AimTo describe nurses' and community‐based organization representatives' collaborative strategies for advancing climate justice with communities.DesignThis study used a descriptive, qualitative research design.MethodsData were gathered from August 2022 to February 2023 with nurses (n = 8) and their community partners (n = 5) in the United States. Community partners were representatives of community‐based organizations. Photovoice provided greater context for the thematic analysis of collaborative strategies discussed in semi‐structured interviews.ResultsNurse participants worked in academic or non‐profit settings. Nurse‐community partnerships addressed corporate pollution and promoted Indigenous sovereignty and multispecies justice. Themes included investigating disease and health events, identifying at‐risk populations and connecting them with resources, providing health teaching and counseling, organizing communities and coalitions, and advocating for policy development and enforcement. Self‐care supported resilience and well‐being in the long struggle for climate justice.ConclusionFindings from this study indicated that nurses and their community partners strategize to transition communities away from systems of extraction towards local and regenerative systems that support resilience. Nurses and their community partners recognized the importance of applying an expansive understanding of climate justice, including intersections of pollution and multispecies justice, to promoting planetary health.Implications for the professionFindings from this study support nurse‐community collaboration in policy work to advance planetary health. This study also supports nurses' collective action with their community partners to address the effects of white supremacy and colonization. Future research is needed to evaluate the outcomes of nurse‐community partnerships for planetary health.ImpactNurses have called for action on climate justice; however, evidence of effective nursing strategies that advance climate justice is sparse. This study is the first to describe the collaborative strategies nurses implement with community partners to support the transition from injustice to justice in communities most burdened by climate change and industrial pollution.
{"title":"Climate Justice Strategies Implemented by Public Health Nurses and Their Community Partners","authors":"Jessica LeClair, Alex Dudek, Susan Zahner","doi":"10.1111/jan.16598","DOIUrl":"https://doi.org/10.1111/jan.16598","url":null,"abstract":"AimTo describe nurses' and community‐based organization representatives' collaborative strategies for advancing climate justice with communities.DesignThis study used a descriptive, qualitative research design.MethodsData were gathered from August 2022 to February 2023 with nurses (<jats:italic>n</jats:italic> = 8) and their community partners (<jats:italic>n</jats:italic> = 5) in the United States. Community partners were representatives of community‐based organizations. Photovoice provided greater context for the thematic analysis of collaborative strategies discussed in semi‐structured interviews.ResultsNurse participants worked in academic or non‐profit settings. Nurse‐community partnerships addressed corporate pollution and promoted Indigenous sovereignty and multispecies justice. Themes included investigating disease and health events, identifying at‐risk populations and connecting them with resources, providing health teaching and counseling, organizing communities and coalitions, and advocating for policy development and enforcement. Self‐care supported resilience and well‐being in the long struggle for climate justice.ConclusionFindings from this study indicated that nurses and their community partners strategize to transition communities away from systems of extraction towards local and regenerative systems that support resilience. Nurses and their community partners recognized the importance of applying an expansive understanding of climate justice, including intersections of pollution and multispecies justice, to promoting planetary health.Implications for the professionFindings from this study support nurse‐community collaboration in policy work to advance planetary health. This study also supports nurses' collective action with their community partners to address the effects of white supremacy and colonization. Future research is needed to evaluate the outcomes of nurse‐community partnerships for planetary health.ImpactNurses have called for action on climate justice; however, evidence of effective nursing strategies that advance climate justice is sparse. This study is the first to describe the collaborative strategies nurses implement with community partners to support the transition from injustice to justice in communities most burdened by climate change and industrial pollution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"63 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142598170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agnieszka Bień, Aleksandra Pokropska, Joanna Grzesik‐Gąsior, Magdalena Korżyńska‐Piętas, Marta Zarajczyk, Ewa Rzońca, Krzysztof Jurek
AimThe study aimed to analyse selected clinical data affecting the quality of life of women with endometriosis.DesignA cross‐sectional study.MethodThe study was conducted in 2020–2022 among 425 women with endometriosis receiving health care. A diagnostic survey method with a questionnaire technique was used. The research tools are the Endometriosis Health Profile and a standardised interview questionnaire.ResultsInfertility, medical treatment and sexual intercourse were the dimensions of quality of life most poorly rated by respondents with endometriosis. Lower quality of life was linked to the presence of painful periods, the presence of pain during intercourse and having surgery for endometriosis.ConclusionThe main clinical variables influencing the quality of life of women with endometriosis include problems with getting pregnant, the necessity for long‐term therapy and sexual problems caused by the condition. The occurrence of painful menstruation, dyspareunia and having undergone surgery for endometriosis is associated with lower ratings of women's general quality of life.Implications for the ProfessionThe study will help to develop a more holistic approach to caring for endometriosis patients. This will result in a better diagnosis, individualised therapy and psychological support, all of which will enhance the overall quality of life. The study's results may impact the development of health policies, endometriosis support services for women and public awareness initiatives.ImpactThe study highlighted key determinants affecting health‐related quality of life for women with endometriosis. The analysis of clinical data revealed that infertility, treatment and dyspareunia are the dimensions of quality of life most poorly rated by women with endometriosis. These findings are significant for those providing care to women with endometriosis, as well as for policymakers responsible for the organisation of health care systems.Reporting MethodThe STROBE guidelines.Patient or Public ContributionNo patient or public contribution.
