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Analisis Perbedaan Aktivitas Fisik dengan Kualitias Tidur pada Siswa SMP Negri 20 dan SMP Swasta Muhammadiyah di Kecamatan Sawangan Tahun 2022 2022 年泽当甘地区国立 20 初中和私立 Muhammadiyah 初中学生体育锻炼与睡眠质量的差异分析
Pub Date : 2024-07-07 DOI: 10.53801/jnep.v3i3.206
Yulia Diningsih, Nur Eni Lestari
Introduction: The quality of sleep in adolescents is greatly influenced by the process of physical and mental development during puberty. Habitual factors such as physical activity are also often associated with sleep quality.Objectives: This study aims to investigate differences in physical activity and sleep quality among groups of adolescents who are considered to have varying exposure to physical activity about their status as students.Method: This research is a descriptive analysis research, so this research uses cross-sectional research. The population in this study was 240 students in grade 8 at SMP Negeri 20 for the 2022-2023 academic year, and at Muhammadiyah Private Middle School for the 2022-2023 academic year as many as 90 students. The sampling technique was purposive sampling, the sample obtained was 48 people. The instrument used was a questionnaire consisting of a sleep quality questionnaire and a physical activity questionnaire. Physical activity was measured using the Activity Questionnaire For Older Children (PAQ-C), while sleep quality was determined using The Pittsburgh Sleep Quality Index. Bivariate analysis using the Spearman Rank test.Result: The results of the study show that the majority of the physical activity in the two groups of subjects above had heavy physical activity. Namely, in State Middle Schools it was 31(64.6%) while in Private Middle Schools it was 29(60.4%). The quality of sleep in both groups of subjects was that the majority of subjects had poor sleep quality. In State Middle School students it was 26(54.2%) and in Private Middle Schools it was 35(72.9%) Meanwhile, the a difference in physical activity and sleep quality in State Middle Schools and Private Middle Schools. Namely, sleep activity was 0.047b, while physical activity was 0.533b.Conclusion: There are differences in sleep quality and physical activity between State Middle Schools and Private Middle Schools.
导言青少年的睡眠质量在很大程度上受到青春期身心发育过程的影响。体力活动等习惯性因素通常也与睡眠质量有关:本研究旨在调查青少年群体在体育活动和睡眠质量方面的差异:本研究为描述性分析研究,因此采用横断面研究。研究对象为2022-2023学年SMP Negeri 20中学8年级的240名学生,以及2022-2023学年Muhammadiyah私立中学的90名学生。抽样技术为目的性抽样,获得的样本为 48 人。使用的工具是一份由睡眠质量问卷和体育活动问卷组成的调查问卷。体力活动是通过大龄儿童活动问卷(PAQ-C)来测量的,而睡眠质量则是通过匹兹堡睡眠质量指数来确定的。使用斯皮尔曼等级检验进行双变量分析:研究结果表明,上述两组受试者的体育活动量大多较大。其中,国立中学为 31 人(64.6%),私立中学为 29 人(60.4%)。在两组受试者的睡眠质量方面,大多数受试者的睡眠质量较差。同时,国立中学和私立中学在体育活动和睡眠质量方面存在差异。也就是说,睡眠活动量为 0.047b,而体育活动量为 0.533b:结论:国立中学和私立中学在睡眠质量和体育活动方面存在差异。
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引用次数: 0
Music therapy for pain and anxiety management in postoperative trauma patients 用音乐疗法控制创伤术后患者的疼痛和焦虑
Pub Date : 2024-06-13 DOI: 10.5430/jnep.v14n10p18
Elizabeth R. Moryc
Objective: Acute pain is a common and complex problem among postoperative trauma patients, burdening over 90% of the population. Although pharmacological interventions remain the mainstay of pain management in the inpatient setting, non-pharmacological interventions are emerging as legitimate adjuncts. The non-pharmacological intervention of music therapy has been shown to significantly and consistently lower pain and anxiety levels. This quality improvement project aimed to pilot the integration of music therapy for postoperative trauma patients at a Level I Trauma Center in the Southeast United States and