Asian Nursing Research最新文献_第5页

Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial 远程体育锻炼改善计划对 30-40 岁患有代谢综合征且久坐不动的男性上班族的影响：随机对照试验

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-05-01 DOI: 10.1016/j.anr.2024.01.006

Kyong Sil Park , Seon Young Hwang

Purpose

Sedentary office workers lack physical activity and have a high prevalence of metabolic syndrome (MetS). This study attempted to develop a remote physical activity improvement program for sedentary office workers and verify its effectiveness by applying it to male workers in their 30s and 40s with MetS.

Methods

This study used a randomized control group pretest–posttest design, and the study sample was 75 male workers recruited from an information and technology company. They were randomly assigned to either the intervention (n = 38) or control (n = 37) group. The remote physical activity improvement program was constructed based on the self-regulation theory emphasizing autonomy, and was conducted through non-face-to-face Zoom once a week for a total of 12 weeks. Health education, exercise training, small group meetings, and individual counseling were provided, and tailored text messages were sent to participants every day to encourage them to reflect on their lifestyle and practice exercise.

Results

The remote physical activity program significantly increased basic psychological needs (Z = −7.55, p < .001), intrinsic motivation (Z = −6.94, p < .001), health promotion behavior, (Z = −6.63, p < .001), and physical and physiological indicators (p < .05) in the intervention group compared to those in the control group.

Conclusions

In managing MetS among office workers, it was found that remote education using the Zoom platform was effective, even during the coronavirus pandemic. As a strategy for health education in the workplace, remote education content needs to be developed and applied.

Trial registration

Clinical Research Information Service, KCT0009322.

目的：久坐不动的上班族缺乏体育锻炼，是代谢综合征（MetS）的高发人群。本研究试图为久坐办公室的上班族制定一个远程体力活动改善计划，并通过将该计划应用于30至40岁患有代谢综合征的男性上班族来验证其有效性：本研究采用随机对照组前测后测设计，研究样本是从一家信息和技术公司招募的75名男性员工。他们被随机分配到干预组（38 人）或对照组（37 人）。远程体育锻炼改进计划以强调自主性的自我调节理论为基础，通过非面对面的 "中联 "进行，每周一次，共持续 12 周。项目提供健康教育、运动训练、小组会议和个别辅导，并每天向参与者发送定制短信，鼓励他们反思自己的生活方式并进行锻炼：结果：远程体育锻炼计划大大提高了参与者的基本心理需求（Z = -7.55，p < .001）、内在动力（Z = -6.94，p < .001）、健康促进行为（Z = -6.63，p < .001）以及身体和生理指标（p结论：研究发现，即使在冠状病毒大流行期间，使用 Zoom 平台进行远程教育也能有效管理办公室工作人员的代谢性疾病。作为工作场所健康教育的一种策略，需要开发和应用远程教育内容。

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引用次数: 0

Experience in Professional Resilience for Nurses Caring for Patients with COVID-19: A Qualitative Descriptive Study 护理 COVID-19 患者的护士在职业复原力方面的经验：定性描述研究

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.003

Pai-En Chiu , Shu-Chuan A. Lin , Ya-Ping Li , Chiao-Hsin Huang , Ying-Mei Shu , Chi-Wen Chen

Purpose

During the COVID-19 pandemic, nurses have faced many professional and ethical dilemmas and challenges along with bearing physical, mental, and emotional stress resulting from worrying about themselves or their family being infected and stigmatized. This stress can potentially lead to burnout and resignation. Professional resilience is crucial for nurses to cope with these adverse situations. This study aimed to investigate the process by which nurses adapt, change, and overcome challenges during the COVID-19 pandemic and ultimately demonstrate professional resilience.

Methods

Descriptive phenomenology was applied. Semi-structured interviews were conducted with 11 nurses working in COVID-19 wards and intensive care units to collect data. Giorgi's phenomenological analysis method was employed.

