Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.03.002
Hye-Ryeon Park , So Yeon Park , Jaeyoung Lee , Hyeon Ok Ju
Purpose
This study was to translate the Diabetes Eating Problem Survey–Revised (DEPS-R), originally developed for adolescents with type 1 diabetes mellitus, into Korean, and to determine its factor structure while testing its validity and reliability among Korean adolescents with type 1 diabetes.
Methods
The participants were recruited from the Diabetes Center of a university hospital or type 1 diabetes camp. A total of 205 Korean adolescents aged 13–18 years diagnosed with type 1 diabetes completed a self-reported questionnaire. After the DEPS-R was translated into Korean (KDEPS-R), confirmatory factor analyses were performed and the criterion and convergent validity were tested.
Results
This four-factor model was validated using a confirmatory factor analysis. The sensitivity and specificity of the KDEPS-R based on the Korean version of the Eating Attitudes Test-26 (KEAT-26) as the criterion for eating disorders were .52 and .81, respectively. The KDEPS-R scores significantly correlated with the glycated hemoglobin levels and the Korean versions of the Beck Depression Inventory-II and KEAT-26 scores, indicating convergent validity. The Cronbach α for the total score was .85.
Conclusion
The KDEPS-R is a reliable and culturally validated tool for evaluating diabetic eating disorders in Korean adolescents with type 1 diabetes. The KDEPS-R can help investigate related prevalence rates and test the effectiveness of intervention programs for Korean adolescents with type 1 diabetes.
{"title":"Validity and Reliability of a Korean Diabetes Eating Problem Survey–Revised","authors":"Hye-Ryeon Park , So Yeon Park , Jaeyoung Lee , Hyeon Ok Ju","doi":"10.1016/j.anr.2025.03.002","DOIUrl":"10.1016/j.anr.2025.03.002","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was to translate the Diabetes Eating Problem Survey–Revised (DEPS-R), originally developed for adolescents with type 1 diabetes mellitus, into Korean, and to determine its factor structure while testing its validity and reliability among Korean adolescents with type 1 diabetes.</div></div><div><h3>Methods</h3><div>The participants were recruited from the Diabetes Center of a university hospital or type 1 diabetes camp. A total of 205 Korean adolescents aged 13–18 years diagnosed with type 1 diabetes completed a self-reported questionnaire. After the DEPS-R was translated into Korean (KDEPS-R), confirmatory factor analyses were performed and the criterion and convergent validity were tested.</div></div><div><h3>Results</h3><div>This four-factor model was validated using a confirmatory factor analysis. The sensitivity and specificity of the KDEPS-R based on the Korean version of the Eating Attitudes Test-26 (KEAT-26) as the criterion for eating disorders were .52 and .81, respectively. The KDEPS-R scores significantly correlated with the glycated hemoglobin levels and the Korean versions of the Beck Depression Inventory-II and KEAT-26 scores, indicating convergent validity. The Cronbach α for the total score was .85.</div></div><div><h3>Conclusion</h3><div>The KDEPS-R is a reliable and culturally validated tool for evaluating diabetic eating disorders in Korean adolescents with type 1 diabetes. The KDEPS-R can help investigate related prevalence rates and test the effectiveness of intervention programs for Korean adolescents with type 1 diabetes.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 220-226"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128752","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}
Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.03.009
Jiyeon Kang , Seonyoung Yun
Purpose
This study aimed to investigate the association between patient-centered care, experiences in the intensive care unit (ICU), and post-intensive care syndrome among critical care survivors.
Methods
This was a prospective, multicenter cohort study conducted in the second year, focusing on post-intensive care syndrome among ICU survivors. This study was conducted in 19 ICUs at four university hospitals located in Busan, South Korea. The participants were 618 adults who had been admitted to the ICU for more than 24 hours between May 2019 and July 2021. At the time of ICU discharge, participants completed a person-centered care and an intensive care experience questionnaire. We evaluated the post-intensive care syndrome of the participants at 3, 6, and 12 months after hospital discharge. Data analysis was performed using descriptive analysis, Pearson's correlations, multiple regression, and linear mixed model. The mediating effect of person-centered care was analyzed using hierarchical regression and path analysis.
Results
Frightening experience in the ICU was significantly associated with a higher post-intensive care syndrome at 3 (β = .09, p = .021) and 6 (β = .09, p = .032) months after discharge. Person-centered care partially mediated the effect of the frightening experience on post-intensive care syndrome at 12 months after discharge (B = 0.05, 95% CI: 0.01–0.10). Female gender, older age, comorbidities, delirium, and discharge to an extended care facility were factors associated with increased post-intensive care syndrome at 3, 6, and 12 months. Furthermore, changes in post-intensive care syndrome during the one-year follow-up period were associated with comorbidities and the discharge place.
Conclusions
We observed that frightening experiences in the ICU are associated with an increased risk of post-intensive care syndrome in survivors. Person-centered care may be a potential factor in mediating the relationship between patients' frightening experiences and post-intensive care syndrome.
Registration Number
This study is registered at the Korean Clinical Research Information Service (#KCT0004045).
