Research and Theory for Nursing Practice最新文献

Purpose: Pregnancy and birth is often a joyous period for a dyad. In the instance of fetal death, however, dyads are met with a devastating loss of their child, the hope for the future, and the new reality of becoming a bereaved parent. The purpose of this qualitative study was to investigate the lived experience of the dyad following a fetal death and capture the essence of the grief journey. Study design and methods: A hermeneutic phenomenological study was performed using van Manen's method for data collection and analysis. Semi-structured interviews were conducted via Zoom. Participants were recruited from national and local agencies providing education and resources about perinatal loss. Data analysis utilized the Dedoose software platform to track qualitative coding. Results: Ten dyads (20 individuals) from the United States and Canada participated. The data revealed four major themes with several subthemes. The major themes were as follows: "The child I'll never really know": Pregnancy loss grief; "You're on a rollercoaster, just hold on": The emotional journey; Climbing uphill: Barriers to healing; and Resurfacing from grief: Healing after loss Clinical implications: The death of a fetus over 20 weeks gestation provides a unique experience of grief. The findings support the need for additional resources needed beyond the hospital by nurses or other providers to facilitate healing and minimize complicated grief. Furthermore, the findings support the need for increasing awareness among healthcare providers and peers about how to communicate and care for dyads experiencing fetal death.

Background: Reliance on informal caregivers is expected to increase, yet there are not many studies examining their characteristics and behaviors. Purpose: The aim of this review is to relate the interaction model of client health behavior (IMCHB) to informal caregiver outcomes. Methods: The literature associated with the IMCHB was examined for current usage to determine use in guiding theories related to informal caregiver outcomes. Cumulative Index to Nursing and Allied Health Literature, Cochrane, EBSCO, Google Scholar, Journals@Ovid, Medical Literature Analysis and Retrieval System Online, and ScienceDirect databases were searched for peer-reviewed literature. Walker and Avant's method guided this theoretical analysis. Results: Seven articles were retained for discussion in this theoretical analysis. Implications: The IMCHB has been used in past health promotion research and can guide future nursing research that supports interventions for informal caregivers. The model's inclusion of the client-professional interaction component allows for further caregiver behavioral associations and relationships that influence optimal outcomes.

Background and Purpose: Trust is interpersonal, between two people, or institutional, in an institution or profession such as nursing. The patient developing interpersonal trust with the nurse is fundamental to nursing care. The purpose of this study was to develop a middle-range theory of interpersonal trust development in the nurse-patient relationship. Methods: The middle-range theory Pathway to Trust was synthesized from three grounded theory studies on the development of trust in the nurse-patient relationship with hospitalized patients. One study was conducted with English-speaking Mexican American adults, a second study with Spanish-speaking Mexican American adults, and the third study with non-Hispanic adults. The three models were synthesized into an empirically based middle-range theory of how interpersonal trust develops between the hospitalized patient and the nurse. Results: The Pathway to Trust has a beginning, middle, and end phase. At the beginning, the patient is vulnerable, relying on the nurse. In the middle, the nurse enters focused and available to the patient, perceived as caring about the patient. In the end, the patient develops trust, feeling comfortable with the nurse. A key consequence of trust is the patient allowing the nurse to help and confiding in the nurse. If the trust does not develop, the patient may avoid the nurse and not ask for help which is a patient safety concern. Implications for Practice: The Pathway to Trust is useful for advancing nursing practice, education, and research globally. Developing trust with the patient impacts patient safety and quality of care.

Background and Purpose: 2030 Sustainable Development Goals, an in-depth understanding of undergraduate nursing students, and experiences are needed. This study aims to explore and describe the experiences and challenges faced by undergraduate nursing students concerning sustainable production and consumption based on the theory of planned behavior. Methods: An inductive design was used for this qualitative study, which included open-ended, and in-depth interviews with 24 undergraduate nursing students. Throughout the study, the authors followed the COREQ checklist. Results: The audio was recorded and lasted 24-48 minutes (x̄ = 30.8 minutes). The audio recordings were subjected to repeated listening, followed by the creation of observation notes for each interview and transcription of all the interviews. It was determined that data saturation had been achieved after the final interview. The participants confirmed the findings by reviewing daily summaries at the conclusion of the interview data. To analyze the data, the thick description method was employed. The coded similarity rate of the data set was calculated. The similarity rate in this study was 91.0%. Five themes were identified: (a) "behavioral beliefs," (b) "normative persons, organizations, and institutions," (c) "motive," (d) "facilitative," and (e) "challenges." Conclusions/Implications for Practice: The climate crises experienced during the formative years of undergraduate nursing students belonging to Generation Z, as well as the impact of pandemic diseases, have significantly influenced their views on sustainable production and consumption. In order to meet the needs of the socially conscious Generation Z, modern nursing education must incorporate advanced practices that reflect their values.

Objective: This systematic review was conducted to examine methods and tools used to translate written health-related information from English to Spanish. Methods: The design of this study was a systematic review. This review search was of all published articles up to July 2022. Three databases were used: CINAHL Plus, MEDLINE, and PubMed. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis flowchart was used in the systematic review. Results: A total of 17 articles were used in the analysis. Six (35.3%) of the articles used a machine and human translation method, and eight (47%) used Google Translate as the machine translation tool. The screening, full-text review, and data extraction were done using the Covidence software. Discussions: As translating health-related information accurately is crucial, using metrics or standardizing one is urgently needed. Nursing implications: This review highlights that in addition to a lack of standardized metrics, there currently is no criterion on the qualifications or credentials required by individuals who translate written information from English to Spanish, allowing anyone to do so. This is concerning because it is critical that Spanish speakers and those with limited English proficiency receive linguistically accurate and appropriate resources that allow them to improve their health literacy and promote health.

