Asian Nursing Research最新文献

Purpose: This study explores the relationship between nurses' active involvement in healthcare policy development and their intention to stay in their current roles. It aims to assess how this involvement in healthcare policy activities influences their intention to stay in their current.

Methods: Employing a cross-sectional design, the study surveyed nurses across five major publicly funded teaching hospitals in Oman using an online self-administered questionnaire titled the "Involvement in Health Policy Scale." Analytical methods included descriptive statistics, bivariate correlation analysis, and multiple regression analysis to identify predictors of nurses' intention to stay.

Results: Of the 1200 distributed surveys, 1017 responses were usable (85% response rate). The sample was predominantly female (87.9%), with an average age of 35 years. Nurses reported a moderate intention to stay (mean ITS = 3.13, SD = .80). Regression analysis indicated that increased involvement in health policy was a significant positive predictor of intention to stay (β = 0.09, p < .007). More experienced nurses (β = .078, p < .044) and non-Omani nationality (β = 0.213, p < .001) were also positive predictors. Conversely, being single and facing numerous barriers were negative predictors of intention to stay (β = -0.071, p < .008; β = -0.165, p < .001).

Conclusion: The study underscores the positive impact of nurses' involvement in healthcare policy on their intention to stay in their roles. It highlights the necessity for healthcare organizations to foster environments that enhance nurse engagement in policy-making, thereby potentially improving retention rates and sustaining their workforce.

Purpose: The Supportive Care Needs Survey-Short Form 34 (SCNS-SF34) measures the perceived care needs of patients with cancer. This study aimed to evaluate the reliability and validity of the Korean version of the SCNS-SF34 (i.e., the SCNS-SF34-K).

Methods: The SCNS-SF34 was translated into Korean following a World Health Organization translation guideline. We recruited 208 patients with cancer via an online survey in 2022. The data were analyzed using SPSS 27.0 and Amos 23.0, and the construct validity, known-group validity, and internal consistency were tested.

Results: The SCNS-SF34-K validated the final five-factor model via confirmatory factor analysis. The SCNS-SF34-K's subscales demonstrated discriminant and convergent validity. In addition, known-group validity was confirmed using the Eastern Cooperative Oncology Group Performance Status Scale (t = - 7.12), Patient Health Questionnaire-9 (t = - 7.61), and Distress Thermometer (t = - 9.22). McDonald's Omega coefficient for the total scale was .96, and each sub-domain ranged from .88 to .95.

Conclusion: This research provides initial findings on the validity and reliability of the SCNS-SF34-K, a tool for measuring the supportive care needs of Korean cancer patients. The SCNS-SF34-K demonstrates potential for evaluating various aspects of patient needs and may be valuable for both clinical oncology practice and research in Korea.

Purpose: This study aims to identify factors predicting mortality, including nutritional status, in AHF patients admitted to the cardiac intensive care unit and to explore the implications of accurate early nutritional assessment.

Methods: This retrospective cohort study performed a secondary analysis of data from 357 patients admitted to a tertiary hospital in Seoul, Korea, from 2019 to 2022. The target patients were classified into high-risk and low-risk groups through the Nurses' Nutritional Assessment (NNA) using three questions, and into normal, mild, moderate, and severe risk groups using the Nutritional Risk Index (NRI) including serum albumin. Kaplan-Meier survival and Cox proportional hazards regression analyses were performed.

Results: The patients' average age was 65.6 ± 14.9 years and 68.1% were male. During the study period, 19.6% (n=70) of the patients died. Mortality differed significantly according to the groups of NNA and NRI (log-rank, p < .001). However, no correlation was found between the NNA and NRI results (χ²=3.24, p = .362). High-risk group by NNA (HR 3.32, 95% CI 1.86-5.95, p < .001), severe risk group by NRI (HR 2.56, 95% CI 1.07-6.13, p = .035), presence of diabetes (HR 1.89, 95% CI 1.07-3.36, p = .030), and low mean arterial pressure (HR 0.97, 95% CI 0.96 - 0.99, p = .004) were significant predictors.

Conclusion: Poor nutritional status, along with the presence of diabetes and lower mean arterial pressure, predicted mortality in patients with AHF admitted to the cardiac intensive care unit. Nurses need to integrate objective data, such as serum albumin, into the initial nutritional assessment of patients admitted to the intensive care unit, and provide continuous attention and monitoring for patients with poor nutrition.

Purpose: The goal of this study is to investigate the actor and partner effects of perceived social support and depression in older adults with disabilities and their family caregivers. Additionally, to investigate the mediating role of resilience in the actor and cross-partner effects of perceived social support on depression.