Results

Based on the interview responses, four major themes were identified: 1) balancing patient care, self-protection, and passing on experience; 2) providing timely pandemic team resources and social support; 3) nurses' perseverance amid social discourse and constrained lives; and 4) selfless dedication shaping nursing's pinnacle experiences.

Conclusions

In the face of a sudden pandemic, frontline nurses play a critical role in maintaining medical capacity. Consequently, they must balance their families, lives, and work while adapting to the impact of the pandemic and changing practices and procedures based on the development of the pandemic and policy demands. The study findings provide insights into the challenges and emotional experiences encountered by nurses during a sudden pandemic outbreak and can serve as a reference for developing strategies to help nurses overcome these challenges and enhance their professional resilience.

目的在 COVID-19 大流行期间，护士们面临着许多专业和道德困境与挑战，同时还要承受因担心自己或家人受到感染和污名化而产生的身体、精神和情感压力。这种压力有可能导致职业倦怠和辞职。职业复原力对于护士应对这些不利情况至关重要。本研究旨在调查护士在 COVID-19 大流行期间适应、改变和克服挑战的过程，并最终展现出职业复原力。对 11 名在 COVID-19 病房和重症监护室工作的护士进行了半结构化访谈，以收集数据。结果根据访谈回答，确定了四大主题：1) 兼顾患者护理、自我保护和经验传承；2) 及时提供大流行团队资源和社会支持；3) 护士在社会言论和生活限制中的坚持不懈；4) 无私奉献塑造了护理工作的巅峰体验。因此，她们必须在家庭、生活和工作之间取得平衡，同时适应大流行病的影响，并根据大流行病的发展和政策要求改变做法和程序。研究结果为护士在大流行病突然爆发时所遇到的挑战和情感体验提供了启示，可作为制定帮助护士克服这些挑战和提高其职业适应力的策略的参考。

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引用次数: 0

Association Between Nurse-Led Multidisciplinary Education and Cardiac Events in Patients With Heart Failure: A Retrospective Chart Review 护士主导的多学科教育与心力衰竭患者心脏病事件之间的关系：回顾性病历

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.009

Haeng-Mi Son , Hyeongsuk Lee

Purpose

This study examined the modifiable factors, including nurse-led multidisciplinary education and in/out-of-hospital rehabilitation, to predict cardiac events in patients with heart failure (HF) in South Korea.

Methods

A retrospective review of the medical records was conducted using data of patients admitted for HF between June 2021 and April 2022. A total of 342 patients were included in this study. Information related to HF education, cardiac rehabilitation, and demographic and clinical characteristics were collected. Cardiac events, including emergency department visits, readmissions, and deaths, were defined as a composite of events. After adjusting for covariates, a multivariate Cox proportional hazard regression model was used to explore the association between modifiable factors and cardiac events in patients with HF.

Results

During the follow-up period (median, 823 days), 123 patients (36.0%) experienced at least one cardiac event. In the Cox regression model, patients who received nurse-led multidisciplinary HF education during hospitalization were less likely to experience cardiac events (hazard ratio: 0.487; 95% confidence interval [CI]:0.239–0.993). Additionally, high NT-pro BNP levels were associated with an increased risk of cardiac events.

Conclusions

The education led by nurses on HF was a factor that reduced adverse prognoses in patients with HF. Our results highlight the importance of a nurse-led multidisciplinary approach during hospitalization.

目的本研究探讨了韩国心力衰竭（HF）患者中可预测心脏事件的可改变因素，包括护士主导的多学科教育和院内/院外康复。本研究共纳入 342 名患者。研究人员收集了与心房颤动教育、心脏康复以及人口统计学和临床特征相关的信息。心脏事件（包括急诊就诊、再入院和死亡）被定义为综合事件。结果在随访期间（中位数为 823 天），123 名患者（36.0%）至少发生过一次心脏事件。在 Cox 回归模型中，住院期间接受过护士主导的多学科心房颤动教育的患者发生心脏事件的可能性较低（危险比：0.487；95% 置信区间 [CI]：0.239-0.993）。此外，NT-pro BNP 水平高与心脏事件风险增加有关。我们的研究结果凸显了住院期间由护士主导的多学科方法的重要性。

