International Nursing Review最新文献

Aim: To examine the associations between physical activity patterns, sleep quality, and stress levels among rotating-shift nurses during the COVID-19 pandemic.

Background: Stress adversely impacts hospital nurses, particularly those on rotating shifts. The effects of physical activity patterns and sleep quality on the stress levels of these nurses during the COVID-19 pandemic warrant investigation.

Methods: A multicenter cross-sectional study was conducted with 550 eligible registered hospital nurses, randomly selected from four hospitals during the COVID-19 pandemic in Taiwan. The work schedule type of these nurses was categorized into rotating shifts (working at least two shifts in a month, involving day, evening, and night shifts) or fixed-day shifts (working only the day shift). Data were collected on sociodemographic characteristics, physical activity patterns (sedentary or active), sleep quality (poor or adequate), and stress levels for analysis.

Results: Rotating-shift nurses with active physical activity patterns exhibited lower stress levels compared with those with sedentary patterns. Nurses who experienced adequate sleep quality had lower stress levels compared with those with poor sleep quality among rotating and fixed-day shift nurses.

Conclusions: Active physical activity patterns and adequate sleep quality were associated with lower stress levels among rotating-shift nurses during the pandemic. Promoting active physical activity and enhancing sleep quality are essential strategies for reducing stress in these nurses.

Implications for nursing and health policy: Strategies aimed at promoting physical activity and improving sleep quality should be integral components of health promotion programs and policymaking efforts directed at nursing leaders, to foster a healthy and supportive work environment and enhance the welfare of rotating-shift hospital nurses.

Reporting method: The study is reported using the statement of Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).

Aim: To explore the experience of second victim symptoms and adverse outcomes among nurses working in public healthcare institutions; understand the preferred components of a structured support programme; and explore the barriers to accessing existing support strategies.

Background: The second victim phenomenon is experienced by nurses during patient-related adverse events, requiring further exploration.

Methods: A mixed-methods design. Second Victim Experience and Support Tool and semi-structured individual interviews were used among nurses involved in adverse events that occurred from January 2022 to April 2023. Descriptive statistics was used to describe sociodemographic characteristics and survey responses. Thematic analysis was used to analyse qualitative data.

Results: Nurses (n = 12) experienced second victim-related physical, psychological and professional distress (58.3% to 83.3%) within one month after the event. Nurses continued to experience second victim-related distress (58.3%) three months after and turnover intentions (58.4%). Having a respected peer to discuss what happened was the most desired component of a support programme (75.0%). Five qualitative themes: (i) whirlwind of immediate emotions, (ii) lasting impact of adverse events, (iii) organisational barriers, (iv) coping resources at organisational level and (v) positive individual coping strategies.

Discussion: Nurses experienced immediate and profound distress, highlighting the pervasive and distressing nature of the second victim phenomenon.

Conclusion: It is critical to recognise the second victim phenomenon and improve organisational climate to provide adequate support to affected nurses.

Implications for nursing and health policy: Organisations can establish a structured second victim support system, allowing nurses to seek emotional aid during the occurrence of adverse events. Establishing national policies as guidelines for organisations to refer to, raise awareness of the second victim phenomenon, and provide a standardised approach for identification and intervention for affected nurses.

Aim: To determine teachers' understanding of and attitudes towards nursing education reform at four medical colleges in Kyrgyzstan.

Background: The quality of nursing education at undergraduate and postgraduate levels has a major impact on patient outcomes and the development of nursing as a profession and a science.

Introduction: Lower middle-income countries have sought to advance their nursing education by adopting the experiences of high-income countries.

Methods: A mixed-method cross-sectional study design was used. The STROBE combined checklist was followed. A cohort of all faculty members at four colleges were included (N = 150). The questionnaire consisted of 10 groups of questions and statements. Both quantitative and qualitative data were collected.

