Journal of research in nursing : JRN最新文献

{"title":"The effect of career awareness on perceived career and talent development self-efficacy and career barriers among nursing students.","authors":"Ebtsam Aly Abou Hashish","doi":"10.1177/1744987118807259","DOIUrl":"https://doi.org/10.1177/1744987118807259","url":null,"abstract":"<p><strong>Background: </strong>Providing effective methods of raising career awareness for nursing students could affect their career self-efficacy and enable them to overcome the potential career barriers.</p><p><strong>Aims: </strong>The aim of this study was two-fold: (a) to investigate the effect of career-awareness sessions on perceived career and talent development self-efficacy and career barriers among nursing students; and (b) to determine the relationship between career and talent development self-efficacy and career barriers.</p><p><strong>Methods: </strong>A quasi-experimental research study with one-group, pre-test post-test design was conducted using a convenience sample of nursing students (<i>N</i> = 245) who enrolled in the second year at the Technical Nursing Institute, Alexandria University, Egypt. Career Awareness Sessions (CASs) were introduced to nursing students as the study intervention. The Career and Talent Development Self-Efficacy Scale and the Career Barriers Inventory were used to measure study variables for pre- and post-awareness sessions.</p><p><strong>Results: </strong>CASs had a significant effect on study variables, where the career and talent development self-efficacy score of nursing students significantly increased after sessions. Also, the career barriers score significantly decreased after sessions (<i>p</i> < 0.001). A significant negative correlation between perceived career and talent development self-efficacy and career barriers was found (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Nursing curricula should prepare nursing students by offering continuous educational opportunities to assist them in enhancing their talent development self-efficacy needed for their professional roles and to overcome their potential career barriers.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"233-247"},"PeriodicalIF":3.1,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118807259","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review: Communication with invasive mechanically ventilated patients and the use of alternative devices: integrative review.","authors":"Derek Cribbin","doi":"10.1177/1744987118786142","DOIUrl":"https://doi.org/10.1177/1744987118786142","url":null,"abstract":"Throughout my career as an intensive care nurse communication with my patient was a prerequisite of all of the care that was undertaken throughout the day. This dated back to my time working within a rehabilitation hospital, where communicating what was wrong, what the treatment was, when the intervention/rehabilitation was going to happen and what level of cooperative work was required from the patient, was almost a natural reflex. This was further ingrained through experience and from two standout lectures, given early into my nursing studies and postgraduate training in critical care – that all patients need disclosure, compassion and to be treated with the level of empathy one would give to a relative. It struck me when reading the reviewed study that I had always presumed that mechanically ventilated patients were communicated to by healthcare professionals throughout their time in intensive care. This presumption was based on the fact that this was what I did. It was based on the fact that this was the example I set when in my educator role, shift lead and managerial role. It was the example set by the majority of critical care nurses I worked with. However, two-way communication for sedated, lightly sedated and awake ventilated patients for all patients was not something that was guaranteed to be the priority that the reviewed study suggests it needs to be. As outlined in the paper, according to a study investigating patients’ experiences in the intensive care unit (ICU) by Alasad et al. (2015), ‘64% of patients wished they knew more about their health status progress in ICU, reflecting that the majority of IMV patient communication with nurses was brief and directed towards informing them about procedures rather than providing an explanation regarding their health condition’.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"631-632"},"PeriodicalIF":3.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118786142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The meaning of coping for kidney transplant recipients: a phenomenological study.","authors":"Najmeh Valizadeh Zare,&nbsp;Eesa Mohammadi,&nbsp;Kourosh Zarea,&nbsp;Nasrin Elahi,&nbsp;Zahra Manzari","doi":"10.1177/1744987118785949","DOIUrl":"https://doi.org/10.1177/1744987118785949","url":null,"abstract":"<p><strong>Background: </strong>The meaning of coping, which can be affected by the nature and type of stress and by individuals' background and culture, has not been studied in the context of specific stress conditions, such as kidney transplant.</p><p><strong>Aims: </strong>The present study aims to explore the meaning of coping for kidney transplant recipients.