Arum Lim, Chitchanok Benjasirisan, Jordan Tebay, Xiaoyue Liu, Sarah Badawi, Cheryl Dennison Himmelfarb, Patricia M. Davidson, Binu Koirala
AimHeart failure is a leading cause of hospitalisation and often coexists with seven comorbid conditions on average. This study aimed to examine the gender differences in disease burden, symptom burden, and quality of life among older adults with heart failure and multimorbidity.DesignCross‐sectional study.MethodsThis study utilised a baseline survey from an ongoing cohort study in 2022–2023. Adults aged ≥ 50 years with heart failure and more than one chronic condition were recruited from a university‐affiliated hospital using an electronic patient portal. Disease burden was measured using a modified Disease Burden Impact Scale. The Edmonton Symptom Assessment Scale and EuroQoL‐5D‐5L assessed symptom burden and quality of life. Gender differences in baseline outcomes were examined using Pearson's Chi‐square tests, Welch's t‐tests, and multiple linear regressions.ResultsAmong 353 participants who completed the baseline survey, the mean (±SD) age was 70 (±9.5) years, and 50.1% were women (mean age: 67 ± 9 vs. men: 72 ± 10). In adjusted models, women had 4.9 points higher disease burden (p = 0.003) and reported higher symptom scores of pain (p = 0.018), tiredness (p = 0.021), nausea (p = 0.007), and loss of appetite compared to men (p = 0.036). Women had significantly more moderate/severe problems in usual activities and pain/discomfort and 0.07 points lower EuroQoL index than men (p = 0.010).ConclusionsThere were gender differences in disease/symptom burdens and quality of life. Women living with heart failure and multimorbidity had higher burdens but lower quality of life.ImpactIdentifying gender differences among people with heart failure and multimorbidity can be the first step to explaining health disparities. Research should take more inclusive and equitable approaches to address these differences. Healthcare providers, including nurses, should implement targeted strategies for effective multimorbidity management by considering these differences and disparities in clinical settings.Reporting MethodSTROBE checklist, cross‐sectional.Patient or Public ContributionNo patient or public contribution.
{"title":"Gender Differences in Disease Burden, Symptom Burden, and Quality of Life Among People Living With Heart Failure and Multimorbidity: Cross‐Sectional Study","authors":"Arum Lim, Chitchanok Benjasirisan, Jordan Tebay, Xiaoyue Liu, Sarah Badawi, Cheryl Dennison Himmelfarb, Patricia M. Davidson, Binu Koirala","doi":"10.1111/jan.16797","DOIUrl":"https://doi.org/10.1111/jan.16797","url":null,"abstract":"AimHeart failure is a leading cause of hospitalisation and often coexists with seven comorbid conditions on average. This study aimed to examine the gender differences in disease burden, symptom burden, and quality of life among older adults with heart failure and multimorbidity.DesignCross‐sectional study.MethodsThis study utilised a baseline survey from an ongoing cohort study in 2022–2023. Adults aged ≥ 50 years with heart failure and more than one chronic condition were recruited from a university‐affiliated hospital using an electronic patient portal. Disease burden was measured using a modified Disease Burden Impact Scale. The Edmonton Symptom Assessment Scale and EuroQoL‐5D‐5L assessed symptom burden and quality of life. Gender differences in baseline outcomes were examined using Pearson's Chi‐square tests, Welch's t‐tests, and multiple linear regressions.ResultsAmong 353 participants who completed the baseline survey, the mean (±SD) age was 70 (±9.5) years, and 50.1% were women (mean age: 67 ± 9 vs. men: 72 ± 10). In adjusted models, women had 4.9 points higher disease burden (<jats:italic>p</jats:italic> = 0.003) and reported higher symptom scores of pain (<jats:italic>p</jats:italic> = 0.018), tiredness (<jats:italic>p</jats:italic> = 0.021), nausea (<jats:italic>p</jats:italic> = 0.007), and loss of appetite compared to men (<jats:italic>p</jats:italic> = 0.036). Women had significantly more moderate/severe problems in usual activities and pain/discomfort and 0.07 points lower EuroQoL index than men (<jats:italic>p</jats:italic> = 0.010).ConclusionsThere were gender differences in disease/symptom burdens and quality of life. Women living with heart failure and multimorbidity had higher burdens but lower quality of life.ImpactIdentifying gender differences among people with heart failure and multimorbidity can be the first step to explaining health disparities. Research should take more inclusive and equitable approaches to address these differences. Healthcare providers, including nurses, should implement targeted strategies for effective multimorbidity management by considering these differences and disparities in clinical settings.Reporting MethodSTROBE checklist, cross‐sectional.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"13 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426949","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}