evaluate its effects on pain and anxiety levels.Methods: A before and after intervention study was conducted at the organization over a 10-week period. Unit registered nurses were educated on patient inclusion criteria and placed music therapy consultation orders accordingly. A board-certified music therapist provided evidence-based music therapy intervention for consulted patients. A survey consisting of the State-Trait Anxiety Inventory State-5 and the numeric rating scale for pain was administered pre- and post-intervention. A paired-sample t-test was run to evaluate the statistical significance of music therapy’s effect on pain and anxiety.Results: The mean pre-test State-Trait Anxiety Inventory State-5 score was 8.43 (sd = 3.46), and the post-test was 5.64 (sd = 1.10) among patients who received music therapy (n = 28). A significant decrease in anxiety was found (t (27) = 5.227, p < .001). The mean pre-test numeric rating scale for pain score was 6.36 (sd = 2.59), and the post-test was 4.57 (sd = 2.66). A significant decrease in pain was found (t (4.90) = 4.892, p < .001).Conclusions: Patients who received music therapy as an adjunct intervention achieved a statistically significant decrease in pain and anxiety levels. This quality improvement project validates current research and bolsters evidence-based practice recommendations that reference music therapy as a legitimate adjunct to pharmacological pain and anxiety treatment regimens.
目的:急性疼痛是创伤术后患者中一个常见而复杂的问题,90% 以上的患者都有此困扰。尽管药物干预仍是住院患者疼痛治疗的主要手段,但非药物干预正在成为合法的辅助手段。音乐疗法这种非药物干预措施已被证明能显著且持续地降低疼痛和焦虑水平。本质量改进项目旨在美国东南部的一家一级创伤中心试点为术后创伤患者整合音乐疗法,并评估其对疼痛和焦虑水平的影响:方法:在该机构进行了为期 10 周的干预前后研究。对病房注册护士进行了关于患者纳入标准的教育,并据此下达了音乐治疗咨询单。一名经过委员会认证的音乐治疗师为接受咨询的患者提供循证音乐治疗干预。干预前后进行了一项调查,内容包括状态-特质焦虑量表State-5和疼痛数字评分量表。通过配对样本 t 检验来评估音乐疗法对疼痛和焦虑影响的统计学意义:结果:在接受音乐治疗的患者(28 人)中,测试前国家-特质焦虑量表 State-5 的平均得分为 8.43(sd = 3.46),测试后为 5.64(sd = 1.10)。结果发现,患者的焦虑程度明显降低(t (27) = 5.227,p < .001)。测试前疼痛数字评分量表的平均值为 6.36(sd = 2.59),测试后为 4.57(sd = 2.66)。疼痛明显减轻(t (4.90) = 4.892,p < .001):结论:接受音乐疗法辅助干预的患者,其疼痛和焦虑程度在统计学上有明显下降。该质量改进项目验证了当前的研究,并加强了循证实践建议,将音乐疗法作为药物疼痛和焦虑治疗方案的合理辅助手段。
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引用次数: 0
The leadership experience of academic chief nurse administrators post pandemic 大流行后学术界护士长的领导经验
Pub Date : 2024-06-12 DOI: 10.5430/jnep.v14n10p1
Susie M. Jonassen
Background and objective: The impact of the COVID-19 global pandemic has been rated as one of the highest factors of nurse leaders to leave the profession, but limited research exists describing academic chief nurse administrators’ (ACNAs) leadership experiences during the pandemic as crisis leadership swept across academia in the United States. The purpose of this qualitative study was to explore the lived experiences of ACNAs in pre-licensure nursing programs in the state of Georgia serving on campus post-pandemic after temporary full virtual instruction and isolation during an ongoing worldwide pandemic.Methods: This Husserlian phenomenological qualitative study combined with Colaizzi’s method of data analysis included a demographic questionnaire and in-depth interviews with seven ACNAs throughout the state of Georgia.Results: Four themes emerged: ACNA Leadership and Challenges, Navigating Leadership Challenges and Obstacles, Managing Support and Work-Life Balance, and Reflection and Moving Forward.Conclusions: This study illuminated ACNAs’ strengths and weaknesses in academic leadership necessitating the need for further discussion, mentorship, development of leadership tools for future crises, and the need for collaboration with clinical nurse leaders.