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引用次数: 0

Resilience and Overcoming Experiences of Coronavirus Disease 2019 Patients Hospitalized in a Single-Room Isolation Ward: A Mixed-Methods Study 在单人隔离病房住院的 COVID-19 患者的复原力和克服困难的经历：混合方法研究

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.010

Ji-Su Yun , Eunyoung E. Suh

Purpose

The coronavirus disease 2019 (COVID-19) pandemic has caused patients to suffer from various physical and psychological symptoms and social challenges, but the impact was harder for those COVID-19 patients receiving treatment in single-room isolation wards in South Korea. This study aimed to investigate resilience, anxiety, depression, and sleep quality of those patients and the relationships between those variables, and explore the patients’ experience of resilience during the COVID-19 treatment in single-room isolation wards.

Methods

This study employed a mixed-methods approach, collecting quantitative data through surveys and qualitative data through semistructured interviews conducted between May and October 2022. Quantitative surveys encompassing disease-specific and demographic information, visual analog scales to assess anxiety, depression, and sleep quality, and the Connor–Davidson resilience scale were administered to patients (N = 153). Qualitative thematic analyses were conducted following interviews with a subset of patients (N = 13) belonging to the high-resilience group.

Results

Resilience exhibited a negative correlation with anxiety and depression, while showing a positive correlation with sleep quality. Factors affecting resilience include having a spouse, educational attainment, and depression. The qualitative thematic analysis results were categorized into: (1) facing the reality of being isolated in a room; (2) struggling to accept and adapt to isolation; and (3) seeking connections in isolation.

Conclusions

This research sheds light on the challenges faced by individuals in isolation and underscores the crucial role of resilience in overcoming such challenges. The resilience observed in these patients is grounded in both interpersonal and profound spiritual connections. These findings underscore the necessity for nurses to develop customized strategies to alleviate the impacts of social isolation.

目的 COVID-19 大流行给患者带来了各种生理和心理症状以及社会挑战，但对于在韩国单间隔离病房接受治疗的 COVID-19 患者来说，这种影响更为严重。本研究旨在调查这些患者的抗逆力、焦虑、抑郁和睡眠质量以及这些变量之间的关系，并探讨患者在单间隔离病房接受COVID-19治疗期间的抗逆力体验。方法本研究采用混合方法，通过调查收集定量数据，并在2022年5月至10月期间通过半结构式访谈收集定性数据。对患者（人数=153）进行了定量调查，调查内容包括疾病特异性和人口统计学信息，评估焦虑、抑郁和睡眠质量的视觉模拟量表，以及康纳-戴维森复原力量表。结果复原力与焦虑和抑郁呈负相关，而与睡眠质量呈正相关。影响复原力的因素包括有配偶、教育程度和抑郁。定性主题分析结果分为：（1）面对被隔离在房间里的现实；（2）努力接受和适应隔离；（3）在隔离中寻求联系。在这些患者身上观察到的复原力既基于人际关系，也基于深刻的精神联系。这些发现强调，护士有必要制定个性化的策略，以减轻社会隔离的影响。

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引用次数: 0

Effectiveness of Non-pharmacological Interventions for Adolescents With Type 1 Diabetes in the Last Five Years: A Systematic Review and Meta-analysis 过去五年对 1 型糖尿病青少年进行非药物干预的效果：系统回顾和荟萃分析

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.008

DaeEun Lee , Haejung Lee , YoonYoung Shin , Gaeun Park

Purpose

Evidence on non-pharmacological interventions for adolescents with type 1 diabetes is unclear. This review aimed to evaluate the effectiveness of non-pharmacological intervention in adolescents with type 1 diabetes.

