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Influence of Qigong Wuqinxi on Pain, Sleep, and Tongue Features in Older Adults. 气功五禽戏对老年人疼痛、睡眠和舌头特征的影响
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000646
Tzu-Wei Chou, Che-Chang Kuo, Kuei-Min Chen, Frank Belcastro

Background: Chronic pain and sleep disorders are commonly seen symptoms in community-dwelling older adults at traditional Chinese medicine (TCM) clinics. TCM modalities such as herbal medication and acupuncture have side effects and usage limitations. Therefore, nonpharmacological and noninvasive interventions may be applied to relieve the symptoms of these conditions.

Purpose: This study was designed to test the effect of Qigong Wuqinxi exercise on chronic pain, sleep quality, TCM constitutions, and tongue features in community-dwelling older adults.

Methods: This was a cluster randomized controlled trial. Older adults in two community care centers who met the inclusion criteria were assigned by drawing lots to either the experimental group (n = 32) or the control group (n = 31). Experimental group members practiced the Qigong Wuqinxi exercise for 50 minutes three times each week for 12 weeks, whereas those in the control group maintained their normal daily routine. Before and after the 12-week study, data on chronic pain, sleep quality, TCM constitutions, and tongue features were collected from all participants to assess the effectiveness of the intervention. Between-group pretest and posttest comparisons were analyzed using independent samples t tests, and within-group differences were analyzed using paired t tests.

Results: The experimental group reported significantly greater average posttest improvements in chronic pain, yang deficiency, phlegm-stasis, thick fur, and red dots than the control group (all ps < .05). The maximum change in pretest to posttest pain scores favored the experimental group (-0.56 ± 0.76 vs. 0.39 ± 1.91, p = .011). Also, the experimental group had a significantly better change in the pain interference index (-3.31 ± 3.30 vs. -0.58 ± 1.91, p < .001). In addition, the experimental group exhibited greater improvements in yang-deficiency tendency (-2.38 ± 4.89 vs. 0.35 ± 4.67, p = .027), phlegm and stasis tendency (-2.19 ± 4.52 vs. 1.77 ± 2.47, p < .001), thick fur (1.44 ± 11.28 vs. 6.03 ± 6.04, p = .049), and red dots (-5.09 ± 21.45 vs. 2.81 ± 4.03, p = .048). However, no significant between-group difference in posttest sleep quality (p = .357) was observed.

Conclusions/implications for practice: The Qigong Wuqinxi exercise was found to positively improve chronic pain and TCM constitutions in community-dwelling older adults and may be promoted in community care centers to improve the health status of older adults.

背景:慢性疼痛和睡眠障碍是社区老年人在中医诊所常见的症状。中药和针灸等中医疗法存在副作用和使用限制。目的:本研究旨在测试气功五禽戏运动对社区老年人慢性疼痛、睡眠质量、中医体质和舌象的影响:这是一项分组随机对照试验。两个社区护理中心符合纳入标准的老年人通过抽签被分配到实验组(32 人)或对照组(31 人)。实验组成员练习气功五禽戏,每周三次,每次 50 分钟,共 12 周,对照组则保持正常的日常生活。在为期 12 周的研究前后,收集了所有参与者的慢性疼痛、睡眠质量、中医体质和舌象等数据,以评估干预效果。组间前测和后测比较采用独立样本 t 检验,组内差异采用配对 t 检验:结果:实验组在慢性疼痛、阳虚、痰瘀、苔厚和红点方面的测试后平均改善程度明显高于对照组(所有数据均小于 0.05)。从测试前到测试后疼痛评分的最大变化有利于实验组(-0.56 ± 0.76 vs. 0.39 ± 1.91,P = .011)。此外,实验组在疼痛干扰指数方面的变化也明显更好(-3.31 ± 3.30 vs. -0.58 ± 1.91,p < .001)。此外,实验组在阳虚倾向(-2.38 ± 4.89 vs. 0.35 ± 4.67,P = .027)、痰瘀倾向(-2.19 ± 4.52 vs. 1.77 ± 2.47,p < .001)、苔厚(1.44 ± 11.28 vs. 6.03 ± 6.04,p = .049)和红点(-5.09 ± 21.45 vs. 2.81 ± 4.03,p = .048)。然而,在测试后的睡眠质量方面没有观察到明显的组间差异(p = .357):研究发现气功五禽戏能积极改善社区老年人的慢性疼痛和中医体质,可在社区护理中心推广,以改善老年人的健康状况。
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引用次数: 0
Development and Impact of a Cognitive Reserve Enhancement Program for Climacteric Korean Women. Climacteric Korean Women's Development and Impact of a Cognitive Reserve Enhancement Program for Climacteric Korean Women.
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000643
Ji Hyun Kim, Seungmi Park

Background: In light of the rising incidence of mild cognitive impairment in women, an appropriate cognitive reserve enhancement program is urgently needed for women experiencing climacteric symptoms.

Purpose: The purpose of this study was to develop a cognitive reserve enhancement program for climacteric women based on cognitive reserve theory (CRT) and to verify its effectiveness.

