Eunhee Lee, Jennie C De Gagne, Paige S Randall, Brandi Tuttle, Hyunjeong Kwon
Aim: To systematically review and synthesise qualitative research on nurses' experiences of speaking up in various contexts and to identify factors facilitating or impeding such a behaviour.
Design: This review was conducted as a qualitative metasynthesis, utilising the qualitative meta-ethnography approach.
Methods: A total of 6250 articles were screened. Two reviewers screened titles, abstracts and full texts. A total of 15 studies were included in this review. Researchers conducted a quality appraisal using the JBI critical appraisal checklist for qualitative research. An a priori protocol was created and registered on the Open Science Framework.
Data sources: Literature searches were conducted in five international bibliographic databases (MEDLINE, Embase, PsycINFO, CINAHL and ProQuest Dissertations and Theses Global) and five Korean databases (RISS, KISS, DBpia, KCI and NDSL).
Results: Three main themes were identified from the 15 studies used in the metasynthesis: (1) decisional complexity of speaking up, (2) motivators for speaking up and (3) barriers to speaking up. Nurses experienced challenges in speaking up. They were, and continue to be, concerned about negative responses. Hierarchy structure and poor work environment were identified as barriers to speaking up; professional responsibility and a supportive atmosphere were identified as facilitators for speaking up.
Conclusions: This review synthesised nurses' experiences of speaking up and influencing factors. Speaking up is crucial for nurses to improve patient safety, as frontline nurses are ideally positioned to observe early indicators of unsafe conditions in healthcare delivery.
Impact: Identified motivators and barriers of nurses' speaking-up behaviour offer considerations and opportunities for healthcare leaders and managers. This could lead to improvement in patient safety through the establishment of a safety culture that facilitates nurses' speaking-up behaviour.
Reporting method: The review adhered to the ENTREQ guideline.
Patient or public contribution: No patient or public contribution has been made in this review.
{"title":"Experiences of Nurses Speaking Up in Healthcare Settings: A Qualitative Metasynthesis.","authors":"Eunhee Lee, Jennie C De Gagne, Paige S Randall, Brandi Tuttle, Hyunjeong Kwon","doi":"10.1111/jan.16592","DOIUrl":"https://doi.org/10.1111/jan.16592","url":null,"abstract":"<p><strong>Aim: </strong>To systematically review and synthesise qualitative research on nurses' experiences of speaking up in various contexts and to identify factors facilitating or impeding such a behaviour.</p><p><strong>Design: </strong>This review was conducted as a qualitative metasynthesis, utilising the qualitative meta-ethnography approach.</p><p><strong>Methods: </strong>A total of 6250 articles were screened. Two reviewers screened titles, abstracts and full texts. A total of 15 studies were included in this review. Researchers conducted a quality appraisal using the JBI critical appraisal checklist for qualitative research. An a priori protocol was created and registered on the Open Science Framework.</p><p><strong>Data sources: </strong>Literature searches were conducted in five international bibliographic databases (MEDLINE, Embase, PsycINFO, CINAHL and ProQuest Dissertations and Theses Global) and five Korean databases (RISS, KISS, DBpia, KCI and NDSL).</p><p><strong>Results: </strong>Three main themes were identified from the 15 studies used in the metasynthesis: (1) decisional complexity of speaking up, (2) motivators for speaking up and (3) barriers to speaking up. Nurses experienced challenges in speaking up. They were, and continue to be, concerned about negative responses. Hierarchy structure and poor work environment were identified as barriers to speaking up; professional responsibility and a supportive atmosphere were identified as facilitators for speaking up.</p><p><strong>Conclusions: </strong>This review synthesised nurses' experiences of speaking up and influencing factors. Speaking up is crucial for nurses to improve patient safety, as frontline nurses are ideally positioned to observe early indicators of unsafe conditions in healthcare delivery.</p><p><strong>Impact: </strong>Identified motivators and barriers of nurses' speaking-up behaviour offer considerations and opportunities for healthcare leaders and managers. This could lead to improvement in patient safety through the establishment of a safety culture that facilitates nurses' speaking-up behaviour.</p><p><strong>Reporting method: </strong>The review adhered to the ENTREQ guideline.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution has been made in this review.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570399","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}
Aim: To examine the relationship between perceived social support level and depression, anxiety and stress in pregnant women diagnosed with foetal anomaly.
