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Editorial: Our Nurses. Our Future. 社论:我们的护士。我们的未来。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.1080/10376178.2023.2203868
Rochelle Wynne
The International Council of Nurses (ICN) theme for International Nurses Day, has a focus on looking to the future (International Council of Nurses, 2023). The aim of the Our Nurses. Our Future campaign is to shine a light on nurses, to move nurses from invisible to invaluable in the eyes of policy makers, the public, and those who make decisions affecting healthcare delivery. As we adjust to living with COVID-19 and dealing with the ongoing aftermath of this pandemic (Downey et al., 2023), the nursing workforce is exhausted, somewhat decimated, and grappling as we search for the positives to move forward. The call for a radical re-visioning of nursing has been made by eminent discipline leaders whose breadth and depth of nursing expertise is unparalleled (Anders et al., 2021). The need to heed the lessons of the past, while challenging the status quo to create opportunities for our future is nowmore than ever, incumbent on the next generation of nursing leaders. Future leaders are being educated, mentored at the frontline, or currently participating in change processes that will impact the social, political, cultural and economic context of care provision (Anders et al., 2021). To best support these leaders the Contemporary Nurse team have revised the aims and scope of this journal to ensure we publish research on emerging fronts in health services that are directly relevant to contemporary nursing practice. Our aim is to intensify discipline advancement, professional development, and evidence-based standards for practice by publishing stimulating, informative articles on a range of issues directly relevant to contemporary clinical nursing practice, irrespective of the setting in which that takes place. We welcome contributions focused on clinically relevant, new and novel evidence generation, translation and implementation. We will strive to stimulate the international exchange of ideas for sustainable healthcare delivery, digital health integration, patient participation, safe quality care, and clinical workforce recruitment, retention, education, and training. We cannot move into this new era of nursing without acknowledging our previous Editor in Chief, Professor Louise Hickman. Professor Hickman has been a passionate advocate for nursing and led Contemporary Nurse for almost a decade, during which time she was able to strengthen the standing of this journal as a reputable avenue for scholarly discourse. Like many others, I have been fortunate to have been mentored by Professor Hickman as a peer reviewer, then more recently an Editor. The Contemporary Nurse Board in turn, have provided guidance and direction for the journal, and in this next phase of growth we are privileged to have the continued support of several exemplary nursing leaders on the Editorial Board. As the new Editor in Chief, I look forward to being guided by these leaders who continue to be instrumental in determining our professional future. We are committed to growing a di
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引用次数: 0
An online questionnaire exploring how recruiting organisations support international nurses and midwives undertake the OSCE and gain UK professional registration. 一份在线调查问卷,探讨招聘组织如何支持国际护士和助产士参加欧安组织并获得英国专业注册。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.1080/10376178.2023.2166549
Samuel Bond, Barry Ricketts, Helen Walthall, Clair Merriman

Background: There is an active strategy to recruit international nurses and midwives to help manage vacancy gaps in the United Kingdom's healthcare system. However, there is little evidence detailing how recruiting organisations prepare new recruits for the Objective Structured Clinical Exam (OSCE) they are required to pass.Aims and objectives: To gather and analyse feedback from recruiting organisations on the preparation offered to international nurses and midwives on arrival in the United Kingdom, prior to undertaking an OSCE in order to gain Nursing and Midwifery Council professional registration.Design and methods: An online cross-sectional questionnaire. The data was analysed using thematic analysis.Results: Four main themes were generated from thematic analysis of the qualitative data: SAME IDEAS DIFFERENT PRACTICE; PASSING THE OSCE; INDIVIDUALISED SUPPORT; SUPPORT NETWORKS.Conclusion: Differences in how organisations prepare and support international nurses and midwives to undertake the OSCE suggest standardised approaches could benefit new recruits.Impact statement: Addressing an evidence gap, this research suggests recruits may benefit from standardised support around working and living in the UK.

