Florence Nightingale journal of nursing最新文献

Aim: This research is to analyze the psychometric feature of the Perceived Inventory of Technological Competency as Caring in Nursing in the Turkish version.

Method: A methodological study type was employed. Five hundred one nurses participated in the research, carried out between November 2021 and February 2022. The measures included a sociodemographic data collection tool and the Perceived Inventory of Technological Competency as Caring in Nursing-Turkish. To determine the psychometric properties of the scale, the validity study included content and construct validity analyses, and the reliability study was conducted using item analysis and split-half and Cronbach's alpha coefficients.

Results: The Turkish adaptation of the Perceived Inventory of Technological Competency as Caring in Nursing comprised 18 questions collected under four sub-factors, explaining 56.08% of the total variance. According to the confirmatory factor analyses results, fit values were determined as comparative fit index = 0.94, normed fit index = 0.91, Trucker-lewis index = 0.92, goodness of fit index = 0.90, root mean square error of approximation = 0.070, incremental fit index = 0.94, χ2 = 439.052, df=126, p < .001, and χ2/df = 3.485. The total instrument and its sub-factors had Cronbach's α figures of 0.92 and >0.70, respectively.

Conclusion: The Turkish form of the Perceived Inventory of Technological Competency as Caring in Nursing showed adequate psychometric properties. The essential contribution of this study was that it provided a reliable and valid inventory to evaluate nurses' perceived technological competence as caring for the Turkish version.

Aim: This study aimed to determine the effect of mindfulness-based breathing exercise on health profile,vital signs, and fetal heart rate in pregnant women diagnosed with pre-eclampsia.

Method: This is a randomized controlled trial. Data were collected between October 1, 2023, and March19, 2024, with a sample of 66 pregnant women who were randomly assigned to the mindfulness-basedbreathing exercise (n = 33) or control (n = 33) groups. The experimental group received 20 minutes ofmindfulness-based breathing exercise every 8 hours for 72 hours. The primary outcomes of the studywere health profile, vital signs, and basal fetal heart rate. Secondary outcomes of the study are healthprofile sub-dimensions and fetal movement count.

Results: Compared to the control group, a 59.2% positive increase over time in the health profile of themindfulness-based breathing exercise group was observed. Additionally, there was a 10% decrease in pain,11.4% decrease in emotional reactions, 80.7% increase in sleep quality, 13.3% decrease in social isolation,38.8% increase in physical activity, and 87.1% increase in energy level, 9.8% decrease in mean pulse rate,15.8% decrease in respiratory rate, 73.1% increase in oxygen saturation, 7% decrease in systolic bloodpressure, and 6.4% decrease in diastolic blood pressure, 6.5% increase in mean fetal movement countwas determined. At the fourth measurement, the experimental group had a higher mean basal fetal heartrate than the control group.

Conclusion: Mindfulness-based breathing exercise can be safely used as a care intervention to improvethe health profile of pregnant women with pre-eclampsia.

Aim: This systematic review examines the tele-nursing methods used during the coronavirus disease-2019 outbreak to manage the increase in patient numbers and investigates strategies for reducing hospital bed occupancy.

Method: The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The primary databases used to search the literature were PubMed, Web of Science, Scopus, ProQuest, ScienceDirect, and Google Scholar. One hundred sixty eight articles have been reviewed. The keywords for this review included "Coronavirus Disease 2019," "tele-nursing," and "bed occupancy." Equivalent terms were derived from Medical Subject Headings and expert opinions and extracted from related articles.

Results: Out of the 168 records identified through the initial database search, seven articles were ultimately included in the final stage of this review after a thorough analysis of their features and content to address the study questions. The results of this systematic review, based on the content analysis of the selected studies, reveal various approaches used worldwide to manage the influx of patients in hospitals due to COVID-19 infection. The findings also highlight strategies employed to reduce bed occupancy, along with the challenges faced in implementing telenursing. The results are summarized into three main themes: current care models, challenges in establishing telenursing, and strategies to decrease bed occupancy.

Conclusion: Tele-nursing and virtual care are crucial for reducing bed occupancy during disasters like coronavirus disease 2019. Creating communication infrastructure, developing distance education through virtual space, licensing the private sector to run tele-nursing, clarifying the medical and legal responsibilities of telehealth, developing protocols of care, community education, and using new technology for remote consultation are ways to facilitate tele-nursing and reduce hospital bed occupancy.

Aim: To assess whether adherence to decisions made by professionals involved in the preparation and administration of orally administered medications via short-term enteral access could be enhanced through the implementation of a Group Decision-Making Model within a quality improvement program, comparing the third Plan-Do-Study-Act cycle with the fourth Plan-Do-Study-Act cycle with the Group Decision-Making Model.

Methods: This study outlines a quantitative research approach using the Standards for Quality Improvement Reporting Excellence (SQUIRE) model. The study was conducted between June 2018 and April 2019. A total of 16 nurses and 40 nursing assistants/technicians were working in the clinical medical ward at the moment of data collection. Group Decision-Making Model in conjunction with the PDSA cycle, as part of the Plan-Do-Study-Act cycle within a hospital in the State of São Paulo, Brazil, for supporting the hospital's nursing team in the preparation and administration of oral medicines via enteral access device for short-term use, including the washing of the equipment.

Results: The findings, when compared to a prior Plan-Do-Study-Act cycle conducted without any involvement in decision-making, indicated that utilizing the Plan-Do-Study-Act cycle in conjunction with the Group Decision-Making Model method significantly improved the likelihood of successful implementation of quality improvement practices. This was especially noticeable in the case of the pill-crushing technique, where compliance increased from 5.3% in the Plan-Do-Study-Act cycle without the Group Decision Making Model to 100% in the Plan-Do-Study-Act cycle with the Group Decision-Making Model.

Conclusion: The Plan-Do-Study-Act cycle serves as a supportive tool for the management team. Nevertheless, its effectiveness may be constrained when final decisions follow a top-down approach. The incorporation of a participatory phase using the Group Decision-Making Model has demonstrated substantial potential to enhance the prospects of successfully implementing quality improvement practices regarding the preparation and administration of oral medications through enteral access device for short-term use.

Aim: It was aimed to determine the effect of fistula care education provided through mobile health applications on disease adaptation and self-care behaviors in hemodialysis patients.

Methods: This is an quasi-experimental study with the pretest-posttest control group design. The research was carried out between June and October 2020 in two private dialysis centers, with the experimental group (n = 30) using the mobile health application in arteriovenous fistula care education and the control group (n = 30) adopting the education guide. "Patient Identification Form," the "Arteriovenous fistula care knowledge form," the "Assessment of self-care behaviors with arteriovenous fistula in hemodialysis," "End-stage renal disease adherence questionnaire," and the "Visual comparison scale" were used to collect the research data. Parametric and nonparametric tests were used to analyze the data. In this study, the STROBE checklist was followed for reporting.

Results: It was observed that hemodialysis patients in the study groups had similar socio-demographic characteristics. According to the pre-education evaluation, there was no statistically significant difference between the groups in terms of commitment to the disease, arteriovenous fistula care knowledge levels, and self-care behaviors (p > .05), while a statistically significant difference was found in the same variables between the groups in the first and third months after the education (p < .05). According to the evaluation, statistically significant differences were found between the groups in terms of knowledge of arteriovenous fistula care, development of self-care behaviors, and adherence to the disease after the first and third months following the education (p < .05).

Conclusion: Patients using the mobile health application had higher levels of disease adherence, knowledge of arteriovenous fistula care, and developing self-care behavior compared to the patients using the education booklet.

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.