Methods: We selected 425 pairs of older adults with disabilities and their family caregiver. We used the Resilience Scale, Perceived Social Support Scale, and Patient Health Questionnaire-9 to evaluate them. Dyadic data was analyzed by actor-partner interdependence mediation model (APIMeM), we analyzed how perceived social support and depression affected the relationship between older adults with disabilities and their family caregivers at individual and dyadic levels. The mediation function of resilience between perceived social support and depression was also further examined. Several sensitivity analyses were conducted to validate the stability of the results.

Results: The perceived social support of the caregivers had an actor effect on their depression, while the actor-actor indirect effect of resilience between the perceived social support and depressive symptoms in older adults with disabilities and their caregivers was significant. The indirect effect of resilience on perceived social support and depression in disabled elders and caregivers had significant cross-partner effects.

Conclusion: Healthcare personnel should regard older adults with disabilities and family caregivers as a community, focusing on enhancing social support for both parties in a timely manner. They should develop family-oriented intervention programs to enhance psychological resilience among family members and emphasize dyadic nursing care services and plans to alleviate depression and effectively enhance the quality of life for both parties.

Purpose: Although the significance of health literacy (HL) in fall prevention strategies is growing, limited knowledge is available regarding the relationship, impact, and role of HL in falls. This scoping review aimed to explore and synthesize the current evidence regarding the role of HL in enhancing fall prevention in hospital and community settings.

Methods: We adhered to the Joanna Briggs Institute manual and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews. PubMed, CINAHL, EMBASE, and the Cochrane Library were searched until November 2023 using Medical Subject Headings and text words. Studies related to HL and falls, regardless of study design, were considered eligible.

Results: We screened 99,249 records, of which 27 were included: 12 interventional studies, seven observational studies, four qualitative studies, and four mixed methods studies. Two-thirds of the studies were conducted in community-based settings. Four observational studies reported that HL was associated with fall-related outcome including fall incidence. Although intervention studies did not encompass all elements of HL based on the Health Literacy Framework, eight out of 12 intervention studies reported effect of HL-embedded fall prevention interventions, and HL was effective in fall-related outcomes including fall incidence in six studies. Three of 14 studies reported the measurement properties of fall-related HL. While HL can be increased through tailored information, verbal debriefing, interactive communication, and culturally adapted interventions, low HL impedes the understanding of education, engaging interventions, and using technological devices in implementing fall prevention interventions in qualitative and mixed methods studies.

Conclusion: This scoping review suggests that nurses need to recognize and assess patients' HL as a potential risk factor for falls and implement fall prevention interventions based on the HL level of participants. Further research is required to develop culturally adapted and fall-relevant HL measures applicable to various vulnerable populations and settings.

Purpose: The purpose of this study was to explore the experience of living with mothers with schizophrenia from childhood to the present from the perspective of their now-adult child.

Methods: Individual interviews were conducted with 10 adult children of mothers with schizophrenia. The data were collected in South Korea from July 2017 to March 2018 and thematic analysis was employed. Purposive sampling was used.

Results: Four themes were identified: (1) Navigating Childhood Confusion and Isolation Due to Maternal Schizophrenia, (2) Journey Through Loneliness, Resentment, and Emerging Responsibility, (3) Facing real-life difficulties as an adult child with vulnerability, and (4) Satisfaction in well-grown self.

Conclusions: Notwithstanding the real-life difficulties due to unstable life with their mothers with schizophrenia, the children still had faith and confidence in themselves as well-grown thus far. Reflection on memories with their mothers served as a basis for continued maternal-child relationship and for taking on the role of guardians despite the negative experiences of their mothers' psychotic symptoms. Mental health nurses and school health professionals should pay attention to the children of mothers with schizophrenia and their difficulties in providing appropriate mental health services.

Purpose: It is important to examine the attitudes of future nurses towards adopting a sustainability approach in their nursing practice. This study aimed to test the Sustainability Attitudes in Nursing Survey 2 psychometrically.

Methods: The methodological, descriptive study was conducted in November 2019 on nursing students (n = 286) at a university in Turkey. Data were analysed for reliability and validity tests. Statistics of the linguistic content validity analysis and Exploratory/ Confirmatory Factor Analysis were performed to determine the scale's validity. Cronbach Alpha coefficient, floor and ceiling impacts, Tukey's test, and Hotelling's T² test, test-retest reliability, were determined for the scale's reliability.

Results: The content validity index of the scale, which consists of five items and a one dimension, is .98. Factor loadings were above 0.30, all the fit indices were> 0.95, χ²/df was 1.58 and the root means square error of approximation was 0.045. Cronbach's α was .75. The floor and ceiling impacts were 0.0% and 3.1%. In Tukey's test, F was 3.43 and p was 0.064. In Hotelling's T² test, Hotelling's T² was 265.59 and F was 65.68 (p < .001). Item-total correlation coefficients were between .37- .63. The test-retest correlation coefficient was .39.

