International Journal of Nursing Studies Advances最新文献

{"title":"Nurse-surgeons in the Australian public health system: A descriptive quantitative survey","authors":"Tenber Grota ,&nbsp;Adam Burston ,&nbsp;Vasiliki Betihavas ,&nbsp;Elisabeth Jacob","doi":"10.1016/j.ijnsa.2024.100268","DOIUrl":"10.1016/j.ijnsa.2024.100268","url":null,"abstract":"<div><h3>Background</h3><div>With over five billion people worldwide lacking access to surgery, innovative solutions are vital to address the global surgical crisis. Nurse-surgeons present a promising innovation. Considering their contribution worldwide and impact on surgical care in Australia, an exploration of these advanced practice nurses is timely.</div></div><div><h3>Objective</h3><div>To investigate the roles, training, education, and perceptions of career prospects and support received by practicing nurse-surgeons in the Australian public health system.</div></div><div><h3>Design</h3><div>Non-experimental descriptive national survey</div></div><div><h3>Methods</h3><div>The target population was nurse-surgeons practicing within the Australian public health system. The survey questionnaire comprised of four sections containing questions on nurse-surgeon demographics, roles, training, and perceptions of career prospects and support received. Data collection was conducted through emailing of public hospitals, crowdsourcing, and snowballing. Descriptive analysis was used to report the findings.</div></div><div><h3>Results</h3><div>Twenty-eight nurse-surgeons participated in the study, 22 females and six males. Most commonly, participants (<em>n</em> = 10) held master's degrees and trained to become nurse-surgeons for an average of 2·27 years (95 % CI [1·47,3·07]). Training programs varied but were all surgical specialty-specific, and usually included a practical component, theoretical component, and competency assessment prior to independent practice. Participants rated employment prospects for nurse-surgeons as poor to average due to limited work opportunities, politics, and strong pushbacks from Australian medical societies. The support received from nurses, surgeons and management was rated by participants as good providing reasons such as supportiveness, value recognition, jealousy, and resentment. The participants were very likely (95 % CI [7.436 – 9.364] to continue practicing due to positive job satisfaction but recommended the standardising of training and practice to ensure role futureproofing.</div></div><div><h3>Conclusions</h3><div>Nurse-surgeons have been practicing in Australia for decades, yet no standard training and credentialing pathway exist for them. This study identified the various roles, non-standard training, and perceptions of nurse-surgeons in the Australian public health system. The findings of this study will have an impact on policymakers and stakeholders to develop standard national credentialing pathway for nurse-surgeons in Australia to enhance clinical practices and ensure a consistent framework for recognition and development of these advanced practice nurses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100268"},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698540","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":"Navigating uncertainties for promoting nurse-led changes in work environments: A participatory action research","authors":"Julia van Kraaij ,&nbsp;Lotte Spruit-Bentvelzen ,&nbsp;Famke van Lieshout ,&nbsp;Hester Vermeulen ,&nbsp;Catharina van Oostveen ,&nbsp;RN2Blend consortium","doi":"10.1016/j.ijnsa.2024.100265","DOIUrl":"10.1016/j.ijnsa.2024.100265","url":null,"abstract":"<div><h3>Background</h3><div>The nursing work environment is crucial for nurses' well-being and patients’ quality of care. Despite effective interventions to improve the nursing work environment, understanding the most effective types and integration mechanisms for nurses remain challenging. As nursing practices evolve amid complex care demands and staff shortages, understanding nurses’ challenges, support systems, and adoption mechanisms is vital to optimize the work environment and to enhance quality of care, job satisfaction, and staff retention.</div></div><div><h3>Purpose</h3><div>To explore strategies for promoting and supporting nurse-led changes to improving their work environment.</div></div><div><h3>Methods</h3><div>The study employed a participatory action research design on three nursing wards in a Dutch academic hospital. Action research teams with diverse ward nurses were established on each ward. The research took place between September 2022 and October 2023. Data were collected during observations, PhotoVoice workshops, and individual interviews. Data were analyzed using the rigorous and accelerated data reduction technique.