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Association Between Psychological Empowerment and Intent to Stay Among Military Hospital Nurses: The Mediating Effects of the Practice Environment and Burnout 军队医院护士的心理授权与留下意愿之间的关系:实践环境和职业倦怠的中介效应
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-22 DOI: 10.1111/jan.16460
Chaoying Jin, Juncheng Wang, Juan Du, Ruijie Shi
To explore the impact of psychological empowerment on nurses' intent to stay in military hospitals as well as the mediating effects of the practice environment and burnout in this context.
探讨心理授权对护士留在军队医院的意愿的影响,以及在这种情况下实践环境和职业倦怠的中介效应。
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引用次数: 0
Co-Designing Nurse Practitioner Roles in a Tertiary Hospital: A Qualitative Exploration of Patterns and Underlying Dynamics 在一家三级医院共同设计执业护士角色:对模式和基本动态的定性探索
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-22 DOI: 10.1111/jan.16478
Laurence Dehennin, Frank Vermassen, Elsie Decoene, Veerle Duprez, Lise-Marie Kinnaer, Ann Van Hecke
To explore patterns and dynamics during the co-design process of nurse practitioners' role development in three departments in a Belgian tertiary hospital.
在比利时一家三级医院的三个科室中,探索执业护士角色发展共同设计过程中的模式和动态。
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引用次数: 0
Job Characteristic Profiles and Presenteeism Among Shift Nurses: A Latent Profile Analysis Based on the Job Demands–Resources Model 轮班护士的工作特征与旷工:基于工作需求-资源模型的潜在特征分析
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-22 DOI: 10.1111/jan.16486
Song Yi Nam, Haeyoung Lee, Eunjung Ryu, Hye Chong Hong, Minkyung Kang, Ari Min
Aim(s)To investigate job characteristic profiles based on the job demands–resources (JD‐R) model and the association between job characteristic profiles and presenteeism.DesignCross‐sectional study.MethodsData were collected from shift nurses in South Korea in January 2023 using an online survey. This study included 544 nurses working in tertiary and general hospitals in South Korea. The participants were classified into four job characteristic profiles based on the JD‐R model using latent profile analysis. Multiple logistic and linear regression analyses were performed to examine the association between job characteristic profiles and presenteeism.ResultsFour profiles were derived from the latent profile analysis: low strain–low motivation, high strain–low motivation, low strain–high motivation and high strain–high motivation. The high strain–low motivation, low strain–high motivation and high strain–high motivation groups were 1.74, 1.37 and 3.51 times more likely to experience presenteeism than the low strain–low motivation group respectively. The number of days worked while sick and the level of reduced job productivity was also the highest in the high strain–high motivation group. In addition, general health, multimorbidities and insomnia were significant factors affecting presenteeism, number of days worked while sick and productivity loss among shift nurses.ConclusionsThis study found that even with higher levels of job resources, work environments with high levels of job demands were associated with higher rates of presenteeism.ImpactStudy findings suggest that various strategies are needed to improve the physical and mental health of shift nurses, and create a healthy organisational environment by reducing excessive job demands to reduce presenteeism and increase productivity.Reporting MethodSTROBE guidelines.Patient or Public ContributionNo patient or public contribution.
目的 调查基于工作需求-资源(JD-R)模型的工作特征概况以及工作特征概况与旷工之间的关联。方法 通过在线调查收集 2023 年 1 月韩国轮班护士的数据。研究对象包括在韩国三级医院和综合医院工作的 544 名护士。根据 JD-R 模型,使用潜特征分析法将参与者分为四个工作特征图谱。结果通过潜特征分析得出了四种特征:低应变-低动机、高应变-低动机、低应变-高动机和高应变-高动机。高应变-低动机组、低应变-高动机组和高应变-高动机组出现旷工的可能性分别是低应变-低动机组的 1.74 倍、1.37 倍和 3.51 倍。高压力-高动力组的病假天数和工作效率降低程度也最高。此外,一般健康状况、多病症和失眠也是影响轮班护士旷工率、病假天数和工作效率损失的重要因素。影响研究结果表明,需要采取各种策略来改善轮班护士的身心健康,并通过降低过高的工作要求来创造健康的组织环境,从而减少旷工率并提高生产率。
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引用次数: 0
Associations Among Family Strengths, Depression and Life Satisfaction Between Disabled Children and Their Parent Caregivers: An Actor–Partner Interdependence Mediation Model 残疾儿童及其父母照顾者的家庭优势、抑郁和生活满意度之间的关联:行动者-伙伴相互依赖中介模型
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-22 DOI: 10.1111/jan.16474
Yoonjung Kim, Heemin Chae
To explore the actor–partner effect and mediating role of depression on family strength and life satisfaction among children with disabilities and their parent–caregiver dyads.
