Florence Nightingale journal of nursing最新文献

AIM: The aim of the study was to conduct a validity and reliability study of the Health Behavior Scale for Cancer Patients and to adapt the scale to the Turkish language and culture. METHODS: The research is a methodological study. The sample consisted of a total of 440 cancer patients who came to the outpatient chemotherapy unit and oncology outpatient clinic of a university hospital and followed the social media accounts of a cancer-related association. Patients aged 18 and over and with at least a primary school education were included in the study. Data were collected between January and December 2022 with the Descriptive Characteristics Form and The Health Behavior Scale for Cancer Patients. For the validity analysis, language equivalence, content validity, exploratory and confirmatory factor analyses were performed. For the reliability, internal consistency, item-total score correlation, and test-retest were performed. RESULTS: According to the exploratory factor analysis, a two-factor structure was obtained and confirmed by confirmatory factor analysis. According to the factor loadings (0.60-0.87), total variance explained (61.575), and fit indices, the construct validity of the scale was found to be sufficient. In the reliability analyses, Cronbach's α internal consistency coefficient (0.85) was found to be highly reliable. It was determined that there was a very strong relationship between the pre-test and the post-test (r = 0.87, p < .001). CONCLUSION: The Health Behavior Scale for Cancer Patients has been revealed to be a valid and reliable measurement tool suitable for Turkish culture. Using this scale, cancer patients' adherence to medical health services and individual protective health behaviors can be determined.

The high rate of stroke disability necessitates extensive care during transitions between hospitals and homes. While many transitional care interventions have emerged, no explicit evidence illustrates the details of those combining or integrating eHealth. The aim of this scoping review was to comprehensively map the literature on eHealth technologies within transitional care interventions for stroke survivors and their caregivers. Studies were included if they focused on transitional care interventions that combined or integrated eHealth technologies for adult and elderly survivors of post-hyperacute stroke, as well as for caregivers aged 18 years and older. A systematic search was conducted from inception to August 2024 across eleven electronic databases, including PubMed, Embase, CINAHL, MEDLINE, Cochrane Central Register of Control Trials, Web of Science, APA PsychInfo, SCOPUS, MedNar, ProQuest Dissertations and Theses Global, and Google Scholar, with a focus on quantitative studies. Data were extracted using customized forms, categorizing study characteristics. Basic descriptive qualitative content analysis was employed for coding and classifying interventions, with results presented in a diagram, narrative summaries, and tables. Results from 4032 identified records yielded 42 eligible studies. Transitional care's components included health education and psychoeducation, skill training, exercises for physical rehabilitation, psychological or resource support, and follow-up care. eHealth technologies were categorized into six types, with eleven specific features. Outcomes were classified into six domains for stroke survivors and five for caregivers. These findings can inform the key components of a transitional care intervention incorporating suitable eHealth technology for stroke survivors and their caregivers, delivered by a multidisciplinary team.

AIM: To investigate team collaboration experiences of the nurses and physicians working in inpatient psychiatry units related to physical restraint practices in Türkiye. METHODS: The present study was conducted in the Adult Psychiatry Inpatient Unit of a university hospital in a province in western Türkiye between May 2022 and January 2023. The study data were collected through 11 individual, face-to-face, semi-structured interviews. The present study has a descriptive qualitative research design. In the analysis of the data obtained from the interviews, the content analysis method was used. RESULTS: Nurses stated that they play a central role in patient observation and initial intervention during escalating behavior. The formal decision to apply physical restraint was legally attributed to physicians. Participants described the physical restraint process as emotionally and physically distressing, emphasizing that clinical experience, clear communication, and teamwork were essential facilitators, while staff shortages and the presence of uninformed patient relatives posed significant barriers. In the study, the following five main themes emerged: "being a part of the process but not taking part in it, staying a step away from it," "another side of psychiatry-an unpleasant practice," "facilitators," "barriers," and "recommendations." CONCLUSION: There are uncertainties in the decision-making and implementation processes of physical restraint. These research results affect patient safety in psychiatric inpatient units providing mental health services.

