T. Zhou, Jiayi Mao, Li-ling Xie, Qing-hua Zhao, Yu-Lu Chen
Abstract Objective To explore the current development and challenges regarding mobile medical applications (mmAPPs), so as to provide reference for application function elevation and quality improvement. Methods We retrieved literature databases like Web of Science, PubMed, China National Knowledge Infrastructure, Wanfang, China Biomedical Network, time limit was from January 1, 2010 to December 31, 2021, and restricted to the Chinese or English language. Results This study concluded with the following six aspects: Domestic and foreign development of mmAPP, reminder function, barriers and challenges (low quality; slow update rate; lack of standard evaluation tool or criterion), privacy and safety concerns, adverse drug event report state (low report rate-related reasons, different countries’ report policies), and current hindrances in the progression (economic worries; personal education level; acceptance and study of technology; rural districts, and low-income countries). Conclusions We should focus on the application's quality elevation rather than quantity, pay more attention to patients’ adverse drug event reports, privacy and safety, and place emphasis on rural districts and low-income countries.
摘要目的探讨移动医疗应用的发展现状和面临的挑战，为提高应用功能和质量提供参考。方法检索Web of Science、PubMed、中国国家知识基础设施、万方、中国生物医学网等文献数据库，时间限制为2010年1月1日至2021年12月31日，仅限中文或英文。结果本研究总结了以下六个方面：mmAPP的国内外发展、提醒功能、障碍和挑战（质量低；更新速度慢；缺乏标准的评估工具或标准）、隐私和安全问题、不良药物事件报告状态（报告率低的相关原因、不同国家的报告政策），以及目前的发展障碍（经济担忧；个人教育水平；对技术的接受和学习；农村地区和低收入国家）。结论应注重用药质量的提升而非数量的提升，更加关注患者的不良事件报告、隐私和安全，并将重点放在农村地区和低收入国家。
{"title":"Mobile medical applications’ state quo and underlying barriers: review of literature","authors":"T. Zhou, Jiayi Mao, Li-ling Xie, Qing-hua Zhao, Yu-Lu Chen","doi":"10.2478/fon-2022-0029","DOIUrl":"https://doi.org/10.2478/fon-2022-0029","url":null,"abstract":"Abstract Objective To explore the current development and challenges regarding mobile medical applications (mmAPPs), so as to provide reference for application function elevation and quality improvement. Methods We retrieved literature databases like Web of Science, PubMed, China National Knowledge Infrastructure, Wanfang, China Biomedical Network, time limit was from January 1, 2010 to December 31, 2021, and restricted to the Chinese or English language. Results This study concluded with the following six aspects: Domestic and foreign development of mmAPP, reminder function, barriers and challenges (low quality; slow update rate; lack of standard evaluation tool or criterion), privacy and safety concerns, adverse drug event report state (low report rate-related reasons, different countries’ report policies), and current hindrances in the progression (economic worries; personal education level; acceptance and study of technology; rural districts, and low-income countries). Conclusions We should focus on the application's quality elevation rather than quantity, pay more attention to patients’ adverse drug event reports, privacy and safety, and place emphasis on rural districts and low-income countries.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"241 - 246"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49601706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Orathai, Wonnapha Prapaipanich, Manee Arpanantikul, Supanee Senadisai
Abstract Background Ethical problems in the nursing profession are mostly found in the undesirable ethical behavior (EBE) of nurses. If there is no concern about these problems, it may negatively affect the quality of nursing care, patients’ safety, and trust in the nursing profession. In assessing nurses’ EBE, it is important to develop an instrument that reflects the actual EBE of nurses. Objectives To develop and evaluate the psychometric properties of the Ethical Behavior for Thai Nurses Scale (EBTNS). Methods The construct definition, 5 sub-constructs, 43 items, and the hypothesized model were synthesized and generated from a comprehensive literature review and existing research instruments by using document analysis. The EBTNS was verified for content validity by 4 experts. Of the 43 items, 37 items were retained for psychometric testing. The construct validity was tested by using second-order confirmatory factor analysis (CFA). The EBTNS was tested on 1500 professional nurses working at tertiary, secondary, and primary hospitals in 6 regions (the central, northern, northeast, eastern, western, and southern) of Thailand. Proportional quota sampling was applied to recruit participants. Results The hypothesized model fitted the empirical data. All 37 first-order indicators and 5 second-order sub-constructs showed significantly standardized factor loadings and effect sizes. The standardized factor loadings of 37 first-order indicators ranged from 0.58 to 0.89, and the construct reliabilities were moderate to substantial (R2 = 0.34–0.79). The 5 second-order sub-constructs displayed the standardized effect sizes, ranging from 0.81 to 0.96, and accounted for 65%–96% of the total explained variance. In addition, the construct validity was supported by convergent validity and discriminant validity. It also satisfied Cronbach's alpha coefficients of 5 sub-constructs from 0.87 to 0.94, and a full scale was 0.97. Conclusions The psychometric properties of the EBTNS are acceptable. This instrument has the potential to be used for evaluating and monitoring to prevent ethical problems of Thai nurses.
