Pei-Shan Li, Chia-Jung Hsieh, Nae-Fang Miao, Jordan Koh
Background: When the COVID-19 pandemic is combined with frailty, not only are older people's types of activities and willingness to be active limited, but also issues and hidden concerns about health care arise. However, the effectiveness of health promotion strategies incorporating remote care technologies remains to be explored. Therefore, the purpose of this study was to develop a hybrid learning approach based on a fitness and nutrition program for seniors (FANS). Simultaneously, the FANS follows the Transtheoretical Model (TTM) as an overall framework to design blended learning in in-person and telecare modalities for older people living with frailty in the community.Methods: This study is a non-randomized, control-group, pretest–posttest design. A total of 84 older participants living with frailty will be assigned to two groups. The intervention group will receive the 6-month, 9-session FANS through hybrid learning, which includes in-person physical activity (PA) training, nutritional guidance led by a nurse, and group discussions. The official account of the FANS and the group chat will provide individuals with online home practice at the current TTM stage, session time and home practice reminders, video reviews, consultations, and tutoring for telecare. The waitlist control group will maintain regular health promotion activities. Three repeated assessments (one pre-test and two post-training tests conducted after 3 months and after 6 months) will be conducted. The primary outcome measures will include frailty status, PA, and health-related quality of life (HRQoL), and the secondary outcome measures will be health-related data. Statistical analysis will include the Chi-squared test, Independent Sample t-test, and Generalized Estimating Equation (GEE).Discussion: This study will provide evidence that the FANS for older people living with frailty will have more positive and beneficial outcomes than the traditional method. Simultaneously, we hope the FANS will help the older population living with frailty in the community to transform their health difficulties in the future.Trial Registration: NCT05242549. Registered 22 February 2022.
{"title":"Application of the Transtheoretical Model to Physical Activity and Health-related Quality of Life Among Older People Living With Frailty in the Community: The Fitness and Nutrition Program for Seniors (FANS) Study Protocol","authors":"Pei-Shan Li, Chia-Jung Hsieh, Nae-Fang Miao, Jordan Koh","doi":"10.20849/ijsn.v9i1.1403","DOIUrl":"https://doi.org/10.20849/ijsn.v9i1.1403","url":null,"abstract":"Background: When the COVID-19 pandemic is combined with frailty, not only are older people's types of activities and willingness to be active limited, but also issues and hidden concerns about health care arise. However, the effectiveness of health promotion strategies incorporating remote care technologies remains to be explored. Therefore, the purpose of this study was to develop a hybrid learning approach based on a fitness and nutrition program for seniors (FANS). Simultaneously, the FANS follows the Transtheoretical Model (TTM) as an overall framework to design blended learning in in-person and telecare modalities for older people living with frailty in the community.Methods: This study is a non-randomized, control-group, pretest–posttest design. A total of 84 older participants living with frailty will be assigned to two groups. The intervention group will receive the 6-month, 9-session FANS through hybrid learning, which includes in-person physical activity (PA) training, nutritional guidance led by a nurse, and group discussions. The official account of the FANS and the group chat will provide individuals with online home practice at the current TTM stage, session time and home practice reminders, video reviews, consultations, and tutoring for telecare. The waitlist control group will maintain regular health promotion activities. Three repeated assessments (one pre-test and two post-training tests conducted after 3 months and after 6 months) will be conducted. The primary outcome measures will include frailty status, PA, and health-related quality of life (HRQoL), and the secondary outcome measures will be health-related data. Statistical analysis will include the Chi-squared test, Independent Sample t-test, and Generalized Estimating Equation (GEE).Discussion: This study will provide evidence that the FANS for older people living with frailty will have more positive and beneficial outcomes than the traditional method. Simultaneously, we hope the FANS will help the older population living with frailty in the community to transform their health difficulties in the future.Trial Registration: NCT05242549. Registered 22 February 2022.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140382386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aim of this study was to explore and define the spiritual needs of older residents in long-term care facilities (LTCFs) using the Walker and Avant (2019) approach. In this regard, the keywords “spiritual needs”, “old adults” and “long-term care facilities” were searched through PubMed, EBSCOhost, and Google Scholar electronic databases between the years 2000 and 2023 along with hand searching of reference lists extracted from more than 135 articles. Finally, 11 articles that had inclusion criteria were examined based on the eight stages mentioned in Walker and Avant’s concept analysis approach. Through the systematic application of Walker and Avant's eight stages concept analysis approach, this paper provides a nuanced understanding of the spiritual needs of elderly residents in long-term care facilities. The results are serves as a valuable tool for guiding caregivers, healthcare professionals, and policymakers in developing strategies that cater to the spiritual well-being of this demographic, ultimately fostering a more holistic and compassionate caregiving environment.
