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Development and Effectiveness of Dietary Self-care Promotion Program Using Online Community for Hemodialysis Patients: A Pilot Randomized Controlled Trial 基于在线社区的血液透析患者饮食自我保健促进计划的发展和有效性:一项随机对照试验。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-05-01 DOI: 10.1016/j.anr.2025.01.007
Hana Kim , Mi-Kyoung Cho

Purpose

This study aimed to develop and evaluate a dietary self-care promotion program for hemodialysis patients based on Hurley's self-efficacy model, utilizing an online community to enhance the dietary self-care behavior of patients undergoing hemodialysis.

Methods

The needs of hemodialysis patients were identified, and an online community-based dietary self-care promotion program was developed with expert evaluations. Forty-four hemodialysis patients were randomly assigned to an experimental group (n = 22) and a control group (n = 22). The program was applied to the experimental group for four weeks. Before and after the intervention, as well as four weeks after the intervention, dietary self-efficacy, dietary self-care behavior, interdialytic weight gain, serum phosphorus, and serum potassium were assessed in both groups.

Results

Significant differences over time and between groups were observed in dietary self-efficacy, interdialytic weight gain, serum phosphorus, and serum potassium. The interaction between time and group was also significant. While no significant differences were found over time in dietary self-care behavior, significant group differences, and interaction effects between time and group were identified.

Conclusions

The results indicate that the dietary self-care promotion program using an online community for hemodialysis patients is more effective in enhancing dietary self-efficacy and dietary self-care behavior compared to conventional treatment. This suggests the clinical applicability of the proposed dietary self-care promotion program.

Trial registration

This study was registered in the Clinical Research Information Service system (No: KCT0007920).
目的:本研究旨在基于Hurley自我效能模型,开发并评估血液透析患者饮食自我保健促进方案,利用在线社区提高血液透析患者的饮食自我保健行为。方法:对血液透析患者的需求进行调查,在专家评价的基础上制定基于社区的在线饮食自我保健促进计划。将44例血液透析患者随机分为实验组(n=22)和对照组(n=22)。该程序应用于实验组四周。在干预前后及干预后4周,对两组患者的饮食自我效能感、饮食自我护理行为、透析间期体重增加、血清磷、血清钾进行评估。结果:饮食自我效能、透析间期体重增加、血清磷和血清钾在时间和组间均有显著差异。时间和组间的交互作用也很显著。虽然饮食自我保健行为在时间上没有显著差异,但发现了显著的组间差异和时间与组间的相互作用。结论:与常规治疗相比,在线社区促进血透析患者饮食自我效能感和饮食自我护理行为更有效。提示饮食自我保健促进方案具有临床适用性。试验注册:本研究已在临床研究信息服务系统中注册(编号:KCT0007920)。
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引用次数: 0
The Mediating Effect of Emotional Regulation Between Stress and Compassion Fatigue of Oncology Nurses 情绪调节在肿瘤护士压力与同情疲劳之间的中介作用。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-05-01 DOI: 10.1016/j.anr.2025.01.009
Youhui Gu , Yuhan Lu , Wenhua Yu , Hong Yang

Purpose

This study aimed to investigate oncology nurses’ compassion fatigue (CF) and whether emotional regulation mediates between stress load and CF.

Methods

Using convenience sampling, data of this cross-sectional study was collected from 471 oncology nurses from a cancer hospital. Self-administered questionnaires included socio-demographic factors, the Stress Overload Scale, the Nurse Emotional Management Scale, and the Chinese version of the Professional Quality of Life scale. Statistical analyses were performed using IBM SPSS Statistics for Windows (version 22.0). The hypothesized model was tested by the structural equation model using IBM SPSS AMOS (version 21.0).

Results

Burnout and secondary traumatic stress (STS) of CF in oncology nurses were 21.10 ± 5.48 and 22.22 ± 5.24, respectively. Stress load was positively correlated with burnout (r = .64, p < .01) and STS (r = .52, p < .01). Emotional regulation was negatively correlated with stress load (r = −.47, p < .01), burnout (r = −.57, p < .01) and STS (r = −.45, p < .01). The impact of stress load on CF is mediated by emotional regulation [β = .27, 95% CI of (.21∼.35)], with the mediation effect accounting for 34.6% of the total effect. This mediation model explains 80.0% of the variation in CF.