Findings: A total of 56.4% of respondents were familiar with the European approach to nurse education; 73.3% of respondents with a nursing education reported being familiar with the European approach, compared to 40.7% of respondents with a medical education. Qualitative written comments yielded 57 superscripts of codes, 14 subcategories, 5 categories and 2 themes as drivers and barriers of reform.

Discussion: The survey revealed weak support for the nursing education reform. Respondents do not envisage nurse education being offered at all three levels of higher education (bachelor's, master's, and PhD), and even fewer recognise nurses as leaders of healthcare institutions.

Implication for nursing: Teachers in nursing programmes should mostly be nurses with academic careers.

Implication for health policy: Nursing is still not recognised as an extremely important health profession that needs to be developed. This misunderstanding and negative attitude towards the role of nurses in the health care system are evident in both the quantitative and qualitative parts of the study.

Aims: The aim of this study is to test whether acupressure for patients with fatigue is an efficient nursing intervention and if it can be implemented into the European nursing care pathways (ENP) nursing classification system.

Background: Previously, interventions for acupressure were included nonspecifically in ENP and therefore were not available for standardized nursing documentation in an electronic health record (EHR).

Introduction: Acupressure is a nursing intervention that is increasingly used in specific settings. ENP is a nursing classification system that provides evidence-based nursing interventions for nursing diagnoses.

Methods: A systematic international literature search was conducted from May 2021 to December 2021. An iterative, hierarchical search process according to the 6S evidence pyramid was chosen. The results were reported following the PRISMA statement.

Results: Findings of 49 included publications that studied a total of 1,716 patients indicate that certain acupressure points may be efficient in treating fatigue.

Discussion: Acupressure is a useful nursing intervention and can really help patients experiencing fatigue. It is illustrated how the findings have been implemented in the development of ENP nursing interventions to document acupressure.

Conclusion: The acupressure points most frequently used on the ear with positive effects in improving fatigue are Shen Men, liver, spleen, subcortex, endocrine, heart, and sympathetic, while the most common points on the body are ST 36, SP 6, LI 4, HT 7, KID 1, Ex-HN 3, Ex-HN, and KID 3.

Implication for nursing: In the future, nurses will be able to use ENP to quickly and easily document acupressure interventions for fatigue in the EHR. In the EHR, the documentation of the nursing process with ENP could help to promote research into evidence-based approaches to fatigue by generating mass data on the different concepts of acupressure, which could lead to a clearer determination of the evidence and contribute to the safety of care and patients.

It has been my privilege as the inaugural International Council of Nurses (ICN) Chief Nurse (2021–2023) to collaborate with Professor Parveen Ali, International Nursing Review (INR) Editor-in-Chief, and with my esteemed co-editor Dr. Daniela Lehwaldt, Chair of the ICN Nurse Practitioner/Advanced Practice Nurse Network (ICN NP/APNN). We have worked collaboratively to curate and share with you this INR Issue on Advanced Practice Nursing: Towards Health and Well-being for All. As the former ICN NP/APN Network Liaison, I wish to recognize and thank the Core Steering Group, Subgroups and the network members for their leadership, dedication and unwavering volunteerism and relay my respect for their valued contributions to advance the profession and population health.

In January of 2024, I transitioned roles to become the Chief Executive Officer (CEO) of the Nurse Practitioners’ Association of Ontario (NPAO) in Canada, representing over 5100 nurse practitioners who improve access to quality care across our provincial health system. In addition to my executive leadership role, I continue to uphold all the APN dimensions of practice, including teaching, as well as delivering direct clinical primary health care for health equity-seeking populations. Dr Daniela Lehwaldt is Chair of the ICN NP/APN Network and find her role incredibly rewarding as it enables her to constantly learn from advanced nurses from all over the globe. She is a former Nurse Practitioner in Cardio-Thoracic Surgery. As native German, she is also serving as President of the Subgroup ‘International’ (Akademische Fachgesellschaft International) of the German Network APN & ANP g.e.V.. She is a certified Global Nurse Consultant with CGFNS, and is an academic member of the Irish Association of Advanced Nurse and Midwife Practitioners (IAANMP), and is a founding member of the Ireland-Africa Alliance for Non-communicable Diseases (IAAfNCDs).).