Methods: A nonequivalence control group, pre- and post-quasi-experimental design was used. The 58 climacteric women with subjective memory deterioration enrolled as participants were divided into the experimental group (28 women), which received a 24-session CRT-based cognitive reserve enhance program, and the control group (30 women), the members of which received the cognitive training via a mobile application after completion of the study. Valid data from 24 experimental and 26 control participants were available for analysis. Objective cognitive functions, including overall cognitive, memory, attention, and language, were measured pretest and posttest using the following tools: Everyday Cognition Scale (subjective cognitive function), Center for Epidemiologic Studies Depression Scale (depression), and World Health Organization Quality of Life-Brief Version (quality of life).

Results: The experimental group showed a statistically significant increase in overall cognitive function (t = 3.82, p = .001), memory (t = 2.63, p = .012), attention: number of correct answers (t = 2.12, p = .040), language high-frequency response speed (Z = -2.49, p = .013), and language low-frequency response speed (Z = -2.77, p = .006) in objective cognitive function after 8 weeks in comparison to the control group.

Conclusions/implications for practice: The intervention program tested in this study to enhance cognitive reserve in climacteric women includes cognitive training, emotional and social support, and group physical activity components was found to be effective in enhancing cognitive function.

背景:目的:本研究的目的是基于认知储备理论(CRT),为处于更年期的女性制定一项认知储备提升计划,并验证其有效性:方法:采用非等效对照组、前后准实验设计。58名主观记忆力衰退的更年期女性被分为实验组(28人)和对照组(30人),实验组接受了为期24个疗程的基于CRT的认知储备增强项目,对照组则在研究结束后通过移动应用程序接受认知训练。24 名实验组参与者和 26 名对照组参与者的有效数据可供分析。客观认知功能包括整体认知、记忆、注意力和语言,在测试前和测试后使用以下工具进行测量:日常认知量表(主观认知功能)、流行病学研究中心抑郁量表(抑郁)和世界卫生组织生活质量简明版(生活质量):实验组与对照组相比,8 周后在客观认知功能方面的总体认知功能(t = 3.82,p = .001)、记忆力(t = 2.63,p = .012)、注意力:正确答案数(t = 2.12,p = .040)、语言高频反应速度(Z = -2.49,p = .013)和语言低频反应速度(Z = -2.77,p = .006)均有统计学意义上的显著提高:本研究中测试的干预计划旨在增强更年期女性的认知储备,其中包括认知训练、情感和社会支持以及集体体育活动,结果表明该计划能有效增强认知功能。
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引用次数: 0
Effect of a Hydration Game-Based Learning Program in Improving Fluid Intake and Hydration Status in Institutional Residents. 基于水合游戏的学习计划对改善住院病人液体摄入和水合状态的效果。
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000650
Li-Chan Lin, Ting-Wei Chen, Yi-Heng Chen, Shiao-Chi Wu

Background: Approximately 50% of residents living in institutions have insufficient fluid intake, and 20%-30% experience dehydration. Implementing strategies that effectively increase fluid intake is crucial to preventing dehydration-related complications and reducing complications and comorbidities in this population.

Purpose: This study was designed to explore the effects on fluid intake and hydration status of a hydration game-based learning program in institutional residents.

Methods: A single-blind, cluster, randomized controlled trial was conducted. Sixty-four subjects from five long-term care facilities in northern Taiwan were randomly assigned to either an experimental or control group. The experimental group received a 40-minute game-based hydration care program intervention twice weekly for 8 weeks. The control group received routine care. The data obtained were analyzed using generalized estimating equation analysis to verify changes in observed variables in the two groups at 4 and 8 weeks (during and immediately after the intervention).

Results: The results showed a significant improvement in fluid intake in the experimental group at 4 and 8 weeks (p = .002 and p < .001, respectively). In terms of dehydration-related indicators, although total body water was significantly improved at 8 weeks in the experimental group (p = .009), no significant improvement was found in urine-specific gravity. In terms of signs of possible urinary tract infection, the experimental group showed significant improvement in urine leukocytes (p = .029) and nitrites (p = .004) at 8 weeks.

Conclusions/implications for practice: The findings of this study support the positive effects of applying the concept of uncertain rewards and game-based learning in institutional group activities. Specifically, the interventions increased social interaction and enhanced enjoyment of drinking. The findings call for nursing professionals at institutions to offer similar hydration game-based learning programs as part of residents' daily activities to improve fluid intake.

