Journal of Advanced Nursing最新文献

Aims: To identify key communication skills for Canadian nursing practice.

Design: Quantitative research using a nationwide survey.

Methods: Exploratory confirmatory factor analysis was used to identify factors underlying key communication skills required for nursing practice. Multiple regression analyses were used to examine differences across demographic variables, designations, roles and settings.

Results: Dimensions of effective communication skills were identified. Demographic and contextual variables showed some impact on the perceived importance of communication skills, but low variance suggested that language demands are relatively consistent across roles and settings.

Conclusion: A framework describing the communication demands for Canadian nursing practice is described, contributing to the development of tailored curricula, assessments and policies.

Implications for the profession: Focusing on communication skills ensures that nurses are equipped to deliver safe healthcare and interact effectively with patients and colleagues, potentially leading to improved health outcomes.

Impact: To our knowledge, this study is the first to develop a framework for communication skills and identify key language skill factors across nursing professional designations and practice settings. The research provides a framework for developing curricula and training programmes that focus on essential communication skills.

Patient or public contribution: No patient or public contribution.

Aims: To determine the proportion of postpartum depression (PPD), explore associated risk factors with PPD, and examine changes in PPD, social support and quality of life (QOL) among adolescent and adult mothers in the first 6 months postpartum during the COVID-19 pandemic.

Design: A longitudinal comparative study was conducted using an online questionnaire from January to August 2021.

Methods: The study recruited 65 adolescent and 65 adult mothers who attended postpartum checkups at 6 weeks postpartum in primary hospitals across Ayutthaya, Chachoengsao and Phetchaburi provinces in Thailand. Data were collected by the Edinburgh Postnatal Depression Scale, Postpartum Support Questionnaire, and the World Health Organisation Quality of Life Brief at 6 weeks, 4 months and 6 months postpartum.

Results: Finally, 60 adolescent and 60 adult mothers were included for analysis. Adolescent mothers experienced lower social support and QOL compared to adult mothers over the 6-month postpartum period. Notably, both adolescent and adult mothers had significantly increased PPD proportions from 6 weeks to 6 months postpartum (31.7%-48.3% and 23.3%-43.3%, respectively). However, there was no significant difference in the PPD proportions between groups. In adjusted models, significant risk factors for PPD during the first 6 months postpartum included educational level, unintended pregnancy, mode of delivery and social support.

Conclusion: Significant changes in PPD, social support and QOL were observed in both adolescent and adult mothers during the first 6 months postpartum. Adolescent mothers consistently demonstrated lower levels of social support and QOL at 6 weeks, 4 months and 6 months postpartum compared to adult mothers. Additionally, mothers with lower educational attainment, unintended pregnancies, caesarean deliveries and low social support were more likely to experience PPD.

Implications: Midwives/nurses should provide routine PPD screenings throughout the first six months postpartum for all mothers, particularly for at-risk mothers such as adolescent mothers or those with lower education, unintended pregnancies, caesarean deliveries and limited social support.

Reporting method: We have followed the STROBE guidelines.

Patient or public contribution: No patient or public contribution.

Aim: This study explored the mediating effects of organisational justice, role ambiguity and job satisfaction on the relationship between infection control-associated fatigue and quiet quitting.

Design: This study used an exploratory cross-sectional survey design.

Methods: Between 1 February and 29 February 2024, data were collected from 323 nurses-who worked in general or tertiary hospitals during the pandemic-using an online self-report questionnaire distributed via a popular nursing community platform. Path analysis was used to evaluate the mediating effect of infection control fatigue on quiet quitting.

Results: Correlation analysis showed a negative relationship between quiet quitting and organisational justice and positive relationships with job satisfaction, role ambiguity and infection control fatigue. Infection control-associated fatigue was associated with quiet quitting (B = 0.1117, p < 0.05). Job satisfaction (IE = 0.1397, 95% confidence interval[CI]: 0.0795-0.2031) and organisational justice (IE = -0.0455, 95% CI: -0.0938 to -0.0051) mediated the relationship between infection control-associated fatigue and quiet quitting, whereas role ambiguity did not. The total indirect effect of mediators on quiet quitting was positive (IE_total = 0.0978, 95% confidence interval: 0.0357-0.1623).

Conclusion: Quiet quitting increased among nurses experiencing infection control fatigue during the coronavirus disease 2019 pandemic, with job satisfaction and organisational justice acting as mediators.

Implications for the profession and/or patient care: Increasing job satisfaction and achieving organisational justice may help improve the quality of nursing and mitigate quiet quitting. Hospitals must find ways to improve nurses' work and increase their satisfaction. No Patient or Public Contribution.

Aim: To investigate factors predictive of antibiotic use behaviour in the community.