AimRecruitment of nurses is driven by peer recommendation for which effective hiring and onboarding processes are crucial. The present study evaluates the association between Nurse's satisfaction with hiring process and their intention to recommend the organisation.Study DesignThis mixed‐methods study was conducted in a 550‐bed tertiary‐care hospital in New Delhi, India among the nursing staff from June'2023‐February'2024.MethodsRecently joined Nurses (last 1.5 years) who agreed to participate were included. Satisfaction with the hiring processes was assessed through 20 items and an additional item assessed the ‘intention to recommend the organisation’ (dependent variable). One‐sample t‐test was used to test the variations within the sample. Pearson's correlations were computed between dependent and independent variables. Variables with statistically significant correlations were entered in the Linear Regression model to identify the predictors of intention to recommend. From the same cohort, a few nurses were invited to participate in the qualitative study. Through thematic content analysis we identified the categories for the final model.ResultsOut of 180 newly joined nurses, 171 agreed to participate. Overall hiring Satisfaction was moderate. Selection round and document verification scored the lowest whereas the overall intention to recommend the organisation was above average. Vacancy notification and Induction and onboarding showed strong correlations with the intention to recommend and were its strongest predictors. Qualitative results revealed three main themes—Information provided during hiring, Knowledge enhancement opportunities and Employee centeredness which had a predominance on the intention to recommend.ConclusionProviding unambiguous information, positive work atmosphere, growth opportunities and recognition systems creates a strong intention to recommend the organisation.ImpactThe hospitals should focus on information transparency during hiring and later on knowledge enhancement to create a positive intention to recommend. Further, studies are required to validate these findings in other settings.Patient/Public ContributionNo Patient/Public Involvement.
{"title":"How Hiring Process Satisfaction Influences Nursing Staff's Willingness to Recommend Their Organisation: A Mixed Methods Study","authors":"Kasturi Shukla, Shuvhra Mondal, Megha Prasad, Sammita Jadhav","doi":"10.1111/jan.16829","DOIUrl":"https://doi.org/10.1111/jan.16829","url":null,"abstract":"AimRecruitment of nurses is driven by peer recommendation for which effective hiring and onboarding processes are crucial. The present study evaluates the association between Nurse's satisfaction with hiring process and their intention to recommend the organisation.Study DesignThis mixed‐methods study was conducted in a 550‐bed tertiary‐care hospital in New Delhi, India among the nursing staff from June'2023‐February'2024.MethodsRecently joined Nurses (last 1.5 years) who agreed to participate were included. Satisfaction with the hiring processes was assessed through 20 items and an additional item assessed the ‘intention to recommend the organisation’ (dependent variable). One‐sample t‐test was used to test the variations within the sample. Pearson's correlations were computed between dependent and independent variables. Variables with statistically significant correlations were entered in the Linear Regression model to identify the predictors of intention to recommend. From the same cohort, a few nurses were invited to participate in the qualitative study. Through thematic content analysis we identified the categories for the final model.ResultsOut of 180 newly joined nurses, 171 agreed to participate. Overall hiring Satisfaction was moderate. Selection round and document verification scored the lowest whereas the overall intention to recommend the organisation was above average. Vacancy notification and Induction and onboarding showed strong correlations with the intention to recommend and were its strongest predictors. Qualitative results revealed three main themes—Information provided during hiring, Knowledge enhancement opportunities and Employee centeredness which had a predominance on the intention to recommend.ConclusionProviding unambiguous information, positive work atmosphere, growth opportunities and recognition systems creates a strong intention to recommend the organisation.ImpactThe hospitals should focus on information transparency during hiring and later on knowledge enhancement to create a positive intention to recommend. Further, studies are required to validate these findings in other settings.Patient/Public ContributionNo Patient/Public Involvement.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"208 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427076","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}
Ye Zhang, Xiaoying Wei, Ni Zhang, Yiheng Zhang, Na Li, BaoYi Zhang, Meifen Zhang
To investigate the status of social isolation among middle-aged and elderly breast cancer patients and identify its influencing factors. Additionally, to explore the mediating role of self-perception of aging between frailty and social isolation, as well as the moderating effect of menopausal symptoms.