目的：本研究旨在探讨重症监护幸存者中以患者为中心的护理、在重症监护病房（ICU）的经历和重症监护后综合征之间的关系。方法：这是一项在第二年进行的前瞻性多中心队列研究，重点关注ICU幸存者的重症监护后综合征。本研究在韩国釜山四所大学医院的19个icu中进行。参与者是618名成年人，他们在2019年5月至2021年7月期间在ICU住院超过24小时。在ICU出院时，参与者完成了以人为中心的护理和重症监护经验问卷调查。我们在出院后3个月、6个月和12个月评估了参与者的重症监护后综合征。数据分析采用描述性分析、Pearson相关、多元回归和线性混合模型。采用层次回归和通径分析分析以人为本护理的中介作用。结果：ICU惊吓经历与出院后3个月（β = 0.09, p = 0.021）和6个月（β = 0.09, p = 0.032）重症监护后综合征发生率显著相关。以人为本的护理部分调节了恐惧经历对出院后12个月重症监护综合征的影响（B = 0.05, 95% CI: 0.01-0.10）。女性、年龄较大、合并症、谵妄和出院至延长护理机构是重症监护后综合征在3、6和12个月时增加的相关因素。此外，在一年的随访期间，重症监护后综合征的变化与合并症和出院地点有关。结论：我们观察到，ICU中的恐怖经历与幸存者重症监护后综合征的风险增加有关。以人为本的护理可能是调解患者恐惧经历与重症监护后综合征之间关系的潜在因素。注册号：#KCT0004045。
{"title":"Association Between Person-centered Care, Intensive Care Experience, and Post-intensive Care Syndrome in Critical Care Survivors: A Multi-center Prospective Cohort Study","authors":"Jiyeon Kang , Seonyoung Yun","doi":"10.1016/j.anr.2025.03.009","DOIUrl":"10.1016/j.anr.2025.03.009","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the association between patient-centered care, experiences in the intensive care unit (ICU), and post-intensive care syndrome among critical care survivors.</div></div><div><h3>Methods</h3><div>This was a prospective, multicenter cohort study conducted in the second year, focusing on post-intensive care syndrome among ICU survivors. This study was conducted in 19 ICUs at four university hospitals located in Busan, South Korea. The participants were 618 adults who had been admitted to the ICU for more than 24 hours between May 2019 and July 2021. At the time of ICU discharge, participants completed a person-centered care and an intensive care experience questionnaire. We evaluated the post-intensive care syndrome of the participants at 3, 6, and 12 months after hospital discharge. Data analysis was performed using descriptive analysis, Pearson's correlations, multiple regression, and linear mixed model. The mediating effect of person-centered care was analyzed using hierarchical regression and path analysis.</div></div><div><h3>Results</h3><div>Frightening experience in the ICU was significantly associated with a higher post-intensive care syndrome at 3 (β = .09, <em>p</em> = .021) and 6 (β = .09, <em>p</em> = .032) months after discharge. Person-centered care partially mediated the effect of the frightening experience on post-intensive care syndrome at 12 months after discharge (B = 0.05, 95% CI: 0.01–0.10). Female gender, older age, comorbidities, delirium, and discharge to an extended care facility were factors associated with increased post-intensive care syndrome at 3, 6, and 12 months. Furthermore, changes in post-intensive care syndrome during the one-year follow-up period were associated with comorbidities and the discharge place.</div></div><div><h3>Conclusions</h3><div>We observed that frightening experiences in the ICU are associated with an increased risk of post-intensive care syndrome in survivors. Person-centered care may be a potential factor in mediating the relationship between patients' frightening experiences and post-intensive care syndrome.</div></div><div><h3>Registration Number</h3><div>This study is registered at the Korean Clinical Research Information Service (#KCT0004045).</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 274-283"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129659","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}
Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.03.006
Yanling Huang , Bing Li , Sifen Jiang , Qian Liu , Kun Zeng
Purpose
To explore the latent profiles of resilience among clinical nurses in China and the relationship between those profiles and empathy for pain.
Methods
This multicenter cross-sectional study, conducted between June and September 2023, involved 1,601 clinical nurses in Guangdong Province, China, as study participants. A general information questionnaire, the 14-Item Resilience Scale, and the Chinese version of the Empathy for Pain Scale were used. Latent profile analysis was employed to categorize the resilience of clinical nurses. Influencing factors of different resilience categories and their differences in empathy for pain were explored using unordered multinomial logistic regression and the rank-sum test.
Results
The resilience score of 1,601 clinical nurses was 75.00 (63.00, 84.00), and the empathy for pain score was 2.92 ± 0.79. Latent profile analysis revealed three categories of resilience: low-resilience group (20.9 %), moderate-resilience group (34.9 %), and high-resilience stable group (44.2 %). Educational level, only-child, personality, experiences of workplace violence, and work satisfaction were influential factors for these three categories. Additionally, regarding empathy for pain, the low-resilience group exhibited higher levels of body and mind discomfort reactions and lower levels of empathy reactions (p < .05).