{"title":"Clinical Factors Affecting the Quality of Life of Women With Endometriosis","authors":"Agnieszka Bień, Aleksandra Pokropska, Joanna Grzesik‐Gąsior, Magdalena Korżyńska‐Piętas, Marta Zarajczyk, Ewa Rzońca, Krzysztof Jurek","doi":"10.1111/jan.16607","DOIUrl":"https://doi.org/10.1111/jan.16607","url":null,"abstract":"AimThe study aimed to analyse selected clinical data affecting the quality of life of women with endometriosis.DesignA cross‐sectional study.MethodThe study was conducted in 2020–2022 among 425 women with endometriosis receiving health care. A diagnostic survey method with a questionnaire technique was used. The research tools are the Endometriosis Health Profile and a standardised interview questionnaire.ResultsInfertility, medical treatment and sexual intercourse were the dimensions of quality of life most poorly rated by respondents with endometriosis. Lower quality of life was linked to the presence of painful periods, the presence of pain during intercourse and having surgery for endometriosis.ConclusionThe main clinical variables influencing the quality of life of women with endometriosis include problems with getting pregnant, the necessity for long‐term therapy and sexual problems caused by the condition. The occurrence of painful menstruation, dyspareunia and having undergone surgery for endometriosis is associated with lower ratings of women's general quality of life.Implications for the ProfessionThe study will help to develop a more holistic approach to caring for endometriosis patients. This will result in a better diagnosis, individualised therapy and psychological support, all of which will enhance the overall quality of life. The study's results may impact the development of health policies, endometriosis support services for women and public awareness initiatives.ImpactThe study highlighted key determinants affecting health‐related quality of life for women with endometriosis. The analysis of clinical data revealed that infertility, treatment and dyspareunia are the dimensions of quality of life most poorly rated by women with endometriosis. These findings are significant for those providing care to women with endometriosis, as well as for policymakers responsible for the organisation of health care systems.Reporting MethodThe STROBE guidelines.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"13 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shaimaa Mohamed Amin, Ahmed Hashem El‐Monshed, Mahmoud Abdelwahab Khedr, Omima Mohamed Ibrahim Morsy, Ayman Mohamed El‐Ashry
BackgroundClimate change significantly impacts public health, increasing the prevalence of respiratory, cardiovascular and mental health issues. Nurses, as frontline healthcare providers, need strong environmental literacy to manage these health challenges. This study explores how environmental literacy among nursing students relates to climate anxiety, aiming to improve educational strategies and mental health support for future nurses.Aim of the StudyIs to investigate how environmental literacy among nursing students affects their levels of climate anxiety.MethodsA cross‐sectional survey was utilised on a representative sample of 620 nursing students from each academic year.ToolsClimate anxiety scale and the environmental literacy scale for adults were used to collect data.ResultsEnvironmental literacy and its components were positively linked to cognitive‐emotional and functional impairments and climate anxiety. Gender differences were observed, with females experiencing higher climate anxiety. Increased environmental literacy generally reduced climate anxiety, particularly in females, emphasising gender differences in environmental literacy's impact on climate anxiety. Despite the model's low explanatory power (R2 = 0.026), the findings highlight the importance of gender differences in the relationship between environmental literacy and climate anxiety.Conclusion and ImplicationsNursing students show promise in their environmental knowledge but face significant climate anxiety. Gender differences in anxiety levels warrant attention. Addressing these concerns is crucial for preparing nurses to effectively address climate change's health effects and ensuring a resilient healthcare system. The study underscores the importance of integrating environmental literacy into nursing education and promoting pro‐environmental behaviours among nursing students and professionals. It highlights the crucial role of mental health support services, policy advocacy and ongoing research in addressing climate anxiety and preparing nurses to tackle the health impacts of climate change.Patient or Public ContributionNo patient or public involvement.