Advanced practice nurses (APNs), which include graduate-prepared NPs, clinical nurse specialists (CNS), nurse anaesthetists (NA) and nurse midwives, all uphold crucial service delivery and leadership roles towards achieving Universal Health Coverage (UHC) and advancing the Sustainable Development Goals (SDG) by 2030. Especially in the context of a fragile post–COVID-19 system, challenged further by a strained health workforce globally. APNs are competently and capably poised to deliver and lead primary health care and specialty care services that include health promotion, disease prevention, communicable and noncommunicable disease management, person-centred care, emergency preparedness as well as build team and system capacity (Acorn, 2021a, 2021b, 2023a, 2023b).

Globally, APN roles are at various stages of development, implementation and integration (ICN, 2020, 2021a, 2021b). Given the diversity of country-specific contexts and population health system needs, this INR special

Aim: This study aimed to examine nursing students' self-esteem levels and attitudes toward the nursing profession.

Background: Although it is important to choose a profession that will make the person happy in many aspects such as one's abilities, interests, values, attitudes, personal goals, and social expectations, it has an important place, especially in a profession such as nursing, which involves intense emotional and physical load.

Methods: The study population was 390 nursing students at a foundation university in Istanbul, while the sample included 202 students. Data were collected between January 16, 2023, and February 15, 2023, with the Demographic Data Collection Tool, Coopersmith Self-Esteem Inventory, and the Attitude Scale for Nursing Profession. The data were analyzed using the SPSS 27.0 program. The STROBE checklist was used to report the study.

Results: The mean age of the participants was 20.79 ± 1.72 (years), among which 65.3% were in the 20-22 age range, 76.7% were female, and 29.7% were in the first grade. A positive but very weak relationship was found between the Coopersmith Self-Esteem Inventory and the Attitude Scale for Nursing Profession scores (p < 0.05).

Conclusion: The results show that professionalization and socialization processes greatly affect nursing students' self-esteem. Considering the extended period that students spend in academic institutions under the guidance of faculty members, this matter deserves greater attention.

Implications for nursing: While developing the curriculum and education process, factors that support the development of self-esteem in nursing students should be taken into account and initiatives should be planned to increase positive attitudes toward the profession. Nursing students can gain different perspectives by spending more time with nurses in hospitals.

Aim: This study aims to explore the longitudinal predictive effect of self-awareness on career adaptability in new nurses at a tumor specialty hospital and the mediating mechanisms of work readiness and transition shock.

Background: Career adaptability is crucial for the personal development of nurses and also intricately linked to the retention rates among newcomers in oncology nursing. Inadequate career adaptability contributes to higher turnover, which in turn exacerbates the shortage of qualified nursing personnel in this field. There is a pressing need for dedicated research and interventions that support new nurses, especially in specialized areas like oncology, to promote their well-being and career advancement. Comprehending these challenges is essential for devising effective strategies that will retain nursing talent and ensure the sustainability of a robust healthcare workforce.

Methods: Longitudinal data from four follow-up surveys were collected from 248 new clinical nurses at the National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences, and Peking Union Medical College. Mediation analyses using R 4.1.2 were conducted to examine the pathways between self-awareness, work readiness, transition shock, and career adaptability.

Conclusions: Self-awareness not only directly predicts career adaptability but also influences it through the bidirectional and chained mediating pathways of work readiness and transition shock.

Implications for nursing and health policy: These findings equip nursing managers with flexible strategies to foster and enhance nurses' career adaptability, providing targeted support as nurses assimilate into their clinical roles. This not only strengthens workforce stability but also mitigates turnover, ultimately reinforcing the healthcare workforce.

The nursing profession is going through a profound crisis, and staff burnout is a frequent and worrying aspect. As suggested by Xie et al., there are good prospects for undertaking improvement paths. We agree with the authors' suggestions and add further ideas for a change of direction and the renewal of the nursing profession.