Conclusions

The stress load of oncology nurses directly positively impacted their CF, emotional regulation directly negatively impacted CF, while emotional regulation mediated between stress load and CF. This study suggests that nursing managers can prevent and alleviate oncology nurses' CF not only by relieving their stress load but also by promoting their ability of emotional regulation.
目的:本研究旨在探讨肿瘤护士的同情疲劳,以及情绪调节是否在压力负荷与同情疲劳之间起中介作用。方法:采用方便抽样的方法,对某肿瘤医院471名肿瘤护士进行横断面调查。自我管理问卷包括社会人口因素、压力超载量表、护士情绪管理量表和中文版职业生活质量量表。采用IBM SPSS Statistics for Windows (version 22.0)进行统计分析。采用IBM SPSS AMOS (version 21.0)结构方程模型对假设模型进行检验。结果:肿瘤科护士CF的倦怠和继发性创伤应激(STS)分别为21.10±5.48和22.22±5.24。应激负荷与倦怠(r = 0.64, p < 0.01)、STS (r = 0.52, p < 0.01)呈正相关。情绪调节与应激负荷呈负相关(r = -)。47, p < 0.01),倦怠(r = -。57, p < 0.01)和STS (r = -。45, p < 0.01)。应激负荷对CF的影响是由情绪调节介导的[β =。27, 95% CI为(0.21 ~ 0.35)],中介效应占总效应的34.62%。结论:肿瘤护士的压力负荷直接正向影响其CF,情绪调节直接负向影响其CF,而情绪调节在压力负荷与CF之间起中介作用。本研究提示护理管理者不仅可以通过减轻肿瘤护士的压力负荷,还可以通过提高肿瘤护士的情绪调节能力来预防和缓解肿瘤护士的CF。
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引用次数: 0
Factors Associated with Returning to Work in Liver Transplantation Survivors: A Cross-sectional Study 肝移植幸存者重返工作岗位的相关因素:一项横断面研究
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-05-01 DOI: 10.1016/j.anr.2025.02.001
Yuxin Rao , Saxiao Tang , Feicui Lv , Li Dong , Li Ji , Zhiru Li , Ruijie Bao , Jingyun Wu , Fangyan Lu

Purpose

To investigate the current state of return to work (RTW) and the influencing factors among liver transplantation (LT) survivors in China.

Methods

Cross-sectional study design, a convenience sample of 210 LT survivors aged >18 years who had LT for the first time and at least 6 months postliver transplant was selected between April and August 2023. Binary logistic regression was used to analyze the independent influencing factors of RTW. The study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology checklist.

Results

A total of 201 LT survivors were included in the study; 109 (54.2 %) returned to work, and the median, interquartile range of their work ability index (WAI) score was 40.00 (6.00), which indicates good work ability (WA) to the work. Binary logistic regression analysis demonstrated that light economic burden [odds ratio (OR) = 0.13, 95% confidence interval (CI) = 0.016–0.966], time passed of 1–3 years after LT (OR = 6.37, 95% CI = 1.697–23.933), willingness to RTW (OR = 15.50, 95% CI = 2.171–110.683), good psychosocial adjustment level (OR = 17.46, 95% CI = 2.290–133.044), symptom intensity (OR = 0.75, 95% CI = 0.610–0.927), and WA (OR = 1.27, 95% CI = 1.135–1.426) were the independent influencing factors for LT survivors returning to work.