{"title":"Future Nurses in a Changing Climate: Exploring the Relationship Between Environmental Literacy and Climate Anxiety","authors":"Shaimaa Mohamed Amin, Ahmed Hashem El‐Monshed, Mahmoud Abdelwahab Khedr, Omima Mohamed Ibrahim Morsy, Ayman Mohamed El‐Ashry","doi":"10.1111/jan.16606","DOIUrl":"https://doi.org/10.1111/jan.16606","url":null,"abstract":"BackgroundClimate change significantly impacts public health, increasing the prevalence of respiratory, cardiovascular and mental health issues. Nurses, as frontline healthcare providers, need strong environmental literacy to manage these health challenges. This study explores how environmental literacy among nursing students relates to climate anxiety, aiming to improve educational strategies and mental health support for future nurses.Aim of the StudyIs to investigate how environmental literacy among nursing students affects their levels of climate anxiety.MethodsA cross‐sectional survey was utilised on a representative sample of 620 nursing students from each academic year.ToolsClimate anxiety scale and the environmental literacy scale for adults were used to collect data.ResultsEnvironmental literacy and its components were positively linked to cognitive‐emotional and functional impairments and climate anxiety. Gender differences were observed, with females experiencing higher climate anxiety. Increased environmental literacy generally reduced climate anxiety, particularly in females, emphasising gender differences in environmental literacy's impact on climate anxiety. Despite the model's low explanatory power (<jats:italic>R</jats:italic><jats:sup>2</jats:sup> = 0.026), the findings highlight the importance of gender differences in the relationship between environmental literacy and climate anxiety.Conclusion and ImplicationsNursing students show promise in their environmental knowledge but face significant climate anxiety. Gender differences in anxiety levels warrant attention. Addressing these concerns is crucial for preparing nurses to effectively address climate change's health effects and ensuring a resilient healthcare system. The study underscores the importance of integrating environmental literacy into nursing education and promoting pro‐environmental behaviours among nursing students and professionals. It highlights the crucial role of mental health support services, policy advocacy and ongoing research in addressing climate anxiety and preparing nurses to tackle the health impacts of climate change.Patient or Public ContributionNo patient or public involvement.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"239 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rhyquelle Rhibna Neris, Elizabeth Papathanassoglou, Ana Carolina Andrade Biaggi Leite, Cristina Garcia‐Vivar, Lucila Castanheira Nascimento
AimsTo analyse how adolescents and young adults who survived childhood cancer experience their quality of life and to explore their meanings and conceptualisations of quality of life.DesignNarrative design following Squire's method.MethodsIn‐person and virtual recruitment, due to the global COVID‐19 pandemic, was carried out in Brazil between May and November 2021. Eighteen semi‐structured virtual interviews were conducted with childhood cancer survivors. These data were analysed using reflexive thematic analysis and employing a triangulation of investigators.ResultsFour subthemes were identified, encompassing participants' perceptions and meanings of quality of life. Through the reflection and synthesis of these subthemes, a central theme emerged entitled ‘New self’, capturing the profound impact of the cancer and survival experience on every aspect of the self, along with participants' sense of having gained ‘a new life’ and a ‘second chance’.ConclusionThe study provides a rich and nuanced understanding of quality of life for childhood cancer survivors. The results highlight that after all the changes in life due to cancer, integrating the new self becomes a central aspect of quality of life for survivors.Implications for the Profession and/or Patient CareRecognising the profound shifts in self‐perception that survivors of childhood cancer undergo, nurses should engage early in empowering patients and families, offering education, space and support to help adolescents and young adults grow throughout their journey.ImpactThe richness and depth inherent in qualitative data on quality of life can inform the development of care standards and health policies for survivors, guide the allocation of strategic resources and shape the development of plans and interventions focusing on childhood cancer survivors.Reporting MethodThe COREQ checklist was used.Patient or PublicNo patient or public contribution.