Design/methods: This descriptive and correlational study was conducted in an advanced prenatal evaluation unit of a university hospital between December 2021 and May 2022. The study data collected from 131 pregnant women through a personal information form, depression, anxiety and stress scale (DASS-42) and multidimensional scale of perceived social support (MSPSS).
Results: Most of the pregnant women were in the second trimester of pregnancy, and more than half had been advised by a healthcare professional to terminate their pregnancy. Overall, the pregnant women reported moderate levels of social support, while their depression, anxiety and stress levels varied. There was a weak negative correlation between perceived social support from family, friends and multidimensional sources with stress, but the effect rate was low.
Conclusion: Most pregnant women diagnosed with foetal anomaly have normal levels of depression, stress and anxiety. There is a weak negative correlation between perceived social support and stress, with family and friend support affecting stress levels at a low rate. Professional support should be provided, and both the woman's mental health and social support mechanisms must be evaluated.
Impact: This study highlights the importance of social support in managing stress among pregnant women with foetal anomalies. While most women had normal levels of depression, anxiety and stress, increased social support from family and friends was shown to reduce stress. The findings underscore the need for healthcare professionals to assess and strengthen mental health and social support systems in this vulnerable population, informing interventions to improve psychosocial outcomes.
Reporting method: This descriptive and correlational study adhered to the CONSORT guidelines for reporting non-randomised trials.
Patient or public contribution: No patient or public contribution.
{"title":"Perceived Social Support and Depression, Anxiety and Stress in Pregnant Women Diagnosed With Foetal Anomaly.","authors":"Meltem Mecdi Kaydırak, Elif Balkan, Nilgul Bacak, Filiz Kızoglu","doi":"10.1111/jan.16587","DOIUrl":"https://doi.org/10.1111/jan.16587","url":null,"abstract":"<p><strong>Aim: </strong>To examine the relationship between perceived social support level and depression, anxiety and stress in pregnant women diagnosed with foetal anomaly.</p><p><strong>Design/methods: </strong>This descriptive and correlational study was conducted in an advanced prenatal evaluation unit of a university hospital between December 2021 and May 2022. The study data collected from 131 pregnant women through a personal information form, depression, anxiety and stress scale (DASS-42) and multidimensional scale of perceived social support (MSPSS).</p><p><strong>Results: </strong>Most of the pregnant women were in the second trimester of pregnancy, and more than half had been advised by a healthcare professional to terminate their pregnancy. Overall, the pregnant women reported moderate levels of social support, while their depression, anxiety and stress levels varied. There was a weak negative correlation between perceived social support from family, friends and multidimensional sources with stress, but the effect rate was low.</p><p><strong>Conclusion: </strong>Most pregnant women diagnosed with foetal anomaly have normal levels of depression, stress and anxiety. There is a weak negative correlation between perceived social support and stress, with family and friend support affecting stress levels at a low rate. Professional support should be provided, and both the woman's mental health and social support mechanisms must be evaluated.</p><p><strong>Impact: </strong>This study highlights the importance of social support in managing stress among pregnant women with foetal anomalies. While most women had normal levels of depression, anxiety and stress, increased social support from family and friends was shown to reduce stress. The findings underscore the need for healthcare professionals to assess and strengthen mental health and social support systems in this vulnerable population, informing interventions to improve psychosocial outcomes.</p><p><strong>Reporting method: </strong>This descriptive and correlational study adhered to the CONSORT guidelines for reporting non-randomised trials.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570406","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}
Renee Fiolet, Nicholas Metheny, Tipparat Udmuangpia, Tina Bloom
<p>From the 13th to 15th of November 2024, The Nursing Network on Violence Against Women International (NNVAWI) will come together for its landmark 25th conference in Phuket, Thailand. NNVAWI is a strong international organisation of researchers, nurses, midwives and other healthcare providers committed to creating a world free from violence. From our first gathering of a handful of nurses in Massachusetts nearly four decades ago (1985), NNVAWI has grown into a global network of more than 400 members and friends, several of whom have gathered at nearly every conference since the network was founded. As we celebrate the 25th gathering of NNVAWI members, guests and people with lived experience of gender-based violence (GBV), we also celebrate the remarkable determination, staunchness and hard work that has sustained and grown our Network and its accompanying conference.