背景:有一个积极的战略,以招募国际护士和助产士,以帮助管理空缺缺口在英国的医疗保健系统。然而,很少有证据详细说明招聘组织如何为新员工准备他们必须通过的客观结构化临床考试(OSCE)。目的和目标:收集和分析招聘组织对国际护士和助产士抵达英国的准备工作的反馈,在进行欧安组织之前,以获得护理和助产委员会的专业注册。设计与方法:一份在线横断面问卷。数据采用专题分析进行分析。结果:通过对定性数据的专题分析,得出了四个主题:相同的观念不同的实践;传递osce;个性化的支持;支持网络。结论:组织如何准备和支持国际护士和助产士承担欧安组织的差异表明,标准化的方法可以使新招募人员受益。影响陈述:解决证据差距,这项研究表明,新兵可能会从在英国工作和生活的标准化支持中受益。
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引用次数: 0
The top 100 cited Nurse Practitioner publications: a bibliometric analysis. 前100名被引用的护士从业出版物:文献计量分析。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2023-02-01 DOI: 10.1080/10376178.2023.2166861
Natasha Jennings, Kathleen Tori

Background: Development of the Nurse practitioner role and the specialisation of practice is an increasing focus in healthcare. To date, a bibliometric evaluation of scholarly work referring to Nurse Practitioners, has not been located in the published literature.

Objective: With the aim of identifying the top 100 cited articles in the Nurse Practitioner domain, the Scopus™ database was searched for Nurse Practitioner studies during 2007-2021. Using bibliometric analysis we identified prolific authors; annual trend; citation rates; countries of origin; and study design.

Results: There were 1768 papers identified across 360 peer reviewed journals in 33 countries.

Conclusions: Finding from this analysis provides evidence of an evolving research area of inquiry which contributes to knowledge of the Nurse Practitioner role and scope of practice.

背景:护士执业角色的发展和实践的专业化是医疗保健日益关注的焦点。迄今为止,文献计量学评估的学术工作涉及护士从业人员,尚未在已发表的文献定位。目的:为了确定护士执业领域前100篇被引用的文章,我们在Scopus™数据库中检索了2007-2021年期间的护士执业研究。通过文献计量学分析,我们确定了高产作者;年度趋势;引用率;原产国;还有研究设计。结果:在33个国家的360个同行评议期刊中发现了1768篇论文。结论:从这一分析的发现提供了一个不断发展的调查研究领域的证据,这有助于了解护士执业者的角色和实践范围。
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引用次数: 0
Instruments used in graduating nursing students' exit exams: an integrative review. 护理专业毕业生毕业考试中使用的工具:综合回顾。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2022-10-01 DOI: 10.1080/10376178.2022.2085593
Kristiina Rosqvist, Jaana-Maija Koivisto, Jonna Vierula, Elina Haavisto

Impact statement: This review provides a comprehensive analysis of undergraduate nursing students' exit examinations and indicates that more clinical evaluation methods should be developed to ensure adequate competence.

影响陈述:本综述对护理本科学生的毕业考试进行了全面分析,并指出应制定更多的临床评估方法以确保足够的能力。
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引用次数: 0
Clinical validation of the nursing diagnosis decreased diversional activity engagement in patients with diabetes. 护理诊断的临床验证降低了糖尿病患者的转移活动参与。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2022-10-01 DOI: 10.1080/10376178.2023.2165956
Eliana Brugin Serra, Isaura Leticia T P Rolim, Lívia M Pascoal, Geysa S G Lopes, Marcos Venícios O Lopes

Background: Diagnostic accuracy studies are important to identify the best set of defining characteristics for a given nursing diagnosis. The reliability of nursing inferences can be increased by using clinical indicators with high prediction capacity helping nurses to be more accurate in their clinical practice.

Objective: To clinically validate the nursing diagnosis Decreased diversional activity engagement in adult patients with diabetes.

Method: A diagnostic accuracy study with a cross-sectional design was carried out patients with type 2 diabetes. A latent class model with random effects was used to measure the sensitivity and specificity.

Results: The diagnosis of Decreased diversional activity engagement was present in 62.2% of the patients. The defining characteristics with high sensitivity (good indicators for confirmation) were discontent with situation, physical deconditioning, and altertion in mood. Boredom, flat affect, discontent with situation, and frequent naps were the defining characteristics with the highest specificity values. These factors are considered good integrating components of the diagnosis under investigation in patients with diabetes.