{"title":"Quality of Life of Adolescents and Young Adult Survivors of Childhood Cancer: A Qualitative Study","authors":"Rhyquelle Rhibna Neris, Elizabeth Papathanassoglou, Ana Carolina Andrade Biaggi Leite, Cristina Garcia‐Vivar, Lucila Castanheira Nascimento","doi":"10.1111/jan.16608","DOIUrl":"https://doi.org/10.1111/jan.16608","url":null,"abstract":"AimsTo analyse how adolescents and young adults who survived childhood cancer experience their quality of life and to explore their meanings and conceptualisations of quality of life.DesignNarrative design following Squire's method.MethodsIn‐person and virtual recruitment, due to the global COVID‐19 pandemic, was carried out in Brazil between May and November 2021. Eighteen semi‐structured virtual interviews were conducted with childhood cancer survivors. These data were analysed using reflexive thematic analysis and employing a triangulation of investigators.ResultsFour subthemes were identified, encompassing participants' perceptions and meanings of quality of life. Through the reflection and synthesis of these subthemes, a central theme emerged entitled ‘New self’, capturing the profound impact of the cancer and survival experience on every aspect of the self, along with participants' sense of having gained ‘a new life’ and a ‘second chance’.ConclusionThe study provides a rich and nuanced understanding of quality of life for childhood cancer survivors. The results highlight that after all the changes in life due to cancer, integrating the new self becomes a central aspect of quality of life for survivors.Implications for the Profession and/or Patient CareRecognising the profound shifts in self‐perception that survivors of childhood cancer undergo, nurses should engage early in empowering patients and families, offering education, space and support to help adolescents and young adults grow throughout their journey.ImpactThe richness and depth inherent in qualitative data on quality of life can inform the development of care standards and health policies for survivors, guide the allocation of strategic resources and shape the development of plans and interventions focusing on childhood cancer survivors.Reporting MethodThe COREQ checklist was used.Patient or PublicNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"71 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kay McCallum, Debra Jackson, Helen Walthall, Helen Aveyard
BackgroundDeath and dying remain taboo subjects in society today and therefore people may come to the end of their life without having thought about what death and dying might be like and what it is to have a good death. The purpose of this qualitative study was to understand the experience of death and dying in a hospital emergency department. Culturally, some individuals are unprepared for death, and when death occurs in an emergency setting it can be particularly shocking.MethodsA phenomenological study was undertaken, based on the existential phenomenology of Merleau‐Ponty; and framed by the nurse theorist Hildegard Peplau. Bereaved relatives and registered nurses gave in‐depth interviews describing their experiences and the interviews were analysed using an adaptation of the work of Thomas and Pollio (2002) and Hycner (1985), consistent with Merleau‐Ponty's theories.ResultsThe study brings new understanding of what it is like to die in an emergency setting through new understanding of what the accompanying relatives/friends of the deceased person experience, aided by new understanding of the experiences of emergency nurses.ConclusionsA nursing model based both on the work of Peplau (Parse et al. 2000) and on the work of the nurse theorists Ruland and Moore (1998) and Zaccara et al. (2017) was devised for use in the emergency department when death occurs. It is hoped that this model will help nurses improve the care given to this group of patients and their loved ones.
{"title":"Death and Dying in the Emergency Department: A New Model for End‐of‐Life Care","authors":"Kay McCallum, Debra Jackson, Helen Walthall, Helen Aveyard","doi":"10.1111/jan.16561","DOIUrl":"https://doi.org/10.1111/jan.16561","url":null,"abstract":"BackgroundDeath and dying remain taboo subjects in society today and therefore people may come to the end of their life without having thought about what death and dying might be like and what it is to have a good death. The purpose of this qualitative study was to understand the experience of death and dying in a hospital emergency department. Culturally, some individuals are unprepared for death, and when death occurs in an emergency setting it can be particularly shocking.MethodsA phenomenological study was undertaken, based on the existential phenomenology of Merleau‐Ponty; and framed by the nurse theorist Hildegard Peplau. Bereaved relatives and registered nurses gave in‐depth interviews describing their experiences and the interviews were analysed using an adaptation of the work of Thomas and Pollio (2002) and Hycner (1985), consistent with Merleau‐Ponty's theories.ResultsThe study brings new understanding of what it is like to die in an emergency setting through new understanding of what the accompanying relatives/friends of the deceased person experience, aided by new understanding of the experiences of emergency nurses.ConclusionsA nursing model based both on the work of Peplau (Parse et al. 2000) and on the work of the nurse theorists Ruland and Moore (1998) and Zaccara et al. (2017) was devised for use in the emergency department when death occurs. It is hoped that this model will help nurses improve the care given to this group of patients and their loved ones.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ObjectiveTo explore the stability of resilience among frontline nurses and to analyse the predictive role of internal and external factors on the patterns of resilience transformation in China during public health emergencies.MethodsThe study used a longitudinal design and surveyed 258 frontline nurses at three different time points: February–March 2020 (T1), May–June 2020 (T2) and May–June 2022 (T3). The survey included the 10‐item Connor–Davidson resilience scale, the Emotion Regulation Questionnaire and the Simple Coping Style Questionnaire. Latent profile analysis and latent transition analysis were used to examine the potential classes and changes. Multivariate logistic regression analysis was applied to evaluate the predictors of resilience transitions.ResultsThe resilience of frontline nurses was divided into three categories: fragile group, general group and high resilience group. From T1 to T2, the general group exhibited the least stability, with a probability of maintaining its original latent state at 72.9%. Marriage and positive coping styles significantly impacted the transition between resilience categories. From T2 to T3, the fragile group showed the lowest stability, with a 74.9% likelihood of retaining its initial latent state. In this context, supportive hospital management (including psychological counselling, restful environments, and both spiritual and material incentives) and individuals' emotional regulation and sleep quality significantly affected the transition between resilience categories.ConclusionsThese findings emphasise the necessity for early intervention. For frontline nurses, conducting initial assessments of resilience coupled with sustained hospital support is crucial for maintaining mental health and improving the quality of nursing care in public health emergencies.ImpactThis study offers a fresh perspective for understanding the resilience of frontline nurses during public health emergencies. At the same time, it reveals the factors that promote or hinder the change in resilience among frontline nurses at both individual and organisational levels. This provides a theoretical basis for future resilience interventions and helps us formulate effective crisis management strategies to respond to future public health emergencies. For frontline nurses with diverse resilience characteristics and relevant transformation factors, a personalised multi‐mode resilience improvement plan can be developed to mitigate public health emergencies' potential adverse psychological impact on frontline nurses, especially those in the fragile group.Patient or Public ContributionNo patient or public contribution.
