International Nursing Review最新文献

Aim: To synthesize and evaluate the effects of nurse-led or nursing-focused interventions for improving patient experience with health care in hospitals.

Background: Patient experiences have increasingly been highlighted as a key healthcare quality indicator in many countries with highly developed healthcare systems. It is critical to learn about the effectiveness of previously conducted nursing interventions since nursing care is reported to be the primary driver of patient experience.

Methods: This systematic review and meta-analysis was conducted in accordance with the JBI Manual for Evidence Synthesis and followed the PRISMA statement guidelines. The PubMed, Web of Science, Embase, Cochrane Library, and CINAHL databases were systematically searched in May 2023. Randomized controlled trials and quasi-experimental studies that were led by nurses or focused on nursing care strategies were included. The JBI critical appraisal checklists were employed to assess methodological quality.

Results: A total of 15 761 records were identified; 11 studies met the inclusion criteria. Nursing interventions focused on optimizing the approach to nursing rounds, enhancing communication with patients, improving patient education, and increasing interaction with patients. The meta-analysis showed that nursing interventions increased top-box responses in the communication about medicines and discharge information dimensions, as well as the overall experience dimension, including the overall hospital rating and willingness to recommend the hospital.

Conclusions: Although few studies were included, this meta-analysis showed that nursing interventions improved patients' experiences in communication about medicines and discharge information, as well as their overall experience. More rigorous studies are needed to better understand the effect of nursing interventions and examine which components may be most effective for improved outcomes.

Implications for nursing practice and nursing policy: Owing to the powerful influence of nursing, strategies to engage nurses are a means of improving patient experiences. More attention should be given to patients' experiences of communication with doctors and nurses, and more randomized controlled trials are needed to provide high-quality evidence.

Aims: To assess the relationships in nursing teamwork, psychological detachment from work during nonwork time, and burnout, and the mediating effect of psychological detachment on the relationship between nursing teamwork and burnout.

Background: Nurse burnout has serious implications for nurses' health and performance and the overall functioning of their organizations. Evidence on the relationships between nursing teamwork, psychological detachment, and nurse burnout is limited. This study adds to the international body of knowledge by examining the interplay between nursing teamwork, psychological detachment, and burnout in nurses, a topic of global relevance.

Methods: This cross-sectional study used survey data collected in May 2021 from 1115 Korean hospital nurses. The measurements included the Nursing Teamwork Survey, a subscale of the Recovery Experience Questionnaire, and the Copenhagen Burnout Inventory. We performed mediation analysis using PROCESS Macro based on 5000 bootstrapped samples to estimate the indirect effect of nursing teamwork.

Results: Nurses in units with stronger teamwork were more likely to report being psychologically detached from work during nonwork time. Nurses who distanced themselves from work-related thoughts during nonwork time reported lower personal, work-related, and patient-related burnout. Nursing teamwork had significant indirect effects on each burnout outcome through psychological detachment.

Conclusion: By providing empirical evidence on the associations between nursing teamwork, psychological detachment, and burnout, this study enriches the international discourse on nurse burnout and the benefits of psychological detachment. Enhanced nursing teamwork can facilitate nurses' mental distance from work during nonwork time, thereby reducing burnout.

Implications for nursing and nursing policy: Organizational efforts to manage nurse burnout can include increasing nursing teamwork among nurses and improving nurses' psychological detachment during nonwork hours. Interventions should include improving nursing teamwork and developing a supportive and collaborative unit culture.

Aim(s): To evaluate the effectiveness of nursing interventions based on the lung cancer trajectory.

Background: The transition to the chronic state of lung cancer requires a shift in the management paradigm. Nurses are crucial in managing the health of patients with lung cancer through various services. Therefore, rigorous research is required to understand and provide evidence on the influence of nursing interventions.

Sources of evidence: We systematically selected studies on nursing interventions for patients with lung cancer published from 2000 to 2022 based on specific inclusion and exclusion criteria. A systematic review was conducted according to the Cochrane Handbook and PRIMA 2020 guidelines, and a meta-analysis was performed. The risk of bias in the included studies was evaluated using ROB 2.0.

Results: In this study, lung cancer trajectories were classified into diagnosis, treatment, survival, and end-of-life care based on a literature review. A meta-analysis of 47 nursing intervention studies involving 4852 patients confirmed the large effectiveness in significantly improving health-related quality of life, emotional symptoms, self-care behaviors, adjustment, satisfaction, health resource use, cost-effectiveness, and cancer symptoms. Only one study has been conducted on the end-of-life trajectory, highlighting the need for more nursing intervention research in this area.

Conclusions: Recent nursing experimental studies involving patients with lung cancer show small, large, and medium effect sizes during the diagnosis, treatment, and survival trajectories, respectively.

Implications for nursing practice and research: A tailored nursing plan based on the disease trajectory is essential. Stakeholders should consider allocating resources to develop and strengthen nursing interventions, particularly at the diagnostic and end-of-life trajectories.

Aim: To describe how nurses' moral competence can be supported from the perspective of nurses, nurse managers, researchers, educators, and nursing students.

