Research and Theory for Nursing Practice最新文献

Aim: The aim of the study is to explore perceived reality and subjective importance of shared decision-making (SDM) during antenatal, intrapartum, and/or postpartum care, provided by the midwife and/or obstetrician. Methods: A cross- sectional study was conducted among women in Flanders, Belgium. SDM was measured with the Observing PatienT InvOlvemeNt scale. Tests examined the differences between perceived reality and subjective importance of SDM. A multivariate generalized linear model tested the main and interaction effects between SDM and the maternity care providers and the perinatal care periods. Bonferroni post hoc tests examined further significance. Results: A total of 1,216 pregnant and postpartum participants completed 1,987 self-reports of perceived reality and subjective importance of SDM. The community midwives' SDM was evaluated 924/1,987 times, the hospital midwives' SDM 309/1,987 times, and the obstetricians' SDM 754/1,987 times. Perceived reality and subjective importance of SDM showed significant differences between care professionals (p < .001; p < .001), explained by the differences between community and hospital midwives' SDM (p < .001, d85; p < .001; d28) and between community midwives and obstetricians' SDM (p < .001, d72; p < .001; d31). Conclusions: The findings indicate optimizing the decision-making process during perinatal care by aligning subjective importance and perceived reality of SDM throughout the perinatal care episodes. Community midwives seem to be benchmarkers of shared decision-making during perinatal care.

Background: Multiple studies have documented the impact of the coronavirus disease (COVID-19) pandemic on nursing students' mental health and learning experiences; however, none have synthesized these findings. Purpose: To identify the range and prevalence of mental health disorders and related stressors experienced by nursing students during the COVID-19 pandemic by synthesizing the relevant literature published between 2020 and 2022. Methods: This scoping review examined the challenges and mental health consequences experienced by nursing students during the COVID-19 pandemic. The databases were searched for relevant articles. Eight studies were identified and included in this analysis. Results: Three themes emerged: Fear of COVID-19, Sleep disturbances; Anxiety, Depression, and Stress as a consequence of experiencing the challenges caused by the pandemic. Implications for practice: Universities should provide nursing students with support that focuses on disaster management education and coping strategies to help improve their mental health.

Background and Purpose: The purpose of this qualitative study was to evaluate experiences of the COVID-19 pandemic on freshman and sophomore residential nursing students in relation to personal development. Findings are examined through the lens of Chickering's seven vectors of psychosocial development to better understand the implications of nursing students' challenges during COVID-19. Methods: A convenience sample of residential nursing students completed surveys eliciting narrative descriptions of the consequences of the COVID-19 pandemic on their lives while in college. Results: Five main themes were identified as personal consequences of the pandemic: loss of connection with peers and instructors, loss of focus, loss of motivation, physical isolation, and emotional isolation. Findings were discussed through the lens of Chickering's seven vectors of psychosocial development to better understand the implications of students' COVID experiences. Implications for Practice: The results of the study suggest that students may have experienced obstacles from the effects of COVID-19, which may affect their psychosocial and identity development. An understanding of the personal consequences of COVID-19 on residential nursing students may assist faculty and administrators as they develop opportunities for social interactions that serve as a foundation for psychosocial development.