背景:生活在养老院中的居民约有 50% 摄入的液体不足,20%-30% 出现脱水。实施有效增加液体摄入量的策略对于预防脱水相关并发症、减少该人群的并发症和合并症至关重要。目的: 本研究旨在探讨基于游戏的水合学习项目对住院患者液体摄入量和水合状态的影响:方法:进行了一项单盲、分组、随机对照试验。来自台湾北部 5 家长期护理机构的 64 名受试者被随机分配到实验组或对照组。实验组接受每周两次、每次 40 分钟、以游戏为基础的水合护理计划干预,为期 8 周。对照组接受常规护理。采用广义估计方程分析法对所获得的数据进行分析,以验证两组在 4 周和 8 周(干预期间和干预后)观察到的变量变化:结果显示,实验组的液体摄入量在 4 周和 8 周时有明显改善(p = .002 和 p < .001)。在与脱水相关的指标方面,虽然实验组在 8 周时体内总水量有了明显改善(p = .009),但尿液比重却没有明显改善。在可能的尿路感染迹象方面,实验组的尿液白细胞(p = 0.029)和亚硝酸盐(p = 0.004)在 8 周时有明显改善:本研究结果支持在机构小组活动中应用不确定奖励和游戏式学习概念的积极效果。具体来说,干预措施增加了社交互动,提高了饮酒的乐趣。研究结果呼吁机构中的护理专业人员在居民的日常活动中提供类似的基于游戏的水合学习计划,以提高液体摄入量。
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引用次数: 0
Exploring the Relationship Between eHealth Literacy and Diabetes Knowledge, Self-Efficacy, and Self-Care Behaviors in Chinese Diabetic Patients: A Cross-Sectional Study. 探索中国糖尿病患者的电子健康素养与糖尿病知识、自我效能和自我护理行为之间的关系:一项横断面研究
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000642
Xing Ji, Juntao Chi

Background: The importance of online educational resources enhancing self-management among patients is underscored by the growing prevalence of diabetes. It is crucial to comprehend how patients with diabetes in China seek diabetes-related information and use mobile applications (apps) designed for diabetes management. Although the Knowledge-Attitude-Practice theory plays an integral role in diabetes management, in-depth studies on eHealth literacy (eHL) and Knowledge-Attitude-Practice in populations with diabetes remain scarce.

Purpose: This study was developed to provide insights into the online information-seeking behaviors of and diabetes apps used by individuals living with diabetes by exploring the relationships among eHL, diabetes knowledge, self-efficacy, and self-care behaviors.

Methods: A cross-sectional survey was conducted from November 2022 to June 2023 on 380 inpatients with diabetes at the Yantai Yuhuangding Hospital in Shandong Province. The participants voluntarily completed surveys covering sociodemographic characteristics, diabetes status, diabetes app usage, online diabetes information searching, eHL, diabetes knowledge, self-efficacy, and self-care behaviors. Structural equation modeling analyses were employed to assess model fitness and the interrelationships between latent constructs and observable variables.

Results: Of the 380 participants, 57.1% (217/380) reported actively seeking diabetes information online, whereas only 3.7% (14/380) had used diabetes apps. eHL was shown to have a direct effect on diabetes knowledge (β = 0.377, p < .001) but no direct impact on self-care behaviors (β = 0.017, p = .860). However, an indirect effect on self-care behaviors was observed via diabetes knowledge and self-efficacy.

Conclusions/implications for practice: The results of this study indicate that, despite widespread online information-seeking behavior, diabetes app utilization remains limited in China. Also, the findings indicate enhancing patients' eHL contributes to more comprehensive diabetes knowledge. Furthermore, eHL was shown to influence self-care behaviors via diabetes knowledge and self-efficacy. A self-managed intervention strategy should be developed to improve eHL that utilizes internet resources to improve patients' knowledge and self-efficacy and promote better self-care behaviors.