Methods

We conducted a search on databases from November 11 to 19, 2022, for randomized controlled trials for the effects of non-pharmacological intervention in adolescents with type 1 diabetes. To identify recent research trends, we included studies published from 2017 to November 2022. The risk of bias was assessed using the Cochrane risk-of-bias tool 2.0. To estimate the effect size, a meta-analysis was performed using RevMan 5.4 program and R Studio.

Results

A total of 45 studies were included in the systematic review. Among those, 30 studies were included in the meta-analysis. Non-pharmacological interventions were significantly effective in improving Glycated hemoglobin (HbA1c) (standardized mean difference [SMD] = −0.26, 95% confidence interval [CI]: −0.42, −0.09), quality of life (SMD = 0.44, 95% CI: 0.13 to 0.76), and anxiety (SMD = −0.91, 95% CI: −1.26, −0.56). Subgroup analysis showed that duration of intervention was not a covariate related to HbA1c levels.

Conclusions

Non-pharmacological interventions have shown effectiveness in improving the HbA1c, quality of life, and anxiety in adolescents with type 1 diabetes. Future studies with more rigorous methodology are needed to confirm and strengthen the validity of these findings. Additionally, attention to changes in the lipid profile and self-care motivation among adolescents with type 1 diabetes is warranted.

Trial registration number

Prospective Register of Systematic Reviews (CRD42022382190).

目的有关对 1 型糖尿病青少年患者进行非药物干预的证据尚不明确。本综述旨在评估非药物干预对1型糖尿病青少年患者的有效性。方法我们从2022年11月11日至19日在数据库中检索了有关非药物干预对1型糖尿病青少年患者影响的随机对照试验。为了确定近期的研究趋势，我们纳入了2017年至2022年11月发表的研究。偏倚风险采用 Cochrane Risk of Bias Tool 2.0 进行评估。为了估计效应大小，我们使用 RevMan 5.4 程序和 R Studio 进行了荟萃分析。其中，30 项研究被纳入荟萃分析。非药物干预对改善 HbA1c（SMD=-0.26，95% CI：-0.42，-0.09）、生活质量（SMD=0.44，95% CI：0.13 至 0.76）、焦虑（SMD=-0.91，95% CI：-1.26，-0.56）和血糖（SMD=-1.62，95% CI：-2.22，-1.01）有显著效果。亚组分析显示，干预持续时间不是与 HbA1c 水平相关的协变量。结论非药物干预在改善 1 型糖尿病青少年患者的 HbA1c、生活质量、焦虑和血糖方面显示出有效性。今后需要采用更严格的方法进行研究，以证实和加强这些研究结果的有效性。此外，还需要关注 1 型糖尿病青少年血脂状况和自我护理动机的变化。

{"title":"Effectiveness of Non-pharmacological Interventions for Adolescents With Type 1 Diabetes in the Last Five Years: A Systematic Review and Meta-analysis","authors":"DaeEun Lee , Haejung Lee , YoonYoung Shin , Gaeun Park","doi":"10.1016/j.anr.2024.01.008","DOIUrl":"10.1016/j.anr.2024.01.008","url":null,"abstract":"<div><h3>Purpose</h3><p>Evidence on non-pharmacological interventions for adolescents with type 1 diabetes is unclear. This review aimed to evaluate the effectiveness of non-pharmacological intervention in adolescents with type 1 diabetes.</p></div><div><h3>Methods</h3><p>We conducted a search on databases from November 11 to 19, 2022, for randomized controlled trials for the effects of non-pharmacological intervention in adolescents with type 1 diabetes. To identify recent research trends, we included studies published from 2017 to November 2022. The risk of bias was assessed using the Cochrane risk-of-bias tool 2.0. To estimate the effect size, a meta-analysis was performed using RevMan 5.4 program and R Studio.</p></div><div><h3>Results</h3><p>A total of 45 studies were included in the systematic review. Among those, 30 studies were included in the meta-analysis. Non-pharmacological interventions were significantly effective in improving Glycated hemoglobin (HbA1c) (standardized mean difference [SMD] = −0.26, 95% confidence interval [CI]: −0.42, −0.09), quality of life (SMD = 0.44, 95% CI: 0.13 to 0.76), and anxiety (SMD = −0.91, 95% CI: −1.26, −0.56). Subgroup analysis showed that duration of intervention was not a covariate related to HbA1c levels.</p></div><div><h3>Conclusions</h3><p>Non-pharmacological interventions have shown effectiveness in improving the HbA1c, quality of life, and anxiety in adolescents with type 1 diabetes. Future studies with more rigorous methodology are needed to confirm and strengthen the validity of these findings. Additionally, attention to changes in the lipid profile and self-care motivation among adolescents with type 1 diabetes is warranted.</p></div><div><h3>Trial registration number</h3><p>Prospective Register of Systematic Reviews (CRD42022382190).</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000082/pdfft?md5=d3e5d48d4736e1057927220d004cfbbe&pid=1-s2.0-S1976131724000082-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139665349","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}