</p><p>NNVAWI is deeply committed to health equity and addressing the legacies of colonialism inherent in many high-income country visa policies that bar otherwise deserving scientists from the opportunity to network, learn and present their work. Accordingly, the NNVAWI Board of Directors and conference sub-committee are delighted that this 25th conference also marks the first time our conference will be held in a low- and middle-income country (LMIC). The decision to host our conference in Phuket, Thailand was motivated by our increasing commitment to supporting LMIC researchers who are often less resourced in the important work they are undertaking. Holding our meeting in Southeast Asia also offers an opportunity to showcase the work of network members in a region that faces high levels of GBV (World Health Organization [WHO] <span>2021</span>), lending support to the already robust local awareness, research and advocacy efforts. The result of this decision has been outstanding, with this year's meeting receiving a record number of abstract submissions, and more than 160 presentations taking place over 3 days. The authors hail from five continents, representing over 30 countries, and a good number of these reside in LMICs. Importantly, we will also be hearing from a large contingent of graduate students and early-career researchers—the future of violence prevention and our organisation.</p><p>Our 25th conference theme is <i>Promoting Health Equity to End Gender-Based Violence: Innovations in Research, Practice, & Advocacy</i>. Our call for abstracts prompted particularly strong responses of impactful and innovative work in seven important topic areas, specifically: <i>Violence training, education and mentoring for health care professionals</i>; <i>Help-seeking and gender-based violence</i>; the <i>Intergenerational and longitudinal effects of violence</i>; <i>Measurement development and validation</i>; <i>Violence, pregnancy and maternity care</i> and <i>Recovery, resilience and strengths</i>.</p><p>Appropriate and adequate training of healthcare professionals—who are often th
{"title":"Promoting Health Equity to End Gender-Based Violence: Innovations in Research, Practice and Advocacy","authors":"Renee Fiolet, Nicholas Metheny, Tipparat Udmuangpia, Tina Bloom","doi":"10.1111/jan.16580","DOIUrl":"10.1111/jan.16580","url":null,"abstract":"<p>From the 13th to 15th of November 2024, The Nursing Network on Violence Against Women International (NNVAWI) will come together for its landmark 25th conference in Phuket, Thailand. NNVAWI is a strong international organisation of researchers, nurses, midwives and other healthcare providers committed to creating a world free from violence. From our first gathering of a handful of nurses in Massachusetts nearly four decades ago (1985), NNVAWI has grown into a global network of more than 400 members and friends, several of whom have gathered at nearly every conference since the network was founded. As we celebrate the 25th gathering of NNVAWI members, guests and people with lived experience of gender-based violence (GBV), we also celebrate the remarkable determination, staunchness and hard work that has sustained and grown our Network and its accompanying conference.</p><p>NNVAWI is deeply committed to health equity and addressing the legacies of colonialism inherent in many high-income country visa policies that bar otherwise deserving scientists from the opportunity to network, learn and present their work. Accordingly, the NNVAWI Board of Directors and conference sub-committee are delighted that this 25th conference also marks the first time our conference will be held in a low- and middle-income country (LMIC). The decision to host our conference in Phuket, Thailand was motivated by our increasing commitment to supporting LMIC researchers who are often less resourced in the important work they are undertaking. Holding our meeting in Southeast Asia also offers an opportunity to showcase the work of network members in a region that faces high levels of GBV (World Health Organization [WHO] <span>2021</span>), lending support to the already robust local awareness, research and advocacy efforts. The result of this decision has been outstanding, with this year's meeting receiving a record number of abstract submissions, and more than 160 presentations taking place over 3 days. The authors hail from five continents, representing over 30 countries, and a good number of these reside in LMICs. Importantly, we will also be hearing from a large contingent of graduate students and early-career researchers—the future of violence prevention and our organisation.</p><p>Our 25th conference theme is <i>Promoting Health Equity to End Gender-Based Violence: Innovations in Research, Practice, & Advocacy</i>. Our call for abstracts prompted particularly strong responses of impactful and innovative work in seven important topic areas, specifically: <i>Violence training, education and mentoring for health care professionals</i>; <i>Help-seeking and gender-based violence</i>; the <i>Intergenerational and longitudinal effects of violence</i>; <i>Measurement development and validation</i>; <i>Violence, pregnancy and maternity care</i> and <i>Recovery, resilience and strengths</i>.</p><p>Appropriate and adequate training of healthcare professionals—who are often th","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"80 S2","pages":"5-8"},"PeriodicalIF":3.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.16580","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142563261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aims: To evaluate the psychometric properties of the Chinese version of the Vulvovaginal Symptoms Questionnaire for assessing vulvovaginal symptoms and symptom-related influences in women with breast cancer.
Design: A methodological study.