背景:随着糖尿病患病率的不断上升,在线教育资源对加强患者自我管理的重要性日益凸显。了解中国糖尿病患者如何寻求糖尿病相关信息以及如何使用为糖尿病管理而设计的移动应用程序(Apps)至关重要。目的:本研究旨在通过探讨电子健康素养(eHL)、糖尿病知识、自我效能和自我护理行为之间的关系,深入了解糖尿病患者的在线信息搜索行为和糖尿病应用程序的使用情况:2022年11月至2023年6月,对山东省烟台毓璜顶医院的380名住院糖尿病患者进行了横断面调查。受试者自愿填写调查问卷,内容包括社会人口学特征、糖尿病状况、糖尿病应用程序使用情况、在线糖尿病信息搜索、eHL、糖尿病知识、自我效能和自我护理行为。采用结构方程模型分析评估模型的适宜性以及潜在结构和可观察变量之间的相互关系:在380名参与者中,有57.1%(217/380)的人表示曾在网上主动寻求糖尿病信息,而只有3.7%(14/380)的人使用过糖尿病应用程序。研究表明,电子健康手册对糖尿病知识有直接影响(β = 0.377,p < .001),但对自我保健行为没有直接影响(β = 0.017,p = .860)。然而,通过糖尿病知识和自我效能观察到了对自我护理行为的间接影响:本研究结果表明,尽管在线信息搜索行为十分普遍,但在中国,糖尿病应用程序的使用仍然有限。同时,研究结果表明,提高患者的电子健康状况有助于更全面地了解糖尿病知识。此外,eHL 还能通过糖尿病知识和自我效能影响自我保健行为。应制定一种自我管理的干预策略,利用互联网资源改善电子健康热线,提高患者的知识水平和自我效能,促进更好的自我护理行为。
{"title":"Exploring the Relationship Between eHealth Literacy and Diabetes Knowledge, Self-Efficacy, and Self-Care Behaviors in Chinese Diabetic Patients: A Cross-Sectional Study.","authors":"Xing Ji, Juntao Chi","doi":"10.1097/jnr.0000000000000642","DOIUrl":"10.1097/jnr.0000000000000642","url":null,"abstract":"<p><strong>Background: </strong>The importance of online educational resources enhancing self-management among patients is underscored by the growing prevalence of diabetes. It is crucial to comprehend how patients with diabetes in China seek diabetes-related information and use mobile applications (apps) designed for diabetes management. Although the Knowledge-Attitude-Practice theory plays an integral role in diabetes management, in-depth studies on eHealth literacy (eHL) and Knowledge-Attitude-Practice in populations with diabetes remain scarce.</p><p><strong>Purpose: </strong>This study was developed to provide insights into the online information-seeking behaviors of and diabetes apps used by individuals living with diabetes by exploring the relationships among eHL, diabetes knowledge, self-efficacy, and self-care behaviors.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from November 2022 to June 2023 on 380 inpatients with diabetes at the Yantai Yuhuangding Hospital in Shandong Province. The participants voluntarily completed surveys covering sociodemographic characteristics, diabetes status, diabetes app usage, online diabetes information searching, eHL, diabetes knowledge, self-efficacy, and self-care behaviors. Structural equation modeling analyses were employed to assess model fitness and the interrelationships between latent constructs and observable variables.</p><p><strong>Results: </strong>Of the 380 participants, 57.1% (217/380) reported actively seeking diabetes information online, whereas only 3.7% (14/380) had used diabetes apps. eHL was shown to have a direct effect on diabetes knowledge (β = 0.377, p < .001) but no direct impact on self-care behaviors (β = 0.017, p = .860). However, an indirect effect on self-care behaviors was observed via diabetes knowledge and self-efficacy.</p><p><strong>Conclusions/implications for practice: </strong>The results of this study indicate that, despite widespread online information-seeking behavior, diabetes app utilization remains limited in China. Also, the findings indicate enhancing patients' eHL contributes to more comprehensive diabetes knowledge. Furthermore, eHL was shown to influence self-care behaviors via diabetes knowledge and self-efficacy. A self-managed intervention strategy should be developed to improve eHL that utilizes internet resources to improve patients' knowledge and self-efficacy and promote better self-care behaviors.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":"32 6","pages":"e359"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735496","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}
引用次数: 0
Effects of Procedural Information, Buzzy, and Multiple Interventions on Pain in Children Undergoing Venipuncture: A Randomized Controlled Trial. 程序信息、嗡嗡声和多重干预对接受静脉穿刺儿童疼痛的影响:随机对照试验
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000640
Ilknur Kahriman, Buket Meral, Bahar Colak, Meral Bektas, Zila Özlem Kirbas, Yeliz Kasko Arici

Background: Needle-related procedures are commonly performed in childhood and lead to considerable pain.

Purpose: This randomized controlled study was conducted to compare the effects on venipuncture pain of the Buzzy, an informational animated video, multiple interventions, and standard care in children aged 6-12 years.

Methods: One hundred eighty children were assigned to the groups using a computerized randomization program. Pain level was evaluated by the children, parents, and their nurses using the Wong-Baker Faces Pain Scale. The level of agreement among the nurse, parents, and children's pain reports was evaluated. Multivariable regression analysis was performed to identify the factors significantly associated with pain score.

Results: The participants in the Buzzy, video watching, and multiple intervention groups reported lower mean pain scores (child: KW = 28.24, p < .001; parent: KW = 18.51, p < .001; nurse: KW = 44.4, p < .001) than their peers in the control group. Moreover, age was identified as a risk factor affecting pain level ( OR = 1.375, 95% CI [1.086, 1.740]; p = .008).

Conclusions: Buzzy and informational videos are potentially effective methods to facilitate venipuncture-related pain management in children. The use of pain management methods during venipuncture is recommended, especially in children younger than 10 years old.

背景:针刺相关手术是儿童时期的常见手术,会导致相当程度的疼痛:目的:本随机对照研究旨在比较动画视频 Buzzy、多种干预措施和标准护理对 6-12 岁儿童静脉穿刺疼痛的影响:方法:使用计算机随机程序将 180 名儿童分配到不同的组别。儿童、家长及其护士使用黄-贝克面孔疼痛量表对疼痛程度进行评估。评估了护士、家长和患儿疼痛报告的一致程度。进行了多变量回归分析,以确定与疼痛评分显著相关的因素:结果:Buzzy 组、观看视频组和多重干预组的参与者报告的平均疼痛评分较低(儿童:KW = 28.24,P<0.05):KW = 28.24,p < .001;家长:KW = 18.51,p < .001:KW = 18.51,p < .001;护士:KW = 44.4,p < .001:KW = 44.4,p < .001)。此外,年龄也是影响疼痛程度的一个风险因素(OR = 1.375,95% CI [1.086,1.740];p = .008):嗡嗡声和信息视频是促进儿童静脉穿刺相关疼痛控制的潜在有效方法。建议在静脉穿刺时使用疼痛控制方法,尤其是对 10 岁以下的儿童。
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引用次数: 0
Influence of the Nursing Work Environment on Job Satisfaction in Male Nurses: The Mediating Effect of Social Support. 护理工作环境对男护士工作满意度的影响:社会支持的中介效应
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000647
DongHyun Kim, Hyunjin Oh

Background: Although the proportion of male nurses in the nursing profession has risen in recent years, their turnover rate remains higher than their female counterparts. Male nurses tend to report lower levels of job satisfaction. However, there has been a dearth of research examining the relation among perceptions of work environment, social support, and job satisfaction in male nurses.