Conclusions
The resilience of clinical nurses was categorized into three distinct categories, and significant variability was observed between these categories. The high-resilience stable group demonstrated the highest levels of empathy reactions and the lowest levels of body and mind discomfort reactions, whereas the low-resilience group performed the worst. Nursing administrators can thus formulate targeted interventions and policies based on the specific subgroup characteristics of clinical nurses’ resilience to enhance resilience levels across different categories, reduce physical and mental discomfort, and improve empathy for pain capabilities, aiming to effectively enhance the mental and physical health of clinical nurses and optimize pain management.
{"title":"Latent Profile Analysis of Resilience and its Relationship With Empathy for Pain Among Chinese Clinical Nurses","authors":"Yanling Huang , Bing Li , Sifen Jiang , Qian Liu , Kun Zeng","doi":"10.1016/j.anr.2025.03.006","DOIUrl":"10.1016/j.anr.2025.03.006","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the latent profiles of resilience among clinical nurses in China and the relationship between those profiles and empathy for pain.</div></div><div><h3>Methods</h3><div>This multicenter cross-sectional study, conducted between June and September 2023, involved 1,601 clinical nurses in Guangdong Province, China, as study participants. A general information questionnaire, the 14-Item Resilience Scale, and the Chinese version of the Empathy for Pain Scale were used. Latent profile analysis was employed to categorize the resilience of clinical nurses. Influencing factors of different resilience categories and their differences in empathy for pain were explored using unordered multinomial logistic regression and the rank-sum test.</div></div><div><h3>Results</h3><div>The resilience score of 1,601 clinical nurses was 75.00 (63.00, 84.00), and the empathy for pain score was 2.92 ± 0.79. Latent profile analysis revealed three categories of resilience: low-resilience group (20.9 %), moderate-resilience group (34.9 %), and high-resilience stable group (44.2 %). Educational level, only-child, personality, experiences of workplace violence, and work satisfaction were influential factors for these three categories. Additionally, regarding empathy for pain, the low-resilience group exhibited higher levels of body and mind discomfort reactions and lower levels of empathy reactions (<em>p</em> < .05).</div></div><div><h3>Conclusions</h3><div>The resilience of clinical nurses was categorized into three distinct categories, and significant variability was observed between these categories. The high-resilience stable group demonstrated the highest levels of empathy reactions and the lowest levels of body and mind discomfort reactions, whereas the low-resilience group performed the worst. Nursing administrators can thus formulate targeted interventions and policies based on the specific subgroup characteristics of clinical nurses’ resilience to enhance resilience levels across different categories, reduce physical and mental discomfort, and improve empathy for pain capabilities, aiming to effectively enhance the mental and physical health of clinical nurses and optimize pain management.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 264-273"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175926","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}
Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.03.005
Liping Ren , Sukhee Ahn
Purpose
Suicide is a global public health concern, significantly affecting young adults across the world. Studies have shown that nursing students exhibit a higher propensity for suicidal ideation in comparison to students from other academic disciplines. Personality traits have been recognized as a significant and comparatively consistent risk factor for suicidal ideation. However, the specific pathways through which personality traits influence suicidal ideation are not yet fully understood. Based on the Interpersonal-Psychological Theory of Suicide, this study aimed to examine the serial mediation effects of depressive symptoms, thwarted belongingness, and perceived burdensomeness in the relationship between the Big Five personality traits and suicidal ideation among nursing students.
Methods
A descriptive cross-sectional survey was conducted. A sample of 435 nursing students participated in the online survey. Participants completed Chinese versions of questionnaires of the Suicidal Behaviors Questionnaire-Revised, Big Five Personality Inventory-15, Patient Health Questionnaire-9, and Interpersonal Needs Questionnaire. SPSS version 27.0 and the PROCESS 4.3 macro model 6 were used for statistical analyses.
Results
The prevalence of suicidal ideation among nursing students was 17.5%. Neuroticism (β = 0.26, p < .001), conscientiousness (β = -0.10, p = .001), agreeableness (β = -0.14, p < .001), openness (β = -0.11, p < .001), and extraversion (β = -0.19, p < .001) had a statistically significant total effect on suicidal ideation. Furthermore, significant indirect effects were found between Big Five personality traits and suicidal ideation, serially mediated by depressive symptoms, thwarted belongingness, and perceived burdensomeness.
Conclusions
The findings indicate that nursing students exhibit high levels of suicidal ideation, which are influenced by their Big Five personality traits. This relationship appears to be serially mediated by depressive symptoms, thwarted belongingness, and perceived burdensomeness, aligning with the Interpersonal-Psychological Theory of Suicide. Therefore, interventions focused on reducing depressive symptoms in nursing students with vulnerable personality traits may help mitigate feelings of thwarted belongingness and perceived burdensomeness, ultimately reducing suicidal ideation.