{"title":"Development and psychometric evaluation of the Ethical Behavior for Thai Nurses Scale","authors":"P. Orathai, Wonnapha Prapaipanich, Manee Arpanantikul, Supanee Senadisai","doi":"10.2478/fon-2022-0034","DOIUrl":"https://doi.org/10.2478/fon-2022-0034","url":null,"abstract":"Abstract Background Ethical problems in the nursing profession are mostly found in the undesirable ethical behavior (EBE) of nurses. If there is no concern about these problems, it may negatively affect the quality of nursing care, patients’ safety, and trust in the nursing profession. In assessing nurses’ EBE, it is important to develop an instrument that reflects the actual EBE of nurses. Objectives To develop and evaluate the psychometric properties of the Ethical Behavior for Thai Nurses Scale (EBTNS). Methods The construct definition, 5 sub-constructs, 43 items, and the hypothesized model were synthesized and generated from a comprehensive literature review and existing research instruments by using document analysis. The EBTNS was verified for content validity by 4 experts. Of the 43 items, 37 items were retained for psychometric testing. The construct validity was tested by using second-order confirmatory factor analysis (CFA). The EBTNS was tested on 1500 professional nurses working at tertiary, secondary, and primary hospitals in 6 regions (the central, northern, northeast, eastern, western, and southern) of Thailand. Proportional quota sampling was applied to recruit participants. Results The hypothesized model fitted the empirical data. All 37 first-order indicators and 5 second-order sub-constructs showed significantly standardized factor loadings and effect sizes. The standardized factor loadings of 37 first-order indicators ranged from 0.58 to 0.89, and the construct reliabilities were moderate to substantial (R2 = 0.34–0.79). The 5 second-order sub-constructs displayed the standardized effect sizes, ranging from 0.81 to 0.96, and accounted for 65%–96% of the total explained variance. In addition, the construct validity was supported by convergent validity and discriminant validity. It also satisfied Cronbach's alpha coefficients of 5 sub-constructs from 0.87 to 0.94, and a full scale was 0.97. Conclusions The psychometric properties of the EBTNS are acceptable. This instrument has the potential to be used for evaluating and monitoring to prevent ethical problems of Thai nurses.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"275 - 284"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44422989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Neonatal pain is a problem that is easily overlooked. According to the status quo of neonatal pain management, commonly 9 scales are used for evaluation of neonatal pain; details of the specific indicators, such as the applicable neonatal gestational age range, score, and the type of pain, for the domestic references are provided so as to provide reference for the proper evaluation and standardized management of neonatal pain, as well as to promote the management level of neonatal pain.