Purpose: The aim of this study was to investigate the associations among work environment, social support, and job satisfaction in male nurses in Korea. In addition, the potential mediating effect of social support on the relationship between work environment and job satisfaction was explored.

Methods: A cross-sectional design was employed to investigate the research questions. The study was conducted in a metropolitan area in South Korea, and self-administered questionnaires were distributed to participants. Hierarchical multiple regression analysis was utilized to explore the potential associations among work environment, social support, and job satisfaction.

Results: Work environment was found to correlate positively with job satisfaction (r = .53, p < .001) and social support (r = .57, p < .001) in the participants, whereas a positive correlation was also found between social support and job satisfaction (r = .57, p < .001). Social support was shown to partly mediate the relationship between work environment and job satisfaction.

Conclusions: The findings of this study suggest that social support partially mediates the relationship between work environment and job satisfaction in male nurses as well as confirm the importance of both work environment and social support as factors that can positively influence job satisfaction in this group.

背景:尽管近年来护理行业中的男护士比例有所上升,但他们的离职率仍然高于女护士。男护士对工作的满意度往往较低。目的:本研究旨在调查韩国男护士的工作环境、社会支持和工作满意度之间的关系。此外,还探讨了社会支持对工作环境和工作满意度之间关系的潜在中介效应:采用横断面设计调查研究问题。研究在韩国的一个大都市地区进行,并向参与者发放了自填问卷。利用层次多元回归分析法探讨了工作环境、社会支持和工作满意度之间的潜在关联:结果发现,工作环境与参与者的工作满意度(r = .53,p < .001)和社会支持(r = .57,p < .001)呈正相关,而社会支持与工作满意度(r = .57,p < .001)之间也呈正相关。社会支持在一定程度上调节了工作环境与工作满意度之间的关系:本研究结果表明,社会支持在一定程度上调节了男护士的工作环境与工作满意度之间的关系,同时也证实了工作环境和社会支持作为积极影响该群体工作满意度的因素的重要性。
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引用次数: 0
ACKNOWLEDGMENTS. 致谢。
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000649
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引用次数: 0
Mediating Effects of Depressive Symptoms and Uncertainty on Physical Symptoms and Self-Care in Korean Older Men With Heart Failure. 韩国老年男性心力衰竭患者的抑郁症状和不确定性对身体症状和自我护理的中介效应。
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000644
Sooyeon Yu, Hanyi Lee

Background: Heart failure is prevalent among aging populations. Given the increasing median age in many countries, sustainably improving self-care behaviors in heart failure patients is crucial. Physical symptoms predict self-care in patients with heart failure, whereas psychological factors such as depressive symptoms and uncertainty negatively affect disease management efficacy.

Purpose: The mediating and indirect effects of depressive symptoms and disease uncertainty regarding the relationship between physical symptoms and self-care behaviors were examined in older South Korean men with heart failure.

Methods: A descriptive correlational survey design was used to collect data from 185 older men with heart failure. Data were obtained from medical records and self-reported questionnaires addressing physical symptoms, depressive symptoms severity (Patient Health Questionnaire-9), illness uncertainty (Mishel Uncertainty in Illness Scale-Community Form), and self-care behaviors (European Heart Failure Self-care Behavior Scale). The mediating effects of depressive symptoms and disease uncertainty were assessed using a bootstrapping method via PROCESS Model 4, a parallel mediation model, in SPSS.

Results: The mean age of the participants was 77.41 ( SD = 5.35) years. Half (50.8%) had a diagnosis of New York Heart Association Class II heart failure, and 21.6% had a diagnosis of New York Heart Association Class III/IV heart failure. Self-care behaviors were found to correlate negatively with physical symptoms, depressive symptoms, and uncertainty. Depressive symptoms ( B = -0.10, 95% confidence interval [CI] [-0.18, -0.01]) and uncertainty ( B = -0.05, 95% CI [-0.09, -0.01]) were found to mediate the relationship between physical symptoms and self-care behaviors.

Conclusions/implications for practice: The findings reveal depressive symptoms and disease uncertainty significantly mediate the relationship between physical symptoms and self-care behaviors in older South Korean men with heart failure. In light of this, cardiovascular nurses should join in targeted educational initiatives tailored to address the unique needs of older men with heart failure that consider psychological factors such as depressive symptoms and uncertainty as well as physical symptom management.

