Florence Nightingale journal of nursing最新文献

Aim: The purpose of this study is to shed light on the sense of self that occurs amongst those who have been diagnosed with the early stages of dementia, where the individual attempts narrowing their world.

Methods: The research was conducted using qualitative induction research methods, and data were collected using semi-structured interview methods. The interviews were conducted between 2017 and 2019. The 15 participants were residents with families in a Japanese city of about 950,000 people.

Results: The diagnosis was Alzheimer's disease in all cases. Of the 15 participants, six were male and nine female. The average age was 69.9 years. The average score on the MMSE was 19.8 points. The average period since the first diagnosis was 2 years. The average interview time was 51 minutes. The narrowing self perceived by these people diagnosed with mild dementia was composed of the "neglected self" and "closed self."

Conclusion: While living in a safe world in which they had given up on their own possibilities and experienced narrowing, they were unable to give up and harbored regret, anger, resentment, and feelings of absurdity. We believe that this study will help us understand the experiences of people in the early stages of dementia and contribute to providing nursing care that is more tailored to the individuals involved.

Aim: This study aims to explore the impact of undergraduate nursing students' clinical practice stress on nursing professional competence.

Methods: The research was performed as a cross-sectional study. From January 2023 to February 2023, a total of 114 nursing students in their first clinical practice at a university in Taiwan were included in the survey. Data collection was conducted using the Clinical Practice Stress Scale and the Nurse Professional Competence Scale. Pearson's correlation analysis was used to analyze the relationship between clinical practice stress and nursing professional competence, and multiple regression analysis was used to explore predictors of nursing professional competence.

Results: The clinical practice stress of nursing students was at a medium level (37.75 ± 12.24), and the nurse professional competence was at a high level (79.34 ± 10.12). Clinical practice stress was negatively correlated with nurse professional competence (r=-.311, p=.001). Clinical practice stress could predict nursing professional competence (F=3.041, p=.013), which explained 12.3% of the total variance (adjusted R2 = .083, p < .001), among which the stress of taking care of patients in clinical practice had the highest β value (β=-.336, p=< .001).

Conclusion: Clinical practice stress can predict nursing professional competence. The stress of taking care of patients in clinical practice is a major predictor of nursing professional competence. Nursing students who experience the stress of clinical practice tend to develop lower nursing professional competence, highlighting the need for effective coping strategies and supportive learning environments for nursing students.

Aim: This study aimed to investigate the efficacy of nurse-led interventions in enhancing breastfeeding women's knowledge and practices and in preventing diarrhea among their infants.

Methods: The study was conducted in rural areas of Haryana, India, and used the survey design and pre-experimental research design in Phase I and Phase II, respectively. Mothers who had recently delivered a baby were identified using the birth register at the panchayat office, and 200 mothers who met the inclusion criteria were chosen using purposive sampling technique. The data were collected by interview approach using the knowledge questionnaire on breastfeeding, observational checklist on practice of breastfeeding, diarrhea assessment tool, and the duration of data collection was between May to August 2022. In Phase I, exclusive and non-exclusive breastfeeding mothers were surveyed regarding the occurrence of diarrhea among infants. In Phase II, non-exclusive breastfeeding mothers' knowledge and practice were assessed, and then nurseled intervention on breastfeeding was administrated and on 30th, 60th, and 90th days, post-test was done.

Results: The study's findings demonstrate that the knowledge and practice scores varied significantly across different tests, from pre-test 1 (6.73 ± 1.94) to post-test 3 (16.19 ± 3.04), (F=294.11, p < .000) for knowledge, and for practice pre-test 1 (23.41 ± 8.90) to post-test 3 (101.81 ± 22.4), (F=535.98, p < .000) in the intervention group. Further, in the intervention group, there was decrease in diarrhea occurrence among various observations (Q=60.609, p < .000).

Conclusion: The nurse-led intervention of breastfeeding is an effective teaching technique to improve the knowledge and practice of mothers, as well as it helps to reduce the occurrence of diarrhea among infants, there by it can contribute to reducing the infant mortality rate.

Aim: This study aimed to determine the prevalence of postpartum depression and the factors that influence postpartum depression in Turkish and Syrian refugee mothers.