背景和目的:COVID-19 全球大流行的影响已被评为护士长离职的最主要因素之一,但在危机领导力席卷美国学术界的大流行期间,描述学术护士长(ACNAs)领导经验的研究却十分有限。本定性研究的目的是探讨佐治亚州执照前护理专业的护士长在大流行后,在持续的全球大流行期间,经过临时的全虚拟教学和隔离后,在校园工作的生活经历:这项胡塞尔现象学定性研究结合了科莱兹的数据分析方法,包括一份人口调查问卷和对佐治亚州七名 ACNA 的深入访谈:出现了四个主题:结果:出现了四个主题:全美基督教护士协会的领导力与挑战、驾驭领导力的挑战与障碍、管理支持与工作生活平衡,以及反思与前进:这项研究揭示了 ACNA 在学术领导力方面的优势和劣势,因此有必要进一步讨论、指导、开发领导力工具以应对未来的危机,以及与临床护士领导者合作的必要性。
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引用次数: 0
Nurses’ competence areas in adolescent mental health promotion work in student healthcare 护士在学生保健中开展青少年心理健康促进工作的能力领域
Pub Date : 2024-05-23 DOI: 10.5430/jnep.v14n9p26
Henna Salmela, H. Melender, Virpi Maijala
Adolescents’ mental well-being is affected by a variety of different factors and their mental health has been a subject of great concern worldwide. Research has demonstrated the importance of how we arrange young people’s mental health promotion and preventive actions. The aim of this qualitative study was to examine mental health nurses’ competence areas in adolescent mental health promotion work in student healthcare in one city in southern Finland. The data were collected from semi-structured interviews with six mental health nurses. The data were analyzed using the content analysis method applying deductive and inductive approaches. The results of the study revealed 11 subcategories for the multidisciplinary knowledge area, eight subcategories for the skill-related competence area, four subcategories for the attitudinal competence area, and five subcategories for the personal characteristics area. The analysis demonstrates that nurses need extensive competencies in promoting mental health among adolescents in student healthcare. Especially evidence-based practice, client-centeredness, communication, and the social significance of the work were emphasized in the findings. This information can be utilized in service development and continuing education. Further research is needed on how the work of nurses in student healthcare could be more preventive.
青少年的心理健康受到各种不同因素的影响,他们的心理健康一直是全世界高度关 注的问题。研究表明,如何安排青少年心理健康促进和预防行动非常重要。这项定性研究旨在考察芬兰南部一个城市的学生医疗保健机构中心理健康护士在青少年心理健康促进工作中的能力领域。研究通过对六名心理健康护士进行半结构化访谈收集数据。研究采用内容分析法,运用演绎法和归纳法对数据进行了分析。研究结果显示,多学科知识领域有 11 个子类别,技能相关能力领域有 8 个子类别,态度能力领域有 4 个子类别,个人特征领域有 5 个子类别。分析表明,在学生保健中,护士需要具备促进青少年心理健康的广泛能力。调查结果特别强调了循证实践、以客户为中心、沟通和工作的社会意义。这些信息可用于服务开发和继续教育。关于护士如何在学生保健工作中加强预防工作,还需要进一步研究。
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引用次数: 0
Healthcare misinformation: Recognition and response in pre-licensure nursing education 医疗保健误导:执照前护理教育中的识别和应对措施
Pub Date : 2024-05-23 DOI: 10.5430/jnep.v14n8p53
Terri W. Enslein
Background and objective: The amount of medical misinformation accessible to the public presents challenges for the healthcare community. Nursing graduates require knowledge, skills, and attitudes to enter practice prepared to recognize and respond to misinformation.  The aim of the study was to assess the student nurse’s ability to recognize and respond to misinformation in the media.Methods: A total of 14 prelicensure students were recruited for a qualitative study involving watching/listening to birth-related media containing misinformation. Ability to recognize and respond to misinformation was evaluated using reflective journals guided by Tanner’s Clinical Judgment Model.Results: Evidence of components of clinical judgment were noted: noticing in 14/14; interpreting in 11/14; and responding in 8/14 journals. Further analysis yielded themes: media/social media misinformation can impact care that people seek; students recognize nursing responsibility to respond to misinformation; while most are able to recognize misinformation, many do not know how to respond.Conclusions: Students recognized misinformation, but the degree to which they were prepared to respond to it is unclear. Further study is needed to determine the ability of prelicensure students to respond to misinformation and to determine if programs should evaluate for incorporation of misinformation into curricula.