</p><p><strong>Methods: </strong>Purposeful sampling was employed for this hermeneutic phenomenological study. Participants were nine kidney transplant recipients who had received treatment at specialised hospital centres in Mashhad and Ahwaz, Iran, in 2013. Data were collected from unstructured interviews and analysed using Van Manen's approach.</p><p><strong>Results: </strong>From 10 sub-themes emerged 4 major themes characterising the meaning of coping with renal transplantation: intelligent acceptance of changes, understanding the necessity of self-care, enduring, and understanding supportive encouragement.</p><p><strong>Conclusions: </strong>The meaning of coping for kidney transplant recipients in Iran encompasses a wide range of cognitive, behavioural, psychological, spiritual and social dimensions. Relying on God's eternal power and on imams emerged as major dimensions of the meaning of coping.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"584-595"},"PeriodicalIF":3.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118785949","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"Andrée le May","doi":"10.1177/1744987118807985","DOIUrl":"https://doi.org/10.1177/1744987118807985","url":null,"abstract":"Our November issue of JRN focuses on some of the methods that nurses use to understand their patients’ and their carers’ needs and circumstances. Increasingly nurses augment their skills of observation and communication by using scales to assess and evaluate a patient’s physical, psychological or spiritual state and the progress or deterioration of their health and wellbeing. Scale development is a complex and time-consuming business, so most practitioners use tools that are already available and thus rely on researchers to develop and validate new tools. These tools are an adjunct to high-quality care and need to be designed and used appropriately. In this issue we explore, through five papers and their related commentaries, a variety of assessment techniques and how they may be used and developed. We bring readers two papers about the use of existing tools. The first investigates people’s self-management of insulin-dependent diabetes (Gharaibeh and Tawalbeh) and the second focuses on quality of life among older people with cancer (Malak et al). Both papers show how researchers and practitioners can successfully use structured measurement techniques to understand patients better and thereby fine-tune care to suit individual needs. However, the compendium of scales available for use in care is understandably not comprehensive, so researchers often find that they need to develop measurement tools to use in their research and later, once validated, in everyday practice. Bilsin and Bal Yılmaz’s paper is an example of scale development focused on taste alterations in children undergoing chemotherapy in Turkey. Having such a scale enables nurses as well as researchers to consistently assess a child’s needs and sensitively modify care. However, sometimes researchers do not understand a ‘problem’ well enough to immediately set about designing a tool to measure it, so their first job is to find out more, either through literature reviews or exploratory studies. In this issue Salem and Ahmad report their literature review on ways to improve communication for mechanically-ventilated patients in Iran and Valizadeh Zare et al discuss the insights they gained from a phenomenological study of coping in people who have had kidney transplants. All of these approaches can be used successfully to build ways to assess, monitor and evaluate patients’ and carers’ needs and thus gain a better understanding of people’s requirements, wishes and expectations. Understanding patients and their carers better is only part of the story since high-quality care requires both understanding and action. Achieving this double act often requires researchers, practitioners and patients – with their carers, to come together to co-produce","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"551-552"},"PeriodicalIF":3.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118807985","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39313329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of quality of life among older patients with cancer during treatment.","authors":"Malakeh Z Malak,&nbsp;Loai I Tawalbeh,&nbsp;Loai M Abu Sharour","doi":"10.1177/1744987118785939","DOIUrl":"https://doi.org/10.1177/1744987118785939","url":null,"abstract":"<p><strong>Background: </strong>Improving quality of life in older patients with cancer has become an important goal of healthcare providers.</p><p><strong>Aims: </strong>The purpose of this study was to identify the predictors of quality of life among older patients with cancer, aged 60 years and over during the treatment period.</p><p><strong>Methods: </strong>A descriptive correlational study was conducted among 150 patients. The Functional Assessment of Cancer Therapy Scale, Herth Hope Index and Hospital Anxiety and Depression Scale were used.