{"title":"Spiritual Needs of Older Residents in Long-Term Care Facilities: A Concept Analysis","authors":"Suz-Ying Lai, Hung-Ru Lin","doi":"10.20849/ijsn.v9i1.1402","DOIUrl":"https://doi.org/10.20849/ijsn.v9i1.1402","url":null,"abstract":"The aim of this study was to explore and define the spiritual needs of older residents in long-term care facilities (LTCFs) using the Walker and Avant (2019) approach. In this regard, the keywords “spiritual needs”, “old adults” and “long-term care facilities” were searched through PubMed, EBSCOhost, and Google Scholar electronic databases between the years 2000 and 2023 along with hand searching of reference lists extracted from more than 135 articles. Finally, 11 articles that had inclusion criteria were examined based on the eight stages mentioned in Walker and Avant’s concept analysis approach. Through the systematic application of Walker and Avant's eight stages concept analysis approach, this paper provides a nuanced understanding of the spiritual needs of elderly residents in long-term care facilities. The results are serves as a valuable tool for guiding caregivers, healthcare professionals, and policymakers in developing strategies that cater to the spiritual well-being of this demographic, ultimately fostering a more holistic and compassionate caregiving environment.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140381957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BackgroundChild-rearing support programs in Japan have focused on supporting families (especially mothers) after their children are born. Maternal and child healthcare services during pregnancy mainly target mothers and their children. Although programs for fathers (such as parent–teacher classes) are gradually being implemented, support for fathers will become more important in the future.ObjectivesWe reviewed studies conducted in Japan on support for fathers during pregnancy (especially those focusing on the content of classes) and examined the content and methods of classroom approaches for fathers. Then, the content of the exercises related to the Becoming Parents Program was examined. The BPP, which was developed in Washington D.C., is an experiential program that focuses on strengthening the couple’s partnership, particularly in the transition to fatherhood. Focusing on the father–partner relationship itself, this study aimed to examine the kind of support methods and content would be best for planning a class during pregnancy in Japan and developing a class plan.MethodsWe searched the nursing literature for studies on classes or classes for expectant fathers that included educational content on fathers during pregnancy. Thirteen domestic studies were included in the literature review. Next, 16 exercises from the BPP book were analyzed for content.ResultsExpectant fathers sought specific information on support for their spouses. The 16 exercises in the BPP book entitled “The Speaker-Listener Technique and Problem Solving” were found to be fundamental skills. A proposed class for expectant parents incorporating the basics of BPP was designed.ConclusionsAlthough there are differences in social backgrounds, cultures, and family backgrounds between Japan and other countries, we believe that the basic skills can be commonly used. In Japan, it is necessary to consider holding classes for parents to strengthen their marital relationship during pregnancy.