背景心力衰竭在老龄人口中十分普遍。鉴于许多国家的中位年龄不断增长,持续改善心衰患者的自我护理行为至关重要。目的:研究了抑郁症状和疾病不确定性对韩国老年男性心力衰竭患者身体症状和自我护理行为之间关系的中介和间接影响:方法:采用描述性相关调查设计,收集了 185 名患有心力衰竭的老年男性的数据。数据来自病历和自我报告问卷,内容涉及身体症状、抑郁症状严重程度(患者健康问卷-9)、疾病不确定性(Mishel疾病不确定性量表-社区形式)和自我护理行为(欧洲心力衰竭自我护理行为量表)。抑郁症状和疾病不确定性的中介效应是通过 SPSS 中的 PROCESS 模型 4(平行中介模型)以引导法进行评估的:参与者的平均年龄为 77.41 岁(SD = 5.35)。半数(50.8%)被诊断为纽约心脏病协会 II 级心力衰竭,21.6%被诊断为纽约心脏病协会 III/IV 级心力衰竭。研究发现,自我护理行为与身体症状、抑郁症状和不确定性呈负相关。研究发现,抑郁症状(B = -0.10,95% 置信区间 [CI] [-0.18, -0.01])和不确定性(B = -0.05,95% 置信区间 [-0.09, -0.01])是身体症状和自我护理行为之间关系的中介:研究结果表明,抑郁症状和疾病的不确定性对韩国老年男性心力衰竭患者的躯体症状和自我护理行为之间的关系有明显的中介作用。有鉴于此,心血管科护士应参与有针对性的教育活动,以满足老年男性心力衰竭患者的独特需求,其中应考虑到抑郁症状和不确定性等心理因素以及躯体症状管理。
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引用次数: 0
Effects of Resilience and Personal Accomplishment on the Relationship Between Quality of Work Life and Turnover Intention Among Newly Employed Nurses. 复原力和个人成就对新入职护士工作生活质量与离职意向之间关系的影响。
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000639
Huan-Fang Lee, Hui-Ying Chiang, Ying-Ju Chang, Mei-Yu Chang, Chiu-Hsiang Lee, Hsiu-Chuan Wu, Doressses Liu, Susan Fetzer

Background: Turnover among newly employed nurses is an indicator of workforce stability in healthcare organizations. The factors influencing turnover intention in this group are complex and differ by generation. The relationships among variables including work-life quality, personal accomplishment, resilience, and turnover intention have been explored separately. However, a knowledge gap exists in terms of scholarly understanding regarding the respective impacts of perceived personal accomplishment and resilience on the relationship between work-life quality and turnover intention.

Purpose: This study was designed to explore the respective effects of resilience and personal accomplishment on the relationship between work-life quality and turnover intention.

Methods: A cross-sectional approach was used, and 387 newly employed nurses who had worked for just 1 month at six medical centers in Taiwan were enrolled as participants. The following four instruments were used for data collection: Quality of Nurse Work-life Scale, Connor-Davidson Resilience Scale, the personal accomplishment subscale of the Maslach Burnout Inventory, and Turnover Intention Scale. Hayes PROCESS analysis method was used to analyze the influence of resilience and personal accomplishment on the relationship between work-life quality and turnover intention.

Results: There was a positive correlation among work-life quality, resilience, and personal accomplishment, and a negative correlation was found between all three variables and turnover intention. Resilience was found to negatively mediate the relationship between work-life quality and turnover intention ( B = -.032, p < .001). The moderating effect of work-life quality on personal accomplishment was significant ( B = .012, p < .05). Work-life quality and sense of personal accomplishment explained 61% of the variance in resilience. Work-life quality and resilience explained 50.5% of the variance in turnover intention. Furthermore, sense of personal accomplishment moderated the mediating effect of resilience on the relationship between work-life quality and turnover intention.

Conclusions/implications for practice: Resilience mediates the relationship between work-life quality and turnover intention, whereas personal accomplishment may moderate the mediating effect of resilience in the relationship. Administrators should provide strategies to improve professional competence and improve psychological capacity in new nurses to increase their sense of personal accomplishment and resilience to decrease turnover intention.