{"title":"Serial Multiple Mediation of Depressive Symptoms, Thwarted Belongingness, and Perceived Burdensomeness in the Relationship Between Personality Traits and Suicidal Ideation Among Nursing Students: A Cross-sectional Questionnaire Survey","authors":"Liping Ren , Sukhee Ahn","doi":"10.1016/j.anr.2025.03.005","DOIUrl":"10.1016/j.anr.2025.03.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Suicide is a global public health concern, significantly affecting young adults across the world. Studies have shown that nursing students exhibit a higher propensity for suicidal ideation in comparison to students from other academic disciplines. Personality traits have been recognized as a significant and comparatively consistent risk factor for suicidal ideation. However, the specific pathways through which personality traits influence suicidal ideation are not yet fully understood. Based on the Interpersonal-Psychological Theory of Suicide, this study aimed to examine the serial mediation effects of depressive symptoms, thwarted belongingness, and perceived burdensomeness in the relationship between the Big Five personality traits and suicidal ideation among nursing students.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional survey was conducted. A sample of 435 nursing students participated in the online survey. Participants completed Chinese versions of questionnaires of the Suicidal Behaviors Questionnaire-Revised, Big Five Personality Inventory-15, Patient Health Questionnaire-9, and Interpersonal Needs Questionnaire. SPSS version 27.0 and the PROCESS 4.3 macro model 6 were used for statistical analyses.</div></div><div><h3>Results</h3><div>The prevalence of suicidal ideation among nursing students was 17.5%. Neuroticism (β = 0.26, <em>p</em> < .001), conscientiousness (β = -0.10, <em>p</em> = .001), agreeableness (β = -0.14, <em>p</em> < .001), openness (β = -0.11, <em>p</em> < .001), and extraversion (β = -0.19, <em>p</em> < .001) had a statistically significant total effect on suicidal ideation. Furthermore, significant indirect effects were found between Big Five personality traits and suicidal ideation, serially mediated by depressive symptoms, thwarted belongingness, and perceived burdensomeness.</div></div><div><h3>Conclusions</h3><div>The findings indicate that nursing students exhibit high levels of suicidal ideation, which are influenced by their Big Five personality traits. This relationship appears to be serially mediated by depressive symptoms, thwarted belongingness, and perceived burdensomeness, aligning with the Interpersonal-Psychological Theory of Suicide. Therefore, interventions focused on reducing depressive symptoms in nursing students with vulnerable personality traits may help mitigate feelings of thwarted belongingness and perceived burdensomeness, ultimately reducing suicidal ideation.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 247-255"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128407","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}
Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.03.003
Dain Jeong , Young Eun , Chang Park
Purpose
This study aimed to evaluate the perceived importance and performance of evidence-based clinical practice guidelines (EBCPG) for venous thromboembolism (VTE) prevention among nurses in orthopedic hospitals.
Methods
A cross-sectional descriptive study was conducted among 188 nurses in three orthopedic hospitals in South Korea. Participants rated the importance and performance of 110 EBCPG for VTE prevention items across 10 domains using a 5-point Likert scale. Importance-performance analysis was utilized to identify gaps and prioritize areas for improvement.
Results
The mean importance and performance scores for EBCPG for VTE prevention were 4.02 and 3.67, respectively, revealing a statistically significant gap (t = 10.67, p < .001). Differences were observed across domains, with “General interventions for VTE prevention” showing the highest scores for both importance and performance, while “VTE prevention for cancer patients” and “VTE prevention for surgical patients” exhibited the largest gaps.
Conclusion
The findings highlight the need for targeted strategies to bridge the gap between the perceived importance and performance of EBCPG for VTE prevention, particularly in domains with significant performance deficiencies. Tailored education and institutional support are recommended to enhance guideline utilization and improve patient outcomes in orthopedic hospitals.