探讨残疾儿童及其父母-照顾者二元组合中的行为者-伴侣效应以及抑郁对家庭力量和生活满意度的中介作用。
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引用次数: 0
The Impact of the COVID-19 Pandemic on Nurses' and Junior Doctors' Workloads COVID-19 大流行对护士和初级医生工作量的影响
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-22 DOI: 10.1111/jan.16487
Gemma Doleman, Annemarie De Leo, Dianne Bloxsome
To explore the impact of the COVID-19 pandemic on nurses' and junior doctors' workload, changes to direct care and the impact of workload on resource allocation.
探讨 COVID-19 大流行对护士和初级医生工作量的影响、直接护理的变化以及工作量对资源分配的影响。
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引用次数: 0
Comment on ‘Associating Factors of Cognitive Frailty Among Older People With Chronic Heart Failure: Based on LASSO‐Logistic Regression’ 关于 "慢性心力衰竭老年人认知能力衰弱的相关因素:基于 LASSO 的逻辑回归
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-22 DOI: 10.1111/jan.16480
Sha Liu, Pingping Fan, Fang Wang
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引用次数: 0
Effects of Dignity Therapy on Dignity, Anxiety, Depression and Quality of Life for People With Burns: A Randomised Controlled Trial. 尊严疗法对烧伤患者尊严、焦虑、抑郁和生活质量的影响:随机对照试验
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-20 DOI: 10.1111/jan.16466
YunYun Deng,YiMing Yao,Chang Wang,Ting Li,Yuan Wang,ChanJuan Kang,HuiYi Tan
AIMSTo evaluate the effect of dignity therapy on dignity, anxiety, depression and overall quality of life for people with burns.DESIGNA single-blind, double-arm, parallel randomised controlled study.METHODSThe Patient Dignity Scale, Hospital Anxiety and Depression Scale, and Burn-Specific Health Scale-Short were employed to assess the dignity, anxiety, depression and overall quality of life for people with burns. These outcome indicators were measured and analysed at baseline, 2-, 4- and 8-week follow-up. The generalised estimating equations were used to analyse the effect of the intervention during each time point.RESULTSA total of 99 participants were recruited (50 in the intervention group and 49 in the control group), with a high retention rate of 97 participants (94.95%) completing the 8-week follow-up. All outcome measurement tools met the feasibility criteria related to completeness and responsiveness over time. Dignity was the primary outcome measure, with anxiety, depression and quality of life serving as secondary outcome measures. At the 8-week post-intervention, participants in the intervention group demonstrated a statistically significant decrease in dignity and anxiety and depression, and a statistically significant increase in burn-specific health.CONCLUSIONSDignity therapy can effectively reduce the loss of dignity, anxiety and depression, and improve the quality of life for people with burns. This study has a positive impact on burn dignity nursing practice and provides healthcare professionals with a novel approach to help people with burns return to normal social life with dignity.IMPLICATIONS FOR THE PROFESSIONIt is important to develop patient-centred care for burns with dignity. Focusing on developing a rational understanding of non-discriminatory dignity care practices among clinical providers and to develop dignity-oriented clinical care practices on the wards.IMPACTThis study validated the feasibility of implementing dignity therapy for people with burns. Dignity therapy is effective in reducing the degree of dignity impairment, reducing anxiety and depressive symptoms, and enhancing the quality of life for people with burns. Our findings can help healthcare professionals to provide personalised dignity care throughout the patient's journey to facilitate a dignified reintegration into society and life for people with burns.REPORTING METHODThis randomised controlled trial used the CONSORT guidelines.PATIENT OR PUBLIC CONTRIBUTIONNo patients or members of the public participated in the study design, data analysis or interpretation.CLINICAL TRIALSThis study has been registered in the Chinese Clinical Trial Registry registration number: ChiCTR2200065145, 29 October 2022.
目的评估尊严疗法对烧伤患者的尊严、焦虑、抑郁和整体生活质量的影响。方法采用患者尊严量表、医院焦虑和抑郁量表以及烧伤专用健康量表(短)来评估烧伤患者的尊严、焦虑、抑郁和整体生活质量。这些结果指标分别在基线、2周、4周和8周的随访中进行测量和分析。结果共招募了 99 名参与者(干预组 50 人,对照组 49 人),其中 97 人(94.95%)完成了 8 周的随访,保留率很高。所有结果测量工具均符合有关完整性和随时间变化的响应性的可行性标准。尊严是主要的结果测量指标,焦虑、抑郁和生活质量是次要的结果测量指标。在干预后 8 周,干预组的参与者在尊严、焦虑和抑郁方面均有统计学意义上的显著下降,而在烧伤特定健康方面则有统计学意义上的显著提高。这项研究对烧伤尊严护理实践产生了积极影响,并为医护人员提供了一种帮助烧伤患者有尊严地回归正常社会生活的新方法。这项研究验证了对烧伤患者实施尊严疗法的可行性。尊严疗法能有效降低烧伤患者的尊严受损程度,减轻焦虑和抑郁症状,提高生活质量。我们的研究结果可帮助医护人员在患者的整个治疗过程中提供个性化的尊严护理,促进烧伤患者有尊严地重新融入社会和生活。报告方法本随机对照试验采用CONSORT指南:ChiCTR2200065145,2022 年 10 月 29 日。
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引用次数: 0
Emergency clinicians' use of adult and paediatric sepsis pathways: An implementation redesign using the behaviour change wheel 急诊医生使用成人和儿科败血症路径:利用行为改变轮重新设计实施方案
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-20 DOI: 10.1111/jan.16360
Belinda Munroe, Michelle Hudoba, Mary Fullick, Tracey Couttie, Hughes Makoni, Ellie Butina, Niladri Ghosh, Ryan Kloger, Sharyn Balzer, Rebekkah Middleton
To identify facilitators and barriers and tailor implementation strategies to optimize emergency clinician's use of adult and paediatric sepsis pathways.