{"title":"Creating a Class Plan to Strengthen Marital Relationships During Pregnancy in Japan","authors":"Izumi Ueda, Shuhei Fukagawa, Sho Murakawa, Asako Aoki, Hikaru Honda","doi":"10.20849/ijsn.v8i3.1400","DOIUrl":"https://doi.org/10.20849/ijsn.v8i3.1400","url":null,"abstract":"BackgroundChild-rearing support programs in Japan have focused on supporting families (especially mothers) after their children are born. Maternal and child healthcare services during pregnancy mainly target mothers and their children. Although programs for fathers (such as parent–teacher classes) are gradually being implemented, support for fathers will become more important in the future.ObjectivesWe reviewed studies conducted in Japan on support for fathers during pregnancy (especially those focusing on the content of classes) and examined the content and methods of classroom approaches for fathers. Then, the content of the exercises related to the Becoming Parents Program was examined. The BPP, which was developed in Washington D.C., is an experiential program that focuses on strengthening the couple’s partnership, particularly in the transition to fatherhood. Focusing on the father–partner relationship itself, this study aimed to examine the kind of support methods and content would be best for planning a class during pregnancy in Japan and developing a class plan.MethodsWe searched the nursing literature for studies on classes or classes for expectant fathers that included educational content on fathers during pregnancy. Thirteen domestic studies were included in the literature review. Next, 16 exercises from the BPP book were analyzed for content.ResultsExpectant fathers sought specific information on support for their spouses. The 16 exercises in the BPP book entitled “The Speaker-Listener Technique and Problem Solving” were found to be fundamental skills. A proposed class for expectant parents incorporating the basics of BPP was designed.ConclusionsAlthough there are differences in social backgrounds, cultures, and family backgrounds between Japan and other countries, we believe that the basic skills can be commonly used. In Japan, it is necessary to consider holding classes for parents to strengthen their marital relationship during pregnancy.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"8 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139381285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Self-care is defined as taking time to participate in activities that promote personal physical health, mental health, and wellness. Nursing students worldwide have been found to be deficient in self-care. A pilot project was developed to provide a variety of wellness-related activities throughout one academic school year for students in an undergraduate nursing program in the United States, in an effort to promote self-care practices. The students were surveyed on their perception of self-care activities covering six major domains, such as physical activity and health promotion. They were also asked qualitative questions about their understanding of self-care and its importance in nursing via focus groups. At the end of the school year, the students repeated the survey, and were asked to provide feedback on the activities selected. The purpose of this article is to discuss the findings of the post-intervention implementation. There were no statistical changes in the students’ self-care survey results. However, anecdotal evidence revealed that the students, as a whole, felt that the activities were helpful in promoting personal well-being, appreciated support from faculty, and reported a desire for the activities to continue.
{"title":"The Efficacy of Providing Holistic Wellness Activities in Promoting Nursing Student Self-care","authors":"Nancy Armstrong, Kristin M. Reid, Dana M. Todd","doi":"10.20849/ijsn.v8i3.1377","DOIUrl":"https://doi.org/10.20849/ijsn.v8i3.1377","url":null,"abstract":"Self-care is defined as taking time to participate in activities that promote personal physical health, mental health, and wellness. Nursing students worldwide have been found to be deficient in self-care. A pilot project was developed to provide a variety of wellness-related activities throughout one academic school year for students in an undergraduate nursing program in the United States, in an effort to promote self-care practices. The students were surveyed on their perception of self-care activities covering six major domains, such as physical activity and health promotion. They were also asked qualitative questions about their understanding of self-care and its importance in nursing via focus groups. At the end of the school year, the students repeated the survey, and were asked to provide feedback on the activities selected. The purpose of this article is to discuss the findings of the post-intervention implementation. There were no statistical changes in the students’ self-care survey results. However, anecdotal evidence revealed that the students, as a whole, felt that the activities were helpful in promoting personal well-being, appreciated support from faculty, and reported a desire for the activities to continue.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138960982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Traumatic experiences can have a lasting effect on children’s mental and physical well-being. The short- and long-term benefits of addressing trauma earlier in life is evidenced in the literature. Trauma-informed care (TIC) is the framework used to guide those who seek to help others who have experienced trauma in life. TIC has long been utilized by multiple disciplines such as mental health care, social services, and substance use services with success. Even with the present evidence, TIC is underutilized in the care of children in the family practice primary care setting. Providers cite lack of knowledge on how to address trauma and how to implement a trauma-informed care approach with children in the primary care family practice setting. The implementation of TIC in family practice primary care, where many children are cared for, has the potential to impact the health outcomes of children in the short term and as they move into adulthood. TIC helps support children and family’s mental and physical well-being, thus reducing much suffering. This article presents best practices to implementing a universal TIC approach in family practice primary care setting in a step-by-step approach.
