Creative Nursing最新文献

Transgender individuals face significant health disparities, including barriers to accessing gender-affirming care. Nursing education plays a crucial role in preparing future registered nurses to deliver respectful and competent care to transgender individuals. This educational project aimed to design a series of interprofessional unfolding case study modules via 360-virtual reality and face-to-face simulations within a 4-year pre-licensure nursing curriculum to address the health inequities for the transgender community. Following the simulations, focus groups were used to analyze benefits and challenges as perceived by student learners through a social constructivist lens. Findings supported that the use of a multi-modal simulation approach fostered student learning related to the care of the transgender individual. More education in health-care curricula is needed to enhance inclusivity and skilled provision of care for transgender individuals.

Mental illness is commonly experienced throughout the world. The understanding of and treatment for mental health has changed throughout centuries. Mental health is more openly discussed now, but stigma about mental illness remains.

Introduction: Technologies such as mobile apps, online platforms, virtual reality, and artificial intelligence have been explored to support adolescent mental health. Issues of accessibility, effectiveness, privacy, and equity need to be assessed to determine the true impact of these technologies. This review offers insights for health-care professionals, researchers, and technology developers aiming to improve adolescents' mental wellbeing. Objectives: To map studies on the advantages of using educational technologies in the promotion of mental health for adolescents aged 10 to 19 years. Methodology: Scoping review using the Joanna Briggs Institute (JBI) methodology. The research was conducted in PubMed, Cumulative Index of Nursing and Allied Health (CINAHL) via EBSCO, and PsycINFO via EBSCO. Results: The JBI methodology guided the review, including information on title, authors, year, country, study type, objectives, and results. The review highlighted a range of technological interventions for adolescent mental health, such as apps for mood monitoring, online support platforms, computer-based cognitive behavioral therapy programs, and virtual reality interventions for anxiety. Discussion: The analysis showed potential benefits of using technologies in adolescent mental health, such as greater accessibility, convenience, and personalization. However, issues of privacy, security, and effectiveness need careful consideration. Conclusion: This review highlights the promising role of technologies in adolescent mental health. However, it is crucial to continue research to optimize the design, implementation, and evaluation of these interventions, ensuring their impact and effectiveness in improving adolescents' mental wellbeing.

Purpose: This study aimed to compare an educational intervention with an educational comic book and oral information versus oral information alone, for 45 children and their parents before pediatric surgery. Design and Methods: A quasi-experimental study was conducted at a public university in Brazil. The content of the comic book was previously validated, and its face validity for use in children's perioperative care was previously confirmed. Inclusion criteria were children aged 6 to 14 years, American Society of Anesthesiologists physical status classification I or II, undergoing their first elective surgical procedure, and literate parents. A questionnaire was used to collect data on the sociodemographic characteristics of the children and their parents. A questionnaire was administered to children aged 6 to 10 years, another for those aged 11 to 14 years, and a third for parents to evaluate their knowledge about surgery. Results: The sociodemographic characteristics of the intervention group (N = 22) and the control group (N = 23) were comparable. In both groups, for both the children and their parents, there was a significant difference between pre- and post-orientation knowledge scores. However, there was no difference in knowledge scores between the two educational strategies. Conclusion: Educational interventions on the day of surgery are beneficial for increasing knowledge among patients and family members, regardless of the method used. We recommended the process of preparing the child should begin after scheduling the surgery, and nurses should use a child-centered care approach.

Organizational socialization (OS) is a critical process that all employees go through. In addition to the job characteristics, the efficiency and effectiveness of the OS process impact the individual's ability to adjust and be involved in the job. This study proposes and tests a new model in which psychological safety mediated the effects of OS and job characteristics on the job involvement of 313 newly recruited health-care professionals' working in 10 private hospitals in South India. Researchers used Uncertainty Reduction Theory to explain the relationship between the variables under study. The results indicate that newcomers' job involvement is predicted positively by OS and job characteristics, and that psychological safety mediates these relationships. These findings as well as their implications in the health-care professional arena are discussed within the Eastern cultural contexts of organizational behavior research.

Aim: This study aimed to determine hospital fear points, specific aspects of the hospital experience that are particularly frightening for children, and fear levels of children 5-10 years old who are admitted to the hospital. Methods: This descriptive cross-sectional study of 210 children in eastern Turkey aged 5-10 years used a Demographic Findings and Hospital Fears Form and the Child Fear Scale to collect data about the children's demographics, the opinions of the mothers about their children's fears, and the children's fears about the hospital. Results: Children in the outpatient treatment services and emergency department were afraid of blood drawing, intravenous insertion, injections (shots), and separation from their mothers. In the surgical department, in addition to painful procedures, children were most afraid of being forced to undergo the procedure, insertion of medications, being in the operating room, being awakened after surgery, and seeing the incision site. In the inpatient ward, children were most afraid of nurses and doctors entering the room. Conclusions: Children feared painful procedures, separation from their mothers, and the unknown in the hospital setting.