{"title":"Patterns and Predictors of Resilience in Frontline Nurses Before and After Public Health Emergencies: A Latent Transition Analysis","authors":"Siyuan Li, Yuze Wu, Jianyi Yang, Huilan Shu, Lanjun Luo, Xuemei Wei","doi":"10.1111/jan.16612","DOIUrl":"https://doi.org/10.1111/jan.16612","url":null,"abstract":"ObjectiveTo explore the stability of resilience among frontline nurses and to analyse the predictive role of internal and external factors on the patterns of resilience transformation in China during public health emergencies.MethodsThe study used a longitudinal design and surveyed 258 frontline nurses at three different time points: February–March 2020 (T1), May–June 2020 (T2) and May–June 2022 (T3). The survey included the 10‐item Connor–Davidson resilience scale, the Emotion Regulation Questionnaire and the Simple Coping Style Questionnaire. Latent profile analysis and latent transition analysis were used to examine the potential classes and changes. Multivariate logistic regression analysis was applied to evaluate the predictors of resilience transitions.ResultsThe resilience of frontline nurses was divided into three categories: fragile group, general group and high resilience group. From T1 to T2, the general group exhibited the least stability, with a probability of maintaining its original latent state at 72.9%. Marriage and positive coping styles significantly impacted the transition between resilience categories. From T2 to T3, the fragile group showed the lowest stability, with a 74.9% likelihood of retaining its initial latent state. In this context, supportive hospital management (including psychological counselling, restful environments, and both spiritual and material incentives) and individuals' emotional regulation and sleep quality significantly affected the transition between resilience categories.ConclusionsThese findings emphasise the necessity for early intervention. For frontline nurses, conducting initial assessments of resilience coupled with sustained hospital support is crucial for maintaining mental health and improving the quality of nursing care in public health emergencies.ImpactThis study offers a fresh perspective for understanding the resilience of frontline nurses during public health emergencies. At the same time, it reveals the factors that promote or hinder the change in resilience among frontline nurses at both individual and organisational levels. This provides a theoretical basis for future resilience interventions and helps us formulate effective crisis management strategies to respond to future public health emergencies. For frontline nurses with diverse resilience characteristics and relevant transformation factors, a personalised multi‐mode resilience improvement plan can be developed to mitigate public health emergencies' potential adverse psychological impact on frontline nurses, especially those in the fragile group.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142598224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liebin Huang, Ming Liu, Angela Y. M. Leung, Jun‐E Zhang, Renli Deng, Hongxia Dai, Binbin He
AimThe aim of this study was to explore the factors influencing the retention behaviour of experienced nurses in China, using the capability, opportunity, motivation and behaviour (COM‐B) model as a conceptual framework.DesignA qualitative descriptive study based on the COM‐B model.MethodsIn this qualitative descriptive study, semi‐structured interviews were conducted with 22 nurses across 11 cities in the Guangdong‐Hong Kong‐Macao Great Bay Area of China between March and May 2024. The interviews followed a predefined topic guide derived from the COM‐B model. The transcriptions of the interviews were then subjected to deductive thematic analysis.ResultsEleven key themes emerged, which were embedded in three categories of the COM‐B model, including capability (physical and mental health, professional knowledge and skills), motivation (increasing income, sense of fulfilment in nursing work, positive colleague relationships and job stability) and opportunity (management, career development opportunities, work–life balance, prejudice against nursing and workload).ConclusionsThe study provides new perspectives on factors influencing the retention of experienced nurses in Mainland China, Hong Kong and Macao. The study identified 11 factors that influence nurse retention behaviour, emphasising three distinctive perceptions: the ‘iron rice bowl’, the concept of filial piety and public prejudice towards nursing in Chinese society, which are unique to China compared to other nations. Additionally, it revealed similarities in nurse retention factors across Mainland China, Hong Kong and Macao.Implications for the ProfessionTo strengthen nurse retention, it is essential to develop tailored strategies for experienced nurses. Future research should also take social culture into account to enhance retention efforts.Reporting MethodThis study's reporting adhered to the Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist.Patient or Public ContributionNo patient or public contribution.