</div></div><div><h3>Results</h3><div>Nurses and managers showed patterns of behavior that either hindered or facilitated changes, leading to the emergence of three themes: strengthening relationships, taking the lead, and being up to the task. These themes highlight the importance of fostering collaboration, encouraging proactive attitudes, and building capabilities to address challenges and drive positive changes in their work environment. Feelings of uncertainty emerged in all themes, and this uncertainty hindered nurses from taking responsibility for facilitating change.</div></div><div><h3>Conclusions</h3><div>This study demonstrated different mechanisms that either facilitate or hinder nurse-led changes and how feelings of uncertainty play a role. Nurses emphasized the importance of collaboration and proactive attitudes but faced challenges in recognizing responsibility and their perceived competencies. Strengthening nurses' resilience to and management of uncertainty is essential. Healthcare organizations should help nurses navigate uncertainty to foster positive changes.</div></div><div><h3>Tweetable abstract</h3><div>Collaboration, proactivity, and competency are key in nurse-led changes. Strengthening nurses' resilience and uncertainty management is crucial.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100265"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698609","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":"Impact of nurse education prior to and during COVID-19 on nursing students’ preparedness for clinical placement: A qualitative study","authors":"Jo Brett ,&nbsp;Zoe Davey ,&nbsp;Cate Wood ,&nbsp;Paul Dawson ,&nbsp;Kinga Papiez ,&nbsp;Daniel Kelly ,&nbsp;Tessa Watts ,&nbsp;Anne Marie Rafferty ,&nbsp;Cathy Henshall ,&nbsp;Eila Watson ,&nbsp;Dan Butcher ,&nbsp;Sarah Bekaert ,&nbsp;Pras Ramluggun ,&nbsp;Helen Aveyard ,&nbsp;Clair Merriman ,&nbsp;Marion Waite ,&nbsp;Laura Strumidlo ,&nbsp;Mike Ramsay ,&nbsp;Laura Serrant ,&nbsp;Caroline Bradbury Jones ,&nbsp;Mary Malone","doi":"10.1016/j.ijnsa.2024.100260","DOIUrl":"10.1016/j.ijnsa.2024.100260","url":null,"abstract":"<div><div>Introduction: Nursing students internationally entered challenging clinical placements during COVID-19. Lessons learnt could inform nurse education planning, particularly in preparation to implement future workforce plans.</div><div>Aim: This study aimed to explore the impact of COVID-19 on nursing students undertaking clinical placements across the UK, particularly the extent to which nursing education prior to and during COVID-19 had prepared them for placements, and to distil key messages for future nursing education.</div><div>Methods: A UK-wide qualitative study was conducted using audio or written placement diaries and post-placement telephone or online interviews with nursing students from all years of study and from adult, children, mental health and learning disability disciplines. Transcripts were analysed thematically using the Framework Approach. A pre-survey collected participants’ demographic information, details and expectations of their upcoming clinical placements, and how well prepared they felt. Ethical approval was gained.</div><div>Results: Two hundred and sixteen nursing students from across the UK participated in the study. Five key themes were identified: ‘stepping up to the challenge and feeling the fear’, ‘new ways of learning’, ‘theory versus clinical practice’, ‘impact on clinical and academic partnerships’, and ‘concerns around demonstrating proficiency’.</div><div>Discussion: Differing levels of preparedness of nursing students for clinical placement were reported. While many felt honoured to be a part of the nursing workforce during COVID-19, the rapidly changing clinical landscape led to unplanned changes to placements, lack of skills practice, uncertain practice supervision and distance learning which impacted on their confidence and perceived levels of competence leading to anxiety around demonstrating proficiency and achieving practice hours. Greater collaboration between universities, clinical placement teams, policy makers and regulators are key lessons post COVID19 to improve the support and preparedness of nursing students.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100260"},"PeriodicalIF":3.1,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698608","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":"Feasibility of a new transmural care pathway for advance care planning for older persons: A qualitative study into community care registered nurses’ perspectives","authors":"Patricia Jepma ,&nbsp;Roel Eijk ,&nbsp;Annigje A.E. Bos ,&nbsp;Noor Toet ,&nbsp;Corine H.M. Latour ,&nbsp;Bianca M. Buurman ,&nbsp;Marjon van Rijn","doi":"10.1016/j.ijnsa.2024.100264","DOIUrl":"10.1016/j.ijnsa.2024.100264","url":null,"abstract":"<div><h3>Background</h3><div>Transmural palliative care interventions aim to identify older persons with palliative care needs and timely provide advance care planning, symptom management, and coordination of care. Nurses can have an important role in these interventions; however, their expertise is currently underused. A new transmural care pathway with a central role for the community care registered nurse in advance care planning aims to contribute to the quality of palliative care for older persons.