Methods: The participants were administered the Personal Information Form and the Edinburgh Postnatal Depression Scale in the 6th week of the postpartum period. While the number of Turkish mothers participating in the study was 66, the number of Syrian mothers was 71. The study was conducted in Çubuk Halil Şıvgın State Hospital in 2022.

Results: The postpartum depression prevalence was found to be 16.7% in Turkish mothers and 0% in Syrian mothers. Turkish mothers' postpartum depression mean score was found to increase due to factors such as being exposed to social violence by the spouse, having had an abortion before, having had a stillbirth before, living in a nuclear family, losing a child before, having an acute social problem in the postpartum period, having full-term delivery, and being primipara. Syrian mothers' postpartum depression mean score (p < .05) was found to increase due to factors such as having had an abortion before, experiencing problems during pregnancy, experiencing an acute social problem in the postpartum period, being primigravida, and losing a child before.

Conclusion: The postpartum depression rate was found to be 2.29 times higher in Turkish mothers compared to Syrian mothers.

Aim: The Family Support Scale is a used scale to assess family support in older people. The purpose of this study was to test the Family Support Scale for older people in Turkish and to examine its validity and reliability.

Methods: This was a methodological study. This study sample enrolled 250 older individuals. The study was conducted between July-December 2022. In data collection, sociodemographic information form and The Family Support scale were used. The inclusion criteria for this study selected participants who were 65 years or older, literate, open to communication, living with at least one family member, and who volunteered to participate in the research. In the study, who developed the original scale, was contacted via e-mail and the necessary permission was obtained for the Turkish validity and reliability of the scale. Language equivalence, content validity, exploratory factor analysis, and confirmatory factor analysis of the scale were performed. Internal consistency and total item score correlation were calculated to ensure validity and reliability.

Results: The scale is compatible in terms of language and content suitability, CVI (Language)= 0.87; CVI (Content)=0.099. In the validity analyzes of the scale; the factor loadings values of the scale were found to be between 0.36 and 0.83, and the explained variance (54.78%) was at a sufficient level according to the EFA results. It was determined that factor loading values for all items were varied between 0.58 and 0.97 and factor load values were statistically significant in CFA (p<.05). It was determined that the fit indices were RMSEA=0.064, GFI=0.99, CFI=0.99, NFI=0.99, x2/df=2.03 at the desired level. In the reliability analysis, it was found that the internal consistency coefficient (α: 0.94) was quite reliable, and the total correlation values of the scale ranged between 0.48 and 0.83.

Conclusion: The cross-cultural adaptation of this scale has been realized successfully in Turkish. Health care providers may utilize this tool to evaluate family support for older people.

Aim: The aim of the study was to assess the lived experience of family caregivers of critically ill patients sustained by healthcare technologies in Benin-City, Nigeria.

Methods: This study employed a hermeneutic phenomenological design. Data were collected through in-depth individual interviews with ten participants, observations, and field notes. The analysis was conducted using Paul Ricoeur's Theory of Interpretation and managed with Nvivo data management software. The study was conducted at the University of Benin Teaching Hospital (UBTH) from August 2022 to December 2023, with a sample size of 10 participants.

Results: The study's findings revealed that the majority (70%) of family caregivers were at least 30 years old, Christian, and had spent a minimum of two weeks in the intensive care unit (ICU). Ninety percent had received post-secondary education. Three themes emerged from their experiences: "Journeying into the unknown," "Technological care is an ecosystem," and "Exhibiting emotional intelligence." In addition to that, the findings also showed that upon learning of their loved one's''' transfer to the ICU, caregivers experienced mixed emotions, including palpable fear of death. This fear was linked to the high costs of management, a tense hospital environment, lack of involvement in care, institutional shortcomings, and diminished motivation due to frequent deaths in the ICU.

Conclusion: Family caregivers must be engaged in formulating and implementing care plans to provide holistic care that meets the needs of both patients and their caregivers. Hospital administrators should take proactive steps to reduce treatment costs, making care more affordable for families. Furthermore, comprehensive programs aimed at addressing the institutional flaws identified in this study must be implemented urgently.

