Florence Nightingale journal of nursing最新文献

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: To determine the effect of kangaroo mother care (KMC) on perfusion index, heart rate, and oxygen saturation in premature infants who were discharged early and admitted to the neonatal intensive care unit (NICU) in the following days.

Methods: This study has a randomized controlled experimental design and uses a pretest-posttest control group model. This study included infants between December 2019 and December 2020 who were discharged early and subsequently admitted to the NICU. Experimental (n=38) and control (n=38) groups were assigned using the simple randomization technique at the NICU of a private university hospital in Istanbul, Türkiye. Heart rate, perfusion index, and oxygen saturation levels of the experimental group in which KMC was applied and the control group in which KMC was not applied were compared. Measurements of these parameters were made at 15-minute intervals for 45 minutes (0-1, 15, 30, 45 minutes). Data were collected via the Mother and Infant Introductory Information Form, Kangaroo Mother Care Preparation Checklist, Kangaroo Mother Care Physiological Parameter Monitoring Form, and Noninvaziv Pulse Co-Oximetry. Statistics of these data were performed with the independent sample t-test, Pearson's Chi-square, Fisher's exact test.

Results: In the experimental and control groups, infants' gestational age (31.11 ± 3.25 and 31.61 ± 3.04, respectively; p = .491) and weight (1778.29 ± 436.93 and 1953.29 ± 345.74, respectively; p = .057) were similar, and the differences were statistically insignificant. Before KMC, there was no difference between the heart rate, oxygen saturation, and perfusion index values of the experimental and control groups (p > .05). From the first 15 minutes after the application of KMC to 45 minutes post-KMC, there was a significant decrease in (p=0.001) and stabilization of heart rate and oxygen saturation in the experimental group compared with the control group. The heart rates in the experimental group at 15th, 30th, and 45th minutes during KMC were lower than in the control group (147.63 ± 11.04; 142.47 ± 11.94; 136.82 ± 13.22 and 153.13 ± 8.73; 154.50 ± 7.27; 154.84 ± 7.05, respectively). Also, their oxygen saturation during KMC was higher than in the control group (96.68 ± 2.08; 97.24 ± 2.18; 97.87 ± 1.66 and 94.79 ± 1.27; 94.66 ± 1.45; 94.39 ± 1.38, respectively). This significant difference between KMC on heart rate and oxygen saturation in the experimental group compared to the control group continued for 45 minutes after KMC. The perfusion index was significantly higher at 30 minutes and 45 minutes during KMC. However, although it continued after KMC, this change in perfusion index was not statistically significant.

Conclusion: Kangaroo mother care helps to regulate the heart rate, oxygen saturation, and perfusion index of premature infants who were discharged early and admitted to the NICU in the follow

Aim: The present study aimed to explore the impact of transactional leadership and psychological empowerment on Greek nurses' job satisfaction.

Methods: Α cross-sectional study was conducted in five Greek public general hospitals between January 1 and March 30, 2022. Participants were 608 nurses. The study was conducted using a self-administered questionnaire that included: a) demographic and occupational characteristics, b) the Multifactor Leadership Questionnaire (MLQ), c) the Psychological Empowerment Instrument (PEI), and d) the Kuopio University Hospital Job Satisfaction Scale (KUHJSS).

Results: Mean scores indicated positive perceptions of transactional leadership (3.55 ± 0.72), high levels of empowerment (3.94 ± 0.49), and job satisfaction (leadership 3.92 ± 1.07, working environment 3.34 ± 0.78, motivating factors 4.11 ± 0.89, and team spirit 4.08 ± 0.37). Younger nurses with secondary education exhibited higher satisfaction. Multiple regression analyses identified nurses' level of education, transactional leadership, and psychological empowerment as main predictors of leadership satisfaction (F=4.343, p=.002, R2 =.28, adjusted R2 =.22). Younger nurses with higher empowerment levels and positive attitudes toward transactional leadership reported greater satisfaction from motivating factors (F=6.925, p=.000, R2 =.44, adjusted R2 =.38).

Conclusion: The results of the study showed that nurses' satisfaction from work is mainly derived from leadership, despite the potent effect of psychological empowerment.

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.

Aim: This descriptive and cross-sectional study investigated the individual factors that affect procedural pain and discomfort in individuals who had nasopharyngeal swabs by nurses.

Methods: A total of 193 participants in two COVID-19 test centers located in a city in Southeastern Türkiye between April and May 2022 were included in this study. Personal information form was used to collect data. The visual analog scale was used to assess the pain and discomfort. Risk factors related to pain and discomfort were investigated through a logistic regression model.