Conclusion

The rate of RTW among LT survivors is relatively low and their WA is moderate. Medical staff should focus on LT survivors with poor psychosocial adjustment, poor work ability, and poor symptom experience in clinical practice. Targeted intervention programs should be designed to promote the successful RTW of LT survivors to achieve a normal life and good long-term prognosis.
目的:了解中国肝移植术后患者复工情况及其影响因素。方法:采用横断面研究设计,选取2023年4月至8月期间首次行肝移植且肝移植后至少6个月的210例年龄在bb0 ~ 18岁的肝移植幸存者作为方便样本。采用二元logistic回归分析RTW的独立影响因素。该研究按照STROBE检查表进行报告。结果:共有201名LT幸存者纳入研究;109人(54.2%)重返工作岗位,其工作能力指数(WAI)得分中位数(IQR)为40.00(6.00),表明对工作有较好的工作能力(WA)。二元逻辑回归分析表明,光经济负担(OR = 0.13, 95% ci = 0.016 - -0.966),时间的流逝后的1 - 3年LT (OR = 6.37, 95% ci = 1.697 - -23.933),愿意环球套票(OR = 15.50, 95% ci = 2.171 - -110.683),调整好心理水平(OR = 17.46, 95% ci = 2.290 - -133.044),症状强度(OR = 0.75, 95% ci = 0.610 - -0.927)和佤邦(OR = 1.27, 95% ci = 1.135 - -1.426)的独立影响因素LT幸存者回到工作。结论:肝移植幸存者RTW发生率较低,WA适中。在临床实践中,医务人员应重点关注心理社会适应能力差、工作能力差、症状体验差的LT幸存者。应该设计有针对性的干预方案,以促进肝移植幸存者成功的RTW,实现正常的生活和良好的长期预后。
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引用次数: 0
A Nomogram-based Analysis on Medication Adherence of Hypertensive Patients in China 中国高血压患者药物依从性的线图分析。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-05-01 DOI: 10.1016/j.anr.2025.01.008
Yawen Pan , Yuanzhen Li , Ziyan Li , Helian Zhou , Haoran Zhou , Zhidan Wei , Caili Yu

Purpose

In order to analyze the influencing factors of medication adherence in Chinese hypertensive patients, a nomogram of medication adherence in hypertensive patients was constructed in this paper, which may provide a foundation for the establishment of a simple method for predicting medication adherence in hypertensive patients.

Methods

We enrolled 297 hypertensive patients in a tertiary care hospital in Wuhu City. Medication adherence was assessed using the 4-item Medication Adherence Scale. Patients were categorized into the adherence group and poor medication adherence group based on their scores. We used logistic regression to identify factors influencing medication adherence. The predictors were analyzed by nomogram method using R software. Its effectiveness was assessed by the area under the curve (AUC) of the receiver operating characteristic curve (ROC) and the calibration curve to evaluate its discriminatory power and accuracy.

Results

Of the 297 patients, 111 (37.4%) had good medication adherence, and 186 (62.6%) had poor medication adherence. In the group with good medication adherence, there were 52 (46.8%) men and 48 (43.3%) persons aged ≤65 years; in the group with poor medication adherence, there were 101 (54.3%) men and 92 (49.4%) persons aged 65-80 years. Place of residence, Acceptance of the disease, Satisfaction with family functioning, Frailty, and E-health literacy were factors influencing adherence to medication in hypertensive patients (p < .05); The predictors were incorporated into the R software to establish a nomogram of medication adherence in hypertensive patients, and its test showed an AUC of .83 (95% CI: 0.79-0.88); Hosmer-Lemeshow goodness-of-fit test showed χ2 = 4.78, p = .78, which indicated that the model had a high degree of differentiation and precision.

Conclusion

Overall, Chinese hypertensive patients had poor medication adherence. Medication adherence was better among hypertensive patients who lived in a city, had higher disease acceptance, had more satisfactory family functioning, were not physically frail, and had higher e-health literacy. The established nomogram has a good predictive value for medication adherence in hypertensive patients, reduces the medical burden on society and families, and provides a reference for clinical caregivers.
目的:为分析我国高血压患者药物依从性的影响因素,构建高血压患者药物依从性nomogram,为建立一种简便的预测高血压患者药物依从性的方法奠定基础。方法:选取芜湖市某三级医院高血压患者297例。药物依从性采用4项药物依从性量表进行评估。根据评分将患者分为药物依从性组和药物依从性差组。我们使用逻辑回归来确定影响药物依从性的因素。采用R软件对预测因子进行Nomogram分析。通过受试者工作特征曲线(ROC)的曲线下面积(AUC)和校准曲线来评价其有效性,以评价其判别能力和准确性。结果:297例患者中,依从性好111例(37.4%),依从性差186例(62.6%)。依从性较好的组男性52例(46.8%),年龄≤65岁者48例(43.3%);在药物依从性较差的组中,男性101例(54.3%),65 ~ 80岁92例(49.4%)。居住地、对疾病的接受程度、对家庭功能的满意度、体质和电子健康素养是影响高血压患者服药依从性的因素(p2=4.78, p=。78,这表明该模型具有高度的分化和精度。结论:总体而言,中国高血压患者的药物依从性较差。居住在城市、疾病接受度较高、家庭功能更满意、身体不虚弱、电子卫生素养较高的高血压患者的药物依从性更好。所建立的Nomogram对高血压患者服药依从性具有较好的预测价值,减轻了社会和家庭的医疗负担,为临床护理人员提供参考。
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引用次数: 0
Beyond Borders: Exploring the Clinical Journeys of Multicultural Nursing Students 超越国界:探索多元文化护理学生的临床之旅。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-05-01 DOI: 10.1016/j.anr.2025.01.002
Lee Jiyoung