Conclusions: The scale is a valid and reliable instrument in the Turkish language. It is advised to use the scale in determining attitudes towards sustainability among nursing students, evaluating the effectiveness of training, and taking student opinions in curriculum revisions. Also, the study allowed cross-country comparisons and it is thought that it can guide studies on the inclusion of sustainability principles in nursing practices.

Purpose: It aims to validate the mediating role of felt obligation between inclusive leadership and the caring behavior of clinical nurses using a structural equation model.

Methods: All of the nurses were investigated with the general Information Questionnaire, Caring Behavior Scale, Felt Obligation Scale and Inclusive Leadership Questionnaire. AMOS 21.0 was used to construct the structural equation model and analyze the mediating effect of felt obligation, and Bootstrap method was used to test the mediating effect model.

Results: The total scores of caring behavior, felt obligation and inclusive leadership were 125.25±18.31,21.38±3.36 and 38.04±6.56 respectively. Felt obligation played a partial mediating role in the relationship between inclusive leadership and caring behavior of nurses, and the mediating effect accounted for 43.5%.

Conclusions: Felt obligation plays a partial mediating effect between inclusive leadership and caring behavior of nurses. Nursing managers can adopt the leadership concept of inclusive leadership to enhance the level of felt obligation of nurses, so as to better improve the caring behavior of nurses.

Purpose: This study aimed to investigate the specific learning needs of patients within the experimental group after receiving the Individualized Self-Care Program (ISCP) at two key time points: Time 2 (Day 2, Week 1) and Time 3 (Day 15, Week 3). Furthermore, it aimed to compare the effectiveness of the ISCP in improving self-care behavior between the experimental group and the control group, which received standard health education.

Methods: The study utilized a Randomized Controlled Trial (RCT) design and included a consecutive sample of 128 patients who had undergone their first CABG procedure. These patients were randomly divided into two groups: the experimental group (n = 64) and the control group (n = 64). The experimental group received an ISCP at Time 2 and Time 3 after being discharged, whereas the control group received standard health education. Statistical analyses included paired t-tests to assess differences in learning needs over time and Repeated Measures Analysis of Variance (ANOVA) to evaluate the effectiveness of the ISCP on self-care behavior.

Results: A paired t-test indicated a statistically significant difference in the total number of learning needs identified within the experimental group between Time 2 and Time 3 assessments. Patients in the experimental group initially identified more learning needs at Time 2 (4.3±1.5), but their knowledge significantly improved at Time 3, leading to fewer learning needs (2.6±1.1). Furthermore, an ANOVA comparing the experimental and control groups showed that the ISCP effectively improved self-care behavior in the experimental group, with significantly greater improvements compared to the control group, which received standard health education.

Conclusion: ISCP delivered in early recovery enhances self-care behaviors and addresses postdischarge gaps. The study also revealed that patients' learning needs change over time during home recovery, emphasizing the importance of tailored self-care programs for CABG patients after discharge.

Purpose: The premenstrual symptoms (PMS) is a common health issue affecting women of reproductive age and is associated with various physiological, psychological, and situational factors. Newly graduated nurses, when suddenly exposed to excessive workloads and shift work, may experience disturbances such as sleep disorders, fatigue, depression, and stress. These factors are related to PMS, and their occurrence varies. Therefore, this study aimed to understand the changes in PMS and its risk factors among newly graduated nurses across shift work periods, and investigate the longitudinal relationships between PMS and its risk factors based on the Theory of Unpleasant Symptoms.

Methods: This study constituted a secondary data analysis and employed a prospective longitudinal design. Newly graduated nurses were assessed three times: before starting shift work, six months after initiating shift work, and 18 months thereafter. Physiological (age, body mass index, alcohol consumption, dietary behavior), psychological (sleep quality, fatigue, depression, stress, life satisfaction), and situational (social support) factors were included as PMS-related factors.

Results: PMS worsened six months after the initiation of shift work compared to those before, and this aggravation persisted even after 18 months of shift work (p < .001). Age (p = .043), sleep quality (p = .004), and fatigue (p < .001) were associated with PMS. An interaction between time and depression that affected PMS was observed (p = .021).

Conclusions: Newly graduated nurses need to pay attention to the exacerbation of PMS after initiating shift work. Interventions to improve sleep quality and reduce fatigue are crucial for novice nurses, irrespective of shiftwork duration. Additionally, it is important to assess depressive symptoms before starting shift work and implement early interventions. Furthermore, the need for interventions addressing depression escalates with the increase in shiftwork duration.