背景和目的:公众可以获得大量的医疗错误信息,这给医疗界带来了挑战。护理专业毕业生需要具备识别和应对错误信息的知识、技能和态度。 本研究旨在评估护士学生识别和应对媒体错误信息的能力:方法:共招募了 14 名执照前学生进行定性研究,内容涉及观看/收听含有错误信息的分娩相关媒体。在坦纳临床判断模型的指导下,使用反思日记对识别和应对错误信息的能力进行评估:结果:有证据表明临床判断的组成部分:14/14 篇日志注意到;11/14 篇日志解释;8/14 篇日志回应。进一步分析得出的主题是:媒体/社交媒体的错误信息会影响人们寻求的护理;学生认识到护理人员有责任应对错误信息;虽然大多数人能够识别错误信息,但许多人不知道如何应对:结论:学生们认识到了错误信息,但还不清楚他们在多大程度上做好了应对错误信息的准备。需要进一步研究,以确定执照前学生应对错误信息的能力,并确定课程是否应评估将错误信息纳入课程的情况。
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引用次数: 0
Nursing intervention analysis: Understanding the characteristics of trauma patients in a regional emergency medical center 护理干预分析:了解地区急救医疗中心创伤患者的特点
Pub Date : 2024-05-22 DOI: 10.5430/jnep.v14n9p21
Eun Jung Lee, Eun Ja Lee
Introduction: This study aims to analyze nursing interventions for trauma patients at regional emergency medical centers based on injury types, mechanisms, and sites, providing foundational data for nursing education programs. Specific goals include understanding trauma patient characteristics, determining the frequency of nursing interventions by injury types, mechanisms, and sites and identifying variations in nursing interventions based on injury characteristics.Methods: Conducted retrospectively, this study contributes basic data for creating nursing education materials. It includes 661 eligible trauma patients out of 19,920 visits to the S city regional emergency medical center between March 1, 2019, and February 29, 2020.Results: This research is pivotal in gathering contexts for nursing interventions among trauma patients, providing essential information for the development of nursing education resources. It emphasizes the importance of a comprehensive analysis of interventions tailored to the type, location, and mechanism of injuries to ensure effective patient care. The development and ongoing use of educational materials for nurses remain vital.Conclusions: This investigation highlights the importance of documenting and analyzing nursing intervention strategies in trauma care, establishing a solid foundation for educational content in this field. Continuous examination of varied interventions according to injury characteristics is crucial for delivering precise and effective nursing care. The sustained development and application of educational resources in nursing are essential for improving patient outcomes.