目的：本研究旨在评估骨科医院护士对循证临床实践指南（EBCPG）预防静脉血栓栓塞（VTE）的重要性和表现。方法：对韩国三家骨科医院的188名护士进行横断面描述性研究。参与者使用5分李克特量表对10个域的110个EBCPG对静脉血栓栓塞预防项目的重要性和表现进行评级。利用重要性-性能分析来确定差距并确定需要改进的领域的优先级。结果：EBCPG预防静脉血栓栓塞的重要性和表现得分均值分别为4.02和3.67，差异有统计学意义（t = 10.67, p < 0.001）。不同领域之间存在差异，“预防静脉血栓栓塞的一般干预措施”在重要性和表现上得分最高，而“癌症患者静脉血栓栓塞预防”和“手术患者静脉血栓栓塞预防”的差距最大。结论：研究结果强调需要有针对性的策略来弥合EBCPG在静脉血栓栓塞预防方面的重要性和表现之间的差距，特别是在表现明显不足的领域。建议在骨科医院进行针对性的教育和机构支持，以提高指南的使用并改善患者的预后。
{"title":"Importance and Performance of Evidence-based Clinical Practice Guidelines for Prevention of Venous Thromboembolism Among Orthopedic Hospital Nurses","authors":"Dain Jeong , Young Eun , Chang Park","doi":"10.1016/j.anr.2025.03.003","DOIUrl":"10.1016/j.anr.2025.03.003","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the perceived importance and performance of evidence-based clinical practice guidelines (EBCPG) for venous thromboembolism (VTE) prevention among nurses in orthopedic hospitals.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was conducted among 188 nurses in three orthopedic hospitals in South Korea. Participants rated the importance and performance of 110 EBCPG for VTE prevention items across 10 domains using a 5-point Likert scale. Importance-performance analysis was utilized to identify gaps and prioritize areas for improvement.</div></div><div><h3>Results</h3><div>The mean importance and performance scores for EBCPG for VTE prevention were 4.02 and 3.67, respectively, revealing a statistically significant gap (t = 10.67, <em>p</em> < .001). Differences were observed across domains, with “General interventions for VTE prevention” showing the highest scores for both importance and performance, while “VTE prevention for cancer patients” and “VTE prevention for surgical patients” exhibited the largest gaps.</div></div><div><h3>Conclusion</h3><div>The findings highlight the need for targeted strategies to bridge the gap between the perceived importance and performance of EBCPG for VTE prevention, particularly in domains with significant performance deficiencies. Tailored education and institutional support are recommended to enhance guideline utilization and improve patient outcomes in orthopedic hospitals.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 227-234"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129662","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}
Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.03.012
Ailin Zhang , Chunyi Zhou , Sixue Wang , Yue Yuan , Shibo Zhang , Hui Hu , Yuncui Wang
Purpose
The purpose of this study was to define the concept of health empowerment within the community and explore its key characteristics.
Methods
In this study, the concept was formulated utilizing the hybrid model proposed by Schwartz-Barcott and Kim. In the theoretical phase, comprehensive searches were conducted on PubMed, The Cochrane Library, Web of Science, CNKI, Wanfang Data, and SinoMed to gather relevant articles. In the fieldwork stage, semi-structured interviews were conducted with ten community workers and fifteen community residents, and the collected data were thoroughly analyzed using routine content analysis techniques. During the final analysis stage, the insights gained from both the theoretical and fieldwork stages were seamlessly integrated.
Results
In the theoretical stage, the five attributes of community health empowerment include community participation, policy support, resource acquisition and utilization, cooperation and partnership, self-care, and health decision-making. Antecedents include social support, communication and cooperation, resource mobilization, health knowledge popularization and perceived control. Its consequences include improvements in personal health and life, increased awareness of self-care, and enhanced identity and belonging to the community. Attributes of community health empowerment in the field interview stage: community participation and interaction, community capacity, information exchange, and sharing. Its Antecedents include community organization services, support networks (social structures), health beliefs, policy support, and sustainability. Consequences include process outcomes, health outcomes, and community outcomes. In the final analysis stage, we concluded that community health empowerment is a multi-level process involving individuals, communities, and society as a whole.
Conclusion
In the context of Chinese culture, community health empowerment is a two-way interactive process of health power between communities. Through community health empowerment, it is not only able to improve individual autonomy and decision-making, as well as self-health management abilities, but also able to enhance community cohesion and promote sustainable community development.
目的：本研究的目的是界定社区内健康赋权的概念，并探讨其主要特征。方法：本研究采用Schwartz-Barcott和Kim提出的混合模型来阐述这一概念。在理论阶段，综合检索PubMed、the Cochrane Library、Web of Science、CNKI、万方数据、中国医学信息网，收集相关文章。在实地调查阶段，对10名社区工作者和15名社区居民进行了半结构化访谈，并使用常规内容分析技术对收集到的数据进行了深入分析。在最后的分析阶段，从理论和实地工作阶段获得的见解被无缝整合。结果：在理论阶段，社区健康赋权的五个属性包括社区参与、政策支持、资源获取与利用、合作与伙伴关系、自我照顾和健康决策。前因包括社会支持、沟通与合作、资源调动、卫生知识普及和感知控制。其结果包括改善个人健康和生活，提高自我保健意识，增强身份认同和对社区的归属感。实地访谈阶段社区卫生赋权属性：社区参与与互动、社区能力、信息交流与共享。其前身包括社区组织服务、支持网络（社会结构）、保健信念、政策支持和可持续性。结果包括过程结果、健康结果和社区结果。在最后的分析阶段，我们得出结论，社区卫生赋权是一个涉及个人、社区和整个社会的多层次过程。结论：在中国文化背景下，社区健康赋权是社区间健康权力的双向互动过程。通过社区健康赋权，不仅可以提高个人的自主权和决策能力，以及自我健康管理能力，还可以增强社区凝聚力，促进社区可持续发展。
{"title":"Community Health Empowerment in the Chinese Cultural Context: A Hybrid Concept Analysis","authors":"Ailin Zhang , Chunyi Zhou , Sixue Wang , Yue Yuan , Shibo Zhang , Hui Hu , Yuncui Wang","doi":"10.1016/j.anr.2025.03.012","DOIUrl":"10.1016/j.anr.2025.03.012","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to define the concept of health empowerment within the community and explore its key characteristics.</div></div><div><h3>Methods</h3><div>In this study, the concept was formulated utilizing the hybrid model proposed by Schwartz-Barcott and Kim. In the theoretical phase, comprehensive searches were conducted on PubMed, The Cochrane Library, Web of Science, CNKI, Wanfang Data, and SinoMed to gather relevant articles. In the fieldwork stage, semi-structured interviews were conducted with ten community workers and fifteen community residents, and the collected data were thoroughly analyzed using routine content analysis techniques. During the final analysis stage, the insights gained from both the theoretical and fieldwork stages were seamlessly integrated.