</div></div><div><h3>Objective</h3><div>To examine the perspectives of community nurses on the feasibility of a new transmural care pathway for advance care planning for older persons.</div></div><div><h3>Design</h3><div>A qualitative study design using semi-structured interviews.</div></div><div><h3>Setting(s)</h3><div>Interviews were performed with community nurses of three participating homecare organizations in the Netherlands between March and May 2023.</div></div><div><h3>Participants</h3><div>19 community nurses.</div></div><div><h3>Methods</h3><div>A topic guide was based on (1) challenges in advance care planning identified from the literature and (2) concepts that are important in assessing the feasibility of complex healthcare interventions provided by the Normalisation Process Theory framework. A combined inductive and deductive thematic analysis was performed.</div></div><div><h3>Results</h3><div>Four themes were identified: views on the transmural care pathway, community nurses’ needs to fulfil their role, key points regarding implementation, and evaluation of the new practice. In general, community nurses were positive about the feasibility of the new practice as it provided a more structured work process that could facilitate interprofessional collaboration and improve the quality of palliative care. Overall, the feasibility of the new practice, from community nurses perspective, was determined by (1) clear roles and responsibilities in the transmural care pathway, (2) standardized registration of advance care planning, and (3) close involvement of community nurses in the whole implementation process.</div></div><div><h3>Conclusions</h3><div>We highlighted important factors, from the perspectives of community nurses, that need to be considered in the implementation of a new transmural care pathway for advance care planning. A clear division of roles and responsibilities, standardized registration of advance care planning, and involvement of community nurses during the whole implementation process were mentioned as important enabling factors. This knowledge might contribute to successful implementation of a transmural care pathway that aims to enhance the quality of palliative care for older persons.</div></div><div><h3>Tweetable abstract</h3><div>Community nurses’ perspectives on the feasibility of a transmural care pathway for advance care planning for older persons.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100264"},"PeriodicalIF":3.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698610","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":"Conceptualizing healthcare professionals’ relational competence in mental healthcare: An integrative review","authors":"Lise Sæstad Beyene ,&nbsp;Elin Bolle Strand ,&nbsp;Aud Ragnhild Misund ,&nbsp;Helene Eidsmo Barder ,&nbsp;Trine Lise Brente ,&nbsp;Hege Therese Størksen","doi":"10.1016/j.ijnsa.2024.100266","DOIUrl":"10.1016/j.ijnsa.2024.100266","url":null,"abstract":"<div><h3>Introduction</h3><div>The relationship between patients and mental health professionals is the cornerstone of all mental health treatment, and good patient-professional relationships are associated with several positive therapeutic outcomes for patients with mental health challenges. Mental health professionals’ relational competence is essential for high-quality services in mental healthcare. There is currently no unified understanding of the concept of relational competence. This study seeks to address this gap by exploring how relational competence is conceptualized within the context of mental healthcare. The research question was: How is relational competence described in the research literature within the context of mental healthcare?</div></div><div><h3>Methods</h3><div>An integrative review was conducted with systematic searches in the databases PsycInfo, Ovid Medline, Embase, CINAHL, ERIC, Academic Search Elite, IDUN, and Svemed+, spanning from January 2012 to October 2023, as well as hand searches in the reference lists of the included studies. A thematic synthesis was carried out based on the results in the included studies.</div></div><div><h3>Results</h3><div>Out of 2970 scientific studies screened, 30 were included, employing a variety of research methodologies to explore relational competence within mental healthcare. Four themes were found to describe relational competence in mental healthcare: having the ability to self-reflect and self-regulate, having a genuine interest in understanding the patient, engaging in reciprocal interaction with the patient, and meeting the patient so that they feel acknowledged. Each theme describes a central and important part of relational competence, but fully developed relational competence must be understood as a whole in which all the themes are present.