导言:本研究旨在分析地区急救医疗中心根据受伤类型、机制和部位对创伤患者采取的护理干预措施,为护理教育计划提供基础数据。具体目标包括了解创伤患者的特征,根据受伤类型、机制和部位确定护理干预的频率,以及根据受伤特征确定护理干预的差异:本研究以回顾性方式进行,为编写护理教育材料提供基础数据。研究对象包括 2019 年 3 月 1 日至 2020 年 2 月 29 日期间在 S 市地区急救中心就诊的 19920 人次中符合条件的 661 名创伤患者:这项研究对收集创伤患者护理干预的背景资料至关重要,为护理教育资源的开发提供了重要信息。它强调了根据受伤类型、部位和机制对干预措施进行全面分析以确保有效护理病人的重要性。为护士开发和持续使用教育材料仍然至关重要:这项调查强调了记录和分析创伤护理中护理干预策略的重要性,为这一领域的教育内容奠定了坚实的基础。根据伤情特点不断研究各种干预措施对于提供精确有效的护理至关重要。持续开发和应用护理教育资源对于改善患者的治疗效果至关重要。
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引用次数: 0
Nursing preceptors’ attitudes towards the applicability of the five-minute-preceptor-model in practical nursing education: A qualitative descriptive study 护理戒律者对实用护理教育中五分钟戒律者模式适用性的态度:定性描述研究
Pub Date : 2024-05-19 DOI: 10.5430/jnep.v14n9p8
Melanie Breznik, Karoline Schermann, D. Deufert
Objective: The “Five-Minute-Preceptor Model” (5MP) is a teaching method that is especially useful for teaching students in clinical training and strengthens the clinical reasoning skills of nursing students. Despite its acclaimed utility in clinical environments, there is a notable paucity of research on this model, particularly from the standpoint of nurse preceptors. Therefore, the study aimed to investigate the views of the nurse preceptors towards the applicability of the 5MP in precepting nursing students.Methods: Adopting a qualitative descriptive design, this study involved 15 problem-centered interviews conducted in February 2022. The participants were nurse preceptors employed at a hospital in Southern Austria. Interviews were audio-recorded, transcribed verbatim, and analyzed. Data analysis was performed through qualitative content analysis following Kuckartz's methodology.Results: The qualitative content analysis yielded five main categories, further delineated into 14 sub-categories. Nurse preceptors generally had a positive attitude towards the applicability of the teaching method. They expressed it as practicable, supportive, and enhancing for their preceptorship. However, the universal application in every nursing setting and situation as well as the applicability in lower training levels was questioned by the nurse preceptors.Conclusions: The findings suggest that the 5MP is a viable teaching method for precepting nursing students. While some limitations in its adaptability to diverse settings and situations were identified, several participants noted the method's inherent flexibility for customization. Further research is required to extensively evaluate its effectiveness across varied nursing environments.
目的:五分钟戒护模式"(5MP)是一种教学方法,尤其适用于临床培训学生的教学,并能加强护理专业学生的临床推理能力。尽管该模式在临床环境中的实用性备受赞誉,但有关该模式的研究却明显不足,尤其是站在护士戒律者的角度。因此,本研究旨在调查护生戒护者对 5MP 在护生戒护中的适用性的看法:本研究采用定性描述设计,于 2022 年 2 月进行了 15 次以问题为中心的访谈。参与者为受雇于奥地利南部一家医院的实习护士。对访谈进行了录音、逐字转录和分析。按照库卡茨(Kuckartz)的方法,通过定性内容分析进行了数据分析:定性内容分析得出了五个主要类别,并进一步划分为 14 个子类别。护士长普遍对教学方法的适用性持积极态度。他们认为该教学法切实可行、具有支持性,并能提高他们的带教水平。然而,他们对 5MP 是否普遍适用于各种护理环境和情况以及是否适用于较低的培训级别提出了质疑:结论:研究结果表明,5MP 是一种可行的护理学生戒护教学方法。虽然发现了该方法在适应不同环境和情况方面的一些局限性,但一些参与者指出了该方法在定制方面固有的灵活性。需要进一步开展研究,以广泛评估其在不同护理环境中的有效性。
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引用次数: 0
Curriculum mapping for AACN Essentials 2021 Adoption: Experiences of a faculty domain team in evolving understanding of person-centered care AACN Essentials 2021 Adoption 的课程映射:教员领域团队对 "以人为本的护理 "的理解演变经验
Pub Date : 2024-05-16 DOI: 10.5430/jnep.v14n9p1
Jamie Lewis Saye, Tammy M. Patterson, Maia Holtzhower, Tamara Sylvester, Miranda Hawks
The American Association of Colleges of Nursing (AACN) periodically updates its Essentials guidelines to evolve nursing curriculum to meet global healthcare demands. The AACN 2021 Essentials outline core competencies that address diverse patient needs and promote safe and effective nursing care. Curriculum mapping is used to align nursing programs with the AACN Essentials. The purpose of this qualitative focus group was to engage faculty in identifying and describing the competencies and sub-competencies of AACN 2021 Essentials Domain Two, Person-Centered Care (PCC), through the application of an interactive activity within a domain team. The interactive activity involved faculty members reflecting on their perspectives by writing down their interpretation of PCC on flower petals. These petals were arranged onto a unified flower display representing the department's view on Person-Centered Care. This exploration occurred during a one-day curriculum mapping at Kennesaw State University Wellstar School of Nursing in North-Central Georgia. Data was obtained using the flower petal activity with a sample size of 24. A thematic analysis revealed that (n = 13) of faculty responded with an action term, 33% (n = 8) of faculty responded with an attitude term, and 13% (n = 3) of faculty responded with both action and attitude terms when describing their perception of the PCC domain. The results indicated that most faculty view the PCC domain in terms of attitudes more than demonstrable action. These findings may be used to encourage faculty to incorporate more attitude-based learning strategies into their courses while adopting the AACN 2021 Essentials.