Methods: Women with breast cancer (n = 202) were recruited from the outpatient department of a hospital. Data were collected between July 2020 and October 2021. Psychometric properties, including internal consistency, test-retest reliability and construct validity, were tested after the translation of the original English-language instrument. The construct validity was examined by testing the hypothesised relationships between the Chinese version of the Vulvovaginal Symptoms Questionnaire with validated instruments associated with quality of life and sexual function and by Confirmatory Factor Analysis.
Results: The internal consistency and test-retest reliability for the Chinese version of the Vulvovaginal Symptoms Questionnaire's total scale and four subscales were satisfactory. The construct validity was confirmed by significant correlations between scores on the Chinese version of the Vulvovaginal Symptoms Questionnaire with the Chinese version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Cancer 30 and Quality of Life Questionnaire-Breast 23 and the Chinese version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire 12. The Confirmatory Factor Analysis verification results showed that the traditional Chinese-language questionnaire's three- and four-factor models had acceptable model fit indices.
Conclusion: We obtained the Chinese version of the Vulvovaginal Symptoms Questionnaire's preliminary and satisfactory psychometric properties. It can help worldwide healthcare professionals adequately assess vulvovaginal symptoms and their influences experienced by Chinese-speaking women with breast cancer.
Implications for practice: The Chinese version of the Vulvovaginal Symptoms Questionnaire can help healthcare professionals and researchers concurrently identify vulvovaginal symptoms and related influences, leading to timely and appropriate management. Well-designed and accessible healthcare services on vulvovaginal and sexual health after breast cancer diagnosis are essential for both healthcare professionals and this population.
Reporting method: We adhered to the STROBE checklist of cross-sectional studies.
Patients or public contribution: No patient or public engagement..
{"title":"Psychometric Evaluation of the Chinese Version of the Vulvovaginal Symptom Questionnaire in Women With Breast Cancer.","authors":"Yueh-Ching Lee, Yuan-Ching Chang, Cheng-Chen Chou, Yen-Kuang Lin, Chia-Hui Li, Yuan-Mei Liao","doi":"10.1111/jan.16584","DOIUrl":"https://doi.org/10.1111/jan.16584","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the psychometric properties of the Chinese version of the Vulvovaginal Symptoms Questionnaire for assessing vulvovaginal symptoms and symptom-related influences in women with breast cancer.</p><p><strong>Design: </strong>A methodological study.</p><p><strong>Methods: </strong>Women with breast cancer (n = 202) were recruited from the outpatient department of a hospital. Data were collected between July 2020 and October 2021. Psychometric properties, including internal consistency, test-retest reliability and construct validity, were tested after the translation of the original English-language instrument. The construct validity was examined by testing the hypothesised relationships between the Chinese version of the Vulvovaginal Symptoms Questionnaire with validated instruments associated with quality of life and sexual function and by Confirmatory Factor Analysis.</p><p><strong>Results: </strong>The internal consistency and test-retest reliability for the Chinese version of the Vulvovaginal Symptoms Questionnaire's total scale and four subscales were satisfactory. The construct validity was confirmed by significant correlations between scores on the Chinese version of the Vulvovaginal Symptoms Questionnaire with the Chinese version of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Cancer 30 and Quality of Life Questionnaire-Breast 23 and the Chinese version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire 12. The Confirmatory Factor Analysis verification results showed that the traditional Chinese-language questionnaire's three- and four-factor models had acceptable model fit indices.</p><p><strong>Conclusion: </strong>We obtained the Chinese version of the Vulvovaginal Symptoms Questionnaire's preliminary and satisfactory psychometric properties. It can help worldwide healthcare professionals adequately assess vulvovaginal symptoms and their influences experienced by Chinese-speaking women with breast cancer.</p><p><strong>Implications for practice: </strong>The Chinese version of the Vulvovaginal Symptoms Questionnaire can help healthcare professionals and researchers concurrently identify vulvovaginal symptoms and related influences, leading to timely and appropriate management. Well-designed and accessible healthcare services on vulvovaginal and sexual health after breast cancer diagnosis are essential for both healthcare professionals and this population.</p><p><strong>Reporting method: </strong>We adhered to the STROBE checklist of cross-sectional studies.</p><p><strong>Patients or public contribution: </strong>No patient or public engagement..</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549007","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}
