (2) perceived control, (3) resilience and general self-efficacy, and (4) adult quality of life. A traumatic childhood consisted of experiences of neglect and abuse, while participants used perceived control to achieve personal growth, self-care, and care of others. Resilience and general self-efficacy emerged during the transition to adulthood and helped participants further their social status and strengthen family bonds. Lastly, adult quality of life was described as being disturbed by feelings of loneliness and being burdensome, stemming from an inherent tendency to rely solely on themselves, leading to trust issues and mental health complications. Therefore, these adults found it difficult to reach out and get help or treatment for their concerns, as they initially did not want to appear dysfunctional or in need.

Conclusion

This study has illuminated the lived experiences of a specific, vulnerable population that has not been intentionally explored until now. To delve into these experiences, we employed a distinctive qualitative approach, merging the interpretive phenomenolog

引言患有严重精神疾病的人通常会出现持续性和破坏性症状。这些症状会严重影响其子女的生活，使他们面临不利的社会和心理状况。这些情况可能会导致他们在童年时期遭受创伤性的生活经历，这种经历可能会延续到成年，影响他们的自我认知，并塑造他们对自己和社会的态度。为了深入了解这一现象，本研究探讨了与患有严重精神疾病的父母一起长大的成年人的生活经历，以及他们对自己成年后生活的看法：本研究采用解释现象学设计：方法：通过在社交媒体上发布征集令，邀请参与者自愿参与研究。我们对 30 名与患有严重精神疾病的父母一起长大的成年人（年龄在 20-55 岁之间）进行了半结构化访谈。对访谈进行了记录和转录，并采用归纳式主题分析来确定主要和首要主题：结果：从童年生存到成年生存的过渡这一总主题包括四个主要主题：(1) 创伤性童年，(2) 感知控制，(3) 复原力和一般自我效能，以及 (4) 成人生活质量。创伤性童年包括被忽视和被虐待的经历，而参与者则利用感知控制来实现个人成长、自我照顾和照顾他人。复原力和一般自我效能感出现在向成年过渡的过程中，帮助参与者提高社会地位和加强家庭纽带。最后，成人的生活质量受到孤独感和负担感的干扰，这是因为他们天生倾向于完全依赖自己，从而导致信任问题和心理健康并发症。因此，这些成年人发现自己很难伸出援手，寻求帮助或治疗，因为他们最初并不希望自己显得功能失调或需要帮助：这项研究揭示了一个特殊的弱势群体的生活经历，而到目前为止，我们还没有对这一群体的生活经历进行过有意的探索。为了深入了解这些经历，我们采用了一种独特的定性方法，将解释性现象学视角与归纳式主题分析相结合。这使得我们能够在一个相对较大的参与者群体中获得丰富的洞察力，并在这一方法框架内进行深入探讨。因此，本研究对现有知识体系做出了显著贡献，探索了个人成长的复杂性及其对参与者生活质量的影响。它揭示了复原力和一般自我效能感的本质，揭示了这些因素是如何与所观察到的负面结果交织在一起的。然而，研究结果强调，包括护士和其他护理人员在内的医护人员需要注意重症精神病患者子女的不良经历所带来的长期影响。当务之急是积极开展临床评估并实施有针对性的干预措施，以解决这些儿童在不同成长阶段的特殊需求和困难。这种全面而有针对性的方法对于提供适当的支持和促进这些人的福祉至关重要：加强对精神科整体护理的临床关注对个人及其亲属，尤其是儿童至关重要。对父母患有严重精神疾病的儿童和成人进行全面评估，可以采取有针对性的预防性干预措施，从而对整体生活质量产生积极影响。

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引用次数: 0

Big data research in nursing: A bibliometric exploration of themes and publications 护理领域的大数据研究：对主题和出版物的文献计量学探索。

IF 3.4 3区医学 Q1 Nursing

Journal of Nursing Scholarship

Pub Date : 2023-12-22 DOI: 10.1111/jnu.12954

Bo Li, Kun Du, Guanchen Qu, Naifu Tang

Aims

To comprehend the current research hotspots and emerging trends in big data research within the global nursing domain.

Design

Bibliometric analysis.

Methods

The quality articles for analysis indexed by the science core collection were obtained from the Web of Science database as of February 10, 2023.The descriptive, visual analysis and text mining were realized by CiteSpace and VOSviewer.

Results

The research on big data in the nursing field has experienced steady growth over the past decade. A total of 45 core authors and 17 core journals around the world have contributed to this field. The author's keyword analysis has revealed five distinct clusters of research focus. These encompass machine/deep learning and artificial intelligence, natural language processing, big data analytics and data science, IoT and cloud computing, and the development of prediction models through data mining. Furthermore, a comparative examination was conducted with data spanning from 1980 to 2016, and an extended analysis was performed covering the years from 1980 to 2019. This bibliometric mapping comparison allowed for the identification of prevailing research trends and the pinpointing of potential future research hotspots within the field.