美国护理学院协会(AACN)定期更新其基本要点指南,以发展护理课程,满足全球医疗保健需求。AACN 2021 年要点概述了满足不同患者需求和促进安全有效护理的核心能力。课程映射用于使护理课程与 AACN 要点保持一致。本定性焦点小组的目的是通过在领域小组内开展互动活动,让教职员工参与识别和描述 AACN 2021 Essentials 领域二 "以人为本的护理"(PCC)的能力和次级能力。在互动活动中,教员们将自己对 PCC 的理解写在花瓣上,以此来反思自己的观点。这些花瓣被摆放在一个统一的花展上,代表了该系对 "以人为本的关怀 "的看法。这一探索发生在佐治亚州中北部肯尼索州立大学 Wellstar 护理学院为期一天的课程规划期间。数据是通过花瓣活动获得的,样本量为 24 个。专题分析表明,在描述对 PCC 领域的看法时,(n = 13)的教师用行动术语回答,33%(n = 8)的教师用态度术语回答,13%(n = 3)的教师同时用行动和态度术语回答。结果表明,大多数教师对 PCC 领域的看法是态度多于可证明的行动。这些发现可用于鼓励教师在采用 AACN 2021 要点的同时,在课程中纳入更多基于态度的学习策略。
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引用次数: 0
Construct validity of the Braden scale in acute- and long-term care settings in Austria: A structural equation modeling analysis 布莱登量表在奥地利急症和长期护理环境中的结构效度:结构方程模型分析
Pub Date : 2024-05-06 DOI: 10.5430/jnep.v14n8p44
Petra Schumacher, E. Santos, Bettina Wandl, Gerhard Mueller
Objective: The Braden scale is frequently used to assess pressure ulcer risk in health care settings. Selected psychometric properties have been tested using various methods of classical test theory in international studies. However, limited information on construct validity is available. Aim was to determine if the Braden subscale items correlate with the construct pressure ulcer risk and whether the construct validity concerning the factor structure of the Braden scale is adequate in acute and long-term settings.Methods: A quantitative design with secondary analysis of data from one acute (n = 328) and eight long-term care facilities (n = 311) in Austria was used to test construct validity. Data analysis included principal axis factor analysis with Promax rotation and assessment of internal consistency, followed by structural equation modeling.Results: For the acute care setting, a structure equation model with two latent factors and for the long-term care setting with one latent factor was tested according to principal axis factoring results. The Braden subscale items correlated with the construct pressure ulcer risk. Almost all examined model fit indices were within recommended reference values. Thus, the construct validity of the Braden scale was adequate in both settings.Conclusions: The factor structure in the acute care setting did not match that in the investigated long-term care setting. Further research regarding the construct validity of the Braden scale is therefore necessary.