Results: During the nasopharyngeal swabbing, it was determined that pain was stronger in women and those who considered nasopharyngeal swabbing as a painful procedure (p < .05). Also, discomfort was stronger in women and those who considered nasopharyngeal swabbing as an uncomfortable procedure (p < .05). It was determined that the participants' discomfort scores were higher than their pain scores.

Conclusion: Women and individuals with negative opinions about the procedure experienced more pain and discomfort during the nasopharyngeal swabbing. Most of the participants complained more about discomfort than pain. It is recommended to apply alternate test methods and conduct nurse-led information studies to reduce the anticipation of procedural pain/discomfort.

Aim: This research aimed to assess the financial literacy levels of healthcare professionals working at a Provincial Health Directorate and examine their relationships with various financial domains.

Methods: The study utilized a cross-sectional online survey. The financial literacy scale was employed to assess the financial knowledge and compentencies of healthcare professionals, providing a structured evaluation of their understandig across various financial domains. Statistical analyses, including correlation analysis, independent samples t-test, and one-way ANOVA, were performed using SPSS-25 and R programs.

Results: A total of 240 participants took part, comprising 52.1% males and 47.9% females, aged between 20 and 65 years. Younger healthcare professionals (p=.017) and males (p=.001) demonstrated higher financial literacy levels. Significant correlations were found between financial literacy and domains such as investment instruments, debt and risk management, and personal finance management. Weak but positive relationships were observed between financial literacy and digital assets, indicating emerging trends in digital finance awareness. For instance, males exhibited higher proficiency in investment instruments and debt management, while younger professionals displayed higher knowledge in investment areas.

Conclusion: The findings underscore the importance of targeted financial education for healthcare professionals, highlighting the need for sector-specific training programs. Enhanced financial literacy is essential for improving financial decision-making, ultimately benefiting both personal financial well-being and professional performance in the healthcare sector.

Aim: This study assesses nursing students' knowledge and attitudes toward neonatal resuscitation.

Method: This cross-sectional study was conducted at a nursing college in June 2024. Participants were selected through purposive sampling. Data on knowledge and attitudes toward neonatal resuscitation were collected using self-administered web-based questionnaires. Statistical analyses were used to examine the comparisons, correlations, and predictors, including t-tests, ANOVA, Pearson correlation tests, and binomial logistic regression.

Results: Statistical analyses showed that 45.2% of nursing students had moderate knowledge, 39% had good knowledge, and all exhibited positive attitudes. BSc nursing students, those with prior neonatal resuscitation training, and those who had witnessed or performed resuscitation had significantly higher knowledge (p ≤.001). III-year Diploma students, those aged 22-23, and students with 6-10 days of NICU/labor room posting also had higher knowledge (p ≤ .001, p ≤ .005). Additionally, BSc students and those with prior training displayed significantly more positive attitudes (p ≤ .001). A moderate positive correlation was found between knowledge and attitude, with key predictors being labor room posting duration for knowledge and exam marks for attitude.

Conclusion: This study highlights the need for improved neonatal resuscitation education and training of nursing students to improve outcomes and reduce mortality rates among newborns. To ensure effective newborn care, educational programs can be designed to target specific areas such as clinical exposure and resuscitation training. Comprehensive training initiatives aligned with international guidelines are vital for developing proficient neonatal resuscitation practices. Such proactive approaches can help build a cohort of competent healthcare professionals who can deliver timely and effective interventions, thereby ensuring the well-being of newborns.

To analyze the evidence available on foot reflexology with application of caring consciousness to reduce pain in older adults Integrative review carried out in Medline/PubMed, CINAHL, EBSCO Host, SCOPUS, Web of Science, and EMBASE databases using the MESH terms "Aged," "Pain," "Musculoskeletal manipulations," "Nursing," and "Nursing theory." in English, Spanish, Portuguese, and French published between 2012 and 2022. The selected studies were exported to Rayyan software and evaluated by title and abstract; after reading the full text, were analyzed according to the PRISMA guide checklist. In this study, 497 articles were found, 4 were selected. 75% of the studies were based on the Ingham method of reflexology. The elements that demonstrate caring consciousness and enhance the healing effect of the therapy were foot grooming, use of essential oils, implementation of relaxation techniques, description of pressure points and combining other therapies. In 75% of the cases, foot reflexology was effective to reduce pain. Those authors who apply caring consciousness in the technique of reflexology obtained more significant results in the reduction of pain. The incorporation of external elements shows the intention of nursing to enhance the effects of the therapy, as well as the search for connection with the elderly.