引用次数: 0

Editorials in February Issue of Asian Nursing Research 亚洲护理研究》二月刊社论

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.02.001

引用次数: 0

Association Between Dyadic Coping and Quality of Life in Breast Cancer Patients and Their Spouses: An Actor-partner Interdependence Mediation Model 乳腺癌患者及其配偶中的双向应对与生活质量之间的关系：行为者-伙伴相互依赖中介模型

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.007

Wei Chen , Hui Li , Jian-Zheng Cai , Nan Qin

Purpose

This study aims to examine the relationship between dyadic coping (DC), intimate relationship, and quality of life (QOL), and to explore the mediating role of intimate relationship in patients with breast cancer (BC) and their spouses from a dyadic perspective.

Methods

A cross-sectional design was used in this present study, and 205 dyads of BC patients and their spouses who completed a sociodemographic and clinical questionnaire and self-reported measures assessing their DC, intimate relationship, and QOL were recruited. The actor-partner interdependence mediation model (APIMeM) was adopted for dyadic distinguished data analysis. The paired t-test, Pearson's correlation coefficients, and the structural equation model were employed for data analysis by using SPSS 22.0 and Amos 24.0.

Results

The current study revealed that, for BC patients and their spouses, intimate relationship mediates completely the actor effect of DC on QOL. That is to say, DC was positively related to intimate relationship and then improved QOL. It was interesting to find that, for both patients and their spouses, the intimate relationship could exert a partner-actor complete mediation effect between DC and QOL.

Conclusions

The DC perceived by both BC patients and their spouses has significant actor effects on QOL by improving the level of an intimate relationship. Furthermore, intimate relationship has significant actor-actor and partner-actor complete mediation effects for both patients and their spouses. Given the vital role of patient-spouse dyads, nursing staff should take patients’ spouses into account when conducting related psychosocial interventions aiming to improve the QOL of BC patients and their spouses.

方法本研究采用横断面设计，招募了205名乳腺癌患者及其配偶，他们填写了社会人口学和临床问卷，并自我报告了他们的应对措施、亲密关系和生活质量。研究采用行为者-伴侣相互依赖中介模型（APIMeM）进行双变量数据分析。采用 SPSS 22.0 和 Amos 24.0 进行数据分析，采用配对 t 检验、皮尔逊相关系数和结构方程模型。也就是说，DC 与亲密关系呈正相关，进而改善了 QOL。值得注意的是，对于患者及其配偶而言，亲密关系可以在直肠癌与 QOL 之间发挥伙伴-行为者的完全中介效应。此外，亲密关系对患者及其配偶都有明显的行为者-行为者和伙伴-行为者完全中介效应。鉴于患者-配偶关系的重要作用，护理人员在进行相关心理干预时应考虑到患者配偶，以改善BC患者及其配偶的QOL。

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引用次数: 0

Online Gambling Patterns and Predictors of Problem Gambling Among Korean Adolescents During the COVID-19 Pandemic: A Cross-sectional Study COVID-19 大流行期间韩国青少年的在线赌博模式和问题赌博的预测因素：横断面研究

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.002

Young-Sil Sohn , Hyunmi Son

Purpose

This study examined online gambling patterns among Korean adolescents during the COVID-19 pandemic and identified predictors of problem gambling based on a socio-ecological model.