Bo Zheng, Ning Zhu, Mei Yu, Yun Guan, Zhong Zheng, Yaotiao Deng, Yu Jiang
<p><strong>Aim: </strong>To examine the efficacy of the Single Suicide Question, a tactful single-item tool, in assessing suicide risk among cancer patients.</p><p><strong>Background: </strong>Suicide risk screening in cancer patients faces challenges such as cultural, the degree of attention given and the complexity and diversity of assessment methods. An efficient and simple suicide screening tool is needed within the nursing and treatment process.</p><p><strong>Design: </strong>A retrospective cross-sectional study.</p><p><strong>Data sources: </strong>All data utilised in this study were obtained from assessments conducted by researchers at our institution between March 2018 and August 2023.</p><p><strong>Methods: </strong>Retrospectively analysed Single Suicide Question scores from 9703 patients (March 2018-August 2023), with 229 undergoing additional using other established tools (the Patient Health Questionnaire-9, Generalised Anxiety Disorder-7, Distress Thermometer) alongside the Mini International Neuropsychiatric Interview Suicidal Subscale (MINI Suicidal Subscale). These 229 patients were divided into the cut-off determination dataset (174/229) and the validation dataset (55/229) to analyse, validate and compare the screening efficacy, consistency and optimal cut-off points of the tools relative to the MINI Suicidal subscale (golden standard). K-fold cross-validation was employed to assess the stability of the Single Suicide Question and to revalidate its screening efficacy.</p><p><strong>Results: </strong>In cut-off determination dataset, the Single Suicide Question exhibited good screening efficacy and substantial agreement relative to the MINI Suicidal subscale, as validated in the validation dataset, outperforming other tools. The optimal cut-off points of Single Suicide Question for screening moderate or higher and high suicide risk as 2 and 3 respectively. Its stability in K-fold cross-validation further supported its screening efficacy.</p><p><strong>Conclusion: </strong>The Single Suicide Question shows potential as a preliminary screening tool for suicide risk. Furthermore, it has also demonstrated the potential of a simple, tactful, culturally fitting question in assessing suicide risk, providing insight for the development of relevant tools in different cultural and linguistic backgrounds.</p><p><strong>Implications for the profession and patient care: </strong>Our study demonstrates the potential of the Single Suicide Question as a screening tool for identifying suicide risk among cancer patients, which may facilitate efficient suicide screening. Furthermore, it reveals that tactful, culturally fitting, yet simple tools can achieve good screening efficacy, providing insights for the development of similar tools in different cultural and linguistic contexts.</p><p><strong>Impact: </strong>This study investigated the effectiveness of using a culturally contextualised, specific single question to screen for suicide risk in Ch
目的：研究单项自杀问题（一种机智的单项工具）在评估癌症患者自杀风险方面的有效性：背景：癌症患者自杀风险筛查面临着文化、关注程度以及评估方法的复杂性和多样性等挑战。在护理和治疗过程中，需要一种高效、简单的自杀筛查工具：数据来源：回顾性横断面研究：本研究使用的所有数据均来自本机构研究人员在 2018 年 3 月至 2023 年 8 月期间进行的评估：回顾性分析了9703名患者（2018年3月至2023年8月）的单一自杀问题得分，其中229名患者在接受迷你国际神经精神访谈自杀分量表（MINI Suicidal Subscale）的同时，还接受了其他既定工具（患者健康问卷-9、广泛焦虑症-7、压力温度计）的额外评估。这 229 名患者被分为截点确定数据集（174/229）和验证数据集（55/229），以分析、验证和比较这些工具相对于迷你国际神经精神访谈自杀子量表（黄金标准）的筛查效果、一致性和最佳截点。采用 K 倍交叉验证来评估单一自杀问题的稳定性，并重新验证其筛查功效：结果：在确定截断点的数据集中，单一自杀问题表现出良好的筛查效果，与在验证数据集中验证过的 MINI 自杀子量表有很大的一致性，优于其他工具。单一自杀问题筛选中度或更高自杀风险和高自杀风险的最佳临界点分别为 2 和 3。它在 K 倍交叉验证中的稳定性进一步证明了其筛查功效：结论："单一自杀问题 "显示出作为自杀风险初步筛查工具的潜力。结论：单一自杀问题显示了作为自杀风险初步筛查工具的潜力，此外，它还证明了一个简单、婉转、符合文化背景的问题在评估自杀风险方面的潜力，为在不同文化和语言背景下开发相关工具提供了启示：我们的研究表明，"单一自杀问题 "作为一种筛查工具，具有识别癌症患者自杀风险的潜力，可促进有效的自杀筛查。此外，研究还揭示了机智、符合文化背景且简单的工具也能达到良好的筛查效果，为在不同文化和语言背景下开发类似工具提供了启示：本研究调查了在中国癌症患者中使用符合文化背景的特定单个问题进行自杀风险筛查的有效性，结果表明该方法具有较高的筛查效率和稳定性。通过进一步研究，该方法可为解决癌症护理中的自杀风险这一关键问题提供一种有技巧、有文化背景且高效的自杀筛查方法，同时也为在不同文化和语言背景下开发类似工具提供了参考：报告方法：该研究遵循了 STROBE 横向研究核对表指南：患者或公众的贡献：患者提供的数据是本研究的基础。在本研究中，护士在进行大部分评估和研究设计方面发挥了核心作用。