Aim: While the SARS-CoV-2 pandemic and other epidemics continue, individuals with chronic diseases and those over the age of 60 are most affected by the psychological effects. This research is the first and most crucial study comparing the quality of life, physical activities, fear of disease and virus evaluation, and social phobia in chronic patients and healthy individuals, and modeling the classification of social phobia using the machine learning approach.

Methods: The quantitative study used STROBE guidelines for the correlational and cross-sectional design. The research questionnaire was designed in four parts: a personal information form, the Liebowitz Social Phobia Scale, the Fear of Illness and Virus Evaluation Scale, and the Quality of Life Scale (EUROHIS-WHOQOL-8). Different algorithms were examined using the machine learning approach to classify social phobia. More participants were reached than the calculated sample size (n = 1068) using simple random sampling, and the final sample size was 1235.

Results: Patients with chronic diseases had lower physical activity levels and quality of life scores. Patients with chronic diseases (n=728) had higher Fear of Illness and Virus Evaluation Scale-35 scores and Liebowitz Social Phobia Scale-24 scores compared to healthy participants (n=507) and lower physical activity levels (3.901 ± 3.035) and quality of life scores (29.016 ± 4.782). Two algorithms (K-nearest neighbors and support vector machine algorithm) provided the best performance. In support vector machine algorithm, Fear of Illness and Virus Evaluation Scale-35 was the most critical feature in classifying social phobia. Physical activity level and Liebowitz Social Phobia Scale seem to be positively related in k-nearest neighbors.

Conclusion: The model is essential for identifying and understanding social phobia factors in patients with chronic diseases. Support vector machine algorithm is an algorithm that is preferred for identifying patients at risk of fear and will facilitate follow-up when integrated into smartphone applications.

Aim: This study aimed to assess caregiver burden and identify factors associated with caregiver burden among family caregivers of older adults.

Method: This cross-sectional study included 140 older adults and their family caregivers. The study was conducted between February and November 2020 at a hospital in İstanbul. Data were collected using the Zarit Burden Interview (ZBI), Multidimensional Scale of Perceived Social Support (MSPSS), General Health Questionnaire-12 (GHQ-12), and Katz Activities of Daily Living Scale (Katz ADL).

Results: The mean age of the caregivers was 49.20 ± 10.75 years, and 72.9% were female. The mean ZBI score was 30.65 ± 9.31. Katz Activities of Daily Living Scale (β = -.579, p < .001), older adults' age (β = -.462, p < .001), caregiver's gender (β = .250, p < .001), MSPSS (β = -.195, p < .01), whether the caregiver had regular health check-ups (β = -.156, p < .05), and GHQ-12 (β = .147, p < .05) were found to be significant predictors of caregiver burden respectively. These variables explain 56.3% of the total variance for the caregiver burden (R2 = .563, p < .001).

Conclusion: Being a female caregiver and experiencing poor mental health were associated with a higher caregiver burden. Regular health check-ups received by caregivers and good social support were associated with a lower caregiver burden. Older age and higher dependency of older adults were associated with a lower caregiver burden. Based on these findings, there is a need for interventions and social policies aimed at reducing caregiver burden among family caregivers of older adults.

Aim: This study aims to retrospectively evaluate the incidence and stage of oral mucositis in patients undergoing hematopoietic stem cell transplantation.

Methods: A total of 102 patient records of patients hospitalized between 2014 and 2019 in the adult hematopoietic stem cell transplantation clinic of a tertiary university hospital in Turkey were evaluated. Data were collected through a retrospective evaluation of patient records. Records made according to the WHO Oral Toxicity Scale included in the patient records during hospitalization in the adult hematopoietic stem cell transplantation clinic were evaluated. Oral mucositis data from recordings were analyzed at baseline, and on days 5, 10, 15, and 30).

Results: 96.1% (n=98) of 102 patients developed oral mucositis; only 10.7% had Grade 3, and 2.7% had Grade 4. Oral mucositis development time was 8.28 ± 0.32 days, and recovery time was 14.25 ± 0.78 days. It was determined that smoking, diagnosis, transplantation type, and preparatory regimen affected the oral mucositis healing process.

Conclusion: While the incidence of oral mucositis in patients undergoing hematopoietic stem cell transplantation in our study was similar to be similar with the reported findings in the literature, the proportions of Grade 3 and 4 oral mucositis were lower in our study.