{"title":"Frailty and Social Isolation in Breast Cancer Patients: The Moderated Mediating Role of Self-Perception of Aging and Menopausal Symptoms","authors":"Ye Zhang, Xiaoying Wei, Ni Zhang, Yiheng Zhang, Na Li, BaoYi Zhang, Meifen Zhang","doi":"10.1111/jan.16833","DOIUrl":"https://doi.org/10.1111/jan.16833","url":null,"abstract":"To investigate the status of social isolation among middle-aged and elderly breast cancer patients and identify its influencing factors. Additionally, to explore the mediating role of self-perception of aging between frailty and social isolation, as well as the moderating effect of menopausal symptoms.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"88 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427379","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}
Ya-Ching Wang, Nae-Fang Miao, Mei-Hui You, Frank T. Y. Wang, Chih-Yun Hsu
This study explored the factors associated with oncology nurses' behaviour and intention to provide cancer care to lesbian, gay, bisexual, and transgender (LGBT) individuals in Taiwan.
{"title":"Factors Influencing Nurses' Culturally Competent Cancer Care for LGBT Individuals in Taiwan: A Qualitative Study Applying the Socio-Ecological Model","authors":"Ya-Ching Wang, Nae-Fang Miao, Mei-Hui You, Frank T. Y. Wang, Chih-Yun Hsu","doi":"10.1111/jan.16831","DOIUrl":"https://doi.org/10.1111/jan.16831","url":null,"abstract":"This study explored the factors associated with oncology nurses' behaviour and intention to provide cancer care to lesbian, gay, bisexual, and transgender (LGBT) individuals in Taiwan.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"16 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427377","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}
D. Candelaria, J. River, R. Gallagher, B. McCormack
1 Introduction
Equity and diversity are increasingly recognised as critical issues in the nursing profession. One important focus has been gender equity (Padgett 2024). As a female-dominated profession, nursing has benefitted from feminist advocacy, which has played an important role in addressing systemic inequities and advancing the rights of women in nursing (Chinn 1985). However, as more men choose nursing as a career, contradictory debates have ensued about the relative advantages or disadvantages faced by men compared to women (Padgett 2024). These include claims of disadvantage and inequity for men, who make up the minority of nurses (comprising about 10% worldwide) (World Health Organization (WHO) 2020). On the other hand, there are assertions of systemic privileges for men, evidenced by advantages in pay and career progression within nursing (Punshon et al. 2019; Doleman et al. 2024). Although claims of systemic disadvantages for men are less robust, they are persistently articulated in the nursing literature (Padgett 2024).
While addressing pay and career progression disparities remains a priority, we argue in this paper that building a more equitable and inclusive profession, and tackling oppressive systems and hierarchies, requires embracing a more nuanced understanding of gender relations and gender diversity. Importantly, we argue that a simplistic and dichotomous view of gender risks obscuring pressing equity issues related to the dynamic and sometimes abrasive intersections of gender, race, class, sexuality and other social structures (Carbado et al. 2013) and overlooks nurses' personal agency in resisting structural power dynamics to support gender equity (Fisher 2006). Moreover, gender is not binary, and trans and gender-diverse people are increasingly seeking visibility, recognition and equity within the nursing profession (Kellett and Fitton 2016; Quinn et al. 2021). Therefore, we argue that the focus of nursing should be on cultivating a reflexive and inclusive culture and addressing systemic inequity for nurses from diverse backgrounds, including those related to pay disparities, underrepresentation in leadership and unequal access to opportunities.