AIM: This study investigated the association between physical activity and stroke recurrence. METHODS: This is a descriptive cross-sectional study. Convenience sampling was used to collect data on 75 stroke survivors. The inclusion criteria were patients with stroke recurrence. The sample size was determined using G*Power software with an effect size of 0.35, p-value of .05, power of 80%, and attrition rate of 20%. Data were collected using a sociodemographic questionnaire and International Physical Activity Questionnaire short-form (IPAQ-SF), then categorized into mild, moderate, and vigorous physical activity. Data were analyzed using Spearman's rho correlation test. RESULTS: This result showed that 84% of participants had ischemic stroke, had mild physical activity (46.7%), and experienced first stroke recurrence (92%). There is a significant association between physical activity and stroke recurrence (p = .02, r = -0.26), which means that higher physical activity will decrease stroke recurrence. CONCLUSION: Lack of physical activity is associated with stroke recurrence. Physical activity plays a critical role in secondary prevention for stroke survivors by improving cardiovascular health and reducing the chance of stroke recurrence. Thus, nurses and health professionals should motivate stroke survivors to perform regular physical activity and ensure safety and effectiveness in promoting recovery and overall health for post-stroke patients.

AIM: The study aimed to validate and assess the reliability of the Ventilator-Associated Pneumonia Preventive Behavior Measurement Tool in a Turkish sample. METHODS: This cross-sectional, methodological study included 273 intensive care nurses between December 2022 and February 2023. Confirmatory and exploratory factor analyses, as well as reliability analyses, were conducted using SPSS 26 and AMOS 24. Descriptive information and the Ventilator- Associated Pneumonia Preventive Behavior Measurement Tool were used to measure validity and reliability. RESULTS: Exploratory factor analysis reduced the 17-item scale to 12 items. The Kaiser-Meyer-Olkin value was 0.757, and Bartlett's test of sphericity was significant (χ2= 445.2, p < .001), indicating good construct validity for measuring ventilator-associated pneumonia prevention behaviors. The cronbach alpha of the scale was obtained as 0.745. CONCLUSION: The Ventilator-Associated Pneumonia Preventive Behavior Measurement Tool is a valid and reliable instrument for the Turkish sample.

AIM: The purpose of this study is to explore the relationships among demoralization, patient dignity, and quality of life of inpatients with cancer and to identify the predictors and mediators of patient dignity. METHOD: This cross-sectional study involved a sample of 460 patients with cancer. The research instruments were the Patient Dignity Inventory, the Demoralization Scale-Mandarin Version, and the 30-item Quality of Life Questionnaire of the European Organisation for Research and Treatment of Cancer. RESULTS: Positive correlations were found between demoralization and patient dignity (r=.76, p < .001),but negative correlations were found between demoralization and quality of life (r=-.42, p < .001) andbetween patient dignity and quality of life (r=-.46, p < .001). Patient dignity mediated the relationshipbetween demoralization and quality of life (β= .2599, p < .001). CONCLUSION: These findings confirm that patient dignity mediates the relationship between demoralization and quality of life. They may be used to facilitate patient dignity and reduce demoralization in healthcare settings.

Aim: This study aims to explore the prevalence of smartphone addiction among nursing students and its correlation with their levels of insomnia, loneliness, and self-esteem.

Methods: In this correlational study, 515 consenting undergraduate nursing students studying in various nursing colleges,were enrolled through total enumerative sampling from April to November 2024. We excluded nursing students with a diagnosis or history of mental health problems (anxiety, depression, etc.).