</div></div><div><h3>Results</h3><div>In the theoretical stage, the five attributes of community health empowerment include community participation, policy support, resource acquisition and utilization, cooperation and partnership, self-care, and health decision-making. Antecedents include social support, communication and cooperation, resource mobilization, health knowledge popularization and perceived control. Its consequences include improvements in personal health and life, increased awareness of self-care, and enhanced identity and belonging to the community. Attributes of community health empowerment in the field interview stage: community participation and interaction, community capacity, information exchange, and sharing. Its Antecedents include community organization services, support networks (social structures), health beliefs, policy support, and sustainability. Consequences include process outcomes, health outcomes, and community outcomes. In the final analysis stage, we concluded that community health empowerment is a multi-level process involving individuals, communities, and society as a whole.</div></div><div><h3>Conclusion</h3><div>In the context of Chinese culture, community health empowerment is a two-way interactive process of health power between communities. Through community health empowerment, it is not only able to improve individual autonomy and decision-making, as well as self-health management abilities, but also able to enhance community cohesion and promote sustainable community development.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 203-219"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133220","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}
Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.02.002
Xiaoyan Li , Rui Li , Yubin Chen , Linghui Zhang , Jihua Zou , Ying Zhou , Jingquan Gao , Linyan Xu , Lijuan Xu , Caifu Li , Li Zhu , Bihe Ying
Purpose
To develop a comprehensive framework for evaluating the core competencies of nursing faculty within the realm of international collaborative education, aiming to establish clear criteria for recruitment, training, and teaching assessment that will enhance the sustainability and quality of international nursing education programs.
Methods
Drawing on the principles of "cross-cultural theory,” "role theory,” and the "iceberg competency model,” this study utilized a mixed-methods approach, including literature review, semi-structured interviews, work logs, the Delphi method, and analytic hierarchy process (AHP) to determine the content and weight of core competency indicators for nursing faculty in international collaborative education.
Results
A core competency framework for nursing educators in international collaborative programs was developed through two rounds of expert consultations, resulting in 7 primary indicators, 15 secondary indicators, and 55 tertiary indicators. The primary indicators are as follows: international nursing professional competency (.37), humanistic care (.23), teaching quality management and enhancement (.12), critical thinking ability (.10), internationalization in research and collaboration (.08), international nursing management and collaboration (.06), and informatics capabilities (.05). The framework's reliability was validated using analytic hierarchy process, with authority coefficients ranging from .92 to .94.
Conclusion
The established framework for evaluating the core competencies of nursing faculty under the auspices of international collaborative education is scientifically robust, comprehensive, and detailed. It serves to delineate the capabilities required of nursing educators in international collaborative settings, offering educational institutions a basis for recruitment, training, and instructional assessment. This facilitates the sustainable advancement of international collaborative nursing education.
{"title":"Developing a Core Competency Framework for Nursing Educators Under International Collaborative Programs: Insights From a Delphi Study","authors":"Xiaoyan Li , Rui Li , Yubin Chen , Linghui Zhang , Jihua Zou , Ying Zhou , Jingquan Gao , Linyan Xu , Lijuan Xu , Caifu Li , Li Zhu , Bihe Ying","doi":"10.1016/j.anr.2025.02.002","DOIUrl":"10.1016/j.anr.2025.02.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop a comprehensive framework for evaluating the core competencies of nursing faculty within the realm of international collaborative education, aiming to establish clear criteria for recruitment, training, and teaching assessment that will enhance the sustainability and quality of international nursing education programs.</div></div><div><h3>Methods</h3><div>Drawing on the principles of \"cross-cultural theory,” \"role theory,” and the \"iceberg competency model,” this study utilized a mixed-methods approach, including literature review, semi-structured interviews, work logs, the Delphi method, and analytic hierarchy process (AHP) to determine the content and weight of core competency indicators for nursing faculty in international collaborative education.</div></div><div><h3>Results</h3><div>A core competency framework for nursing educators in international collaborative programs was developed through two rounds of expert consultations, resulting in 7 primary indicators, 15 secondary indicators, and 55 tertiary indicators. The primary indicators are as follows: international nursing professional competency (.37), humanistic care (.23), teaching quality management and enhancement (.12), critical thinking ability (.10), internationalization in research and collaboration (.08), international nursing management and collaboration (.06), and informatics capabilities (.05). The framework's reliability was validated using analytic hierarchy process, with authority coefficients ranging from .92 to .94.</div></div><div><h3>Conclusion</h3><div>The established framework for evaluating the core competencies of nursing faculty under the auspices of international collaborative education is scientifically robust, comprehensive, and detailed. It serves to delineate the capabilities required of nursing educators in international collaborative settings, offering educational institutions a basis for recruitment, training, and instructional assessment. This facilitates the sustainable advancement of international collaborative nursing education.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 311-321"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096033","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}
Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.03.010
Ying Zhang , Hu Jiang , Huimin Sun
Purpose
We here examined the relationship between intra-organizational psychological violence and presenteeism among Chinese nurses and the mediating effects of psychological capital on this association.