{"title":"Assessment of neonatal pain: uni- and multidimensional evaluation scales","authors":"Zi Zeng","doi":"10.2478/fon-2022-0030","DOIUrl":"https://doi.org/10.2478/fon-2022-0030","url":null,"abstract":"Abstract Neonatal pain is a problem that is easily overlooked. According to the status quo of neonatal pain management, commonly 9 scales are used for evaluation of neonatal pain; details of the specific indicators, such as the applicable neonatal gestational age range, score, and the type of pain, for the domestic references are provided so as to provide reference for the proper evaluation and standardized management of neonatal pain, as well as to promote the management level of neonatal pain.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"247 - 254"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43601386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tilahun Tariku Jimalo, Ebissa Negara Gemechu, A. Gizaw
Abstract Background Hypertension is one of the leading causes of death in developed and developing countries that need urgent strategies to implement interventions. Appropriate lifestyle modification practices are the corner stone of the prevention and control. Objective To assess lifestyle modification practices and associated factors among hypertensive patients. Methods A facility-based cross-sectional study was conducted among hypertensive patients from 1 April to 30 April 2019. Simple random sampling was used to select the study subjects. Data were entered to EpiData 3.1 and exported to Statistical Package for Social Sciences, version 25.0, for analysis. A binary logistic regression analysis was performed to determine predictors of lifestyle modifications among hypertensive patients. Results The findings of this study revealed that the level of lifestyle modification practice was 79 (39.5%). This finding is very low, and it has a significant effect on the management of hypertensive disorders and hypertension-related acute and chronic complications. Ethnicity, family history of hypertension, and knowledge about hypertension were identified as predictors of lifestyle modification practice. Conclusions In this study, lifestyle modification practice is low (about 40%), but scientifically, almost all hypertensive patients on follow-up should practice lifestyle modification modalities.
背景高血压是发达国家和发展中国家的主要死亡原因之一，需要紧急实施干预措施。适当的生活方式改变是预防和控制的基石。目的探讨高血压患者生活方式的改变及其相关因素。方法2019年4月1日至4月30日在医院对高血压患者进行横断面研究。采用简单随机抽样的方法选择研究对象。数据输入EpiData 3.1，导出到Statistical Package for Social Sciences, version 25.0进行分析。采用二元logistic回归分析确定高血压患者生活方式改变的预测因素。结果调查结果显示，生活方式改变实践水平为79分(39.5%)。这一发现是非常低的，它对高血压疾病和高血压相关的急慢性并发症的管理有重要影响。种族、高血压家族史和高血压知识被确定为生活方式改变实践的预测因素。结论在本研究中，生活方式改变的实践很少(约40%)，但科学地说，几乎所有随访的高血压患者都应该实践生活方式改变的方式。
{"title":"Lifestyle modification practices and associated factors among hypertensive patients at Gambella Hospital Southwest Ethiopia; 2019","authors":"Tilahun Tariku Jimalo, Ebissa Negara Gemechu, A. Gizaw","doi":"10.2478/fon-2022-0042","DOIUrl":"https://doi.org/10.2478/fon-2022-0042","url":null,"abstract":"Abstract Background Hypertension is one of the leading causes of death in developed and developing countries that need urgent strategies to implement interventions. Appropriate lifestyle modification practices are the corner stone of the prevention and control. Objective To assess lifestyle modification practices and associated factors among hypertensive patients. Methods A facility-based cross-sectional study was conducted among hypertensive patients from 1 April to 30 April 2019. Simple random sampling was used to select the study subjects. Data were entered to EpiData 3.1 and exported to Statistical Package for Social Sciences, version 25.0, for analysis. A binary logistic regression analysis was performed to determine predictors of lifestyle modifications among hypertensive patients. Results The findings of this study revealed that the level of lifestyle modification practice was 79 (39.5%). This finding is very low, and it has a significant effect on the management of hypertensive disorders and hypertension-related acute and chronic complications. Ethnicity, family history of hypertension, and knowledge about hypertension were identified as predictors of lifestyle modification practice. Conclusions In this study, lifestyle modification practice is low (about 40%), but scientifically, almost all hypertensive patients on follow-up should practice lifestyle modification modalities.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"4 4","pages":"329 - 334"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41293537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Objectives Sex education toward adolescent remains the most controversial subject due to the various thoughts and ideas of different values present in society. Nurse educators as parents must exemplify sex education to their children. The aim of this present study was to explore parents’ experience, with nurse educators background to be exact, on how they convey sex education to their children. Methods This study is a descriptive qualitative study, and the sample is recruited by using the purposive sampling technique. The qualified participants filled in the informed consent, provided demographic data, and were interviewed. Saturation data were obtained at the 6th interview in this study. The interview is transcribed to find themes and subthemes using conventional content analysis. Results We derived 3 main themes: parents’ approach, sex education topic, and children's reaction. Parents’ approach contained 4 subthemes, namely, gender match, parent–child closeness, media, and attitude. Sex education topic included 5 subthemes of bodily autonomy, health and safety, reproductive anatomy, puberty-related changes, and how to maintain healthiness. Children's reaction experiences also included 4 subthemes of uncomfortable, questioning, acknowledging, and laughing. Conclusions As a matter of fact, some parents in eastern countries, such as Indonesia, conveyed sex education to their children. Children might have various reactions to that topic, but it is important to keep them safe, especially in reproductive health, regardless of the culture or tradition. Based on nurse educators as exemplifiers, nurses and nursing students might acquire the picture in conveying sex education to adolescents.