{"title":"Exploring the Influencing Factors of Experienced Nurses' Retention Behaviour: A Qualitative Study Based on the COM‐B Model","authors":"Liebin Huang, Ming Liu, Angela Y. M. Leung, Jun‐E Zhang, Renli Deng, Hongxia Dai, Binbin He","doi":"10.1111/jan.16611","DOIUrl":"https://doi.org/10.1111/jan.16611","url":null,"abstract":"AimThe aim of this study was to explore the factors influencing the retention behaviour of experienced nurses in China, using the capability, opportunity, motivation and behaviour (COM‐B) model as a conceptual framework.DesignA qualitative descriptive study based on the COM‐B model.MethodsIn this qualitative descriptive study, semi‐structured interviews were conducted with 22 nurses across 11 cities in the Guangdong‐Hong Kong‐Macao Great Bay Area of China between March and May 2024. The interviews followed a predefined topic guide derived from the COM‐B model. The transcriptions of the interviews were then subjected to deductive thematic analysis.ResultsEleven key themes emerged, which were embedded in three categories of the COM‐B model, including capability (physical and mental health, professional knowledge and skills), motivation (increasing income, sense of fulfilment in nursing work, positive colleague relationships and job stability) and opportunity (management, career development opportunities, work–life balance, prejudice against nursing and workload).ConclusionsThe study provides new perspectives on factors influencing the retention of experienced nurses in Mainland China, Hong Kong and Macao. The study identified 11 factors that influence nurse retention behaviour, emphasising three distinctive perceptions: the ‘iron rice bowl’, the concept of filial piety and public prejudice towards nursing in Chinese society, which are unique to China compared to other nations. Additionally, it revealed similarities in nurse retention factors across Mainland China, Hong Kong and Macao.Implications for the ProfessionTo strengthen nurse retention, it is essential to develop tailored strategies for experienced nurses. Future research should also take social culture into account to enhance retention efforts.Reporting MethodThis study's reporting adhered to the Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"28 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dympna Tuohy, Irene Cassidy, Margaret Graham, Jill Murphy, Jacinta Shanahan, Teresa Tuohy, Jane McCarthy
AimTo determine the barriers, facilitators and effectiveness of using an intergenerational café to enable intergenerational learning.DesignImplementation science using the ‘Consolidated Framework for Implementation Research’ framework.MethodsEthical approval for this research was granted by the University of Limerick. Online intergenerational cafés were held with older people and student nurses. Original data were collected through surveys and facilitator reflections. Participants were invited post‐café to participate in the study. Student nurses (n = 50) and older people (n = 49) participated in an anonymous online survey, and facilitators (n = 7) took part in a peer focus group on planning and co‐ordinating the cafés. Post hoc ‘CFIR’ analysis comprised secondary data analysis through mapping descriptive statistics and thematically analysed data to codebooks derived from CFIR domains and constructs.ResultsBarriers and facilitators to café implementation were identified. Organisational factors are important for effective implementation. More students felt that the purpose, topics and running of the café were clear and organised. In contrast, more older people wanted additional time in the discussion groups. Technical difficulties (e.g., computer, logging on) were identified by some as a barrier to participation. Overall, having a clear purpose and topics along with an online approach facilitated implementation. All participants supported the café innovation as a way of increasing intergenerational learning. Facilitators worked effectively as a team to ensure the smooth running of the cafés. The analysis helped determine the effectiveness of the intervention.ConclusionThese cafés facilitated mutual learning and understanding and were well received by participants.Implications for the Profession and/or Patient CareIntergenerational cafés can support intergenerational learning.ImpactIntergenerational cafés facilitated intergenerational learning.Reporting MethodSRQR/EQUATOR.Patient or Public ContributionThere was no patient/public contribution.