Conclusions

The fusion of data mining and nursing research has steadily advanced and become more refined over time. Technologically, it has expanded from initial natural language processing to encompass machine learning, deep learning, artificial intelligence, and data mining approach that amalgamates multiple technologies. Professionally, it has progressed from addressing patient safety and pressure ulcers to encompassing chronic diseases, critical care, emergency response, community and nursing home settings, and specific diseases (Cardiovascular diseases, diabetes, stroke, etc.). The convergence of IoT, cloud computing, fog computing, and big data processing has opened new avenues for research in geriatric nursing management and community care. However, a global imbalance exists in utilizing big data in nursing research, emphasizing the need to enhance data science literacy among clinical staff worldwide to advance this field.

Clinical Relevance

This study focused on the thematic trends and evolution of research on the big data in

目的：了解当前全球护理领域大数据研究的研究热点和新兴趋势：文献计量分析：通过CiteSpace和VOSviewer实现描述性分析、可视化分析和文本挖掘：近十年来，护理领域的大数据研究经历了稳步增长。全球共有 45 位核心作者和 17 种核心期刊为这一领域做出了贡献。作者通过关键词分析发现了五个不同的研究重点集群。它们包括机器/深度学习和人工智能、自然语言处理、大数据分析和数据科学、物联网和云计算，以及通过数据挖掘开发预测模型。此外，还对1980年至2016年的数据进行了比较研究，并对1980年至2019年的数据进行了扩展分析。通过这种文献图谱比较，可以确定当前的研究趋势，并指出该领域未来潜在的研究热点：随着时间的推移，数据挖掘与护理研究的融合稳步发展，并变得更加完善。在技术上，它已从最初的自然语言处理扩展到机器学习、深度学习、人工智能以及融合多种技术的数据挖掘方法。在专业方面，它已从解决患者安全和压疮问题发展到涵盖慢性疾病、重症监护、应急响应、社区和养老院环境以及特定疾病（心血管疾病、糖尿病、中风等）。物联网、云计算、雾计算和大数据处理的融合为老年护理管理和社区护理研究开辟了新途径。然而，在护理研究中利用大数据方面存在着全球性的不平衡，强调需要提高全球临床工作人员的数据科学素养，以推动这一领域的发展：本研究关注护理研究中大数据的主题趋势和研究演变。此外，本研究还有助于世界各国的研究人员、期刊和国家对大数据的了解，并产生可能的合作，以促进护理科学大数据的发展。

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引用次数: 0

An examination of retracted articles in nursing literature 护理文献中被撤回文章的研究

IF 3.4 3区医学 Q1 Nursing

Journal of Nursing Scholarship

Pub Date : 2023-12-20 DOI: 10.1111/jnu.12952

Leslie H. Nicoll PhD, MBA, RN, FAAN, Heather Carter-Templeton PhD, RN-BC, FAAN, Marilyn H. Oermann PhD, RN, ANEF, FAAN, Hannah E. Bailey MS, Jacqueline K. Owens PhD, RN, CNE, Jordan Wrigley MSLS, MA, Leila S. Ledbetter MLIS, AHIP

Introduction

The output of scholarly publications in scientific literature has increased exponentially in recent years. This increase in literature has been accompanied by an increase in retractions. Although some of these may be attributed to publishing errors, many are the result of unsavory research practices. The purposes of this study were to identify the number of retracted articles in nursing and reasons for the retractions, analyze the retraction notices, and determine the length of time for an article in nursing to be retracted.

Design

This was an exploratory study.

Methods

A search of PubMed/MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and Retraction Watch databases was conducted to identify retracted articles in nursing and their retraction notices.

Results

Between 1997 and 2022, 123 articles published in the nursing literature were retracted. Ten different reasons for retraction were used to categorize these articles with one-third of the retractions (n = 37, 30.1%) not specifying a reason. Sixty-eight percent (n = 77) were retracted because of an actual or a potential ethical concern: duplicate publication, data issues, plagiarism, authorship issues, and copyright.

Conclusion

Nurses rely on nursing-specific scholarly literature as evidence for clinical decisions. The findings demonstrated that retractions are increasing within published nursing literature. In addition, it was evident that retraction notices do not prevent previously published work from being cited. This study addressed a gap in knowledge about article retractions specific to nursing.

近年来，科学文献中的学术出版物数量成倍增长。文献数量增加的同时，撤稿数量也在增加。虽然其中一些可能是由于出版错误造成的，但许多是不光彩的研究行为造成的。本研究的目的是确定护理领域被撤稿的文章数量和撤稿原因，分析撤稿通知，并确定护理领域文章被撤稿的时间长度。

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引用次数: 0

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