{"title":"Sex education for adolescents: Indonesian nurse educators’ experience as parents","authors":"A. Salim, E. Tambunan","doi":"10.2478/fon-2022-0039","DOIUrl":"https://doi.org/10.2478/fon-2022-0039","url":null,"abstract":"Abstract Objectives Sex education toward adolescent remains the most controversial subject due to the various thoughts and ideas of different values present in society. Nurse educators as parents must exemplify sex education to their children. The aim of this present study was to explore parents’ experience, with nurse educators background to be exact, on how they convey sex education to their children. Methods This study is a descriptive qualitative study, and the sample is recruited by using the purposive sampling technique. The qualified participants filled in the informed consent, provided demographic data, and were interviewed. Saturation data were obtained at the 6th interview in this study. The interview is transcribed to find themes and subthemes using conventional content analysis. Results We derived 3 main themes: parents’ approach, sex education topic, and children's reaction. Parents’ approach contained 4 subthemes, namely, gender match, parent–child closeness, media, and attitude. Sex education topic included 5 subthemes of bodily autonomy, health and safety, reproductive anatomy, puberty-related changes, and how to maintain healthiness. Children's reaction experiences also included 4 subthemes of uncomfortable, questioning, acknowledging, and laughing. Conclusions As a matter of fact, some parents in eastern countries, such as Indonesia, conveyed sex education to their children. Children might have various reactions to that topic, but it is important to keep them safe, especially in reproductive health, regardless of the culture or tradition. Based on nurse educators as exemplifiers, nurses and nursing students might acquire the picture in conveying sex education to adolescents.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"303 - 310"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47328582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Jia, Zhilan Yang, Jingkai Zhou, Xiao-Fen Wu, Xuandan Li
Abstract Objective To observe the confidence level prevailing with regard to the practice of Traditional Chinese Medicine (TCM) among undergraduate nursing students who have undertaken TCM courses at Shanxi Medical University. Methods This cross-sectional study was conducted at Shanxi University of Chinese Medicine. A questionnaire survey was administered through the Questionnaire Star website (https://www.questionstar.com/). The confidence level was examined from 6 aspects, namely cognition of TCM culture and theory, advantages and characteristics of TCM diagnosis and treatment, feelings about TCM achievements, personal behaviors related to TCM, attitudes toward Western medicine, and the future of TCM. The mean score of the observed items was calculated, and was found to be positively related to the confidence level concerning TCM (the score was between 1 and 5). Results A total of 120 participants voluntarily enrolled themselves in the study. The results showed that the mean score of observed items were generally about 4. A relatively strong confidence was shown in understating TCM advantages and characteristics in diagnosis and treatment, and also in feelings toward TCM achievements. Conclusions The majority of nursing undergraduates had confidence in TCM. However, some aspects such as the understanding of TCM culture and the correlation between TCM and Western medicine may need to be improved through education.