Purpose

This study aims to elucidate the clinical experiences of multicultural nursing students in South Korea.

Methods

Data were extracted from October 2022 to February 2023 through extensive interviews conducted in four sessions with three undergraduates with five months of clinical experience. Participants were three multicultural nursing students at Daewon University College who had clinical practice experience, whose parents were Russian or Filipino, and who could speak Korean. Data collection was conducted with interviews and observations, and the study quality was improved by reconfirming the interview content with the participants and seeking expert advice. The analysis method was classified to reflect the process in which the participants found their identity by telling their experiences through the collected stories according to Riessman's narrative inquiry verification criteria.

Results

The extracted stories are presented under the main themes 'Overcoming differences and moving towards fusion' with four subthemes 'My identity felt in the clinical field in Korea' 'Nursing together and the role I found in it' 'Pride in being able to be a role model for foreign students' and 'Future nurses who overcome differences'.

Conclusion

In this study, positive cultural encounters alleviated the participants’ fears and changed their identity in their lives. This was an opportunity for the participants to share their stories and understand each other, even though they had difficulties they had not planned in their clinical practice. Future research is suggested to explore the experiences of diverse multicultural nursing students.
目的:本研究旨在了解韩国多元文化护生的临床经验。方法:从2022年10月至2023年2月,通过对3名具有5个月临床经验的本科生进行四次广泛访谈,提取数据。参与者是D大学的三名具有临床实践经验的多元文化护理学生,他们的父母是俄罗斯人或菲律宾人,他们会说韩语。通过访谈和观察的方式收集资料,通过与参与者重新确认访谈内容和征求专家意见来提高研究质量。根据Riessman的叙事探究验证标准,对分析方法进行分类,以反映参与者通过收集的故事讲述自己的经历来找到自己身份的过程。结果:摘取的故事以“克服差异,走向融合”为主题,以“我在韩国临床领域的身份感受”、“一起护理和我在其中找到的角色”、“为能够成为外国学生的榜样而感到自豪”和“克服差异的未来护士”为四个子主题呈现。结论:在本研究中,积极的文化接触减轻了参与者的恐惧,改变了他们在生活中的身份。这是一个让参与者分享他们的故事和相互理解的机会,即使他们在临床实践中遇到了他们没有计划到的困难。未来的研究建议探索多元文化护生的经验。
{"title":"Beyond Borders: Exploring the Clinical Journeys of Multicultural Nursing Students","authors":"Lee Jiyoung","doi":"10.1016/j.anr.2025.01.002","DOIUrl":"10.1016/j.anr.2025.01.002","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to elucidate the clinical experiences of multicultural nursing students in South Korea.</div></div><div><h3>Methods</h3><div>Data were extracted from October 2022 to February 2023 through extensive interviews conducted in four sessions with three undergraduates with five months of clinical experience. Participants were three multicultural nursing students at Daewon University College who had clinical practice experience, whose parents were Russian or Filipino, and who could speak Korean. Data collection was conducted with interviews and observations, and the study quality was improved by reconfirming the interview content with the participants and seeking expert advice. The analysis method was classified to reflect the process in which the participants found their identity by telling their experiences through the collected stories according to Riessman's narrative inquiry verification criteria.</div></div><div><h3>Results</h3><div>The extracted stories are presented under the main themes 'Overcoming differences and moving towards fusion' with four subthemes 'My identity felt in the clinical field in Korea' 'Nursing together and the role I found in it' 'Pride in being able to be a role model for foreign students' and 'Future nurses who overcome differences'.</div></div><div><h3>Conclusion</h3><div>In this study, positive cultural encounters alleviated the participants’ fears and changed their identity in their lives. This was an opportunity for the participants to share their stories and understand each other, even though they had difficulties they had not planned in their clinical practice. Future research is suggested to explore the experiences of diverse multicultural nursing students.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 2","pages":"Pages 120-125"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525392","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}
引用次数: 0
Internal Structure of the Patient Health Questionnaire-9: A Systematic Review and Meta-analysis 患者健康问卷-9的内部结构:系统回顾和荟萃分析。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.anr.2024.12.005
Duckhee Chae , Jiyeon Lee , Eun-Hyun Lee