{"title":"Post Hoc Consolidated Framework for Implementation Research (CFIR) Analysis of Older Person/Student Nurse Intergenerational Café Implementation","authors":"Dympna Tuohy, Irene Cassidy, Margaret Graham, Jill Murphy, Jacinta Shanahan, Teresa Tuohy, Jane McCarthy","doi":"10.1111/jan.16613","DOIUrl":"https://doi.org/10.1111/jan.16613","url":null,"abstract":"AimTo determine the barriers, facilitators and effectiveness of using an intergenerational café to enable intergenerational learning.DesignImplementation science using the ‘Consolidated Framework for Implementation Research’ framework.MethodsEthical approval for this research was granted by the University of Limerick. Online intergenerational cafés were held with older people and student nurses. Original data were collected through surveys and facilitator reflections. Participants were invited post‐café to participate in the study. Student nurses (<jats:italic>n</jats:italic> = 50) and older people (<jats:italic>n</jats:italic> = 49) participated in an anonymous online survey, and facilitators (<jats:italic>n</jats:italic> = 7) took part in a peer focus group on planning and co‐ordinating the cafés. Post hoc ‘CFIR’ analysis comprised secondary data analysis through mapping descriptive statistics and thematically analysed data to codebooks derived from CFIR domains and constructs.ResultsBarriers and facilitators to café implementation were identified. Organisational factors are important for effective implementation. More students felt that the purpose, topics and running of the café were clear and organised. In contrast, more older people wanted additional time in the discussion groups. Technical difficulties (e.g., computer, logging on) were identified by some as a barrier to participation. Overall, having a clear purpose and topics along with an online approach facilitated implementation. All participants supported the café innovation as a way of increasing intergenerational learning. Facilitators worked effectively as a team to ensure the smooth running of the cafés. The analysis helped determine the effectiveness of the intervention.ConclusionThese cafés facilitated mutual learning and understanding and were well received by participants.Implications for the Profession and/or Patient CareIntergenerational cafés can support intergenerational learning.ImpactIntergenerational cafés facilitated intergenerational learning.Reporting MethodSRQR/EQUATOR.Patient or Public ContributionThere was no patient/public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"36 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142597300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yu Lei Jiang, Zi Yao Lv, Yang Zhou, Hao Hou, Meng Qin Ao, Yu‐Xin Fu, Huijing Zou, Xiao Qin Wang, Dan Luo, Bing Xiang Yang
AimTo explore the individual and interpersonal association between mental health knowledge (MHK) and depression in adolescents and one of their parents, and to explore whether gender differences exist between fathers and mothers in these associations.MethodsParticipants were 3456 father–adolescent dyads and 4478 mother–adolescent dyads, recruited from eight middle schools in Wuhan, who completed self‐report assessments of MHK and depression from September to October 2021.ResultsWith the application of the actor–partner interdependence model, A positive actor effect between MHK and depression in adolescents was found. Adverse partner effects from fathers' MHK and mothers' MHK to adolescent depression were noted and showed no significant difference. Adolescents' depression was significantly associated with parental depression in both fathers and mothers.ConclusionIt is implied that milder adolescent depression was associated with lower levels of adolescent MHK, along with higher levels of MHK in both fathers and mothers. For parents, it is important to emphasise the improvement of their own MHK and increase their attention to adolescent mental health problems, as this may contribute to enhancing the mental health of adolescents.Implications for the Profession and/or Patient CareThis study is instructive and related to family‐based nursing interventions for mental health, emphasising the potential influence of parents in the family on adolescent depressive symptoms. The findings suggest that parental involvement should be encouraged and that the family's role in supporting the child's mental health should be recognised, contributing to the development of relevant policies.ImpactThis study highlights that higher parental MHK is associated with lower levels of adolescent depression, with no gender differences between fathers and mothers. Family‐based nursing interventions that emphasise mental health education for parents may have an impact on improving depression in adolescents.Reporting MethodGuidelines were followed using the STROBE reporting method.Patient or Public ContributionNone.
{"title":"Application of the Actor–Partner Interdependence Model in Parent–Adolescent Mental Health Knowledge and Depression","authors":"Yu Lei Jiang, Zi Yao Lv, Yang Zhou, Hao Hou, Meng Qin Ao, Yu‐Xin Fu, Huijing Zou, Xiao Qin Wang, Dan Luo, Bing Xiang Yang","doi":"10.1111/jan.16610","DOIUrl":"https://doi.org/10.1111/jan.16610","url":null,"abstract":"AimTo explore the individual and interpersonal association between mental health knowledge (MHK) and depression in adolescents and one of their parents, and to explore whether gender differences exist between fathers and mothers in these associations.MethodsParticipants were 3456 father–adolescent dyads and 4478 mother–adolescent dyads, recruited from eight middle schools in Wuhan, who completed self‐report assessments of MHK and depression from September to October 2021.ResultsWith the application of the actor–partner interdependence model, A positive actor effect between MHK and depression in adolescents was found. Adverse partner effects from fathers' MHK and mothers' MHK to adolescent depression were noted and showed no significant difference. Adolescents' depression was significantly associated with parental depression in both fathers and mothers.ConclusionIt is implied that milder adolescent depression was associated with lower levels of adolescent MHK, along with higher levels of MHK