{"title":"Evaluating the confidence level of Traditional Chinese Medicine in nursing undergraduates at Chinese medical university","authors":"R. Jia, Zhilan Yang, Jingkai Zhou, Xiao-Fen Wu, Xuandan Li","doi":"10.2478/fon-2022-0032","DOIUrl":"https://doi.org/10.2478/fon-2022-0032","url":null,"abstract":"Abstract Objective To observe the confidence level prevailing with regard to the practice of Traditional Chinese Medicine (TCM) among undergraduate nursing students who have undertaken TCM courses at Shanxi Medical University. Methods This cross-sectional study was conducted at Shanxi University of Chinese Medicine. A questionnaire survey was administered through the Questionnaire Star website (https://www.questionstar.com/). The confidence level was examined from 6 aspects, namely cognition of TCM culture and theory, advantages and characteristics of TCM diagnosis and treatment, feelings about TCM achievements, personal behaviors related to TCM, attitudes toward Western medicine, and the future of TCM. The mean score of the observed items was calculated, and was found to be positively related to the confidence level concerning TCM (the score was between 1 and 5). Results A total of 120 participants voluntarily enrolled themselves in the study. The results showed that the mean score of observed items were generally about 4. A relatively strong confidence was shown in understating TCM advantages and characteristics in diagnosis and treatment, and also in feelings toward TCM achievements. Conclusions The majority of nursing undergraduates had confidence in TCM. However, some aspects such as the understanding of TCM culture and the correlation between TCM and Western medicine may need to be improved through education.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"263 - 268"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48313717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Optimum care for patients with a terminal illness is dependent on understanding their values, beliefs, and preferences on end-of-life issues and providing service that meets their preferences. As the only way to explore patients’ living wills, advance care planning (ACP) is an important means to honor patient autonomy and respect their human rights and dignity. ACP has been recognized as a key indicator for quality palliative care and endorsed into national health systems by many high-income countries; however, it is little known in mainland China. China is now facing a growing aging and terminally ill population with many unmet needs for end-of-life care; therefore, it is imperative to implement ACP in China. In this review, we clarify the relevant concept and suitable population for ACP, describe the current situation of implementation in high-income countries, and provide better suggestions for the future development of ACP in the mainland of China.
对绝症患者的最佳护理依赖于了解他们的价值观、信仰和对临终问题的偏好，并提供满足他们偏好的服务。advance care planning (ACP)作为探索患者生前遗嘱的唯一途径，是尊重患者自主权、尊重患者人权和尊严的重要手段。ACP已被公认为质量姑息治疗的关键指标，并被许多高收入国家批准纳入国家卫生系统;然而，它在中国大陆却鲜为人知。中国目前面临着日益增长的老龄化和身患绝症的人口，许多临终关怀需求未得到满足;因此，在中国实施ACP势在必行。本文梳理了ACP的相关概念和适用人群，描述了ACP在高收入国家的实施现状，为ACP在中国大陆的未来发展提供更好的建议。
{"title":"Status quo of implementation of advance care planning: a review","authors":"Min Liu, Ronnell D. Dela Rosa","doi":"10.2478/fon-2022-0018","DOIUrl":"https://doi.org/10.2478/fon-2022-0018","url":null,"abstract":"Abstract Optimum care for patients with a terminal illness is dependent on understanding their values, beliefs, and preferences on end-of-life issues and providing service that meets their preferences. As the only way to explore patients’ living wills, advance care planning (ACP) is an important means to honor patient autonomy and respect their human rights and dignity. ACP has been recognized as a key indicator for quality palliative care and endorsed into national health systems by many high-income countries; however, it is little known in mainland China. China is now facing a growing aging and terminally ill population with many unmet needs for end-of-life care; therefore, it is imperative to implement ACP in China. In this review, we clarify the relevant concept and suitable population for ACP, describe the current situation of implementation in high-income countries, and provide better suggestions for the future development of ACP in the mainland of China.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"123 - 133"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45111689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Liu, Hong Lu, Xiaoqing Yi, Yang Yang, Xiaoping Huang
Abstract Objective To explore the relationships between Chinese nurses’ knowledge, perceptions, and attitudes and their behavior and actual implementation of safety measures when handling antineoplastic drugs (ADs) in their daily work. Methods This was a multisite study conducted in 8 public hospitals in China. A self-administered questionnaire was sent to participants querying the degree of contact with ADs. The hypothesized relations were explored using structural equation modelling via the bootstrap method. Mediation analysis was applied to explore the mediating role of protective knowledge regarding AD exposure on the associations among protective training, using warning labels, and using protective masks. Results A total of 305 nurses were enrolled. The average age of all participants was 30.2 (standard deviation [SD]: 6.2) years. Nurses who had received protective training for AD exposure were more likely to use labels for ADs after age, body mass index (BMI), length of service, marital status, education, and department were controlled as covariates. The bias-corrected bootstrap of 95% confidence interval (CI) indicated that protective knowledge significantly mediated (23.4%) the association between protective training and using labels (indirect effect = 0.202, 95% CI: 0.009, 0.495); the proportion of mediation was 23.4%. Protective knowledge significantly mediated the association between protective training and using protective masks (indirect effect = 0.157, 95% CI: 0.048, 0.325); the proportion of mediation was 27.2%. Conclusions The findings of this study have provided baseline information on the current state of Chinese nurses’ perceptions, knowledge, and preventive behaviors toward ADs as the crisis is happening. Training is also recommended to improve nurses’ perceptions of the risks associated with ADs.