{"title":"Harnessing the Collective Power of Gender Equity and Diversity in Nursing","authors":"D. Candelaria, J. River, R. Gallagher, B. McCormack","doi":"10.1111/jan.16835","DOIUrl":"https://doi.org/10.1111/jan.16835","url":null,"abstract":"<h2>1 Introduction</h2>\u0000<p>Equity and diversity are increasingly recognised as critical issues in the nursing profession. One important focus has been gender equity (Padgett <span>2024</span>). As a female-dominated profession, nursing has benefitted from feminist advocacy, which has played an important role in addressing systemic inequities and advancing the rights of women in nursing (Chinn <span>1985</span>). However, as more men choose nursing as a career, contradictory debates have ensued about the relative advantages or disadvantages faced by men compared to women (Padgett <span>2024</span>). These include claims of disadvantage and inequity for men, who make up the minority of nurses (comprising about 10% worldwide) (World Health Organization (WHO) <span>2020</span>). On the other hand, there are assertions of systemic privileges for men, evidenced by advantages in pay and career progression within nursing (Punshon et al. <span>2019</span>; Doleman et al. <span>2024</span>). Although claims of systemic disadvantages for men are less robust, they are persistently articulated in the nursing literature (Padgett <span>2024</span>).</p>\u0000<p>While addressing pay and career progression disparities remains a priority, we argue in this paper that building a more equitable and inclusive profession, and tackling oppressive systems and hierarchies, requires embracing a more nuanced understanding of gender relations and gender diversity. Importantly, we argue that a simplistic and dichotomous view of gender risks obscuring pressing equity issues related to the dynamic and sometimes abrasive intersections of gender, race, class, sexuality and other social structures (Carbado et al. <span>2013</span>) and overlooks nurses' personal agency in resisting structural power dynamics to support gender equity (Fisher <span>2006</span>). Moreover, gender is not binary, and trans and gender-diverse people are increasingly seeking visibility, recognition and equity within the nursing profession (Kellett and Fitton <span>2016</span>; Quinn et al. <span>2021</span>). Therefore, we argue that the focus of nursing should be on cultivating a reflexive and inclusive culture and addressing systemic inequity for nurses from diverse backgrounds, including those related to pay disparities, underrepresentation in leadership and unequal access to opportunities.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"26 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143417252","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}
Leslie S. P. Eide, Reidun K. N. Sandvik, Gøril Tvedten Jorem, Ranveig M. Boge, Elisabeth Grov Beisland
AimsTo identify and report results from studies of anxiety and depression, as measured by The Hospital Anxiety and Depression Scale (HADS) in patients ≥ 80 years admitted to hospital settings, and to inform nurses, researchers and educators in nursing about these findings.DesignSystematic review.Data SourcesMEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane, Epistemonikos, Scopus and Web of Science Core Collection of studies published until October 2023.MethodsA search strategy was developed with a university librarian. Four independent reviewers screened titles and abstracts based on predefined inclusion criteria. Data were systematically extracted, descriptively analysed, and Critical Appraisal Skills Programme checklists were used to assess studies.ResultsOut of 7076 identified studies, three met the eligibility criteria. Data from 420 participants aged ≥ 80 years were analysed, revealing anxiety prevalence rates between 6% and 18% and mean scores below 4. Depression prevalence rates ranged from 7% to 17%, with a mean score below 4. Most patients with depression were not previously recognised as being depressed.ConclusionsFew publications reported on anxiety and/or depression in hospitalised patients aged ≥ 80 years using HADS. A gap in the knowledge base has been identified.ImplicationsAnxiety and depression are mental health conditions that can lead to adverse events and strongly affect aging. Increased understanding of the role that these conditions have on hospitalised patients ≥ 80 years is important for nurses when in contact with this patient group.ImpactThere is a need for more studies to generate evidence regarding anxiety and depression in an increasingly common and challenging hospital population by building upon evidence that is based on validated instruments such as the Hospital Anxiety and Depression Scale.Reporting MethodThe PRISMA guideline was followed, and the review registered in PROSPERO (Registration number CRD 42022380943).Patient ContributionNo patient or public contribution.Trial RegistrationCRD 42022380943