背景:新聘护士的离职率是医疗机构劳动力稳定性的一个指标。影响这一群体离职意向的因素很复杂,而且因年代而异。人们已经分别探讨了包括工作-生活质量、个人成就感、复原力和离职意向等变量之间的关系。目的:本研究旨在探讨抗逆力和个人成就感各自对工作-生活质量与离职意向之间关系的影响:方法:采用横断面方法,在台湾的 6 家医疗中心招募了 387 名工作仅 1 个月的新入职护士作为参与者。数据收集使用了以下四种工具:护士工作生活质量量表》、《康纳-戴维森复原力量表》、《马斯拉奇职业倦怠量表》的个人成就感分量表以及《离职意向量表》。采用 Hayes PROCESS 分析法分析抗挫折力和个人成就感对工作-生活质量与离职意向之间关系的影响:结果:工作-生活质量、复原力和个人成就感之间存在正相关,而这三个变量与离职意向之间存在负相关。研究发现,抗挫折能力对工作-生活质量与离职意向之间的关系起负中介作用(B = -.032,p < .001)。工作-生活质量对个人成就感的调节作用显著(B = .012,p < .05)。工作-生活质量和个人成就感解释了复原力变异的 61%。工作-生活质量和复原力解释了离职意向中 50.5% 的变异。此外,个人成就感调节了复原力对工作-生活质量和离职意向之间关系的中介效应:复原力是工作-生活质量与离职意向之间关系的中介,而个人成就感可能会调节复原力在这一关系中的中介效应。管理者应为新护士提供提高专业能力和心理承受能力的策略,以增强其个人成就感和复原力,从而降低离职意向。
{"title":"Effects of Resilience and Personal Accomplishment on the Relationship Between Quality of Work Life and Turnover Intention Among Newly Employed Nurses.","authors":"Huan-Fang Lee, Hui-Ying Chiang, Ying-Ju Chang, Mei-Yu Chang, Chiu-Hsiang Lee, Hsiu-Chuan Wu, Doressses Liu, Susan Fetzer","doi":"10.1097/jnr.0000000000000639","DOIUrl":"10.1097/jnr.0000000000000639","url":null,"abstract":"<p><strong>Background: </strong>Turnover among newly employed nurses is an indicator of workforce stability in healthcare organizations. The factors influencing turnover intention in this group are complex and differ by generation. The relationships among variables including work-life quality, personal accomplishment, resilience, and turnover intention have been explored separately. However, a knowledge gap exists in terms of scholarly understanding regarding the respective impacts of perceived personal accomplishment and resilience on the relationship between work-life quality and turnover intention.</p><p><strong>Purpose: </strong>This study was designed to explore the respective effects of resilience and personal accomplishment on the relationship between work-life quality and turnover intention.</p><p><strong>Methods: </strong>A cross-sectional approach was used, and 387 newly employed nurses who had worked for just 1 month at six medical centers in Taiwan were enrolled as participants. The following four instruments were used for data collection: Quality of Nurse Work-life Scale, Connor-Davidson Resilience Scale, the personal accomplishment subscale of the Maslach Burnout Inventory, and Turnover Intention Scale. Hayes PROCESS analysis method was used to analyze the influence of resilience and personal accomplishment on the relationship between work-life quality and turnover intention.</p><p><strong>Results: </strong>There was a positive correlation among work-life quality, resilience, and personal accomplishment, and a negative correlation was found between all three variables and turnover intention. Resilience was found to negatively mediate the relationship between work-life quality and turnover intention ( B = -.032, p < .001). The moderating effect of work-life quality on personal accomplishment was significant ( B = .012, p < .05). Work-life quality and sense of personal accomplishment explained 61% of the variance in resilience. Work-life quality and resilience explained 50.5% of the variance in turnover intention. Furthermore, sense of personal accomplishment moderated the mediating effect of resilience on the relationship between work-life quality and turnover intention.</p><p><strong>Conclusions/implications for practice: </strong>Resilience mediates the relationship between work-life quality and turnover intention, whereas personal accomplishment may moderate the mediating effect of resilience in the relationship. Administrators should provide strategies to improve professional competence and improve psychological capacity in new nurses to increase their sense of personal accomplishment and resilience to decrease turnover intention.</p>","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e360"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635622","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}
引用次数: 0
Characteristics of Successful Leadership: Perspectives From Asian Nursing Leaders. 成功领导的特征:亚洲护理领导者的观点。
Pub Date : 2024-12-01 DOI: 10.1097/jnr.0000000000000641
Eun-Ok Im, Ching-Min Chen, Haewon Kim, Eui Geum Oh, Reiko Sakashita, Hsiu-Hung Wang, Hsiu-Min Tsai
<p><strong>Background: </strong>The development of nursing leaders is an important topic in changing healthcare environments. Successful nursing leadership is critical to the reconstruction, implementation, and evaluation of healthcare systems worldwide. However, the characteristics of successful nursing leadership remain unclear, especially in a global context. Furthermore, despite the growing importance of cultural intelligence, cross-cultural concepts of successful nursing leadership have been inadequately addressed in the literature.</p><p><strong>Purpose: </strong>This study was designed to identify the characteristics of successful leadership in nursing from the perspective of Asian leaders in four countries (United States, Taiwan, Korea, and Japan) and to make recommendations for successful leadership in nursing in the future.</p><p><strong>Methods: </strong>A qualitative approach employing five strategies, including in-depth discussions through face-to-face and email discussions, an integrated literature review using multiple databases, responses to 10 topics related to nursing leadership, and written note summaries of the characteristics of successful leadership, was used in this study. A total of 10 nursing leaders from four countries were recruited as participants using snowball sampling. The collected qualitative data were analyzed using line-by-line coding and simple content analysis to extract the characteristics of successful leadership in nursing.