Background: Moral competence is the capacity or ability of nurses to recognise one's own emotions of what is right or wrong, to reflect on these emotions, to make decisions, and to act in ways that bring the highest level of benefit to patients. Moral competence is part of professional competence. However, little is known about how nurses' moral competence can be supported.

Methods: A qualitative descriptive study design was applied. Stratified purposive sampling was employed and focus group discussions were conducted in Belgium, Cyprus, Finland, Greece, Ireland, and Italy in 2023. A total of 38 informants (5-8 per focus group) who were registered nurses or nursing students participated. The data were analysed using both deductive and inductive content analysis. The COnsolidated criteria for REporting Qualitative research were adhered to.

Results: Seven themes were developed following analysis, which suggested that support for nurses' moral competence can be located at individual-relational, organisational, and societal levels. Several approaches and/or tools were also identified to support moral competence.

Conclusion: Nurses' moral competence could benefit from continuous support from colleagues, those in leadership positions, organisations and society. Practical tools and approaches can also successfully support nurses' moral competence.

Implications for nursing and health policy: Support for nurses' moral competence forms a continuum from the beginning of nursing studies throughout nursing careers. Thus, educational interventions and training programmes are needed both at basic and continuous ethics education. There is also a need for investments in and development of strategies and regulations on ethics management in health systems, national- and international-level ethics indicators for health policy-making, and implementation of existing practices, interventions, and procedures in nursing practice.

Aim: To identify the essential competencies required of nurse managers in healthcare services during the COVID-19 pandemic.

Background: Nurse managers play a vital role in healthcare services organization, requiring a diverse set of competencies. The increasing occurrence of epidemics in recent decades underscores the importance of understanding these competencies in pivotal junctures. The challenges faced during the COVID-19 pandemic present valuable opportunities to recognize the competencies of nurse managers and guide their responsiveness in addressing future health crises.

Methods: A scoping review following the Joanna Briggs Institute and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews guidelines was conducted. A comprehensive search was conducted across six databases (LILACS, BDENF, EMBASE, MEDLINE, SCOPUS, and Web of Science). Results were categorized according to the nurse manager competencies model by the American Organization for Nursing Leadership and were analyzed using the competing values framework model.

Results: Out of 2033 potentially relevant sources identified, 17 studies met inclusion criteria. A total of 52 competencies were identified and categorized into four thematic categories: (1) the ability to collaborate in times of crisis; (2) maintaining control during a crisis; (3) adapting to changes caused by the crisis; and (4) preserving competitiveness through the crisis.

Conclusions: The findings highlight communication, decision-making, training, adaptability to change, and leadership as essential competencies required of nurse managers to address crises, such as pandemics.

Implications for nursing policy: This body of knowledge can serve as a reference point to enhance the response of nurse managers in the face of future health crisis scenarios. Additionally, it can serve as a framework for healthcare organizations to develop or improve their crisis management training programs.

Aim: This study evaluates and compares nurses' and other healthcare workers' awareness of and compliance with radiation protection measures in operating rooms and their perceived susceptibility to occupational illness due to radiation exposure.

Background: Compliance with radiation safety measures minimises occupational radiation exposure risks. Understanding the role of perceived susceptibility to occupational illness in motivating compliance and awareness can enhance safety interventions.

Methods: Using a questionnaire-based cross-sectional observational design, this study targeted nurses, physicians, and radiologic technologists working in Saudi Arabian operating rooms. The survey measured awareness of and compliance with radiation protection measures and perceived susceptibility to occupational illness. The STROBE checklist was followed to ensure methodological rigour.

Results: Nurses demonstrated the lowest awareness and compliance, and the highest perceived susceptibility to occupational illnesses compared to other healthcare professionals. There was a moderate positive correlation between increased awareness of safety measures and compliance, but a weaker correlation between adherence and perceived risk.

Discussion: Nurses' compliance and awareness did not align with their risk perceptions, suggesting a cognitive-behavioural gap in which stronger risk perceptions among nurses do not lead to proactive protective behaviours. This discrepancy may be attributed to the demanding nature of nursing duties, which often overshadow strict adherence to safety protocols.

Conclusion: The study identified significant disparities in radiation safety practices, with nurses demonstrating less awareness and compliance but higher risk perceptions than other healthcare professionals. Interventions are needed to bridge the gap between perceived risk and actual safety behaviours.

Implications for nursing and health policy: Role-specific training programmes and continuous education are needed to enhance radiation safety practices among nurses. Policies must support these educational efforts, ensuring that nurses can balance patient care responsibilities with radiation protection measures.

In the context of a global nursing shortage, this paper explores the concept of resilience within the nursing profession, highlighting its implications for practice and policy on an international level. Although resilience is a vital concept for coping with stressors, we argue that placing the burden of resilience on individual nurses may obscure systemic issues that contribute to burnout and attrition. Resilience in nursing is a multifaceted concept that should be examined critically. Relying heavily on individual resilience may inadvertently perpetuate systemic issues and risk internalization of blame by nurses. Upon critical analysis of recent global statistics, this paper advocates for a shift toward collective resilience strategies, specifically, nurse participation in policy-making. This approach not only addresses immediate workforce challenges but also reinforces the essential role of the nursing profession in shaping health and social policies, ensuring sustainable healthcare systems worldwide.