in both fathers and mothers. For parents, it is important to emphasise the improvement of their own MHK and increase their attention to adolescent mental health problems, as this may contribute to enhancing the mental health of adolescents.Implications for the Profession and/or Patient CareThis study is instructive and related to family‐based nursing interventions for mental health, emphasising the potential influence of parents in the family on adolescent depressive symptoms. The findings suggest that parental involvement should be encouraged and that the family's role in supporting the child's mental health should be recognised, contributing to the development of relevant policies.ImpactThis study highlights that higher parental MHK is associated with lower levels of adolescent depression, with no gender differences between fathers and mothers. Family‐based nursing interventions that emphasise mental health education for parents may have an impact on improving depression in adolescents.Reporting MethodGuidelines were followed using the STROBE reporting method.Patient or Public ContributionNone.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"24 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142597297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Annabelle Huntsman, Adriene Pavek, Nathan Shen, Justin Lyon, Jonathan Palmer, Zachary Ney, Jennifer L. Hamilton
AimsOur study aims to analyse 8 commonly used textbooks to determine how diverse skin tones are represented in paediatric nursing practitioner education.DesignLiterature reviewed from 2016 to 2024 demonstrated that the lack of darkly pigmented skin colour representation in health science education leads to diminished patient outcomes for these populations. Our study sought to study representation teaching images and eight commonly referenced nursing textbooks were chosen for this study, given their use in paediatric nurse practitioner education. Of the eight textbooks selected, five were analysed based on inclusion criteria.MethodsTwo investigators trained in skin prototyping coded each textbook for skin colour representation and coded during 2023–2024. Coders used the widely accepted prototyping scale, the Fitzpatrick Scale (range I‐VI, with I being the lightest colour skin and VI the darkest). Teaching photographs were defined as all photos used to provide insight into a disease or diagnostic technique that included human skin. Two individual coders coded and documented data, ensuring each coder was blinded to the overall results.ResultsOur analysis of 5 textbooks revealed that 2112 images met the criteria as teaching images. Of the 2112 teaching images, 593.5 included images of type IV‐VI skin (darkly pigmented skin), resulting in a 28% representation of dark skin tone images. Additionally, 2 of the 82 total illustrations included patients with dark skin tones, indicating a representation of 2.5%. However, chapters addressing conditions of child abuse/neglect (55.95%) and stigmatised social issues (infectious disease, 54.88%) displayed a disproportionate representation of patients from these demographics.ConclusionsOur results highlight the importance of enhancing equitable representation in educational resources for nursing practitioners.Implications for the Profession/ Patient CareThere is room to collaborate with other health science institutions to establish clear guidelines for future improvement in expanding teaching images to include diversity representation in education.Patient or Public ContributionNo patient or public contribution.
{"title":"An Analysis of the Diversity of Skin Colour Representation in Paediatric Nursing Practitioner Textbooks","authors":"Annabelle Huntsman, Adriene Pavek, Nathan Shen, Justin Lyon, Jonathan Palmer, Zachary Ney, Jennifer L. Hamilton","doi":"10.1111/jan.16614","DOIUrl":"https://doi.org/10.1111/jan.16614","url":null,"abstract":"AimsOur study aims to analyse 8 commonly used textbooks to determine how diverse skin tones are represented in paediatric nursing practitioner education.DesignLiterature reviewed from 2016 to 2024 demonstrated that the lack of darkly pigmented skin colour representation in health science education leads to diminished patient outcomes for these populations. Our study sought to study representation teaching images and eight commonly referenced nursing textbooks were chosen for this study, given their use in paediatric nurse practitioner education. Of the eight textbooks selected, five were analysed based on inclusion criteria.MethodsTwo investigators trained in skin prototyping coded each textbook for skin colour representation and coded during 2023–2024. Coders used the widely accepted prototyping scale, the Fitzpatrick Scale (range I‐VI, with I being the lightest colour skin and VI the darkest). <jats:italic>Teaching photographs</jats:italic> were defined as all photos used to provide insight into a disease or diagnostic technique that included human skin. Two individual coders coded and documented data, ensuring each coder was blinded to the overall results.ResultsOur analysis of 5 textbooks revealed that 2112 images met the criteria as teaching images. Of the 2112 teaching images, 593.5 included images of type IV‐VI skin (darkly pigmented skin), resulting in a 28% representation of dark skin tone images. Additionally, 2 of the 82 total illustrations included patients with dark skin tones, indicating a representation of 2.5%. However, chapters addressing conditions of child abuse/neglect (55.95%) and stigmatised social issues (infectious disease, 54.88%) displayed a disproportionate representation of patients from these demographics.ConclusionsOur results highlight the importance of enhancing equitable representation in educational resources for nursing practitioners.Implications for the Profession/ Patient CareThere is room to collaborate with other health science institutions to establish clear guidelines for future improvement in expanding teaching images to include diversity representation in education.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"9 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142597296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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