{"title":"Single Question for Screening Suicide Risk in Patients With Cancer in Nursing Routine Work: A Retrospective Cross-Sectional Study.","authors":"Bo Zheng, Ning Zhu, Mei Yu, Yun Guan, Zhong Zheng, Yaotiao Deng, Yu Jiang","doi":"10.1111/jan.16591","DOIUrl":"https://doi.org/10.1111/jan.16591","url":null,"abstract":"<p><strong>Aim: </strong>To examine the efficacy of the Single Suicide Question, a tactful single-item tool, in assessing suicide risk among cancer patients.</p><p><strong>Background: </strong>Suicide risk screening in cancer patients faces challenges such as cultural, the degree of attention given and the complexity and diversity of assessment methods. An efficient and simple suicide screening tool is needed within the nursing and treatment process.</p><p><strong>Design: </strong>A retrospective cross-sectional study.</p><p><strong>Data sources: </strong>All data utilised in this study were obtained from assessments conducted by researchers at our institution between March 2018 and August 2023.</p><p><strong>Methods: </strong>Retrospectively analysed Single Suicide Question scores from 9703 patients (March 2018-August 2023), with 229 undergoing additional using other established tools (the Patient Health Questionnaire-9, Generalised Anxiety Disorder-7, Distress Thermometer) alongside the Mini International Neuropsychiatric Interview Suicidal Subscale (MINI Suicidal Subscale). These 229 patients were divided into the cut-off determination dataset (174/229) and the validation dataset (55/229) to analyse, validate and compare the screening efficacy, consistency and optimal cut-off points of the tools relative to the MINI Suicidal subscale (golden standard). K-fold cross-validation was employed to assess the stability of the Single Suicide Question and to revalidate its screening efficacy.</p><p><strong>Results: </strong>In cut-off determination dataset, the Single Suicide Question exhibited good screening efficacy and substantial agreement relative to the MINI Suicidal subscale, as validated in the validation dataset, outperforming other tools. The optimal cut-off points of Single Suicide Question for screening moderate or higher and high suicide risk as 2 and 3 respectively. Its stability in K-fold cross-validation further supported its screening efficacy.</p><p><strong>Conclusion: </strong>The Single Suicide Question shows potential as a preliminary screening tool for suicide risk. Furthermore, it has also demonstrated the potential of a simple, tactful, culturally fitting question in assessing suicide risk, providing insight for the development of relevant tools in different cultural and linguistic backgrounds.</p><p><strong>Implications for the profession and patient care: </strong>Our study demonstrates the potential of the Single Suicide Question as a screening tool for identifying suicide risk among cancer patients, which may facilitate efficient suicide screening. Furthermore, it reveals that tactful, culturally fitting, yet simple tools can achieve good screening efficacy, providing insights for the development of similar tools in different cultural and linguistic contexts.</p><p><strong>Impact: </strong>This study investigated the effectiveness of using a culturally contextualised, specific single question to screen for suicide risk in Ch","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549009","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}
{"title":"Nurses' Role in Addressing Social Frailty for Healthy Ageing Promotion.","authors":"Miao Miao, Doris Sau-Fung Yu","doi":"10.1111/jan.16593","DOIUrl":"https://doi.org/10.1111/jan.16593","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549006","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}
{"title":"Regarding the Role of Midwifery-Led Mobile Health App Intervention in Pregnancy.","authors":"Ming-Yan Du, Jing Zhou, Hao Chen","doi":"10.1111/jan.16579","DOIUrl":"https://doi.org/10.1111/jan.16579","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549008","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}
{"title":"Neighbourhood Socioeconomic Status Shapes the Ageing Policy From an Ecological Perspective.","authors":"Jing Xi, Doris Sau-Fung Yu","doi":"10.1111/jan.16597","DOIUrl":"https://doi.org/10.1111/jan.16597","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549005","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}
Yun-Hee Jeon, Anthony Hobbs, Karn Nelson, Judith Fethney, Tracy Comans, Jane Conway, Loren Mowszowski, Keith Hill, Jacqueline Wesson, Jennifer Hewitt, Karen Watson, Leanne Togher, Margaret Allman-Farinelli, Claire O'Connor, John Quinn, Glenys Petrie, Fiona O'Leary, Margaret MacAndrew, Elizabeth Beattie, Marc Stears, Sarah Hilmer, David Sykes, Anne Liddell, Sophia Little
Background: Major knowledge and practice gaps exist in aged care home services to support independence of older people with dementia. This research evaluates an adaptation of a community-based rehabilitation model for care homes, namely Interdisciplinary Care Home-bAsed Reablement Program (I-CHARP), by examining whether (and, if so, how) I-CHARP produces its intended effects and how this programme can be practicably implemented, sustained and scaled up across care homes in Australia.