{"title":"Using the Hospital Anxiety and Depression Scale in Patients 80 Years‐Old and Older: A Systematic Review","authors":"Leslie S. P. Eide, Reidun K. N. Sandvik, Gøril Tvedten Jorem, Ranveig M. Boge, Elisabeth Grov Beisland","doi":"10.1111/jan.16816","DOIUrl":"https://doi.org/10.1111/jan.16816","url":null,"abstract":"AimsTo identify and report results from studies of anxiety and depression, as measured by The Hospital Anxiety and Depression Scale (HADS) in patients ≥ 80 years admitted to hospital settings, and to inform nurses, researchers and educators in nursing about these findings.DesignSystematic review.Data SourcesMEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane, Epistemonikos, Scopus and Web of Science Core Collection of studies published until October 2023.MethodsA search strategy was developed with a university librarian. Four independent reviewers screened titles and abstracts based on predefined inclusion criteria. Data were systematically extracted, descriptively analysed, and Critical Appraisal Skills Programme checklists were used to assess studies.ResultsOut of 7076 identified studies, three met the eligibility criteria. Data from 420 participants aged ≥ 80 years were analysed, revealing anxiety prevalence rates between 6% and 18% and mean scores below 4. Depression prevalence rates ranged from 7% to 17%, with a mean score below 4. Most patients with depression were not previously recognised as being depressed.ConclusionsFew publications reported on anxiety and/or depression in hospitalised patients aged ≥ 80 years using HADS. A gap in the knowledge base has been identified.ImplicationsAnxiety and depression are mental health conditions that can lead to adverse events and strongly affect aging. Increased understanding of the role that these conditions have on hospitalised patients ≥ 80 years is important for nurses when in contact with this patient group.ImpactThere is a need for more studies to generate evidence regarding anxiety and depression in an increasingly common and challenging hospital population by building upon evidence that is based on validated instruments such as the Hospital Anxiety and Depression Scale.Reporting MethodThe PRISMA guideline was followed, and the review registered in PROSPERO (Registration number CRD 42022380943).Patient ContributionNo patient or public contribution.Trial RegistrationCRD 42022380943","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"476 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143417253","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}
<p>We read with great interest the recent study on the association between cognitive frailty and chronic heart failure (CHF) in older adults (Gou et al. <span>2024</span>). The study aimed to identify key factors contributing to cognitive frailty using LASSO-logistic regression. The authors analysed a cohort of older individuals with CHF and assessed various clinical and demographic factors, including comorbidities, biomarkers and functional assessments. Using LASSO-logistic regression, they identified significant associations between cognitive frailty and several factors, such as advanced age, alcohol consumption, NYHA classification and malnutrition risk/malnutrition. The study provides valuable insights into the complex relationship between CHF and cognitive decline in older adults, highlighting potential risk factors that could inform clinical care and interventions aimed at improving outcomes for this population. It is worth noting that this study found that malnutrition risk/malnutrition, a modifiable factor, is associated with an increased risk of cognitive frailty. Moreover, various strategies can be employed to improve the nutritional status of CHF patients, thereby reducing their risk of cognitive frailty. Therefore, we propose improving the nutritional status of CHF patients from the following perspectives.