Conclusion: The nursing diagnosis decreased diversional activity engagement is frequent in patients with diabetes, and discontent with situation can be considered a good predictor of its occurrence due to its high values of specificity and sensitivity.

Impact: The use of accurate clinical indicators in the diagnostic reasoning of nurses contributes to the achievement of outcomes centered on the patient's human responses.

背景:诊断准确性研究对于确定给定护理诊断的最佳定义特征集非常重要。采用具有较高预测能力的临床指标,可以提高护理推断的可靠性,帮助护士在临床实践中更加准确。目的:临床验证成人糖尿病患者转移活动参与度降低的护理诊断。方法:采用横断面设计对2型糖尿病患者进行诊断准确性研究。采用随机效应的潜类模型来衡量敏感性和特异性。结果:62.2%的患者诊断为转移活动参与减少。具有高敏感性的定义特征(良好的确认指标)是对处境的不满、身体状况的改善和情绪的改变。无聊、平淡情绪、对情境不满和频繁小睡是具有最高特异性值的定义特征。这些因素被认为是糖尿病患者诊断的良好综合组成部分。结论:糖尿病患者易出现转移活动参与度下降的护理诊断,对现状不满具有较高的特异性和敏感性,可作为其发生的良好预测指标。影响:在护士的诊断推理中使用准确的临床指标有助于实现以患者的人类反应为中心的结果。
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引用次数: 0
Public perceptions on Twitter of nurses during the COVID-19 pandemic. COVID-19大流行期间公众在Twitter上对护士的看法。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2022-10-01 DOI: 10.1080/10376178.2022.2147850
Umit Tokac, Petra Brysiewicz, Jennifer Chipps

Background: The use of social media platforms to convey public opinions and attitudes has exponentially increased over the last decade on topics related to health. In all these social media postings related to the pandemic, specific attention has been focused on healthcare professionals, specifically nurses.

Objective: This study aimed to explore how the keyword 'nurse' is located in COVID-19 pandemic-related tweets during a selected period of the pandemic in order to assess public perception.

Methods: Tweets related to COVID-19 were downloaded from Twitter for the period January 1st, 2020, to November 11th, 2021. Sentiment analysis was used to identify opinions, emotions, and approaches expressed in tweet which included 'nurse', 'COVID-19', and 'pandemic' as either keyword or hashtags.

Results: A total of 2,440,696 most used unique words in the downloaded 582,399 tweets were included and the sentiment analysis indicated that 24.4% (n = 595,530) of the tweets demonstrated positive sentiment while 14.1% (n = 343,433) of the tweets demonstrated negative sentiment during COVID-19. Within these results, 17% (n = 416,366) of the tweets included positive basic emotion words of trust and 4.9% (n = 120,654) of joy. In terms of negative basic emotion words, 9.9% (n = 241,758) of the tweets included the word fear, 8.3% (n = 202,179) anticipation, 7.9% (n = 193,145) sadness, 5.7% (n = 139,791) anger, 4.2% (n = 103,936) disgust, and 3.6% (n = 88,338) of the tweets included the word surprised.

Conclusions: It is encouraging to note that with the advent of major health crises, public perceptions on social media, appears to portray an image of nurses which reflects the professionalism and values of the profession.