Background and Purpose: The main goal of hospice care is to improve the quality of life for people who are at the end-of-life phase. However, investigations on the awareness of hospice care among community-dwelling elderly participants are limited. This work aimed to reveal the awareness status of hospice care and explore the factors influencing the awareness rate among elderly participants. Methods: A questionnaire survey was conducted among individuals aged 60 years and above. Results: A total of 4,969 individuals aged 60 years and above were randomly selected from 48 primary medical institutions in Handan. The awareness rate of hospice care in the baseline survey was 19.3% (n = 959). All included individuals were divided into two groups in accordance with their awareness of hospice care. The awareness of hospice care among participants with low educational level, living alone, and afraid of talking about death was low (p < .05). Implications for Practice: The level of awareness of hospice care among community-dwelling elderly participants is low. The influencing factors included educational level, living status, and fear of talking about death. The community-dwelling elderly participants' awareness of hospice care must be improved. It is recommended that public medical education and training should be enhanced to improve knowledge and awareness of hospice care among community-dwelling elderly residents with low educational level, living alone, and afraid of talking about death.

Background and Purpose: To enhance critical care competency, it is necessary to develop and apply a clinical expertise-based competency training program. This study aimed to identify the perceived importance and performance of critical care nursing competency and the training priorities of competency-based training programs by nurses' clinical expertise. Methods: This was a cross-sectional descriptive survey with a convenience sample of 236 intensive care unit nurses. The critical care nursing competency of nurses was measured. Training needs were determined using an importance-performance analysis. Results: Competency areas with high training priority on the importance-performance matrix were skin assessment, emotional support, Code of Ethics, and collaboration for novice nurses, skin assessment and patient education for advanced beginner nurses, skin assessment and decision-making for competent nurses, and patient education and interprofessional collaboration for proficient nurses. Implications for Practice: Different training needs were identified according to the self-reported level of clinical expertise at four levels. Nursing administrators and educators should provide competency-based continuing education programs based on high-priority training areas according to the nurses' clinical expertise.

Background and Purpose: No valid and reliable instrument exists in Arabic to measure the spiritual perspectives of Arab Muslims and Christians. This study translated the Spiritual Perspective Scale (SPS; Reed, 1987) into Arabic and examined its psychometric properties. Methods: The Arabic SPS was tested in a convenience sample of 206 Jordanian Christians and 182 Jordanian Muslim undergraduate nurses. Correlational and exploratory factor analysis were used. Results: For both sample groups, the factor analysis supported a clear two-factor structure for the Arabic SPS. A significant moderate positive correlation between the spiritual perspectives and religiosity was in the expected direction. The internal consistency reliability of the Arabic SPS was high. This study revealed that the Arabic SPS is a valid and reliable instrument to measure spiritual perspectives among Jordanian Muslim student nurses and adult Christians. Implications for Practice: Developing an Arabic version of the SPS exhibited good evidence of validity and reliability is important because it contributes to the evaluation of the spiritual behaviors and spiritual values and beliefs of Arab nurses and their patients. It also opens the way for comparison and transcultural studies regarding individual's spiritual perspectives.

Background and purpose: Oral health affects systemic health and the importance of maintaining good oral health is acknowledged. The high prevalence of oral diseases is associated with low health literacy (HL). Therefore, the purpose of this study was to investigate whether comprehensive HL in community-dwelling older adults is associated with objective oral hygiene and oral health-related quality of life (OHRQoL). Methods: Participants aged ≥65 years completed a self-administered questionnaire. On the same day, data collected with the oral health assessment tool were used to assess participants' objective oral status. The questionnaire included the general oral health assessment index to measure OHRQoL and the short version of the European Health Literacy Survey Questionnaire to assess comprehensive HL. Data were analyzed by univariate and multiple logistic regression. Results: In total, 145 people consented to participate in this study, of whom 118 (81.4%) responded effectively. Of the 118 participants, 18% recorded a rating of "unhealthy" for oral cleanliness in objective oral hygiene. Multiple logistic regression analysis identified comprehensive HL as a related factor for both oral cleanliness and OHRQoL (odds ratio = 5.00 and 3.33, p < 0.01 and p < 0.05, respectively). Implications for Practice: These findings indicate that comprehensive HL changes clinical outcomes. Because older adults often have comorbidities as well as oral health problems, it is important for nurses to assess HL during follow-up for comorbidities and take the opportunity to provide personalized oral health guidance and improve OHRQoL.

Background: In COVID-19 survivors, symptom burden is a significant and multifaceted personal and societal challenge. The Omaha system is a standardized terminology used by researchers and clinicians for documentation and analysis of meaningful data for whole-person health. Given the urgent need for a standardized symptom checklist specific to the long COVID population, the purpose of the present study was to identify long COVID symptoms from the published literature (native symptoms) and map those to the Omaha system signs/symptoms terms. Methods: The long COVID symptoms identified from 13 literatures were mapped to the Omaha system signs/symptoms, using an expert consensus approach. The criteria for mapping were that the long COVID signs/symptoms had to contain either a one-to-one match (exact meaning of the native terms and the signs/symptoms) or a partial match (similar but not exact meaning). Results: The synthesis of the 217 native symptoms of long COVID and mapping analysis to the Omaha problems and signs/symptoms level resulted in a combined, deduplicated, and standardized list of 74 signs/symptoms for 23 problems. Of these, 72 (97.3%) of native signs/symptoms were a full match at the problem level, and 67 (90.5%) of native signs/symptoms were a full or partial match at the sign/symptoms level. Conclusions: The present study is the first step in identifying a standardized evidence-based symptom checklist for long COVID patients. This checklist may be used in practice and research for assessment, tracking, and intervention planning as well as longitudinal analysis of symptom resolution and intervention effectiveness.