{"title":"Trauma-Informed Care Approach in Family Practice: Steps to Implementing","authors":"Elizabeth Coleman","doi":"10.20849/ijsn.v8i2.1374","DOIUrl":"https://doi.org/10.20849/ijsn.v8i2.1374","url":null,"abstract":"Traumatic experiences can have a lasting effect on children’s mental and physical well-being. The short- and long-term benefits of addressing trauma earlier in life is evidenced in the literature. Trauma-informed care (TIC) is the framework used to guide those who seek to help others who have experienced trauma in life. TIC has long been utilized by multiple disciplines such as mental health care, social services, and substance use services with success. Even with the present evidence, TIC is underutilized in the care of children in the family practice primary care setting. Providers cite lack of knowledge on how to address trauma and how to implement a trauma-informed care approach with children in the primary care family practice setting. The implementation of TIC in family practice primary care, where many children are cared for, has the potential to impact the health outcomes of children in the short term and as they move into adulthood. TIC helps support children and family’s mental and physical well-being, thus reducing much suffering. This article presents best practices to implementing a universal TIC approach in family practice primary care setting in a step-by-step approach.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135995520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The worldwide prevalence of hypertension people aged 25 and above is more than 40%. Data accuracy for blood pressure is important to diagnosis and treatment. In self-complaints among patients in cardiology outpatient clinic, the incidence of incorrect blood pressure measuring was 11.9%.Aims: Enhanced accuracy for blood pressure measurement in the outpatient setting.Method: Clinical audits were conducted using the JBI Practical Application of Clinical Evidence System (JBI PACES). With the 7 audit criteria recommended by best practice, improvement and audits were performed for 22 weeks for evaluation of improved quality for blood pressure measurement.Result: Standard documentation complying with recommended clinical guidance was established, with the organized educational training program and environmental renovation, the project’s performance in improvement was significantly enhanced, compliance with clinical practice guidelines before implementation of 35%-90% increased achieving 70%-100% after implementation. Noise in the outpatient setting of 62 dB decreased to 52 dB, with daily incidence of 11.9% for complaint in incorrect blood pressure measuring decreased to 1.1%.Conclusion: Evidence-based practice project successfully enhanced the accuracy for blood pressure measurement in outpatients.Recommendation: The empirical application of quality improvement in blood pressure measurement accuracy achieves progressive results. The important factors are the completion of environmental transformation, the establishment of standard documents, the education of patients and health care volunteers, and the maintenance of the effect through continuous review.