</div></div><div><h3>Conclusion</h3><div>Relational competence in mental healthcare incorporates all the identified components. Each theme complements the others and contributes to the construction of a strong therapeutic relationship between patients and mental health professionals. To provide the best possible care for mentally ill patients, healthcare professionals must embrace and integrate these elements into their practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100266"},"PeriodicalIF":3.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652499","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":"Registered nurses’ experiences of communication with patients after the end-of-life breakpoint communication: A pilot interview study","authors":"Rebecka Nilsson ,&nbsp;Ami Hommel","doi":"10.1016/j.ijnsa.2024.100263","DOIUrl":"10.1016/j.ijnsa.2024.100263","url":null,"abstract":"<div><h3>Purpose</h3><div>Effective nurse-patient communication is demanding and essential when patients’ treatment changes from curative to palliative approach. We aimed to illustrate nurses’ experiences communicating with patients who have undergone end-of-life breakpoint communication.</div></div><div><h3>Method</h3><div>Six nurses from both haematology and oncology wards at a hospital in southern Sweden were interviewed. The data were analysed using content analysis.</div></div><div><h3>Result</h3><div>Three themes with a total of eight categories were identified: <em>Nurses were excluded from the end-of-life breakpoint communication</em>, which impacted the following communication and the dialogue between nurses and patients afterwards; <em>the importance of communication,</em> where the experience of following-up patients, supporting patients and having existential conversations was highlighted; <em>the nurses’ strategies in the communication</em>, included experience of using tools, the need for more information and education, and to be human.</div></div><div><h3>Conclusion</h3><div>Nurses in today's healthcare system need education to provide the care and the communication that patients ask for and are obligated to receive regarding support and information. In the results, nurses suggest and relate their strategies for effective patient communication, which would also aid nurses working in areas other than palliative care. For example, they propose collaborating more with physicians to facilitate better information flow and patient contact. Moreover, reflective tutorials, including spiritual leaders to aid patients’ existential concerns, are beneficial. The need for further research in this area is crucial for the growth and development of nurse-patient communication.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100263"},"PeriodicalIF":3.1,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652498","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":"Current trends and future implications in the utilization of ChatGPT in nursing: A rapid review","authors":"Manal Kleib ,&nbsp;Elizabeth Mirekuwaa Darko ,&nbsp;Oluwadamilare Akingbade ,&nbsp;Megan Kennedy ,&nbsp;Precious Majekodunmi ,&nbsp;Emma Nickel ,&nbsp;Laura Vogelsang","doi":"10.1016/j.ijnsa.2024.100252","DOIUrl":"10.1016/j.ijnsa.2024.100252","url":null,"abstract":"<div><h3>Background</h3><div>The past decade has witnessed a surge in the development of artificial intelligence (AI)-based technology systems for healthcare. Launched in November 2022, ChatGPT (Generative Pre-trained Transformer), an AI-based Chatbot, is being utilized in nursing education, research and practice. However, little is known about its pattern of usage, which prompted this study.</div></div><div><h3>Objective</h3><div>To provide a concise overview of the existing literature on the application of ChatGPT in nursing education, practice and research.</div></div><div><h3>Methods</h3><div>A rapid review based on the Cochrane methodology was applied to synthesize existing literature. We conducted systematic searches in several databases, including CINAHL, Ovid Medline, Embase, Web of Science, Scopus, Education Search Complete, ERIC, and Cochrane CENTRAL, to ensure no publications were missed. All types of primary and secondary research studies, including qualitative, quantitative, mixed methods, and literature reviews published in the English language focused on the use of ChatGPT in nursing education, research, and practice, were included. Dissertations or theses, conference proceedings, government and other organizational reports, white papers, discussion papers, opinion pieces, editorials, commentaries, and published review protocols were excluded. Studies involving other healthcare professionals and/or students without including nursing participants were excluded. Studies exploring other language models without comparison to ChatGPT and those examining the technical specifications of ChatGPT were excluded. Data screening was completed in two stages: titles and abstract and full-text review, followed by data extraction and quality appraisal. Descriptive analysis and narrative synthesis were applied to summarize and categorize the findings.