背景:在过去十年中,利用社交媒体平台传达与健康相关主题的公众意见和态度呈指数级增长。在所有这些与大流行有关的社交媒体帖子中,都特别关注卫生保健专业人员,特别是护士。目的:本研究旨在探索在大流行的特定时期,“护士”一词如何在与COVID-19大流行相关的推文中出现,以评估公众的看法。方法:从Twitter上下载2020年1月1日至2021年11月11日期间与COVID-19相关的推文。情绪分析用于识别推文中表达的观点、情绪和方法,其中包括“护士”、“COVID-19”和“大流行”作为关键词或标签。结果:在下载的582399条推文中,共收录了2440696个最常用的独特词汇,情绪分析显示,24.4% (n = 595,530)的推文在COVID-19期间表现出积极情绪,14.1% (n = 343,433)的推文表现出消极情绪。在这些结果中,17% (n = 416,366)的推文包含积极的信任基本情感词汇,4.9% (n = 120,654)包含快乐。在消极基本情绪词汇方面,9.9% (n = 241,758)的推文包含了“恐惧”一词,8.3% (n = 202,179)的推文包含了“期待”一词,7.9% (n = 193,145)的推文包含了“悲伤”一词,5.7% (n = 139,791)的推文包含了“愤怒”一词,4.2% (n = 103,936)的推文包含了“厌恶”一词,3.6% (n = 88,338)的推文包含了“惊讶”一词。结论:令人鼓舞的是,随着重大卫生危机的出现,公众在社交媒体上的看法似乎描绘了护士的形象,反映了该职业的专业精神和价值观。
{"title":"Public perceptions on Twitter of nurses during the COVID-19 pandemic.","authors":"Umit Tokac,&nbsp;Petra Brysiewicz,&nbsp;Jennifer Chipps","doi":"10.1080/10376178.2022.2147850","DOIUrl":"https://doi.org/10.1080/10376178.2022.2147850","url":null,"abstract":"<p><strong>Background: </strong>The use of social media platforms to convey public opinions and attitudes has exponentially increased over the last decade on topics related to health. In all these social media postings related to the pandemic, specific attention has been focused on healthcare professionals, specifically nurses.</p><p><strong>Objective: </strong>This study aimed to explore how the keyword 'nurse' is located in COVID-19 pandemic-related tweets during a selected period of the pandemic in order to assess public perception.</p><p><strong>Methods: </strong>Tweets related to COVID-19 were downloaded from Twitter for the period January 1st, 2020, to November 11th, 2021. Sentiment analysis was used to identify opinions, emotions, and approaches expressed in tweet which included 'nurse', 'COVID-19', and 'pandemic' as either keyword or hashtags.</p><p><strong>Results: </strong>A total of 2,440,696 most used unique words in the downloaded 582,399 tweets were included and the sentiment analysis indicated that 24.4% (<i>n</i> = 595,530) of the tweets demonstrated positive sentiment while 14.1% (<i>n</i> = 343,433) of the tweets demonstrated negative sentiment during COVID-19. Within these results, 17% (<i>n</i> = 416,366) of the tweets included positive basic emotion words of trust and 4.9% (<i>n</i> = 120,654) of joy. In terms of negative basic emotion words, 9.9% (<i>n</i> = 241,758) of the tweets included the word fear, 8.3% (<i>n</i> = 202,179) anticipation, 7.9% (<i>n</i> = 193,145) sadness, 5.7% (<i>n</i> = 139,791) anger, 4.2% (<i>n</i> = 103,936) disgust, and 3.6% (<i>n</i> = 88,338) of the tweets included the word surprised.</p><p><strong>Conclusions: </strong>It is encouraging to note that with the advent of major health crises, public perceptions on social media, appears to portray an image of nurses which reflects the professionalism and values of the profession.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"58 5-6","pages":"414-423"},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 4
Translation and validation of the Work-Related Quality of Life Scale (WRQoLS-2) in a nursing cohort. 护理队列中工作相关生活质量量表(WRQoLS-2)的翻译与验证。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2022-10-01 DOI: 10.1080/10376178.2022.2147849
Ping Li, Yutao Wang, Min Zhang

Objectives: The purpose of this study was to translate the Work-Related Quality of Life Scale (WRQoLS-2) into Chinese and validate the capacity of the tool to effectively measure this concept in a cohort of nursing professionals from mainland China.

Methods: The Chinese version of the WRQoLS-2 (WRQoLS-2C) was developed using forward and backward language translation. In total, 639 nurses were invited to complete the WRQoLS-2C. Two weeks later, 79 (12.4%) nurses were retested. Construct validity was analysed using exploratory and confirmatory factor analysis (EFA, CFA). Cronbach's α and the intraclass correlation coefficient (ICC) were used to assess internal consistency, reliability and test-retest reliability. Correlation between the WRQoLS-2C and the Quality of Nursing Work Life scale (QNWL) total score was used to assess criterion-relation validity.