{"title":"Appropriate Blood Pressure Measurement for Initial Diagnosis of Hypertension: A Best Practice Implementation Project","authors":"Shu-Yi Sheen, Pei-Hsin Chen, Shu-fen Chen, Cha-Fang Chang, Pao-Tsun Chiu, Li-Ting Lin, Mei-Jyh Sheu, Hsiao-Hui Chiu","doi":"10.20849/ijsn.v8i2.1363","DOIUrl":"https://doi.org/10.20849/ijsn.v8i2.1363","url":null,"abstract":"Background: The worldwide prevalence of hypertension people aged 25 and above is more than 40%. Data accuracy for blood pressure is important to diagnosis and treatment. In self-complaints among patients in cardiology outpatient clinic, the incidence of incorrect blood pressure measuring was 11.9%.Aims: Enhanced accuracy for blood pressure measurement in the outpatient setting.Method: Clinical audits were conducted using the JBI Practical Application of Clinical Evidence System (JBI PACES). With the 7 audit criteria recommended by best practice, improvement and audits were performed for 22 weeks for evaluation of improved quality for blood pressure measurement.Result: Standard documentation complying with recommended clinical guidance was established, with the organized educational training program and environmental renovation, the project’s performance in improvement was significantly enhanced, compliance with clinical practice guidelines before implementation of 35%-90% increased achieving 70%-100% after implementation. Noise in the outpatient setting of 62 dB decreased to 52 dB, with daily incidence of 11.9% for complaint in incorrect blood pressure measuring decreased to 1.1%.Conclusion: Evidence-based practice project successfully enhanced the accuracy for blood pressure measurement in outpatients.Recommendation: The empirical application of quality improvement in blood pressure measurement accuracy achieves progressive results. The important factors are the completion of environmental transformation, the establishment of standard documents, the education of patients and health care volunteers, and the maintenance of the effect through continuous review.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89254114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aims: Patients with schizophrenia are more likely to be affected by contagious diseases and health problems because of the influence of factors such as comorbidity with chronic diseases, psychiatric symptoms, and whether treatment with psychotropic drugs is possible. Accordingly, during the COVID-19 pandemic, it was particularly important to pay attention to the health problems and coping experiences of patients with schizophrenia.Methods: Twenty inpatients with schizophrenia were recruited via purposive sampling to participate in this qualitative study. Data collection was conducted from June to August 2022 and the data were analyzed via thematic analysis.Results: Four dominant themes emerged from the responses of the participants, who: 1) were concerned about COVID-19 and performed health-management behaviors; 2) were concerned about significant health problems but did not take preventive actions; 3) experienced barriers to health management; and 4) required healthcare resources for elderly patients.Conclusions: We found that these patients with schizophrenia had received health management education and implemented infection-prevention measures during the COVID-19 pandemic. Although they expressed concerns about health problems that interfered significantly with their daily lives, including the need for healthcare resources for the elderly, they lacked awareness of aging-related comorbidities. Healthcare professionals should thus align the care they provide with their patients’ needs, continuously provide them with health-related information, observe their daily behaviors, and help them to develop their skills related to changing and implementing health behaviors.
{"title":"Concerns to Aging and Health of Schizophrenia Inpatients During COVID-19 Pandemic: A Qualitative Study","authors":"Su‐Chen Lo, J. Rong","doi":"10.20849/ijsn.v8i2.1362","DOIUrl":"https://doi.org/10.20849/ijsn.v8i2.1362","url":null,"abstract":"Aims: Patients with schizophrenia are more likely to be affected by contagious diseases and health problems because of the influence of factors such as comorbidity with chronic diseases, psychiatric symptoms, and whether treatment with psychotropic drugs is possible. Accordingly, during the COVID-19 pandemic, it was particularly important to pay attention to the health problems and coping experiences of patients with schizophrenia.Methods: Twenty inpatients with schizophrenia were recruited via purposive sampling to participate in this qualitative study. Data collection was conducted from June to August 2022 and the data were analyzed via thematic analysis.Results: Four dominant themes emerged from the responses of the participants, who: 1) were concerned about COVID-19 and performed health-management behaviors; 2) were concerned about significant health problems but did not take preventive actions; 3) experienced barriers to health management; and 4) required healthcare resources for elderly patients.Conclusions: We found that these patients with schizophrenia had received health management education and implemented infection-prevention measures during the COVID-19 pandemic. Although they expressed concerns about health problems that interfered significantly with their daily lives, including the need for healthcare resources for the elderly, they lacked awareness of aging-related comorbidities. Healthcare professionals should thus align the care they provide with their patients’ needs, continuously provide them with health-related information, observe their daily behaviors, and help them to develop their skills related to changing and implementing health behaviors.