</p> <p>Firstly, healthcare professionals should conduct a thorough nutritional assessment for CHF patients, identifying any signs of malnutrition or nutritional deficiencies. This assessment should include evaluating dietary habits, weight history, body mass index (BMI) and laboratory markers such as serum albumin and cholesterol levels. Based on this assessment, a personalised nutritional plan should be developed, which may involve recommending nutrient-dense foods that are easy to digest, while also addressing specific deficiencies (e.g., protein, vitamins and minerals). For example, increasing the intake of foods rich in omega-3 fatty acids, antioxidants and high-quality protein can help manage both malnutrition and inflammation (Block et al. <span>2019</span>; Djoussé et al. <span>2012</span>). Given the fluid retention associated with CHF, healthcare professionals must ensure that the patient's fluid intake is balanced. An individualised fluid management plan, including monitoring and adjusting fluid restrictions as necessary, can help prevent further complications while promoting proper nutrition. To ensure the effectiveness of nutritional interventions, healthcare providers should regularly monitor the patient's weight, dietary intake and laboratory results. Follow-up appointments should be scheduled to assess progress and make any necessary adjustments to the nutrition plan. In addition, educating CHF patients and their families about the importance of nutrition and dietary choices is essential. Healthcare professionals should offer clear guidance on meal planning, cooking tips and the use of supplements if necessary. Encour
{"title":"Comment on ‘Associating Factors of Cognitive Frailty Among Older People With Chronic Heart Failure: Based on LASSO‐Logistic Regression’","authors":"Shuo Wang, Guang‐lan Bai, Zhi‐Hui Wang","doi":"10.1111/jan.16825","DOIUrl":"https://doi.org/10.1111/jan.16825","url":null,"abstract":"<p>We read with great interest the recent study on the association between cognitive frailty and chronic heart failure (CHF) in older adults (Gou et al. <span>2024</span>). The study aimed to identify key factors contributing to cognitive frailty using LASSO-logistic regression. The authors analysed a cohort of older individuals with CHF and assessed various clinical and demographic factors, including comorbidities, biomarkers and functional assessments. Using LASSO-logistic regression, they identified significant associations between cognitive frailty and several factors, such as advanced age, alcohol consumption, NYHA classification and malnutrition risk/malnutrition. The study provides valuable insights into the complex relationship between CHF and cognitive decline in older adults, highlighting potential risk factors that could inform clinical care and interventions aimed at improving outcomes for this population. It is worth noting that this study found that malnutrition risk/malnutrition, a modifiable factor, is associated with an increased risk of cognitive frailty. Moreover, various strategies can be employed to improve the nutritional status of CHF patients, thereby reducing their risk of cognitive frailty. Therefore, we propose improving the nutritional status of CHF patients from the following perspectives.</p>\u0000<p>Firstly, healthcare professionals should conduct a thorough nutritional assessment for CHF patients, identifying any signs of malnutrition or nutritional deficiencies. This assessment should include evaluating dietary habits, weight history, body mass index (BMI) and laboratory markers such as serum albumin and cholesterol levels. Based on this assessment, a personalised nutritional plan should be developed, which may involve recommending nutrient-dense foods that are easy to digest, while also addressing specific deficiencies (e.g., protein, vitamins and minerals). For example, increasing the intake of foods rich in omega-3 fatty acids, antioxidants and high-quality protein can help manage both malnutrition and inflammation (Block et al. <span>2019</span>; Djoussé et al. <span>2012</span>). Given the fluid retention associated with CHF, healthcare professionals must ensure that the patient's fluid intake is balanced. An individualised fluid management plan, including monitoring and adjusting fluid restrictions as necessary, can help prevent further complications while promoting proper nutrition. To ensure the effectiveness of nutritional interventions, healthcare providers should regularly monitor the patient's weight, dietary intake and laboratory results. Follow-up appointments should be scheduled to assess progress and make any necessary adjustments to the nutrition plan. In addition, educating CHF patients and their families about the importance of nutrition and dietary choices is essential. Healthcare professionals should offer clear guidance on meal planning, cooking tips and the use of supplements if necessary. Encour","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"51 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143418418","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}
To offer a practical proposal regarding the implications of integrating intersectional theory into nursing practice, drawing from the experiences and narratives of nurses across diverse professional contexts.