Results: A seven-factor structure was revealed and confirmed using EFA (explaining 70.3% of the variance) and CFA (χ2 = 680.39, df = 413, χ2/df = 1.65, p < 0.001). The goodness-of-fit index was 0.88, and adjusted goodness-of-fit index 0.86 indicating a reliable model. The internal consistency (Cronbach's α = 0.94) and test-retest reliability (ICC = 0.84) of the WRQoLS-2C were high. The correlation coefficient between the WRQoLS-2C and QNWL total scores was 0.79 (p < 0.01).

Conclusion: The WRQoLS-2C was a reliable and valid instrument that can be used to assess WRQoL in the mainland China nursing profession.

Impact statement: There are few options available to assess work related quality of life in Chinese language. This study has confirmed that the WRQoLs-2C is an effective instrument to measure this concept in nurses from mainland China.

Plain language summary (pls): Work related quality of life is an important predictor of workplace turnover intension. Managers can take measures to improve work related quality of life and reduce employee attrition. There are very few tools to measure work related quality of life and fewer in Chinese language. We translated the WRQoLS-2 into Chinese according to Brislin's translation model, following cross-cultural adaption guidelines, and verified its reliability and validity in a cohort of mainland Chinese nurses. The translated instrument has good reliability and validity in nurses, but has not yet been verified in other occupational groups.

目的:本研究的目的是将工作相关生活质量量表(WRQoLS-2)翻译成中文,并验证该工具在中国大陆护理专业人员队列中有效测量这一概念的能力。方法:采用前向翻译和后向翻译的方法编制WRQoLS-2 (WRQoLS-2C)中文版。共邀请639名护士完成WRQoLS-2C。2周后复查79名(12.4%)护士。采用探索性因子分析和验证性因子分析(EFA, CFA)分析结构效度。采用Cronbach’s α和类内相关系数(intraclass correlation coefficient, ICC)评估内部一致性、信度和重测信度。采用WRQoLS-2C与护理工作生活质量量表(QNWL)总分的相关性评价标准关系效度。结果:EFA(解释70.3%的方差)和CFA (χ2 = 680.39, df = 413, χ2/df = 1.65, p p)证实了WRQoLS-2C是一种可靠、有效的评估中国大陆护理行业WRQoL的工具。影响陈述:用中文评估工作相关生活质量的选项很少。本研究证实了WRQoLs-2C是衡量中国大陆护士这种观念的有效工具。简单的语言总结(pls):工作相关生活质量是工作场所离职强度的重要预测因子。管理者可以采取措施提高与工作相关的生活质量,减少员工流失。衡量与工作相关的生活质量的工具很少,中文的工具更少。我们根据Brislin的翻译模型,遵循跨文化适应准则,将WRQoLS-2翻译成中文,并在中国大陆护士队列中验证其信度和效度。翻译后的量表在护士群体中具有良好的信度和效度,但在其他职业群体中尚未得到验证。
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引用次数: 2
Strategies to encourage participation in debrief sessions with nursing students for whom English is an additional language: A qualitative study. 鼓励英语为附加语言的护理学生参加汇报会议的策略:一项定性研究。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2022-10-01 DOI: 10.1080/10376178.2022.2123839
Caroline Havery

Background: End-of-day debriefs are reported to offer students opportunities to reflect and consolidate learning. However, there is little evidence about how clinical facilitators encourage student participation that leads to refection and learning, particularly in debrief sessions with linguistically diverse students.

Aim: This research investigated how the pedagogic practices of clinical facilitators enabled or constrained student participation during debrief.

Design: This study used an ethnographic approach combined with linguistic analysis of audio recordings of debrief in two metropolitan hospitals in Australia.

Results: The study found that several key factors contributed to student participation during debrief. Factors included: establishing a space that offered visual and aural privacy; using strategies that encouraged student talk; and adopting roles of expert teacher, facilitator, clinical expert, and therapeutic agent.