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76652366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Breaking bad news in a clinical setting can lead to a negative experience for the healthcare provider when delivered inappropriately. This Doctor of Nursing Practice (DNP) Practice Innovation Project seeks to discover if healthcare providers who receive formal education in breaking bad news to patients have increased self-efficacy in breaking bad news compared with healthcare providers not formally educated in a DNP Program. This comparison was analyzed using a pre-test/post-test format. Purpose: The purpose of this DNP Practice Innovation Project is to improve the healthcare provider's self-efficacy in breaking bad news to a patient through an educational module outlining the SPIKES protocol, ultimately improving the experience for the healthcare provider. Methodology: Participants included students enrolled in the DNP program in the Saint Mary's College Department of Nursing Science. The SE-12 self-efficacy tool measured the participants' self-efficacy utilizing a pre-test/post-test method that measured self-efficacy before and after the presentation of the educational module. The data from the pretest and posttest were analyzed using a two-tailed paired samples t-test. Results: The result was significant, suggesting the difference in the mean overall score of the SE-12 pretest and the mean overall score of the SE-12 posttest was significantly different from zero. The mean overall score of the SE-12 pretest was significantly lower than the mean overall score of the SE-12 posttest. Conclusion: This study established how education about breaking bad news can lead to an improved experience for the healthcare provider, ultimately improving health outcomes.
{"title":"Impact of Formal Education Regarding Breaking Bad News on Self-Efficacy","authors":"Kathryn M. Vera, S. Anderson","doi":"10.20849/ijsn.v8i1.1332","DOIUrl":"https://doi.org/10.20849/ijsn.v8i1.1332","url":null,"abstract":"Background: Breaking bad news in a clinical setting can lead to a negative experience for the healthcare provider when delivered inappropriately. This Doctor of Nursing Practice (DNP) Practice Innovation Project seeks to discover if healthcare providers who receive formal education in breaking bad news to patients have increased self-efficacy in breaking bad news compared with healthcare providers not formally educated in a DNP Program. This comparison was analyzed using a pre-test/post-test format. Purpose: The purpose of this DNP Practice Innovation Project is to improve the healthcare provider's self-efficacy in breaking bad news to a patient through an educational module outlining the SPIKES protocol, ultimately improving the experience for the healthcare provider. Methodology: Participants included students enrolled in the DNP program in the Saint Mary's College Department of Nursing Science. The SE-12 self-efficacy tool measured the participants' self-efficacy utilizing a pre-test/post-test method that measured self-efficacy before and after the presentation of the educational module. The data from the pretest and posttest were analyzed using a two-tailed paired samples t-test. Results: The result was significant, suggesting the difference in the mean overall score of the SE-12 pretest and the mean overall score of the SE-12 posttest was significantly different from zero. The mean overall score of the SE-12 pretest was significantly lower than the mean overall score of the SE-12 posttest. Conclusion: This study established how education about breaking bad news can lead to an improved experience for the healthcare provider, ultimately improving health outcomes.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73262101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: This study explores the status of mental healthcare workers in the eastern region with respect to work pressure, health-promoting lifestyle patterns, and their related factors, which can provide an important reference to aid the formulation and development of health promotion strategies for such individuals. Methods: A total of 115 questionnaires were distributed and 112 valid questionnaires were recovered, with a recovery rate of 97.4%. The number of samples required for regression analysis was 99, as calculated using G-power software. The effect of work stress on health-promoting lifestyle patterns (β=-0.342, p<0.001) was negative, indicating that a health-promoting lifestyle was better and less stressful. Results: This accounted for 11.70% of the total variation in the health-promoting lifestyle scores (F=14.164, p<0.001, R=0.342). The important predictive variables of health-promoting lifestyle patterns had the greatest influence on work stress (β=-0.302, p=0.001). Discussion: The results of the comprehensive analysis showed that the standardized score of the health-promoting lifestyle of psychiatric nurses was 60.86 points. The overall health-promoting lifestyle of this study was lower than that of clinical nurses in two regional hospitals in Pingtung (the standardized score index is 64.84). This shows that the health-promoting lifestyle of psychiatric nursing staff is only better than that of public health-related staff in the same nursing work, and its overall health-promoting lifestyle is slightly worse than that of general nursing staff and school nurses. Conclusions: This influence was negative, indicating that the greater the work pressure, the worse the implementation of health-promoting lifestyle patterns. Creating a friendly workplace and implementing workplace health-promoting programs, organizing and encouraging psychiatric caregivers to participate in networking activities, and form families can help reduce mental health care workers’ work pressure, improve health, and promote lifestyle participation thus maintaining physical and mental health status.