确定促进因素和障碍,并定制实施策略,以优化急诊临床医生对成人和儿科败血症路径的使用。
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引用次数: 0
Juxtaposing Nurses' and Patients' Perspectives of Missed Nursing Care: A Descriptive Mixed Method Design. 并列护士和患者对护理服务缺失的看法:描述性混合方法设计。
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-20 DOI: 10.1111/jan.16476
Mirit Cohen,Anat Drach-Zahavy,Einav Srulovici
AIMSTo compare nurses' and patients' reports of missed nursing care, explore patients' perspectives and utilise these insights to elucidate discrepancies or congruence between perceptions.DESIGNA descriptive mixed-methods design combining quantitative (questionnaires) and qualitative (semi-structured interviews) methods.METHODSIn the quantitative phase, 143 nurses and 643 patients completed the MISSCARE and MISSCARE-Patient surveys. Correlations between their total missed care scores were examined. In the qualitative phase, 68 patients participated in semi-structured interviews analysed using thematic analysis.RESULTSThe correlation between nurses' and patients' perceptions of missed nursing care was nonsignificant. Qualitative findings revealed three themes: (1) patients' need to preserve individuality; (2) most patients attributed missed care to systemic factors, while some attributed it to nurses' attitudes and (3) emotional responses varied from empathetic understanding, inadvertently enabling more missed care, to frustration and assertiveness to ensure receiving necessary care.CONCLUSIONSThis study reveals a significant discrepancy between nurses' and patients' perceptions of missed care. Patient perspectives offer insights into this misalignment, highlighting differences in care priorities and role understanding.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREEnhancing nurse-patient communication and patient empowerment are crucial. Healthcare institutions should integrate patient feedback into quality initiatives, create supportive work environments and foster a patient-centred care culture. Effectively marketing nurses' expertise and implementing strategies to manage patient assertiveness are essential.IMPACTThis study addresses the discrepancy in perceptions of missed nursing care between nurses and patients. It reveals how patients' care priorities and attributions influence their experience of missed care. Findings will impact healthcare policymakers, nursing educators and hospital administrators, informing strategies to improve care quality, patient satisfaction and nurse work environments across healthcare settings.REPORTING METHODThe study has adhered to STROBE guidelines for the quantitative component and SRQR guidelines for the qualitative component.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.
方法在定量阶段,143 名护士和 643 名患者完成了 MISSCARE 和 MISSCARE-Patient 调查。研究了他们的护理总失分之间的相关性。在定性阶段,68 名患者参加了半结构式访谈,访谈采用主题分析法进行分析。结果护士和患者对护理遗漏的看法之间的相关性不显著。定性研究结果揭示了三个主题:(1)患者需要保持个性;(2)大多数患者将护理遗漏归因于系统性因素,而一些患者则将其归因于护士的态度;(3)患者的情绪反应各不相同,有的表示同情理解,无意中造成更多护理遗漏,有的则表示沮丧和坚持己见,以确保获得必要的护理。加强护患沟通和患者赋权至关重要。医疗机构应将患者的反馈意见纳入质量计划,创造支持性的工作环境,培养以患者为中心的护理文化。有效营销护士的专业知识和实施管理患者自信心的策略至关重要。影响本研究探讨了护士和患者对护理失误的认知差异。它揭示了患者的护理优先级和归因如何影响他们对护理缺失的体验。研究结果将对医疗保健政策制定者、护理教育者和医院管理者产生影响,为改善医疗保健机构的护理质量、患者满意度和护士工作环境的策略提供参考。
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引用次数: 0
A Qualitative Analysis of the Functions of Primary Care Nurses in COVID-19 Vaccination 对初级保健护士在 COVID-19 疫苗接种中职能的定性分析
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-09-20 DOI: 10.1111/jan.16468
Rhiannon Lyons, Maria Mathews, Dana Ryan, Lindsay Hedden, Julia Lukewich, Emily Gard Marshall, Paul S. Gill, Jennifer E. Isenor, Ruth Martin-Misener, Jamie Wickett, Donna Bulman, Emilie Dufour, Leslie Meredith, Sarah Spencer, Crystal Vaughan, Judith B. Brown
To describe vaccination roles of primary care nurses during the COVID-19 pandemic in Canada.
描述加拿大 COVID-19 大流行期间初级保健护士的疫苗接种职责。
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引用次数: 0
期刊
Journal of Advanced Nursing
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