Methods: I-CHARP is a 4-month bio-behavioural-environmental rehabilitation model of care, integrated in care home services, supported through the deployment of an implementation strategy, the Research Enabled Aged Care Homes (REACH) network. It consists of (1) 8-12 full individual sessions and additional eight brief follow-ups per resident, tailored to the resident's needs, delivered primarily by a team of an occupational therapist, registered nurse and other allied health staff; (2) environmental modifications/assistive devices up to the value of $400 per resident; and (3) engagement of intervention care home staff, managers and regular visitors. An overarching evaluation approach is participatory action research using a cluster quasi-experimental design and mixed methods. It involves testing of the implementation strategy (REACH network and other approaches) while observing/gathering information on the intervention (I-CHARP) and related outcomes in three cycles. Participants include residents (aged ≥ 60 years with early stages of dementia) and care staff from 16 care homes. Care quality indicators, health care costs, field notes and semi-structured interviews/focus groups with intervention site staff, regular visitors and managers will provide further insights into I-CHARP processes and implementation issues.
Discussion: In the final phase of the project, an Agile Implementation Playbook will be developed for the delivery of reablement care that can be used in routine practice across care homes in Australia. The study findings will also inform future policy development and strategic directions for dementia care in care homes.
Trial registration: Australian New Zealand Clinical Trial Registry, ACTRN12623000885695 Registered 16 August 2023, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=386088.
{"title":"Evaluation of the Interdisciplinary Care Home-bAsed Reablement Program (I-CHARP) for People Living With Cognitive Impairment and Dementia in Care Homes.","authors":"Yun-Hee Jeon, Anthony Hobbs, Karn Nelson, Judith Fethney, Tracy Comans, Jane Conway, Loren Mowszowski, Keith Hill, Jacqueline Wesson, Jennifer Hewitt, Karen Watson, Leanne Togher, Margaret Allman-Farinelli, Claire O'Connor, John Quinn, Glenys Petrie, Fiona O'Leary, Margaret MacAndrew, Elizabeth Beattie, Marc Stears, Sarah Hilmer, David Sykes, Anne Liddell, Sophia Little","doi":"10.1111/jan.16588","DOIUrl":"10.1111/jan.16588","url":null,"abstract":"<p><strong>Background: </strong>Major knowledge and practice gaps exist in aged care home services to support independence of older people with dementia. This research evaluates an adaptation of a community-based rehabilitation model for care homes, namely Interdisciplinary Care Home-bAsed Reablement Program (I-CHARP), by examining whether (and, if so, how) I-CHARP produces its intended effects and how this programme can be practicably implemented, sustained and scaled up across care homes in Australia.</p><p><strong>Methods: </strong>I-CHARP is a 4-month bio-behavioural-environmental rehabilitation model of care, integrated in care home services, supported through the deployment of an implementation strategy, the Research Enabled Aged Care Homes (REACH) network. It consists of (1) 8-12 full individual sessions and additional eight brief follow-ups per resident, tailored to the resident's needs, delivered primarily by a team of an occupational therapist, registered nurse and other allied health staff; (2) environmental modifications/assistive devices up to the value of $400 per resident; and (3) engagement of intervention care home staff, managers and regular visitors. An overarching evaluation approach is participatory action research using a cluster quasi-experimental design and mixed methods. It involves testing of the implementation strategy (REACH network and other approaches) while observing/gathering information on the intervention (I-CHARP) and related outcomes in three cycles. Participants include residents (aged ≥ 60 years with early stages of dementia) and care staff from 16 care homes. Care quality indicators, health care costs, field notes and semi-structured interviews/focus groups with intervention site staff, regular visitors and managers will provide further insights into I-CHARP processes and implementation issues.</p><p><strong>Discussion: </strong>In the final phase of the project, an Agile Implementation Playbook will be developed for the delivery of reablement care that can be used in routine practice across care homes in Australia. The study findings will also inform future policy development and strategic directions for dementia care in care homes.</p><p><strong>Trial registration: </strong>Australian New Zealand Clinical Trial Registry, ACTRN12623000885695 Registered 16 August 2023, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=386088.</p><p><strong>Protocol version: </strong>1.0 dated 20 July 2023.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523722","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}
Ashley R Turner, Heather Coats, Paul Cook, Caroline Dorsen, Catherine Jankowski
Aim: To explore, review and assess the literature on motivation for physical activity in low-income adults to inform future research and clinical interventions.