</div></div><div><h3>Results</h3><div>Seventeen studies were included: 15 (88.2 %) focused on nursing education and one each on nursing practice and research. Of the 17 included studies, 5 (29.4 %) were evaluation studies, 3 (17.6 %) were narrative reviews, 3 (17.6 %) were cross-sectional studies, 2 (11.8 %) were descriptive studies, and 1 (5.9 %) was a randomized controlled trial, quasi-experimental study, case study, and qualitative study, respectively.</div></div><div><h3>Conclusion</h3><div>This study has provided a snapshot of ChatGPT usage in nursing education, research, and practice. Although evidence is inconclusive, integration of ChatGPT should consider addressing ethical concerns and ongoing education on ChatGPT usage. Further research, specifically interventional studies, is recommended to ascertain and track the impact of ChatGPT in different contexts.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100252"},"PeriodicalIF":3.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652028","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":"Nurse leaders’ recommendations for implementing LGBTQ+ inclusive practices in health systems: A qualitative descriptive study","authors":"Hyunmin Yu ,&nbsp;April J. Ancheta ,&nbsp;Dalmacio Dennis Flores ,&nbsp;Stephen Bonett ,&nbsp;Steven Meanley ,&nbsp;Seul Ki Choi ,&nbsp;José A. Bauermeister","doi":"10.1016/j.ijnsa.2024.100262","DOIUrl":"10.1016/j.ijnsa.2024.100262","url":null,"abstract":"<div><h3>Background</h3><div>Discrimination against lesbian, gay, bisexual, transgender, queer or questioning, and other sexual and gender diverse (LGBTQ+) individuals in healthcare settings remains a priority issue. Nurse leaders, who oversee the largest healthcare workforce, are critical in implementing inclusive practices to address LGBTQ+ discrimination, yet implementing LGBTQ+ inclusive practices and effective strategies is inconsistent. This qualitative descriptive study explored nurse leaders’ perceptions of LGBTQ+ inclusive practices across the United States to inform recommended strategies within health systems.</div></div><div><h3>Methods</h3><div>Twenty-one nurse leaders (e.g., chief nurse executives) from diverse healthcare settings (e.g., children's hospitals and public health centers) in 12 states across the United States participated in semi-structured interviews from October to December 2023. Interview transcripts were analyzed using content analysis to (1) describe nurse leaders’ definitions of LGBTQ+ inclusive practices and (2) identify effective strategies for their implementation.</div></div><div><h3>Results</h3><div>Nurse leaders defined LGBTQ+ inclusive practices to include delivering culturally responsive and competent care, fostering safe and affirming environments, integrating inclusivity into daily interactions and organizational culture, and supporting the needs of both LGBTQ+ staff and patients. Key implementation strategies included fostering a flexible organizational culture through open communication; a diverse workforce; and inclusive mission statements, policies, and strategic plans. Supportive infrastructure involved effective LGBTQ+ training and adapting electronic health record systems to include information on sexual orientation and gender identity. Active and interdisciplinary engagement from staff and leadership, as well as systematic data collection on patient and staff experiences, were essential for driving inclusivity. The advocacy highlighted included legislative support, discourse within the nursing profession, and the incorporation of LGBTQ+ inclusion into healthcare regulations and accreditation standards. Additionally, multisectoral partnerships with LGBTQ+ health experts and external organizations, along with multilevel evaluations, were recommended to develop tailored interventions and promote LGBTQ+ inclusive practices.</div></div><div><h3>Conclusion</h3><div>Implementing LGBTQ+ inclusive practices in healthcare is a multifaceted effort influenced by strategies at various levels. Promoting a supportive organizational culture, establishing comprehensive support structures, encouraging active engagement, and fostering community partnerships can address the needs of LGBTQ+ individuals more effectively. Future implementation efforts should tailor strategies to accommodate variability across healthcare settings and regions, ensuring that practices are both adaptable and sustainable.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100262"},"PeriodicalIF":3.1,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578425","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":"Presenteeism among nurses: An integrative review","authors":"Maisa Gerlach ,&nbsp;Sabine Hahn ,&nbsp;Celine Rossier ,&nbsp;Franziska Geese ,&nbsp;Jan Hamers ,&nbsp;Ramona Backhaus","doi":"10.1016/j.ijnsa.2024.100261","DOIUrl":"10.1016/j.ijnsa.2024.100261","url":null,"abstract":"<div><h3>Background</h3><div>Presenteeism, a phenomenon in which employees attend work despite physical or mental limitations, is prevalent among nurses and has negative implications for patients, healthcare organizations, and nurses themselves.