Conclusion: Conducting debrief in appropriate settings and adopting strategies and roles that encourage student talk can lead to opportunities for students to reflect on their day, and for facilitators to make judgements about students' knowledge.

Impact: Facilitators can enable student participation by using spaces that offer physical and aural privacy for debrief, focusing on knowledge within students' scope of practice, and using communication strategies that encourage talk.

背景:据报道,每天结束的汇报为学生提供了反思和巩固学习的机会。然而,很少有证据表明临床辅导员如何鼓励学生参与,从而导致反思和学习,特别是在与不同语言的学生进行汇报时。目的:本研究探讨临床辅导员的教学实践如何促进或限制学生在述职时的参与。设计:本研究采用人种学方法结合语言分析,对澳大利亚两家大城市医院的汇报录音进行分析。结果:研究发现了几个影响学生参与述职的关键因素。因素包括:建立一个提供视觉和听觉隐私的空间;使用鼓励学生交谈的策略;扮演专家教师、引导者、临床专家、治疗剂等角色。结论:在适当的环境下进行汇报,采用鼓励学生发言的策略和角色,可以给学生带来反思一天的机会,也可以让辅导员对学生的知识做出判断。影响:辅导员可以通过使用提供物理和听觉隐私的空间来进行汇报,关注学生实践范围内的知识,以及使用鼓励交谈的沟通策略来促进学生的参与。
{"title":"Strategies to encourage participation in debrief sessions with nursing students for whom English is an additional language: A qualitative study.","authors":"Caroline Havery","doi":"10.1080/10376178.2022.2123839","DOIUrl":"https://doi.org/10.1080/10376178.2022.2123839","url":null,"abstract":"<p><strong>Background: </strong>End-of-day debriefs are reported to offer students opportunities to reflect and consolidate learning. However, there is little evidence about how clinical facilitators encourage student participation that leads to refection and learning, particularly in debrief sessions with linguistically diverse students.</p><p><strong>Aim: </strong>This research investigated how the pedagogic practices of clinical facilitators enabled or constrained student participation during debrief.</p><p><strong>Design: </strong>This study used an ethnographic approach combined with linguistic analysis of audio recordings of debrief in two metropolitan hospitals in Australia.</p><p><strong>Results: </strong>The study found that several key factors contributed to student participation during debrief. Factors included: establishing a space that offered visual and aural privacy; using strategies that encouraged student talk; and adopting roles of expert teacher, facilitator, clinical expert, and therapeutic agent.</p><p><strong>Conclusion: </strong>Conducting debrief in appropriate settings and adopting strategies and roles that encourage student talk can lead to opportunities for students to reflect on their day, and for facilitators to make judgements about students' knowledge.</p><p><strong>Impact: </strong>Facilitators can enable student participation by using spaces that offer physical and aural privacy for debrief, focusing on knowledge within students' scope of practice, and using communication strategies that encourage talk.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"58 5-6","pages":"460-472"},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10751046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Oncology nurse perceptions about life expectancy discussions: a cross-sectional study exploring what patients want to know, and why doctors don't disclose. 肿瘤科护士对预期寿命讨论的看法:一项探讨病人想知道什么以及医生为什么不透露的横断面研究。
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2022-10-01 DOI: 10.1080/10376178.2022.2147848
Jamie Bryant, Breanne Hobden, Amy Waller, Rob Sanson-Fisher, Jan Shepherd