Methods
This study used a cross-sectional correlational design. Through convenience sampling, 429 nurses from Sichuan and Guizhou provinces in China were enrolled in this study. Nurses who volunteered to participate completed the workplace psychologically violent behaviors instrument, Psychological Capital Questionnaire, and the Stanford Presenteeism Scale between September and October 2023. The potential mediating effect was explored using the Analysis of Moment Structures 26.0 software and bootstrap method.
Results
Among nurses, the scores of workplace psychological violence, presenteeism, and psychological capital were 19.00 (5.50, 35.50), 12.00 (8.00, 16.00) and 90.00 (77.00, 100.00), respectively; all of them were at a moderate level. The workplace psychological violence of the nurses positively affected presenteeism (β = 0.51, p < .001), and psychological capital negatively affected presenteeism (β = −0.68, p < .001). Additionally, psychological capital acted as a mediator of the relationship between workplace psychological violence and presenteeism, with its mediating effect accounting for 44.6 % of the total effect.
Conclusion
Psychological capital mediated the association between intra-organizational psychological violence and presenteeism.
{"title":"Mediating the Role of Psychological Capital Between Intra-organizational Psychological Violence and Presenteeism Among Chinese Nurses: A Cross-sectional Study","authors":"Ying Zhang , Hu Jiang , Huimin Sun","doi":"10.1016/j.anr.2025.03.010","DOIUrl":"10.1016/j.anr.2025.03.010","url":null,"abstract":"<div><h3>Purpose</h3><div>We here examined the relationship between intra-organizational psychological violence and presenteeism among Chinese nurses and the mediating effects of psychological capital on this association.</div></div><div><h3>Methods</h3><div>This study used a cross-sectional correlational design. Through convenience sampling, 429 nurses from Sichuan and Guizhou provinces in China were enrolled in this study. Nurses who volunteered to participate completed the workplace psychologically violent behaviors instrument, Psychological Capital Questionnaire, and the Stanford Presenteeism Scale between September and October 2023. The potential mediating effect was explored using the Analysis of Moment Structures 26.0 software and bootstrap method.</div></div><div><h3>Results</h3><div>Among nurses, the scores of workplace psychological violence, presenteeism, and psychological capital were 19.00 (5.50, 35.50), 12.00 (8.00, 16.00) and 90.00 (77.00, 100.00), respectively; all of them were at a moderate level. The workplace psychological violence of the nurses positively affected presenteeism (β = 0.51, <em>p</em> < .001), and psychological capital negatively affected presenteeism (β = −0.68, <em>p</em> < .001). Additionally, psychological capital acted as a mediator of the relationship between workplace psychological violence and presenteeism, with its mediating effect accounting for 44.6 % of the total effect.</div></div><div><h3>Conclusion</h3><div>Psychological capital mediated the association between intra-organizational psychological violence and presenteeism.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 303-310"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192488","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}
Pub Date : 2025-08-01DOI: 10.1016/j.anr.2025.03.008
Myoung Soo Kim , Minkyeong Kang
Purpose
Based on the frequency of postembolization syndrome (PES) after transarterial chemoembolization (TACE), early detection and management of symptoms should be standardized and can be supported by a clinical decision support system (CDSS). This study aims to develop a CDSS for PES after TACE and evaluate its effectiveness.
Methods
CDSS was developed through phases of intelligence, design, selection, and implementation using machine learning. A randomized controlled trial with a non-synchronized pre- and post-test was employed to test its effectiveness. Interventions included a handbook developed by the researchers for the control group (n = 8) and a smartphone-based CDSS for PES management as well as the handbook for the experimental group (n = 10) for 6 weeks. Symptom management and barriers, patient-centered caring attitude, and comfort care competence were evaluated at pre-intervention, immediately post-intervention, and 8 weeks post-intervention. Data were analyzed using descriptive statistics, Mann–Whitney U, Chi-square, Fisher exact tests, and repeated measures analysis of variance.
Results
The CDSS primarily exhibited the ability to provide risk prediction for PES and care recommendations for symptom management. The evaluation of the CDSS effects revealed that while it changed nursing practice over a relatively short period of time, it did not change attitudes or competencies.
Conclusion
This study demonstrated that the machine learning-based CDSS improved decision-making accuracy and efficiency in clinical settings. The development and implementation of the CDSS can offer nurses a tangible tool to enhance symptom management and reduce barriers for patients receiving TACE.
Trial registration
KCT0008888 in the Clinical Research Information Service. (2023.10/20).