Methods

It used nationally representative data from the 2020 National Survey on Youth Gambling Problems conducted by the Korea Center on Gambling Problems. This study selected a sample of 780 adolescents aged 13–18 years who reported having gambled online at least once in the last three months from the raw data of respondents. They were classified as the non-problem group and problem group according to the Gambling Problems Severity Scale (GPSS) of the Canadian Adolescent Gambling Inventory (CAGI). The predictive factors of problem gambling were analyzed by logistic regression analysis.

Results

The prevalence of problem gambling was 24.6 %. Its predictors included intrapersonal [male (odds ratios, OR = 1.67); gambling prior to COVID-19 (OR = 2.08)] and interpersonal factors [frequent gamblers in peers (OR = 4.34); peer pressure (OR = 2.34)]. Social factors, such as gambling in online community (OR = 5.60), sports betting (OR = 53.24), and lotteries (OR = 17.03) were associated with problem gambling.

Conclusions

The major predictors of problem gambling among adolescent online gamblers included peer gambling and specific types of gambling. To prevent problem gambling, strategies targeting peer groups are essential. In addition, nurses need to share with families, schools, communities, and policymakers that online gambling, such as lotteries and sports betting, are high-risk of adolescent problem gambling, and recommend them to collaborate for stricter regulatory measures.

目的本研究考察了 COVID-19 大流行期间韩国青少年的在线赌博模式，并基于社会生态模型确定了问题赌博的预测因素。方法本研究使用了韩国赌博问题中心开展的 2020 年全国青少年赌博问题调查中具有全国代表性的数据。本研究从受访者的原始数据中选取了 780 名 13-18 岁的青少年样本，他们表示在过去三个月中至少在线赌博过一次。根据加拿大青少年赌博问题量表（CAGI）中的赌博问题严重程度量表（GPSS），他们被分为非问题组和问题组。结果问题赌博的发生率为 24.6%。其预测因素包括个人内部因素[男性（OR = 1.67）；在 COVID-19 之前赌博（OR = 2.08）]和人际因素[同伴中经常赌博者（OR = 4.34）；同伴压力（OR = 2.34）]。社会因素，如网络社区赌博（OR = 5.60）、体育博彩（OR = 53.24）和彩票（OR = 17.03）与问题赌博有关。要预防问题赌博，针对同伴群体的策略至关重要。此外，护士还需要与家庭、学校、社区和政策制定者分享在线赌博（如彩票和体育博彩）是青少年问题赌博的高危因素，并建议他们合作采取更严格的监管措施。

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引用次数: 0

Trajectories of Wok Adjustment and Influencing Factors Among Newly Registered Nurses 新注册护士的入职适应轨迹及影响因素。

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.005

Sunghee Park , Jin-Hee Park , Ju-Eun Song , Sun Hyoung Bae , Kyoungja Kim , Youngjin Lee

Purpose

This study explored the work adjustment trajectory and its predictors and characteristics among newly registered nurses.

Methods

A total of 245 newly registered nurses working in a university hospital provided general baseline characteristics and completed a work adjustment questionnaire along with self-report measures of clinical competency, psychological capital, preceptor exchange, social support, and role conflict when they started working independently (baseline) and at 7 and 12 months after employment. Data were collected from July 2020 to August 2022. The collected data were subjected to a group-based trajectory model, χ2 test, F test, one-way ANOVA, and multiple logistic regression using SAS 9.4, and SPSS 25.0.

