Research and Theory for Nursing Practice最新文献

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.

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.