Design: An integrative review of the literature on motivation for physical activity in low-income adults.
Methods: Whittemore and Knaul's five-stage methodological approach for integrative reviews was utilised. Studies written in English that focused primarily on low-income adults discussed physical activity and included a component of motivation or drive were included. The Johns Hopkins Evidence Level and Quality Guide was used to assess the quality of the studies.
Data sources: PubMed, CINAHL, PsycINFO, SPORTDiscuss and Google Scholar from 1 January 2018 - 23 August 2024.
Results: A total of 20 studies met the inclusion criteria. Three main categories of factors impacting physical activity in low-income adults were identified: (1) motivators for physical activity, (2) barriers for physical activity (3) and items that were both a motivator and a barrier. Despite the key role nurses play in promoting health and wellness, studies conducted by nurses or employing nursing interventions were notably absent.
Conclusion: This integrative literature review highlights the need for more information about what motivates low-income adults to be more physically active.
Implications for the profession: Understanding the experience of low-income adults with physical activity is integral to meeting their needs and facilitating increased physical activity. Future research should utilise nursing theories and interventions to improve physical activity levels among low-income adults.
Impact: This study addressed physical inactivity in low-income adults. More information is needed about motivation for physical activity. This information will impact researchers and clinicians.
Reporting method: The search strategy and reporting method were consistent with PRISMA guidelines.
Patient or public contribution: No Patient or Public Contribution.
{"title":"Motivation for Physical Activity in Low-Income Adults: An Integrative Literature Review.","authors":"Ashley R Turner, Heather Coats, Paul Cook, Caroline Dorsen, Catherine Jankowski","doi":"10.1111/jan.16583","DOIUrl":"https://doi.org/10.1111/jan.16583","url":null,"abstract":"<p><strong>Aim: </strong>To explore, review and assess the literature on motivation for physical activity in low-income adults to inform future research and clinical interventions.</p><p><strong>Design: </strong>An integrative review of the literature on motivation for physical activity in low-income adults.</p><p><strong>Methods: </strong>Whittemore and Knaul's five-stage methodological approach for integrative reviews was utilised. Studies written in English that focused primarily on low-income adults discussed physical activity and included a component of motivation or drive were included. The Johns Hopkins Evidence Level and Quality Guide was used to assess the quality of the studies.</p><p><strong>Data sources: </strong>PubMed, CINAHL, PsycINFO, SPORTDiscuss and Google Scholar from 1 January 2018 - 23 August 2024.</p><p><strong>Results: </strong>A total of 20 studies met the inclusion criteria. Three main categories of factors impacting physical activity in low-income adults were identified: (1) motivators for physical activity, (2) barriers for physical activity (3) and items that were both a motivator and a barrier. Despite the key role nurses play in promoting health and wellness, studies conducted by nurses or employing nursing interventions were notably absent.</p><p><strong>Conclusion: </strong>This integrative literature review highlights the need for more information about what motivates low-income adults to be more physically active.</p><p><strong>Implications for the profession: </strong>Understanding the experience of low-income adults with physical activity is integral to meeting their needs and facilitating increased physical activity. Future research should utilise nursing theories and interventions to improve physical activity levels among low-income adults.</p><p><strong>Impact: </strong>This study addressed physical inactivity in low-income adults. More information is needed about motivation for physical activity. This information will impact researchers and clinicians.</p><p><strong>Reporting method: </strong>The search strategy and reporting method were consistent with PRISMA guidelines.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523725","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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