Results

Group-based trajectory modeling classified three newly registered nurse groups: nurses with a high work adjustment level in all subscales from the beginning of employment (early adjustment group, 16.1%), nurses with a moderate level of adjustment from beginning to end (standard adjustment group, 60.6%), and nurses with a low level of work adjustment from early to mid-term, rising later (delayed adjustment group, 23.3%). Higher hope, optimism, and emotional support predicted early and standard adjustments.

Conclusions

Based on the trajectory characteristics, newly registered nurses need to improve their work adjustment. The early and standard adjustment groups should continuously monitor their levels of work adjustment while monitoring their hopes, optimism, and emotional support. In particular, the delayed adjustment group required customized educational programs and strengthened peer support.

目的：本研究探讨了新注册护士的工作适应轨迹及其预测因素和特征：共有 245 名在某大学附属医院工作的新注册护士提供了一般基线特征，并在开始独立工作时（基线）、工作后 7 个月和 12 个月完成了工作适应性问卷，以及临床能力、心理资本、戒护交流、社会支持和角色冲突的自我报告测量。数据收集时间为 2020 年 7 月至 2022 年 8 月。使用 SAS 9.4 和 SPSS 25.0 对收集到的数据进行了基于群体的轨迹模型、x2 检验、F 检验、单因素方差分析和多元逻辑回归：基于群体的轨迹模型将新注册护士分为三组：从入职开始所有分量表中工作适应水平都较高的护士（早期适应组，16.1%），从入职开始到结束适应水平中等的护士（标准适应组，60.6%），以及从入职初期到中期工作适应水平较低，后期有所上升的护士（延迟适应组，23.3%）。较高的希望度、乐观度和情感支持度预示着早期调整和标准调整：根据轨迹特征，新注册护士需要提高工作适应能力。早期适应组和标准适应组应持续监测他们的工作适应水平，同时监测他们的希望、乐观情绪和情感支持。延迟适应组尤其需要定制教育计划和加强同伴支持。

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引用次数: 0

Tendency to Stigmatize Epidemic Diseases Scale: Scale Development and Validity Study 流行病鄙视倾向量表（TSEDS）：量表开发与有效性研究

IF 2.2 3区医学 Q1 Nursing

Asian Nursing Research

Pub Date : 2024-02-01 DOI: 10.1016/j.anr.2024.01.001

Sevim Şen Olgay, Hediye Arslan Özkan, Ceren Zeren Erdem, Begüm Kırık

Purposes

The purpose of this study was to develop a scale to measure stigma during epidemics among adults in nursing care and validate its psychometric properties.

Methods

The preliminary items of the Tendency to Stigmatize Epidemic Diseases Scale scale were developed through a literature review, the Delphi technique, and content validity analysis. A total of 723 adults living in Turkey responded to the questionnaire from June to December 2021. The collected data were analyzed by exploratory factor analysis and confirmative factor analysis using SPSS and AMOS programs.

Results

The experts agreed on 51 scale items, and 24 items were removed following exploratory factor analysis. On the 27-item scale, a five-factor structure was found with an eigenvalue >1, explaining 59.2% of the total variance. The overall Cronbach's α value was 0.88.

Conclusions

This scale is a reliable and valid measurement tool for adults to determine their level of stigma during epidemics in nursing care. This scale helps develop interventions to improve the psychological health of adults in nursing care.

本研究的目的是开发一种量表，用于测量成人护理人员在流行病期间的耻辱感，并验证其心理测量学特性。方法通过文献综述、德尔菲技术和内容效度分析，开发了 TSEDS 量表的初步项目。2021 年 6 月至 12 月期间，共有 723 名居住在土耳其的成年人回答了问卷。专家们就 51 个量表项目达成了一致意见，并在探索性因子分析后删除了 24 个项目。在 27 个项目的量表中，发现了一个特征值为 1 的五因素结构，解释了总方差的 59.2%。总的 Cronbach's α 为 0.88。结论该量表是一种可靠有效的测量工具，可用于确定成人在护理流行病期间的污名化程度。该量表有助于制定干预措施，以改善护理中成人的心理健康。

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引用次数: 0