Background: Sensitive and patient-centred discussion about life expectancy has clear benefits for patients with advanced cancer and their families. The perceptions of oncology nurses about disclosure of life expectancy, and the barriers to disclosure, have rarely been explored. Objectives/Aims/Hypotheses: To examine oncology nurses' perceptions of the: (1) proportion of patients with advanced cancer who want, receive and understand estimates of life expectancy; (2) reasons why doctors may not provide estimates of life expectancy. Design: Cross-sectional survey. Methods: Australian oncology nurses who were members of a professional society or worked at a participating metropolitan cancer centre were emailed a link to an anonymous online survey. Participants provided socio-demographic characteristics and their perceptions about the proportion of patients with advanced cancer who (a) want, (b) are provided with, (c) receive and (d) understand estimates of life expectancy, as well as the reasons estimates of life expectancy may not be provided. Results: A total of 104 nurses participated. While 51% of nurses perceived that most patients (>75%) want to be provided with an estimate of their life expectancy, 63% of nurses reported that <50% of patients were provided with an estimate. Further, 85% of nurses indicated that <50% of patients understand the estimate. The most frequent reason nurses perceived doctors did not provide an estimate of life expectancy was because the doctor didn't have an accurate idea of life expectancy (80.8%). Almost one-fifth of nurses (18.3%) thought that doctors did not provide estimates because they felt it was not their responsibility to do so. Conclusions: Strategies to ensure a patient-centred approach to life expectancy discussions with patients with advanced cancer are urgently needed. Impact statement: Oncology nurses perceive that many patients with advanced cancer are not provided with an accurate estimate of their life expectancy and few understand the information provided to them.

背景:对预期寿命进行敏感且以患者为中心的讨论对晚期癌症患者及其家属有明显的益处。肿瘤护士对预期寿命披露的看法,以及披露的障碍,很少被探索。目的/目的/假设:探讨肿瘤科护士对以下方面的认知:(1)希望、接受和理解预期寿命估算的晚期癌症患者比例;(2)医生不提供预期寿命估计值的原因。设计:横断面调查。方法:澳大利亚肿瘤学护士是专业协会的成员或在参与的大都市癌症中心工作,通过电子邮件发送一个匿名在线调查的链接。参与者提供了社会人口学特征和他们对(a)想要、(b)得到、(c)接受和(d)理解预期寿命估计的晚期癌症患者比例的看法,以及可能不提供预期寿命估计的原因。结果:共104名护士参与。虽然51%的护士认为大多数患者(>75%)希望获得对其预期寿命的估计,但63%的护士报告说:结论:迫切需要确保以患者为中心的策略来与晚期癌症患者讨论预期寿命。影响陈述:肿瘤科护士认为,许多晚期癌症患者没有得到对其预期寿命的准确估计,很少有人理解提供给他们的信息。
{"title":"Oncology nurse perceptions about life expectancy discussions: a cross-sectional study exploring what patients want to know, and why doctors don't disclose.","authors":"Jamie Bryant,&nbsp;Breanne Hobden,&nbsp;Amy Waller,&nbsp;Rob Sanson-Fisher,&nbsp;Jan Shepherd","doi":"10.1080/10376178.2022.2147848","DOIUrl":"https://doi.org/10.1080/10376178.2022.2147848","url":null,"abstract":"<p><p><i>Background</i>: Sensitive and patient-centred discussion about life expectancy has clear benefits for patients with advanced cancer and their families. The perceptions of oncology nurses about disclosure of life expectancy, and the barriers to disclosure, have rarely been explored. <i>Objectives/Aims/Hypotheses</i>: To examine oncology nurses' perceptions of the: (1) proportion of patients with advanced cancer who want, receive and understand estimates of life expectancy; (2) reasons why doctors may not provide estimates of life expectancy. <i>Design</i>: Cross-sectional survey. <i>Methods</i>: Australian oncology nurses who were members of a professional society or worked at a participating metropolitan cancer centre were emailed a link to an anonymous online survey. Participants provided socio-demographic characteristics and their perceptions about the proportion of patients with advanced cancer who (a) want, (b) are provided with, (c) receive and (d) understand estimates of life expectancy, as well as the reasons estimates of life expectancy may not be provided. <i>Results</i>: A total of 104 nurses participated. While 51% of nurses perceived that most patients (>75%) want to be provided with an estimate of their life expectancy, 63% of nurses reported that <50% of patients were provided with an estimate. Further, 85% of nurses indicated that <50% of patients understand the estimate. The most frequent reason nurses perceived doctors did not provide an estimate of life expectancy was because the doctor didn't have an accurate idea of life expectancy (80.8%). Almost one-fifth of nurses (18.3%) thought that doctors did not provide estimates because they felt it was not their responsibility to do so. <i>Conclusions</i>: Strategies to ensure a patient-centred approach to life expectancy discussions with patients with advanced cancer are urgently needed. <i>Impact statement</i>: Oncology nurses perceive that many patients with advanced cancer are not provided with an accurate estimate of their life expectancy and few understand the information provided to them.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":"58 5-6","pages":"424-434"},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10754905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Exploration of health and health behaviours of undergraduate nursing students: a multi-methods study in two countries. 两国护生健康与健康行为的多方法研究
IF 1.6 4区 医学 Q3 NURSING Pub Date : 2022-10-01 DOI: 10.1080/10376178.2022.2085128
Dawn M Cameron, Francesca Muratore, Marion Tower, Claire E Eades, Josie M M Evans