Purpose

This review aimed to evaluate the internal structure (structural validity, internal consistency, and measurement invariance) of the Patient Health Questionnaire-9 (PHQ-9), which is one of the most widely used self-administered instruments for assessing and screening depression.

Methods

The updated COnsensus-based Standards for the selection of health Measurement Instruments methodology for a systematic review of self-reported instruments was used. PubMed, Embase, CINAHL, PsycINFO, and the Cochrane Library databases were searched from their inception up to February 28, 2023.

Results

This study reviewed 98 psychometric studies reported on in 90 reports conducted in 40 countries. Various versions of the PHQ-9 were identified: one-factor structures (8 types), two-factor structures (10 types), bifactor structures (4 types), three-factor structure (1 type), and second-order three-factor structure (1 type). There was sufficient high-quality evidence for structural validity of the one-factor structure with nine items scored using a four-point Likert scale based on confirmatory factor analysis, for internal consistency with a quantitatively pooled Cronbach α of .85, and for measurement invariance across sex, age, education level, marital status, and income groups. There was sufficient high-quality evidence for structural validity, internal consistency (Cronbach’s α = .76– .92, ω = 0.83– .92), and measurement invariance across sex for the PHQ-8 (which excluded item 9: “suicidality or self-harm thoughts”).

Conclusion

The one-factor PHQ-9 and PHQ-8 (excluding item 9) scored using a four-point Likert scale have the best internal structure based on the current evidence. The one-factor PHQ-9 and PHQ-8 justify the use of aggregated total scores in both practice and research. The total score of the PHQ-9 using a four-point Likert scale can be used to compare depression levels across sex, age, education level, marital status, and income groups due to the availability of sufficient evidence for measurement invariance across these demographic groups.
目的:本综述旨在评估患者健康问卷-9 (PHQ-9)的内部结构(结构效度、内部一致性和测量不变性),PHQ-9是最广泛使用的自我给药抑郁评估和筛查工具之一。方法:采用更新后的基于共识的健康测量仪器选择标准(COSMIN)方法对自我报告的仪器进行系统评价。PubMed, Embase, CINAHL, PsycINFO和Cochrane图书馆数据库从其成立到2023年2月28日进行了检索。结果:本研究回顾了40个国家90份报告中98份心理测量学研究报告。PHQ-9分为单因子结构(8种)、双因子结构(10种)、双因子结构(4种)、三因子结构(1种)和二阶三因子结构(1种)。采用验证性因子分析的李克特四分量表对九个项目进行评分的单因素结构的结构效度、定量汇总的Cronbach's alpha值为0.85的内部一致性,以及跨性别、年龄、教育水平、婚姻状况和收入群体的测量不变性,都有足够的高质量证据。PHQ-8的结构效度、内部一致性(Cronbach's alpha = 0.76 - 0.92, = 0.83 - 0.92)和测量的性别不变性(排除了第9项:“自杀或自残想法”)有足够的高质量证据。结论:基于现有证据,单因素PHQ-9和PHQ-8(不包括第9项)采用四分制李克特量表评分具有最佳的内部结构。单因素PHQ-9和PHQ-8证明了在实践和研究中使用综合总分的合理性。采用李克特四分制的PHQ-9总分可用于比较不同性别、年龄、教育水平、婚姻状况和收入群体的抑郁水平,因为有足够的证据证明这些人口统计群体的测量不变性。
{"title":"Internal Structure of the Patient Health Questionnaire-9: A Systematic Review and Meta-analysis","authors":"Duckhee Chae ,&nbsp;Jiyeon Lee ,&nbsp;Eun-Hyun Lee","doi":"10.1016/j.anr.2024.12.005","DOIUrl":"10.1016/j.anr.2024.12.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aimed to evaluate the internal structure (structural validity, internal consistency, and measurement invariance) of the Patient Health Questionnaire-9 (PHQ-9), which is one of the most widely used self-administered instruments for assessing and screening depression.</div></div><div><h3>Methods</h3><div>The updated COnsensus-based Standards for the selection of health Measurement Instruments methodology for a systematic review of self-reported instruments was used. PubMed, Embase, CINAHL, PsycINFO, and the Cochrane Library databases were searched from their inception up to February 28, 2023.