Design: A cross-sectional study was conducted from May to November 2023.

Method: Standardised instruments were administered to patients who had received services from nurses in sub-district health-promoting hospitals in Thailand for at least one of the three diseases: (1) upper respiratory infection, (2) acute diarrhoea or (3) fresh traumatic wounds. Antibiotic use behaviour was modelled using the generalised estimating equation with an independent error component to account for the clustering of the hospitals.

Results: Five hundred and eighty-five participants (556 patients and 29 nurses) met the inclusion criteria in this study. Of the 556 adult patients who were surveyed, the majority had upper respiratory infections, reported an appropriate level of antibiotic use, a moderate level of awareness of appropriate antibiotic use and antibiotic resistance, and an inadequate literacy level of Rational Drug Use. The generalised estimating equation analysis revealed that factors predictive of antibiotic use behaviour were rational drug use literacy, awareness, process of care, nurses' experience and rate of rational antibiotic prescribing for acute diarrhoea.

Conclusions: The nurses and healthcare providers should focus on enhancing the quality of care by educating and collaborating with the community to ensure appropriate antibiotic use behaviour.

Impact: This study indicated that healthcare policymakers should prioritise patient education on antibiotic use behaviour while also ensuring that healthcare workers adhere to strict caregiving protocols.

Implications for the profession and/or patient care: Providing services by monitoring symptoms and home visits can help patients gain confidence in the treatment approach and lead to a rational change in antibiotic use.

Reporting method: We adhere to the STROBE checklist.

Patient or public contribution: No patient or public involvement.

Aim: To explore how youth understand and manage risk associated with food allergy in everyday life, aiming to inform future advanced nursing and care initiatives.

Design: Qualitative study based on critical psychological practice research.

Methods: Data was generated through participant observation and informal interviews during a 2-day camp with youth aged 18-23years (n = 10), diagnosed with food allergy in childhood. Data analysis used thematic analysis informed by a critical psychology theoretical framework.

Findings: Risk associated with food allergy is an integrated aspect of the youth life trajectories. The allergy clinic plays a crucial role in how they come to understand and manage risk. Paradoxically, knowledge of risk fosters safety as well as uncertainty. Bodily awareness plays a crucial role in managing food allergy, but minor bodily sensations can trigger anxiety and fear of anaphylaxis. Establishing routines emerges as a key strategy for managing risk, as routines reduce anxiety and facilitate participation in everyday social activities.

Conclusion: The study highlights the complexity of managing food allergy in the everyday life of youth. How risk knowledge is translated from the clinic into everyday life varies and impacts risk management strategies in different ways.

Implications for profession and patients: HCP must address both physical and psychosocial aspects of living with the risk associated with food allergy. Individually tailored risk communication that considers personal circumstances and experiences can help reduce anxiety and support strategies for managing food allergy in everyday life.

Impact: Integrating patients' everyday perspectives and risk management into healthcare fosters personalised care. Nurses and doctors should help patients bridge the gap between medical advice and its practical application, addressing both physical and emotional aspects of managing health risks.

Reporting methods: The SRQR guideline for reporting qualitative research.

Patient or public contribution: Patient representatives were involved in developing the protocol, research questions and study aims.

Background: Identifying personal, social and emotional resources relevant to nurses' wellbeing and job engagement is important for addressing workforce shortages and nurse burnout, and turnover.

Aim: This study examined the relationships between New Zealand (NZ) nurses' personal resources (resilience, adaptability, self-efficacy, collective efficacy) and their occupational commitment and job engagement.

Sample: Participants were 270 New Zealand nurses.

Methods: Quantitative research design involving a confirmatory factor analysis was used to provide measurement support and to obtain latent correlations among factors. The final analysis was performed using structural equation modelling. The Job Demands-Resources (JD-R) model was adopted as the conceptual framework for this study.

Results: The personal resources for New Zealand nurses of self-efficacy, adaptability and resilience were generally positively associated with their occupational commitment and job engagement. In addition, New Zealand nurses' collective efficacy was seen as important for managing the demands of the job.

Conclusion: Taken together, findings offer an understanding about the salient personal and collective resources in relation to New Zealand nurses wellbeing and job engagement.

Implications for the profession: Future research could explore how integrating cultural perspectives can improve job satisfaction and retention among nurses who identify as coming from collectivist cultures. The personal resources used in this study also need to be examined from a Māori perspective to ensure their relevance to the health and wellbeing of Māori nurses.

Impact: This study highlights the crucial role of collective support in enhancing job engagement among nurses. It underscores the importance of incorporating a cultural lens in workplace research, showing how collective efficacy can help individual nurses adapt to workplace challenges and reduce their intention to leave amid global nurse shortages.

Reporting method: STROBE. No patient/public contribution.