</p><p><strong>Results: </strong>The final sample included seven nursing leaders aged between 55 and 70 years. All of the participants were in nursing leadership positions at schools/colleges of nursing or professional organizations for at least two decades and had extensive leadership experience through their schools/colleges, professional organizations, and/or governments. Five key themes related to the characteristics of successful leadership were identified from the participants: (a) culturally and historically prescribed, (b) overcoming gendered experience, (c) equipped with good character, (d) guiding with a vision, and (e) with contextualized leadership.</p><p><strong>Conclusions/implications for practice: </strong>Five characteristics of successful leadership were identified from the perspective of Asian nursing leaders. All of the participants recommended that successful nursing leadership be based on contextual leadership and that successful nursing leadership help meet rapidly changing needs, enable mutual trust, and actively commit and complete necessary risks. Moreover, future successful leadership should have a clear vision and strongly guide the implementation of changes as well as be equipped with cultural intelligence. Finally, successful nursing leadership should be based on ethical, trustable, and humane behaviors while promptly and adequately responding to the changing needs of their institutions/organizations. Cross-regional research on successful nursing leadership i
背景:在不断变化的医疗保健环境中,培养护理领导者是一个重要课题。成功的护理领导力对于全球医疗保健系统的重建、实施和评估至关重要。然而,成功护理领导力的特征仍不明确,尤其是在全球范围内。目的:本研究旨在从四个国家(美国、台湾、韩国和日本)的亚裔领导者的视角出发,确定成功的护理领导力的特征,并为未来成功的护理领导力提出建议:本研究采用了五种定性方法,包括通过面对面讨论和电子邮件讨论进行深入探讨、利用多个数据库进行综合文献综述、回答与护理领导力相关的 10 个主题,以及对成功领导力的特征进行书面总结。本研究采用滚雪球抽样法,共招募了来自四个国家的 10 名护理领导者作为参与者。研究采用逐行编码和简单内容分析法对收集到的定性数据进行分析,以提取成功护理领导力的特征:最终样本包括七名护理领导,年龄在 55 岁至 70 岁之间。所有参与者都在护理学校/学院或专业组织中担任护理领导职务至少二十年,并在学校/学院、专业组织和/或政府中拥有丰富的领导经验。参与者提出了与成功领导力特征相关的五个关键主题:(a)文化和历史规定,(b)克服性别经验,(c)具备良好品格,(d)以远见为指导,以及(e)具有因地制宜的领导力:从亚洲护理领导者的视角出发,确定了成功领导力的五个特征。所有参与者都建议,成功的护理领导力应建立在情境领导力的基础上,成功的护理领导力应有助于满足快速变化的需求、实现相互信任、积极承担并完成必要的风险。此外,未来成功的领导层应具有清晰的愿景,有力地指导变革的实施,并具备文化智慧。最后,成功的护理领导力应建立在道德、信任和人性化行为的基础上,同时及时、充分地应对机构/组织不断变化的需求。关于成功的护理领导力的跨区域研究对于丰富全球培养下一代护理领导者的证据和知识至关重要。
{"title":"Characteristics of Successful Leadership: Perspectives From Asian Nursing Leaders.","authors":"Eun-Ok Im, Ching-Min Chen, Haewon Kim, Eui Geum Oh, Reiko Sakashita, Hsiu-Hung Wang, Hsiu-Min Tsai","doi":"10.1097/jnr.0000000000000641","DOIUrl":"10.1097/jnr.0000000000000641","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The development of nursing leaders is an important topic in changing healthcare environments. Successful nursing leadership is critical to the reconstruction, implementation, and evaluation of healthcare systems worldwide. However, the characteristics of successful nursing leadership remain unclear, especially in a global context. Furthermore, despite the growing importance of cultural intelligence, cross-cultural concepts of successful nursing leadership have been inadequately addressed in the literature.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study was designed to identify the characteristics of successful leadership in nursing from the perspective of Asian leaders in four countries (United States, Taiwan, Korea, and Japan) and to make recommendations for successful leadership in nursing in the future.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A qualitative approach employing five strategies, including in-depth discussions through face-to-face and email discussions, an integrated literature review using multiple databases, responses to 10 topics related to nursing leadership, and written note summaries of the characteristics of successful leadership, was used in this study. A total of 10 nursing leaders from four countries were recruited as participants using snowball sampling. The collected qualitative data were analyzed using line-by-line coding and simple content analysis to extract the characteristics of successful leadership in nursing.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The final sample included seven nursing leaders aged between 55 and 70 years. All of the participants were in nursing leadership positions at schools/colleges of nursing or professional organizations for at least two decades and had extensive leadership experience through their schools/colleges, professional organizations, and/or governments. Five key themes related to the characteristics of successful leadership were identified from the participants: (a) culturally and historically prescribed, (b) overcoming gendered experience, (c) equipped with good character, (d) guiding with a vision, and (e) with contextualized leadership.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions/implications for practice: &lt;/strong&gt;Five characteristics of successful leadership were identified from the perspective of Asian nursing leaders. All of the participants recommended that successful nursing leadership be based on contextual leadership and that successful nursing leadership help meet rapidly changing needs, enable mutual trust, and actively commit and complete necessary risks. Moreover, future successful leadership should have a clear vision and strongly guide the implementation of changes as well as be equipped with cultural intelligence. Finally, successful nursing leadership should be based on ethical, trustable, and humane behaviors while promptly and adequately responding to the changing needs of their institutions/organizations. Cross-regional research on successful nursing leadership i","PeriodicalId":94242,"journal":{"name":"The journal of nursing research : JNR","volume":" ","pages":"e357"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577353","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}
引用次数: 0
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The journal of nursing research : JNR
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