</div></div><div><h3>Results</h3><div>This study reviewed 98 psychometric studies reported on in 90 reports conducted in 40 countries. Various versions of the PHQ-9 were identified: one-factor structures (8 types), two-factor structures (10 types), bifactor structures (4 types), three-factor structure (1 type), and second-order three-factor structure (1 type). There was sufficient high-quality evidence for structural validity of the one-factor structure with nine items scored using a four-point Likert scale based on confirmatory factor analysis, for internal consistency with a quantitatively pooled Cronbach α of .85, and for measurement invariance across sex, age, education level, marital status, and income groups. There was sufficient high-quality evidence for structural validity, internal consistency (Cronbach’s α = .76– .92, <span><math><mrow><mi>ω</mi></mrow></math></span> = 0.83– .92), and measurement invariance across sex for the PHQ-8 (which excluded item 9: “suicidality or self-harm thoughts”).</div></div><div><h3>Conclusion</h3><div>The one-factor PHQ-9 and PHQ-8 (excluding item 9) scored using a four-point Likert scale have the best internal structure based on the current evidence. The one-factor PHQ-9 and PHQ-8 justify the use of aggregated total scores in both practice and research. The total score of the PHQ-9 using a four-point Likert scale can be used to compare depression levels across sex, age, education level, marital status, and income groups due to the availability of sufficient evidence for measurement invariance across these demographic groups.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 1-12"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900657","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
Predictors of Nurses’ Intention to Stay: Examining the Impact of Healthcare Policy Involvement 护士意愿的预测因素:检查医疗保健政策参与的影响。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.anr.2024.12.004
Asma Al Yahyaei , Zainab Al Kindi , Sulaiman Al Sabei , Wafa Al Jabri

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 useable (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 = 0.80). 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 = 0.078, 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.
目的:本研究探讨护士积极参与医疗保健政策制定与留任意愿之间的关系。它的目的是评估这种参与医疗保健政策活动如何影响他们留在目前的意图。方法:采用横断面设计,本研究使用题为“参与卫生政策量表”的在线自我管理问卷调查了阿曼五家主要公共资助教学医院的护士。分析方法包括描述性统计、双变量相关分析和多元回归分析,以确定护士留院意愿的预测因素。结果:在1200份分布式调查中,1017份回复有效,回复率85%。样本以女性为主(87.9%),平均年龄35岁。护士报告的住院意向中等(平均ITS = 3.13, SD = 0.80)。回归分析表明,参与卫生政策的增加是留任意向的显著正预测因子(β = 0.09, p < .007)。经验丰富的护士(β = 0.078, p < 0.044)和非阿曼国籍(β = 0.213, p < 0.001)也是阳性预测因子。相反,单身和面临众多障碍是消极的预测因素(β = -0.071, p < .008;β = -0.165, p < .001)。结论:本研究强调了护士参与医疗保健政策对其留任意愿的积极影响。它强调了医疗保健组织必须营造环境,加强护士参与决策,从而有可能提高保留率并维持其劳动力。
{"title":"Predictors of Nurses’ Intention to Stay: Examining the Impact of Healthcare Policy Involvement","authors":"Asma Al Yahyaei ,&nbsp;Zainab Al Kindi ,&nbsp;Sulaiman Al Sabei ,&nbsp;Wafa Al Jabri","doi":"10.1016/j.anr.2024.12.004","DOIUrl":"10.1016/j.anr.2024.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>Of the 1200 distributed surveys, 1017 responses were useable (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 = 0.80). Regression analysis indicated that increased involvement in health policy was a significant positive predictor of intention to stay (β = 0.09, <em>p</em> &lt; .007). More experienced nurses (β = 0.078, <em>p</em> &lt; .044) and non-Omani nationality (β = 0.213, <em>p &lt; .001</em>) were also positive predictors. Conversely, being single and facing numerous barriers were negative predictors of intention to stay (β = −0.071, <em>p</em> &lt; .008; β = −0.165, <em>p</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 69-77"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866484","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
Need for and Acceptance of Digital Health Interventions for Self-Management Among Older Adults Living Alone: A Mixed-Methods Approach 独居老人对自我管理数字健康干预的需求和接受程度:一种混合方法。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.anr.2024.12.007
Gahye Kim , Minhwa Hwang , Seonghyeon Lee , Yeon-Hwan Park