{"title":"Nurses’ knowledge, perceptions, and behaviors regarding antineoplastic drugs: the mediating role of protective knowledge","authors":"N. Liu, Hong Lu, Xiaoqing Yi, Yang Yang, Xiaoping Huang","doi":"10.2478/fon-2022-0017","DOIUrl":"https://doi.org/10.2478/fon-2022-0017","url":null,"abstract":"Abstract Objective To explore the relationships between Chinese nurses’ knowledge, perceptions, and attitudes and their behavior and actual implementation of safety measures when handling antineoplastic drugs (ADs) in their daily work. Methods This was a multisite study conducted in 8 public hospitals in China. A self-administered questionnaire was sent to participants querying the degree of contact with ADs. The hypothesized relations were explored using structural equation modelling via the bootstrap method. Mediation analysis was applied to explore the mediating role of protective knowledge regarding AD exposure on the associations among protective training, using warning labels, and using protective masks. Results A total of 305 nurses were enrolled. The average age of all participants was 30.2 (standard deviation [SD]: 6.2) years. Nurses who had received protective training for AD exposure were more likely to use labels for ADs after age, body mass index (BMI), length of service, marital status, education, and department were controlled as covariates. The bias-corrected bootstrap of 95% confidence interval (CI) indicated that protective knowledge significantly mediated (23.4%) the association between protective training and using labels (indirect effect = 0.202, 95% CI: 0.009, 0.495); the proportion of mediation was 23.4%. Protective knowledge significantly mediated the association between protective training and using protective masks (indirect effect = 0.157, 95% CI: 0.048, 0.325); the proportion of mediation was 27.2%. Conclusions The findings of this study have provided baseline information on the current state of Chinese nurses’ perceptions, knowledge, and preventive behaviors toward ADs as the crisis is happening. Training is also recommended to improve nurses’ perceptions of the risks associated with ADs.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"155 - 163"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42470618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sirinthip Boonduaylan, W. Deoisres, Chintana Wacharasin
Abstract Objective To test a causal model of job stress among nurse-midwives working in labor and delivery units in Thailand. Methods Random and convenience sampling was used to recruit 282 nurse-midwives with at least 6 months of work experience from 16 regional tertiary hospitals in Thailand. Data were collected from May to December 2020. Research instruments with good internal consistency reliability ranged from 0.83 to 0.91 including the Job Stress Scale and the Thai version of the Job Content Questionnaire (TJCQ). Descriptive statistics and a structural equation model were used for data analysis. Results Job demands were the strongest predictor of job stress. At the theoretical level, high job control plays a crucial role in directly reducing job stress. However, the present research provides contrary evidence to the theoretical predictions. When nurse-midwives perceive high job control, they perceive pressure to meet the expectations of their supervisors and colleagues. Therefore, high job control can contribute to job stress. Likewise, job support had an indirect effect on job stress among nurse-midwives through job control. The modified model fitted the empirical data (χ2 = 57.76, df = 22, CMIN/df = 2.62, goodness of fit (GFI) =0.96, adjusted goodness of fit (AGFI) =0.91, comparative fit index (CFI) = 0.95, and root mean square error of approximation (RMSEA) = 0.07). The effects of job demands, job control, and job support on job stress among Thai nurse-midwives can explain 67% of the model's total variance for job stress. Conclusions Nurse-midwives who encounter high job demands and less control over their work control suffer from job stress. Job support does not directly affect nurse-midwives’ job stress but influences it through perceived job control. Strategies to decrease job stress among Thai nurse-midwives should focus on how to balance job demands, and enhance job control, and job support.