</p><p><strong>Results: </strong>The results showed that the total quality-of-life mean score was 58.50 (SD = 7.44), indicating low overall quality of life. The social-family well-being subscale had the highest mean (20.50, SD = 3.79) among all subscales of quality of life, while the emotional well-being subscale had the lowest mean (8.06, SD = 4.23). Hope and educational level had statistically significant positive relationships with all subscales of quality of life. However, anxiety was associated negatively with physical, social-family and functional well-being subscales, but positively with the emotional well-being subscale. Anxiety, income, marital status, health insurance, duration of treatment, educational level, gender and hope were identified as predictors of quality-of-life subscales.</p><p><strong>Conclusions: </strong>The results could help to develop specific programmes that may improve quality of life among older patients with cancer during treatment.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"598-611"},"PeriodicalIF":3.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118785939","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review: The meaning of coping for kidney transplant recipients: a phenomenological study.","authors":"Claire Carswell,&nbsp;Helen Noble","doi":"10.1177/1744987118786096","DOIUrl":"https://doi.org/10.1177/1744987118786096","url":null,"abstract":"End-stage kidney disease (ESKD) is growing in prevalence globally, potentially as a consequence of increasing rates of diabetes mellitus and hypertension. Advancements in renal replacement therapies have significantly increased life expectancy among patients with ESKD, with kidney transplantation being the most common modality used. Iran’s non-related donor renal transplant programme has resulted in a significant increase in the number of patients receiving a kidney transplant, and currently their transplantation rates are comparable to those of developed countries (Mousavi et al., 2014). There is increasing acknowledgement of the difficulties associated with adaptation to renal replacement therapies, and the need for patients to develop effective coping strategies to manage these difficulties. The reviewed study examines the meaning of coping for kidney transplant recipients in Iran using a hermeneutic phenomenological approach. The identified themes focus primarily on adherence to the treatment regime associated with transplantation, while highlighting the importance of social support and spirituality for Iranian patients. Consequently, the authors reject commonly used theories of stress and coping, such as Lazarus and Folkman’s model of stress (Lazarus and Folkman, 1984), as they are unable to account for the use of religion as a means of coping with transplantation. This research supports studies that have identified the importance of spirituality in other clinical populations, as religion is an important component of coping for patients with cancer in Iran (Sharif et al., 2018). This has implications for practice as spirituality is an under-addressed need within holistic care, with Iranian nurses reporting they feel unqualified and have insufficient knowledge to address patients’ spiritual needs (Zakaria Kiaei et al., 2015). Although the researchers identify a spirituality theme, other themes predominantly centre on behavioural, lifestyle and attitudinal changes associated with kidney transplant, and do not","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"596-597"},"PeriodicalIF":3.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118786096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review: Predictors of quality of life among older patients with cancer during treatment.","authors":"Antonia Lannie","doi":"10.1177/1744987118786082","DOIUrl":"https://doi.org/10.1177/1744987118786082","url":null,"abstract":"This paper offers a valuable insight into quality of life among older people (over 60) with different types of cancer during the treatment period. The wide sample (150 patients) encompassing various cancers enabled a wide analytical purchase distinguishing the various attributes of quality of life. The background is helpful in that it extricates an important part of theoretical and empirical literature, providing a contextual background to the cultural meaning of quality of life for older people with cancer in Jordan. The significant foci of the paper are on the importance of quality of life including hope, focusing on the treatment phase of the cancer journey. Data-generating tools were also diverse, which emphasised the importance of a holistic exploration of quality of life through the use of generic and specific quality-of-life tools. From a theoretical perspective, findings are helpful in highlighting the lack of quality of life that older people with cancer experience. Importantly, this current study highlights the numerous proportions and concepts often neglected or altogether undetectable in previous explorations of what it means to be old and have cancer. The social and emotional adaptations of older people with cancer are unique in their need to have emotional contact and family members who can support them. The study was insightful, highlighting the importance of family bonds, having money that provides physical and emotional security compared to those living alone and having little or no income. In addition, people with a higher income and education have a more positive outcome of quality of life compared to others less fortunate. These quality-of-life indicators highlight the social inequalities that exist when older people with cancer are living in different life worlds. This paper contributes to the literature in a distinctive way, reinforcing how the educational level of older people with cancer, hope, anxiety and depression are interlinked. These findings are unique in informing how specific educational programmes could be developed to help support older people with cancer. Moreover, these findings are","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"612-613"},"PeriodicalIF":3.