Purpose

Although digital solutions could mitigate the challenges faced by older adults living alone (OALA), only a few studies investigated the need for and acceptance of digital health interventions for self-management (DHISMs) among this demographic. Thus, we aim to explore this need and acceptance, along with the contextual factors, among OALA.

Methods

A mixed-methods research approach was adopted. We conducted 1) a quantitative survey (n = 191) to investigate the need for and acceptance of DHISMs using a numeric rating scale and 2) a qualitative study (n = 24) based on focus group interviews to explore contextual factors related to the quantitative results. Qualitative data were analyzed using thematic analysis.

Results

In the quantitative study, the mean scores for the need for and acceptance of DHISMs were 6.41 and 6.53 out of 10, respectively. Emergency response systems had the highest need and acceptance scores, whereas digital interventions for behavioral change (medication adherence, sleep, stress, and diet management) had relatively lower scores. The qualitative analysis revealed two themes and five subthemes: the need for inclusive support for independent living (environmental safety and diverse self-management challenges with limited support) and multidimensional factors related to DHISM acceptance (personal, technological, and relational barriers and facilitators).

Conclusions

In the future, the unique and multidimensional factors influencing the need for and acceptance of DHISMs among OALA should be carefully considered to support their self-management and independent living. Blended care, which involves integrating age-friendly technology with personalized human interaction, is pivotal for increasing DHISM acceptance in this population.
目的:尽管数字解决方案可以减轻独居老年人(OALA)面临的挑战,但只有少数研究调查了这一人群对自我管理(DHISMs)的数字健康干预的需求和接受程度。因此,我们的目标是探索这种需求和接受,以及背景因素,在OALA。方法:采用混合方法进行研究。我们进行了1)一项定量调查(n=191),使用数字评定量表调查DHISMs的需求和接受程度;2)一项基于焦点小组访谈的定性研究(n=24),探讨与定量结果相关的背景因素。定性数据采用专题分析进行分析。结果:在定量研究中,DHISMs的需求和接受的平均得分分别为6.41和6.53(满分为10分)。紧急响应系统的需求和接受度得分最高,而行为改变的数字干预(药物依从性、睡眠、压力和饮食管理)得分相对较低。定性分析揭示了两个主题和五个副主题:对独立生活的包容性支持的需求(环境安全和有限支持下的多样化自我管理挑战)和与DHISM接受相关的多维因素(个人、技术和关系障碍和促进因素)。结论:未来应认真考虑影响老年护理人员DHISMs需求和接受程度的独特和多维因素,以支持他们的自我管理和独立生活。混合护理,包括将老年人友好技术与个性化的人际互动相结合,对于提高这一人群对DHISM的接受度至关重要。
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引用次数: 0
Factors Associated With Habitual Drug Use Among Adolescents: A Secondary Data Analysis 青少年习惯性药物使用的相关因素:一项二手数据分析。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.anr.2024.12.006
Dong-Hee Kim , Yujin Kim

Purpose

Drug use during adolescence can have lasting health consequences, and understanding the factors that contribute to drug use is essential for effective prevention. This study aimed to identify the factors influencing habitual drug use among South Korean adolescents. It employed Bronfenbrenner's ecological model to examine personal, familial, school-related, and social factors.

Methods

The study analyzed data from the 19th Korea Youth Risk Behavior Survey for 41,928 students from 1st grade of middle school to 3rd grade of high school. Data analysis involved cross-tabulation and logistic regression for complex samples.