目的:布莱登量表常用于评估医疗机构中的压疮风险。在国际研究中,已使用经典测试理论的各种方法对其部分心理测量特性进行了测试。然而,有关构建效度的信息却很有限。本研究旨在确定布莱登量表的子量表项目是否与压疮风险结构相关,以及布莱登量表的因子结构在急性和长期环境中是否具有足够的结构效度:方法:采用定量设计,对奥地利一家急症护理机构(n = 328)和八家长期护理机构(n = 311)的数据进行二次分析,以检验结构效度。数据分析包括主轴因子分析(Promax rotation)和内部一致性评估,然后进行结构方程建模:根据主轴因子分析结果,对急症护理环境和长期护理环境的结构方程模型分别进行了测试。布莱登分量表项目与压疮风险结构相关。几乎所有考察的模型拟合指数都在推荐的参考值范围内。因此,布莱登量表在两种情况下都具有足够的建构效度:结论:急症护理环境中的因子结构与所调查的长期护理环境中的因子结构并不一致。因此,有必要对布莱登量表的结构效度进行进一步研究。
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引用次数: 0
Impact of altered gestational weight gain guidelines on midwives in Japan: A cross-sectional study 妊娠体重增加指南的改变对日本助产士的影响:横断面研究
Pub Date : 2024-04-25 DOI: 10.5430/jnep.v14n8p22
Naoko Hikita, Ritsuko Iso, Kiyoko Mizuhata, Hiroko Arai, Akemi Isoyama
Objective: In March 2021, modifications were made to the dietary guidelines for expectant and nursing mothers in Japan, resulting in an increased recommended gestational weight gain (GWG) based on the pre-pregnancy body mass index. However, the existing landscape of midwives’ health-guidance practices remains unexplored. This study aimed to elucidate the situation and perceptions of the revised GWG guidelines among midwives in Japan.Methods: This cross-sectional study, conducted between January and March 2023, targeted midwives employed across primary, secondary, and tertiary hospitals in Japan. The participants completed a web-based questionnaire via a QR code and provided responses. Descriptive analysis was employed to discern the midwives’ perceptions of the revised GWG guidelines.Results: A total of 160 midwives (24.2%) completed the web-based questionnaire and were included in the analysis. Of them, 117 (73.1%) knew the recommended GWG had been adjusted. A significant difference was observed in the self-evaluation of health guidance before and after the guideline change (p = .015). While 47.9% of the midwives viewed the guideline change positively, 50.4% considered it neither good nor detrimental. The reasons for this positive perspective included the perceived stringency of previous standards and concerns about the potential effects of strict weight guidance on the physical and mental health of both mothers and children. Those with a neutral stance gave the following reasons: 1) uncertainties about the post-change impact and 2) concerns regarding potential health implications for pregnant women gaining excessive weight.Conclusions: Because not all midwives were aware of the guideline adjustments, the new guidelines must be prioritized.
目的:2021 年 3 月,日本对孕妇和哺乳期妇女的膳食指南进行了修改,根据孕前体重指数提高了建议的妊娠体重增加(GWG)。然而,助产士健康指导实践的现有情况仍有待探索。本研究旨在阐明日本助产士对修订后的 GWG 指南的情况和看法:这项横断面研究于 2023 年 1 月至 3 月间进行,研究对象是日本初级、二级和三级医院的助产士。参与者通过二维码完成网络问卷并提供回复。通过描述性分析,了解助产士对修订后的 GWG 指南的看法:共有 160 名助产士(24.2%)完成了网络问卷并参与了分析。其中,117 名助产士(73.1%)知道建议的 GWG 已经调整。在指南修改前后,对健康指导的自我评价存在明显差异(p = .015)。47.9% 的助产士对指南变更持积极态度,50.4% 的助产士认为既不好也不坏。持积极观点的原因包括认为以前的标准过于严格,以及担心严格的体重指导对母婴身心健康的潜在影响。持中立立场的人给出了以下原因:1) 不确定改变后的影响;2) 担心体重增加过多的孕妇对健康的潜在影响:由于并非所有助产士都了解指南的调整,因此必须优先考虑新指南。
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引用次数: 0
期刊
Journal of nursing education and practice
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