{"title":"Inequalities in the Everyday of Care: Dimensions of the Incorporation of Intersectional Theory in Nursing Practice","authors":"Ariadna Graells-Sans, Esther Insa-Calderón, Montserrat Sanclemente-Dalmau, Gerard Coll-Planas","doi":"10.1111/jan.16821","DOIUrl":"https://doi.org/10.1111/jan.16821","url":null,"abstract":"To offer a practical proposal regarding the implications of integrating intersectional theory into nursing practice, drawing from the experiences and narratives of nurses across diverse professional contexts.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"41 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401648","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}
AimsWe aimed to determine the working conditions and share the experiences of local earthquake‐affected nurses and volunteer nurses from other regions in the first days after the Kahramanmaraş earthquakes that took place in Türkiye on February 6, 2023.DesignA phenomenological approach was adopted in this inductive qualitative study.MethodsIn‐depth individual interviews were held between April and May 2023 with a total of 16 nurses who worked in the earthquake‐affected areas or were voluntarily assigned from other provinces. Thematic analysis was used to evaluate the data, and the study adhered to the COREQ checklist.ResultsSeven themes were generated from the data: earthquake scenes, organisation, nurses' actions, preparedness, volunteering, basic necessities, and the emotional spectrum. The organisation theme had three subthemes: uncertainty, communication and coordination, and excessive workload.ConclusionThe results of this study can be a guide in preventing and rapidly addressing the problems encountered in post‐disaster nursing care. To cope with the sudden increase in workload, atypical cases, and ethical dilemmas after a disaster, we recommend updating the current nursing curriculum, modifying existing hospital disaster plans, and conducting further studies to increase the physical and psychological resilience of nurses responding to disasters and emergencies.Implications for the ProfessionThe findings of this study may provide a basis for nurses to advocate for change and better disaster preparedness. Nurses can be better prepared by knowing the conditions in an earthquake zone. It may also encourage the development of post‐earthquake recovery programs for the psychosocial health of nurses.ImpactThe results of this study can be used to restructure earthquake preparedness programs, starting in undergraduate education, to prepare nurses for major earthquakes. In addition, it may guide policy‐makers and health care professionals, especially nurses, in optimally preparing for earthquakes and planning and implementing nationwide technology‐supported earthquake preparedness programs.Patient or Public ContributionNo patient or public contribution.
{"title":"Qualitative Investigation of Nurses' Working Conditions After a Major Earthquake in Türkiye","authors":"Ayşe Gül Parlak, Rabiye Güney, Gülnur Akkaya, Yasemin Karacan, Yeliz Akkuş, Esin Danç","doi":"10.1111/jan.16805","DOIUrl":"https://doi.org/10.1111/jan.16805","url":null,"abstract":"AimsWe aimed to determine the working conditions and share the experiences of local earthquake‐affected nurses and volunteer nurses from other regions in the first days after the Kahramanmaraş earthquakes that took place in Türkiye on February 6, 2023.DesignA phenomenological approach was adopted in this inductive qualitative study.MethodsIn‐depth individual interviews were held between April and May 2023 with a total of 16 nurses who worked in the earthquake‐affected areas or were voluntarily assigned from other provinces. Thematic analysis was used to evaluate the data, and the study adhered to the COREQ checklist.ResultsSeven themes were generated from the data: earthquake scenes, organisation, nurses' actions, preparedness, volunteering, basic necessities, and the emotional spectrum. The organisation theme had three subthemes: uncertainty, communication and coordination, and excessive workload.ConclusionThe results of this study can be a guide in preventing and rapidly addressing the problems encountered in post‐disaster nursing care. To cope with the sudden increase in workload, atypical cases, and ethical dilemmas after a disaster, we recommend updating the current nursing curriculum, modifying existing hospital disaster plans, and conducting further studies to increase the physical and psychological resilience of nurses responding to disasters and emergencies.Implications for the ProfessionThe findings of this study may provide a basis for nurses to advocate for change and better disaster preparedness. Nurses can be better prepared by knowing the conditions in an earthquake zone. It may also encourage the development of post‐earthquake recovery programs for the psychosocial health of nurses.ImpactThe results of this study can be used to restructure earthquake preparedness programs, starting in undergraduate education, to prepare nurses for major earthquakes. In addition, it may guide policy‐makers and health care professionals, especially nurses, in optimally preparing for earthquakes and planning and implementing nationwide technology‐supported earthquake preparedness programs.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"12 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401653","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}
To collate the common caregiving experience of Young Onset Dementia informal caregivers.
{"title":"Young Onset Dementia Informal Caregiver Experience in Caregiving: A Systematic Review","authors":"Zong Han Lew, Adeline Su Lyn Ng, Wentao Zhou","doi":"10.1111/jan.16811","DOIUrl":"https://doi.org/10.1111/jan.16811","url":null,"abstract":"To collate the common caregiving experience of Young Onset Dementia informal caregivers.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"27 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401649","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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