Results

The prevalence of habitual drug use was 1.4%. Significant personal factors included smoking [adjusted odds ratio (aOR) = 2.61], alcohol consumption (aOR = 1.55), sexual intercourse (aOR = 1.45), smartphone overdependence (high-risk group aOR = 2.04, potential risk group aOR = 1.31), suicidal ideation (aOR = 2.66), depressed mood (aOR = 1.87), and loneliness (aOR = 1.88). Significant family factors included non-cohabitation with family (aOR = 1.86) and both parents being foreign-born (aOR = 3.36). Experience of violence (aOR = 2.95) was also a significant factor.

Conclusion

This study highlights the need for an integrated approach to prevent adolescent drug use by addressing adolescents’ personal behaviors, family dynamics, and school environments. Prevention programs should account for the influence of multiple systems on habitual drug use. School and community nurses should adopt a comprehensive, multi-dimensional strategy that involves families, schools, and communities to prevent adolescent drug use. Additionally, there is a need to develop family-centered and culturally sensitive drug prevention programs for adolescents.
目的:青春期吸毒会对健康产生持久的影响,了解导致吸毒的因素对于有效预防至关重要。本研究旨在找出影响韩国青少年吸毒习惯的因素。它采用布朗芬布伦纳的生态模型来检验个人、家庭、学校和社会因素。方法:本研究对第19次韩国青少年危险行为调查数据进行分析,调查对象为初中一年级至高中三年级41928名学生。数据分析涉及复杂样本的交叉制表和逻辑回归。结果:吸毒习惯患病率为1.4%。显著的个人因素包括吸烟(校正优势比[aOR] = 2.61)、饮酒(aOR = 1.55)、性交(aOR = 1.45)、智能手机过度依赖(aOR = 2.04)、自杀意念(aOR = 2.66)、情绪抑郁(aOR = 1.87)、孤独感(aOR = 1.88)。显著性家庭因素包括未与家人同居(aOR = 1.86)、父母双方均为外国出生(aOR = 3.36)。暴力经历(aOR = 2.95)也是一个重要因素。结论:本研究强调需要通过解决青少年的个人行为、家庭动态和学校环境来综合预防青少年吸毒。预防计划应该考虑到多重系统对习惯性药物使用的影响。学校和社区护士应采取包括家庭、学校和社区在内的全面、多维战略来预防青少年吸毒。此外,有必要为青少年制定以家庭为中心和具有文化敏感性的毒品预防方案。
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引用次数: 0
Factors Associated With Registered Nurses’ Safety Nursing Activities in Nursing Homes 养老院注册护士安全护理活动的相关因素。
IF 2.1 3区 医学 Q2 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.anr.2024.11.003
Jiyeon Lee , Sunyeob Choi

Purpose

A key challenge in quality improvement is ensuring resident safety, especially in nursing homes. However, few studies have comprehensively examined safety nursing activities and explored the possible contributing factors, such as organizational or individual factors, within this context. This study analyzes safety nursing activities in nursing homes and explores the relationship between organizational and individual factors regarding these activities.

Methods

In total, 38 nursing homes and 151 individual registered nurses were surveyed. Data were analyzed using multilevel regression analysis.

Results

Registered nurse–related factors, teamwork, organizational nursing home–related factors, and the ratio of registered nurses to residents were significant factors associated with safety nursing activities.

Conclusions

To increase registered nurses’ safety nursing activities, it is necessary to assess how well the team functions in nursing homes and develop interventions to improve team efficiency, including increasing the number of registered nurses to ensure sufficient time for safety nursing activities.
目的:质量改进的一个关键挑战是确保居民安全,特别是在养老院。然而,很少有研究全面考察了安全护理活动,并探讨了可能的影响因素,如组织或个人因素,在这种情况下。本研究对养老院的安全护理活动进行分析,并探讨这些活动的组织因素与个人因素之间的关系。方法:对38家养老院和151名个体注册护士进行调查。数据采用多水平回归分析。结果:注册护士相关因素、团队合作、组织养老院相关因素、注册护士占住院医师比例是影响安全护理活动的显著因素。结论:为了提高注册护士的安全护理活动,有必要评估团队在养老院的运作情况,并制定提高团队效率的干预措施,包括增加注册护士的数量,以确保有足够的时间进行安全护理活动。
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引用次数: 0
期刊
Asian Nursing Research
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