{"title":"Development and Effectiveness of a Clinical Decision Support System for Postembolization Syndrome after Transarterial Chemoembolization: A Randomized Controlled Trial","authors":"Myoung Soo Kim , Minkyeong Kang","doi":"10.1016/j.anr.2025.03.008","DOIUrl":"10.1016/j.anr.2025.03.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Based on the frequency of postembolization syndrome (PES) after transarterial chemoembolization (TACE), early detection and management of symptoms should be standardized and can be supported by a clinical decision support system (CDSS). This study aims to develop a CDSS for PES after TACE and evaluate its effectiveness.</div></div><div><h3>Methods</h3><div>CDSS was developed through phases of intelligence, design, selection, and implementation using machine learning. A randomized controlled trial with a non-synchronized pre- and post-test was employed to test its effectiveness. Interventions included a handbook developed by the researchers for the control group (n = 8) and a smartphone-based CDSS for PES management as well as the handbook for the experimental group (n = 10) for 6 weeks. Symptom management and barriers, patient-centered caring attitude, and comfort care competence were evaluated at pre-intervention, immediately post-intervention, and 8 weeks post-intervention. Data were analyzed using descriptive statistics, Mann–Whitney U, Chi-square, Fisher exact tests, and repeated measures analysis of variance.</div></div><div><h3>Results</h3><div>The CDSS primarily exhibited the ability to provide risk prediction for PES and care recommendations for symptom management. The evaluation of the CDSS effects revealed that while it changed nursing practice over a relatively short period of time, it did not change attitudes or competencies.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that the machine learning-based CDSS improved decision-making accuracy and efficiency in clinical settings. The development and implementation of the CDSS can offer nurses a tangible tool to enhance symptom management and reduce barriers for patients receiving TACE.</div></div><div><h3>Trial registration</h3><div>KCT0008888 in the Clinical Research Information Service. (2023.10/20).</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 291-302"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144405","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}
Nurses' stigma against patients with HIV leads to lower quality of nursing care, making patients feel neglected. Various factors can influence nurses' stigma behavior toward patients with HIV. To analyze the stigma toward patients living with HIV among nurses within a public hospital.
Methods
This cross-sectional study took place between June and August 2024 at one of the public hospitals in Bandung, West Java Province, Indonesia. The participants were 152 nurses who worked in inpatient wards and had provided care to patients with HIV and were recruited by convenience sampling. A questionnaire was distributed to assess nurses' knowledge of HIV and examine HIV-related stigma. Descriptive statistics were used to analyze the data, and the Spearman Rank test was used to determine the correlation of the variables in this study.
Result
The study found that HIV knowledge among nurses was significantly correlated with stigma toward patients with HIV. Nurses with excellent knowledge of HIV tend to have lower levels of stigma toward patients with HIV. However, this study found that nurses tended to avoid caring for HIV patients due to fear of potential HIV transmission and for self-protection.
Conclusion
Hospital management should focus on reducing stigma related to HIV patients by implementing targeted educational interventions that enhance healthcare professionals' knowledge. Regular workshops aimed at fostering empathy in HIV care, along with the building of supportive work environments, are crucial. Establishing clear guidelines reinforced through supervision and mentorship will also help ensure equitable and non-discriminatory patient care.
{"title":"Stigma Toward Patients Living With HIV Among Nurses Within Public Hospital in Bandung, Indonesia","authors":"Angga Wilandika , Sajodin , Santika F. Rohmah , Suzana Yusof","doi":"10.1016/j.anr.2025.03.007","DOIUrl":"10.1016/j.anr.2025.03.007","url":null,"abstract":"<div><h3>Purpose</h3><div>Nurses' stigma against patients with HIV leads to lower quality of nursing care, making patients feel neglected. Various factors can influence nurses' stigma behavior toward patients with HIV. To analyze the stigma toward patients living with HIV among nurses within a public hospital.</div></div><div><h3>Methods</h3><div>This cross-sectional study took place between June and August 2024 at one of the public hospitals in Bandung, West Java Province, Indonesia. The participants were 152 nurses who worked in inpatient wards and had provided care to patients with HIV and were recruited by convenience sampling. A questionnaire was distributed to assess nurses' knowledge of HIV and examine HIV-related stigma. Descriptive statistics were used to analyze the data, and the Spearman Rank test was used to determine the correlation of the variables in this study.</div></div><div><h3>Result</h3><div>The study found that HIV knowledge among nurses was significantly correlated with stigma toward patients with HIV. Nurses with excellent knowledge of HIV tend to have lower levels of stigma toward patients with HIV. However, this study found that nurses tended to avoid caring for HIV patients due to fear of potential HIV transmission and for self-protection.</div></div><div><h3>Conclusion</h3><div>Hospital management should focus on reducing stigma related to HIV patients by implementing targeted educational interventions that enhance healthcare professionals' knowledge. Regular workshops aimed at fostering empathy in HIV care, along with the building of supportive work environments, are crucial. Establishing clear guidelines reinforced through supervision and mentorship will also help ensure equitable and non-discriminatory patient care.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 3","pages":"Pages 284-290"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128740","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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