Results: In the present study, 23.1% (N = 515) of the nursing students were found to have smartphone addiction. Most participants (66.03%) did not have clinically significant insomnia, followed by 26.21%, 6.79%, and 0.97% of participants with mild, moderate, and severe insomnia, respectively. The mean ± standard deviation of loneliness was 45.58 ± 8.98, with high levels of loneliness being most prevalent (64.46%). The mean ± standard deviation of self-esteem was 27.94 ± 4.89, and 66.21% of the participants had high self-esteem. The correlation analysis showed that smartphone addiction, insomnia, and loneliness, scores were significantly positively correlated (p < .01). On the other hand, self-esteem scores were negatively correlated with smartphone addiction, insomnia, and loneliness scores (p < .01). Multiple linear regression has shown that high levels of insomnia and loneliness and low self-esteem positively predicted smartphone addiction (p < .01).

Conclusion: In summary, nursing students suffered high loneliness and were strongly associated with smartphone addiction, insomnia and self-esteem. Overuse on smartphone addiction can cause low self-esteem and increased insomnia can develop into sleep problems. Smartphone addiction among college students must be strictly monitored, and such individuals require reverent supervision and intervention programmes, so that it can be detected at an earliest. After academic hours, other sports, entertainment, and cultural programs should be considered to reduce the screen time.

Aim: This study aims to investigate the intergenerational change in motherhood experiences.

Method: This study was conducted in a qualitative design between October 2020 and February 2021. In the study, 26 mothers and 26 grandmothers were interviewed individually and online through a semi- structured interview form. The interviews lasted an average of 60-90 minutes, and the data were analyzed by transferring them to the MAXQDA Analytics Pro Qualitative Data Analysis Program.

Results: The mothers participating in the study are at least high school graduates and actively use social media. The majority of grandmothers are primary school graduates and housewives. Three themes were identified in the study. These themes are intergenerational similarities, differences, and causes of differences. Eight codes were determined under the theme of similarities, nine codes under the theme of differences, and four codes under the theme of reasons for differences.

Conclusion: While mothers and grandmothers reported that there were no changes in traditional mothering roles such as sacrifice, care-based love, patience, compassion, overprotection, and orderliness, they reported that there were changes in terms of knowledge, flexibility, respect for the child's individuality, and authority pressure. It has been determined that the most important factors in the changes experienced are intensive technology-Internet use, education, and economic factors.

Aim: The natural aging process, aggravated by the presence of disease and other factors, makes older adults more susceptible to the need for nutritional therapy. Patient safety is a worldwide concern, and older adults are one of the age groups at risk for incidents, especially related to the use of nasogastric and nasoenteric tube feeding.

Methods: This prospective cohort study aimed to identify and analyze incidents related to the use of nasogastric and nasoenteric tubes, their consequences, and the associated factors in hospitalized older adults. The study was carried out in a public general hospital in the state of São Paulo. Data were collected between October 2016 and November 2017 for this study, and continued until April 2019 in other hospitals involved in the "Multicentre study" through voluntary reporting by healthcare providers, patients or their companions, active searches during ward visits, and reviews of medical records.

Results: The sample consisted of 86 older adults, with a mean age of 71.33 years, high nursing care dependence (39.53%), and a high risk of death (59.30%). The primary reason for tube use among older adults was sensory decline in health (31.40%), followed by lack of appetite and poor oral diet acceptance (22.09%). The most common insertion technique was blind bedside insertion (45.35%), with gastric positioning being the most frequent (44.18%), according to patient records. The prevalence of incidents was 43.02%, among these 35.14% older adults experienced only one incident, 18.91% had two incidents, and 45.95% had three or more incidents. The unplanned removal of the tube was the most frequent event (28.71%), and 56.44% of the cases resulted in mild harm. The death of older adult patients using NGT/NET was not associated with age, sex, level of consciousness, level of nursing care dependence, risk of death, length of monitoring, length of hospital stays, or total incidents.

Conclusion: The level of nursing care dependence and age were associated with the occurrence of incidents, highlighting the urgent need to adopt protocols based on updated scientific evidence to guarantee quality and safe care for hospitalized older adults.