{"title":"Analysis of the Correlation Between Healthy Lifestyle Patterns and Work Stress in Psychiatric Nurses","authors":"Su-Jung Liao, Yu-Wen Fang, Shu-Mei Chao, Yingqian Xu","doi":"10.20849/ijsn.v7i4.1305","DOIUrl":"https://doi.org/10.20849/ijsn.v7i4.1305","url":null,"abstract":"Introduction: This study explores the status of mental healthcare workers in the eastern region with respect to work pressure, health-promoting lifestyle patterns, and their related factors, which can provide an important reference to aid the formulation and development of health promotion strategies for such individuals. Methods: A total of 115 questionnaires were distributed and 112 valid questionnaires were recovered, with a recovery rate of 97.4%. The number of samples required for regression analysis was 99, as calculated using G-power software. The effect of work stress on health-promoting lifestyle patterns (β=-0.342, p<0.001) was negative, indicating that a health-promoting lifestyle was better and less stressful. Results: This accounted for 11.70% of the total variation in the health-promoting lifestyle scores (F=14.164, p<0.001, R=0.342). The important predictive variables of health-promoting lifestyle patterns had the greatest influence on work stress (β=-0.302, p=0.001). Discussion: The results of the comprehensive analysis showed that the standardized score of the health-promoting lifestyle of psychiatric nurses was 60.86 points. The overall health-promoting lifestyle of this study was lower than that of clinical nurses in two regional hospitals in Pingtung (the standardized score index is 64.84). This shows that the health-promoting lifestyle of psychiatric nursing staff is only better than that of public health-related staff in the same nursing work, and its overall health-promoting lifestyle is slightly worse than that of general nursing staff and school nurses. Conclusions: This influence was negative, indicating that the greater the work pressure, the worse the implementation of health-promoting lifestyle patterns. Creating a friendly workplace and implementing workplace health-promoting programs, organizing and encouraging psychiatric caregivers to participate in networking activities, and form families can help reduce mental health care workers’ work pressure, improve health, and promote lifestyle participation thus maintaining physical and mental health status.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85457234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yi-Chen Wu, Wan-Chen Lin, P. Huang, Hsiang-Ting Lee, Hsiao-Hui Chiu
Background: Hospitalization has been a source of anxiety for young school-age patients. In addition to taking care of young patients’ physical problems, the primary caregivers will also encounter young patients’ emotional reactions. Understanding the anxiety status in young patients and primary caregivers to provide relevant measures is an important issue.Aim: To investigate the hospitalization anxiety levels in school-age children aged 6 to 12 years and primary caregivers, as well as their influencing factors.Subject and Methods: Cross-sectional research with a questionnaire survey was used as the methodology for the study. The enrollment period was between December 1, 2021, and August 31, 2022. For hospitalized young patients aged 6 to 12 years in the orthopedic ward of a medical center, after the consent was acquired at admission for 24 hours, the primary caregiver was assigned to complete the questionnaire.Result: The Post-Hospitalization Behavior Questionnaire (PHBQ) was used to investigate 39 young patients. The overall mean behavior scores was 51.5 ± 15.7 points, there were statistically significant differences for sex in general anxiety behavior scores, separation anxiety behavior scores, sleep anxiety behavior scores, apathy/withdrawal behavior scores, and total behavior scores, with higher post-hospitalization behavior scores in male young patients compared to that in females. In the Trait Anxiety Inventory for a family member, the mean score was 39 ± 12.6 points, with mild anxiety at 