</div></div><div><h3>Objective</h3><div>We aimed to present the current state of knowledge on presenteeism in nursing, focusing on prevalence rates, reasons, influencing factors, and consequences.</div></div><div><h3>Design</h3><div>We performed an integrative review.</div></div><div><h3>Methods</h3><div>We searched databases for studies on presenteeism in the nursing workforce published between 2018 and 2024. This review included 44 studies that met the inclusion criteria, specifically 38 quantitative studies, 4 qualitative studies, and 2 reviews.</div></div><div><h3>Results</h3><div>The results indicated that the prevalence of nurses exhibiting symptoms of presenteeism varies between 32 % and 94 %. The influencing factors include workload, team culture, age, childcare responsibilities, job insecurity, and leadership practices. Presenteeism can lead to significant individual and organizational consequences such as increased health issues among nurses, decreased quality of patient care, and higher healthcare costs. Most studies were focused on nurses who work in hospitals, with only one study addressing nurses who work in nursing homes.</div></div><div><h3>Conclusion</h3><div>This review highlights the high prevalence of presenteeism among nurses and its multifaceted causes and effects. This underscores the need for increased awareness and training of both nurses and management teams regarding the importance of addressing presenteeism. Further research is needed in settings such as nursing homes and outpatient care to understand the unique challenges and impacts in these environments. Efforts should focus on improving working conditions, fostering supportive organizational cultures, and implementing effective leadership practices to mitigate the negative effects of presenteeism.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100261"},"PeriodicalIF":3.1,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652030","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":"Effectiveness of multifaceted interventions including motivational interviewing and home-based rehabilitation program for improving mental and physical health in stroke patients: A randomized controlled trial","authors":"Thao Thi Phuong Nguyen ,&nbsp;Hai Bui Hoang ,&nbsp;Huyen Thi Thanh Vu","doi":"10.1016/j.ijnsa.2024.100259","DOIUrl":"10.1016/j.ijnsa.2024.100259","url":null,"abstract":"<div><h3>Background</h3><div>In Vietnam, early screening and intervention for post-stroke mental health are limited, with rising demand for home-based rehabilitation due to the scarcity of inpatient programs.</div></div><div><h3>Objectives</h3><div>We aimed to evaluate the effectiveness of multifaceted interventions, including Motivational Interviewing and home-based rehabilitation, in improving the mental and physical health of stroke patients.</div></div><div><h3>Design</h3><div>A randomized controlled trial at the Vietnam National Geriatric Hospital assessed a multi-intervention approach for stroke survivors from 2021 to 2022. Ninety-two participants (aged over 45 with a stroke diagnosis) were randomly assigned to an intervention group (Motivational Interviewing and home-based rehabilitation) or a control group (standard care), with 46 participants in each group. Outcomes for mental health (Patient Health Questionnaire-9, Fatigue Severity Scale, Mini-Mental State Examination) and physical health (Barthel Index) were measured at baseline and after 1, 3, and 6 months. Statistical analyses used <em>t</em>-tests, Cohen's <em>d</em>, and repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Over 6 months, 37 participants completed the intervention program. Baseline characteristics were similar except for age, lesion locations, and National Institutes of Health Stroke Scale scores. The intervention group showed significant improvements in mental health and physical function. Patient Health Questionnaire-9 scores decreased from 9.1 to 1.8, and Fatigue Severity Scale scores dropped from 28.5 to 17.8, while Barthel Index scores improved from 58.8 to 68.8 (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>We found that participants who underwent Motivational Interviewing therapy and home-based rehabilitation were more likely than those receiving standard care to experience substantial improvements in both mental and physical health metrics.</div></div><div><h3>Registration</h3><div>The research protocol was registered on ClinicalTrials.gov on August 1, 2021 (Identifier: NCT04941482, link: <span><span>https://clinicaltrials.gov/study/NCT04941482</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100259"},"PeriodicalIF":3.1,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652031","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}