{"title":"A causal model of job stress among Thai nurse-midwives","authors":"Sirinthip Boonduaylan, W. Deoisres, Chintana Wacharasin","doi":"10.2478/fon-2022-0016","DOIUrl":"https://doi.org/10.2478/fon-2022-0016","url":null,"abstract":"Abstract Objective To test a causal model of job stress among nurse-midwives working in labor and delivery units in Thailand. Methods Random and convenience sampling was used to recruit 282 nurse-midwives with at least 6 months of work experience from 16 regional tertiary hospitals in Thailand. Data were collected from May to December 2020. Research instruments with good internal consistency reliability ranged from 0.83 to 0.91 including the Job Stress Scale and the Thai version of the Job Content Questionnaire (TJCQ). Descriptive statistics and a structural equation model were used for data analysis. Results Job demands were the strongest predictor of job stress. At the theoretical level, high job control plays a crucial role in directly reducing job stress. However, the present research provides contrary evidence to the theoretical predictions. When nurse-midwives perceive high job control, they perceive pressure to meet the expectations of their supervisors and colleagues. Therefore, high job control can contribute to job stress. Likewise, job support had an indirect effect on job stress among nurse-midwives through job control. The modified model fitted the empirical data (χ2 = 57.76, df = 22, CMIN/df = 2.62, goodness of fit (GFI) =0.96, adjusted goodness of fit (AGFI) =0.91, comparative fit index (CFI) = 0.95, and root mean square error of approximation (RMSEA) = 0.07). The effects of job demands, job control, and job support on job stress among Thai nurse-midwives can explain 67% of the model's total variance for job stress. Conclusions Nurse-midwives who encounter high job demands and less control over their work control suffer from job stress. Job support does not directly affect nurse-midwives’ job stress but influences it through perceived job control. Strategies to decrease job stress among Thai nurse-midwives should focus on how to balance job demands, and enhance job control, and job support.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"215 - 223"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47583491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Dementia is increasing dramatically with an increasing elderly population. Pharmacological interventions are proven to have limited efficacy to treat many of the features of dementia. In such a situation, non-pharmacological means become important to help people with dementia, especially music therapy. The efficacy of music intervention on cognition has been barely explored in the literature, and the few studies that are available present inconsistent results. The aim of this systematic review is to have a meta-analysis on the effect of music therapy for improvements in cognitive functions as well as neuropsychiatric symptoms in the elderly with dementia.
{"title":"Effectiveness of music intervention on cognitive function and neuropsychiatric symptoms in the elderly with dementia: a meta-analysis","authors":"TT Cecilia Wong","doi":"10.2478/fon-2022-0020","DOIUrl":"https://doi.org/10.2478/fon-2022-0020","url":null,"abstract":"Abstract Dementia is increasing dramatically with an increasing elderly population. Pharmacological interventions are proven to have limited efficacy to treat many of the features of dementia. In such a situation, non-pharmacological means become important to help people with dementia, especially music therapy. The efficacy of music intervention on cognition has been barely explored in the literature, and the few studies that are available present inconsistent results. The aim of this systematic review is to have a meta-analysis on the effect of music therapy for improvements in cognitive functions as well as neuropsychiatric symptoms in the elderly with dementia.","PeriodicalId":52206,"journal":{"name":"Frontiers of Nursing","volume":"9 1","pages":"143 - 153"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44952193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：