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118786082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review: Diabetes self-care management practices among insulin-taking patients.","authors":"Jonathan Clough","doi":"10.1177/1744987118782319","DOIUrl":"https://doi.org/10.1177/1744987118782319","url":null,"abstract":"Although set in Jordan, this exploration of diabetes self-care management (DSCM) practices utilising the ‘40 Item Diabetes Self-Management Scale’ (Gharaibeh et al., 2017) emphasises to us that DSCM could be improved in all insulin-taking patients, wherever they are. I return to this point later. Furthermore, as well as the identified predictors of DSCM, such as education and training, age, etc., cultural barriers are also recognised as potentially being responsible for poorer levels of DSCM, particularly in the case of Jordanian females. This of course resonates with current knowledge that diabetes education and care need to be culturally appropriate in order to be effective in improving DSCM (Creamer et al., 2016). The results from the authors’ research clearly indicated that in the sample group the patients with type 1 diabetes demonstrated a higher level of DSCM than those with type 2 diabetes and queried why this might be so, postulating that, since many of the type 2 diabetics were also on oral hypoglycaemic medication, the burden of diabetes might thus have been higher. However, it is also reported that two-thirds of the sample group were on both insulin and oral hypoglycaemics, so some of the type 1 diabetics were also on oral hypoglycaemics. This caused me to wonder whether this group of type 1s showed similar characteristics of DSCM to the type 2 patients. This is not made clear in the reviewed study, and could help clarify the distinction between DSCM in type 1 and 2 diabetics – that additional medication alters DSCM in type 1 and 2, or that it is just that type 2 diabetics have poorer levels of DSCM? This of course leads us to question just why this is so. Another area that could have been further explored regarding the differences between DSCM in type 1 and 2 diabetes concerns age. It is known that as patients age their DSCM declines, which the reviewed study also demonstrates. However, it would have been useful to compare patient ages between the two types of diabetes. Type 1 diabetes tends to occur earlier in life, whereas type 2 tends to occur later. This might help explain why the type 2 diabetics had reduced levels of DSCM, since as a group they would more likely be older, although this is not clear within the paper.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"566-567"},"PeriodicalIF":3.1,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118782319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39313331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of mindfulness-based cognitive therapy on mental disorders: a systematic review and meta-analysis of randomised controlled trials","authors":"J. Galante, S. Iribarren, Patricia F. Pearce","doi":"10.1177/1744987112466087","DOIUrl":"https://doi.org/10.1177/1744987112466087","url":null,"abstract":"Objective Mindfulness-based cognitive therapy (MBCT) is a programme developed to prevent depression relapse, but has been applied for other disorders. Our objective was to systematically review and meta-analyse the evidence on the effectiveness and safety of MBCT for the treatment of mental disorders. Methods Searches were completed in CENTRAL, MEDLINE, EMBASE, LILACS, PsychINFO, and PsycEXTRA in March 2011 using a search strategy with the terms ‘mindfulness-based cognitive therapy’, ‘mindfulness’, and ‘randomised controlled trials’ without time restrictions. Selection criteria of having a randomised controlled trial design, including patients diagnosed with mental disorders, using MBCT according to the authors who developed MBCT and providing outcomes that included changes in mental health were used to assess 608 reports. Two reviewers applied the pre-determined selection criteria and extracted the data into structured tables. Meta-analyses and sensitivity analyses were completed. Results Eleven studies were included. Most of them evaluated depression and compared additive MBCT against usual treatment. After 1 year of follow-up MBCT reduced the rate of relapse in patients with three or more previous episodes of depression by 40% (5 studies, relative risk [95% confidence interval]: 0.61 [0.48, 0.79]). Other meta-analysed outcomes were depression and anxiety, both with significant results but unstable in sensitivity analyses. Methodological quality of the reports was moderate. Conclusion Based on this review and meta-analyses, MBCT is an effective intervention for patients with three or more previous episodes of major depression.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116730518","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}