Background: Nurses play a vital role in health promotion, and there may be a link between a nurse's own lifestyle practices and how they educate others. Supporting health and well-being in student nurses is critical given they will be educating others once registered and practicing.

Objectives: To explore the health and health behaviours of undergraduate nursing and midwifery students considering the demands of their profession, their public health role and their ability to be role models.

Design: Multi-methods study.

Methods: Undergraduate nursing students in the second and third years of their programme were invited to self-complete a health and health behaviour questionnaire in a Scottish and Australian Higher Education Institution. Qualitative data were collected from a convenience sample of 20 third-year nursing and midwifery students.

Results: Two hundred and thirty-five Scottish students and 113 Australian students, 175 (85%) and 84 (74%), respectively, completed the questionnaire. Some differences and similarities were noted across groups, in particular, perceived physical health, the prevalence of binge drinking, smoking and being overweight/obese and some dietary measures were found to be less favourable among Scottish students. There were worryingly high levels of poor mental well-being at both higher education institutions, with scores on a mental well-being scale suggesting that (82) 34.7% of Scottish students and 33 (29.6%) of Australian students were at risk of depression. Nine Scottish students and 11 Australian students were interviewed. Key contributors and barriers to healthy behaviours were noted across both groups of students in relation to lifestyle. Students perceived that certain elements of their curriculum had implications on their ability or motivation to make healthy lifestyle choices.

Conclusion: The poor health and health behaviours of future nurses need to be addressed in their higher education to shape resilient role models for future nursing practice.

Impact statement: Priority should be given to supportive learning environments for student nurses that foster emotional support and encourage healthy lifestyles.

背景:护士在促进健康方面发挥着至关重要的作用,护士自己的生活方式实践与他们如何教育他人之间可能存在联系。支持学生护士的健康和福祉至关重要,因为一旦注册和执业,他们将教育其他人。目的:探讨护理助产学本科学生在专业需求、公共卫生角色和榜样能力方面的健康与健康行为。设计:多方法研究。方法:在苏格兰和澳大利亚的一所高等教育机构,邀请二年级和三年级的本科护理学生自行完成一份健康和健康行为问卷。定性数据收集自20名护理和助产学三年级学生的方便样本。结果:苏格兰学生235人,澳大利亚学生113人,分别175人(85%)和84人(74%)完成了问卷调查。注意到各群体之间的一些差异和相似之处,特别是在感知的身体健康、酗酒、吸烟和超重/肥胖的普遍程度以及一些饮食措施方面,发现苏格兰学生不太有利。在这两所高等教育机构中,令人担忧的是,心理健康状况不佳的程度很高,心理健康量表的得分表明,34.7%的苏格兰学生和29.6%的澳大利亚学生有抑郁的风险。9名苏格兰学生和11名澳大利亚学生接受了采访。在两组学生中都指出了与生活方式有关的健康行为的主要影响因素和障碍。学生们认为,课程的某些内容对他们选择健康生活方式的能力或动机有影响。结论:未来护士的健康状况和健康行为需要在其高等教育中得到解决,以塑造未来护理实践的弹性角色榜样。影响说明:应优先考虑为学生护士提供支持性学习环境,培养情感支持和鼓励健康的生活方式。
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Contemporary Nurse
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