50%, moderate anxiety at 38.9%, and severe anxiety at 11.1%. Primary caregivers’ level of anxiety reached statistical significance in economic status, with an increased level of anxiety for those who were in lower economic positions (p=0.01).Conclusion: The PHBQ for young patients can be used as an assessment for their levels of anxiety, the levels of negative behaviors in boys are higher than that in girls. There were 50% of primary caregivers experienced moderate to severe anxiety, and the sources of anxiety were correlated with the economic status of the family.Recommendations:(1) Hospital anxiety in children is often overlooked and can be found by observing behavior. The PHBQ is an easy-to-use assessment tool and is recommended for routine use in hospitalized children to assess behavioral changes after pediatric surgery/hospitalization to help parents and medical staff evaluate children's anxiety.(2) Hospitals can construct amusement equipment, and toys or arrange game activities to reduce the anxiety of hospitalization of school-age children.
{"title":"Investigation on Behavioral Change in Hospitalized School-Age Young Patients and Influencing Factors","authors":"Yi-Chen Wu, Wan-Chen Lin, P. Huang, Hsiang-Ting Lee, Hsiao-Hui Chiu","doi":"10.20849/ijsn.v7i4.1302","DOIUrl":"https://doi.org/10.20849/ijsn.v7i4.1302","url":null,"abstract":"Background: Hospitalization has been a source of anxiety for young school-age patients. In addition to taking care of young patients’ physical problems, the primary caregivers will also encounter young patients’ emotional reactions. Understanding the anxiety status in young patients and primary caregivers to provide relevant measures is an important issue.Aim: To investigate the hospitalization anxiety levels in school-age children aged 6 to 12 years and primary caregivers, as well as their influencing factors.Subject and Methods: Cross-sectional research with a questionnaire survey was used as the methodology for the study. The enrollment period was between December 1, 2021, and August 31, 2022. For hospitalized young patients aged 6 to 12 years in the orthopedic ward of a medical center, after the consent was acquired at admission for 24 hours, the primary caregiver was assigned to complete the questionnaire.Result: The Post-Hospitalization Behavior Questionnaire (PHBQ) was used to investigate 39 young patients. The overall mean behavior scores was 51.5 ± 15.7 points, there were statistically significant differences for sex in general anxiety behavior scores, separation anxiety behavior scores, sleep anxiety behavior scores, apathy/withdrawal behavior scores, and total behavior scores, with higher post-hospitalization behavior scores in male young patients compared to that in females. In the Trait Anxiety Inventory for a family member, the mean score was 39 ± 12.6 points, with mild anxiety at 50%, moderate anxiety at 38.9%, and severe anxiety at 11.1%. Primary caregivers’ level of anxiety reached statistical significance in economic status, with an increased level of anxiety for those who were in lower economic positions (p=0.01).Conclusion: The PHBQ for young patients can be used as an assessment for their levels of anxiety, the levels of negative behaviors in boys are higher than that in girls. There were 50% of primary caregivers experienced moderate to severe anxiety, and the sources of anxiety were correlated with the economic status of the family.Recommendations:(1) Hospital anxiety in children is often overlooked and can be found by observing behavior. The PHBQ is an easy-to-use assessment tool and is recommended for routine use in hospitalized children to assess behavioral changes after pediatric surgery/hospitalization to help parents and medical staff evaluate children's anxiety.(2) Hospitals can construct amusement equipment, and toys or arrange game activities to reduce the anxiety of hospitalization of school-age children.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84855929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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