Collaboration and intercultural interaction and engagement are relevant to all aspects of higher education including distance/remote/virtual courses. Collaborative Online International Learning (COIL) experiences connect students in different countries and provide them with meaningful and significant opportunities for global and intercultural exposure. Such an educational environment enhances students' cultural awareness and knowledge, and guides their personal, relational, and professional actions. Accordingly, engagement in COIL experiences can increase students' understanding of and ability to respond to significant global health-care issues both locally and internationally and to recognize their impact on mental health, and can lead to reflection and awareness that will endure beyond students' individual class experiences. One of these urgent issues is mental health vulnerabilities associated with environmental justice issues. This article describes participation in an international collaborative experience between the Universidad San Francisco de Quito, Ecuador, and the College of Nursing at the University of South Alabama, USA.

Mothers living with human immunodeficiency virus (HIV) may experience adjustment issues due to their illness progression and the risk of intergenerational transmission of the disease. Existing research on women living with HIV has focused on how psychological transitions such as child care and breastfeeding influence maternal life, and how socioeconomic status, stigma, and social support impact psychological transitions. Little is known about the experiences of mothers living with HIV in Indonesia. This study employed interpretive phenomenological methods to learn about the experiences of mothers living with HIV in West Papua, Indonesia. Twenty mothers with HIV were invited to participate in a study at a public health center. Themes identified were emotional reaction to HIV diagnosis, destruction of relationships, treatment burden, emotional coping, motherhood, and uncertainty about their child's future status. Formal and informal peer-led support groups may be practical tools for increasing partner communication and antiretroviral therapy uptake and decreasing HIV vertical transmission, especially in low-resource contexts.

Background: Successful completion of professional experience placement is a key factor for student progress through pre-licensure nursing programmes and subsequent registration as a nurse. Professional experience placement can be a time when students feel the impact of intersectional challenges, and is a point in which attrition occurs. A regional university partnered with their spatial analysis unit to create a customised, interactive, digital map application to support students undertaking professional experience placement. Purpose: This research aimed to identify whether a custom-designed digital map application reduced student self-perceived stress, promoted ongoing connection with theoretical learning, and facilitated more reliable access to internet technology during professional experience placement. Methods: An online survey using homogenous purposive sampling was used to gather data. Quantitative analysis used the Exact Wilcoxon-Pratt Signed Rank Test and the Kruskal-Wallis Rank Sum Test to further analyse the data in accordance with specific demographics. Conclusions: Difference between pre- and post-intervention response rates was suggestive, indicating that the map application contributed to improving students' experience in two key areas: self-reported personal, financial, and family stress; and ongoing connection with theoretical learning using technology while undertaking professional experience placement. Implications for Practice: This research evidences one way in which universities can support students during professional experience placement, opening opportunities for other disciplines who use work-integrated learning opportunities to explore the impact a customised digital map application may have on student experiences.

Unearthing the meaning patients' attribute to their lived experience beyond a diagnostic label has profound implications to reconceptualize the caring art of nursing practice. Featured throughout this article are lessons learnt from caring for a patient who had received a stigmatizing diagnosis of liver cirrhosis. Contained within such heavily stigmatized diagnoses are various preunderstandings (e.g., negative views about substance misuse) that are often informed by dominant societal beliefs, which can impede nurses' ability to authentically care for patients across the lifespan. Interpretive phenomenology is a philosophical tradition dedicated to the description of lived experience; this philosophy can facilitate an understanding of how things appear in the world in which they exist. By applying interpretive phenomenology to nursing practice, nurses can understand the essence that patients' attribute to their diagnostic label by authentically exploring their lifeworld. Utilizing the philosophical underpinnings of interpretive phenomenology, this article proposes opportunities to inform the way nurses care for patients by exploring how a Gadamerian fusion of horizons and holistic approach to care can reconceptualize nursing practice. Understanding the meaning patients' attribute to their lived experiences is a critical step to optimizing care by granting nurses the opportunity to ascribe meaning in their everyday clinical practice, which can motivate positive patient outcomes and a continuous evolution of their authentic being.