International Journal of Nursing Studies Advances最新文献

{"title":"Enhancing ethical self-efficacy among dementia caregiver staff: A mixed-methods feasibility study of the care programme","authors":"Sigurd Lauridsen ,&nbsp;Sofie Smedegaard Skov ,&nbsp;Lucca-Mathilde Thorup Ferm ,&nbsp;Marie-Eva Berg ,&nbsp;Anna Paldam Folker ,&nbsp;Peter Simonsen ,&nbsp;Frederik Schou-Juul","doi":"10.1016/j.ijnsa.2025.100294","DOIUrl":"10.1016/j.ijnsa.2025.100294","url":null,"abstract":"<div><h3>Background</h3><div>The global population living with dementia is rapidly increasing, with projections estimated at 78 million by 2030 and 132 million by 2050 due to ageing demographics. Despite the increasing prevalence of dementia, effective treatments remain limited. High-quality care is critical, but it presents complex ethical challenges, including balancing autonomy with best interests, addressing the needs of individuals with dementia and their caregivers, and equitably allocating resources. To address these challenges, we introduced the CARE programme, a systematic approach to ethics work, in nursing homes to enhance the ethical self-efficacy of nursing home staff.</div></div><div><h3>Objective</h3><div>This study assessed the feasibility of the CARE programme in a community-based Danish nursing home setting. Using the framework of Bowen et al. and a mixed-methods research design, we conducted six face-to-face focus group interviews with nursing home staff, two telephone interviews with nursing home managers, and a survey among 90 participants. Data were collected in the spring and fall of 2022.</div></div><div><h3>Method</h3><div>Quantitative data were analysed using STATA for descriptive statistics, while qualitative data were processed using a six-step template analysis framework.</div></div><div><h3>Results</h3><div>The results indicate high feasibility and acceptance of the CARE programme among the nursing home staff. To a high/some degree, 97 % expressed satisfaction, 95 % found the programme relevant to their work, 90 % believed it would improve dementia care, and 82 % felt better equipped to handle ethical dilemmas. Both the management and staff acknowledged the programme's effectiveness in filling the critical gap in ethics training in nursing homes. Appreciation for external facilitation, participation from multiple nursing homes, and cross-institutional group work emphasised the value of the programme.</div></div><div><h3>Conclusion</h3><div>The quantitative results indicate high levels of satisfaction and relevance, with the majority of participants believing that the program improves care and enhances their ability to manage ethical issues. Qualitative insights further emphasize the program's success in meeting the need for ethics training, facilitated by external researchers and cross-institutional collaboration. Full implementation of the CARE programme requires a cultural shift in nursing homes that advocates for universal staff involvement in ethics training and promotes open dialogue about ethical issues. Moreover, policy changes may be necessary to secure funding and establish minimum training standards for nursing home staff.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100294"},"PeriodicalIF":3.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081355","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":"Teamwork between registered nurses and unlicensed assistive personnel in acute care settings: A scoping review","authors":"Kang Lynn Wong ,&nbsp;Wei Ling Chua ,&nbsp;Peter Griffiths ,&nbsp;Qin Ling Pearlyn Goh ,&nbsp;Kye Wern Chelsea Low ,&nbsp;Jia Qi Apphia Tan ,&nbsp;Sok Ying Liaw","doi":"10.1016/j.ijnsa.2025.100293","DOIUrl":"10.1016/j.ijnsa.2025.100293","url":null,"abstract":"<div><h3>Background</h3><div>Unlicensed assistive personnel are increasingly employed to support the nursing workforce in providing bedside care.</div></div><div><h3>Aim</h3><div>To scope the literature on the factors influencing teamwork between registered nurses and unlicensed assistive personnel in acute care settings</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the Arksey and O'Malley (2005) framework. Eight electronic databases were searched from inception of each database to August 2024 to locate studies that reported issues relating to teamwork between registered nurses and unlicensed assistive personnel on patient care in general wards of acute care settings. Two reviewers independently screened titles, abstracts, and full text for eligibility. The data were extracted, analysed, and synthesised using the data-based convergent qualitative synthesis</div></div><div><h3>Results</h3><div>Thirty-eight studies were included. Five themes were generated: (1) role clarity, (2) delegation, (3) communication, (4) ward culture and practice, and (5) interpersonal relationships. Challenges in registered nurses–unlicensed assistive teamwork include unclear roles and responsibilities, ineffective delegation, and communication barriers. Work culture that excludes unlicensed assistive personnel from shift handovers were found to hinder shared goals for patient care. The importance of interpersonal relationships between registered nurses and unlicensed assistive personnel was highlighted to aid in the power disparity between them.</div></div><div><h3>Conclusions</h3><div>This review found suboptimal teamwork between registered nurses and unlicensed assistive personnel. Teamwork between registered nurses and unlicensed assistive personnel can be improved through clearly defined roles and responsibilities, better delegation practices, effective communication, and improved interpersonal relationships. Future research should focus on optimising communication processes and enhancing registered nurses’ delegation skills through education.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100293"},"PeriodicalIF":3.1,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143134424","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":"Measuring implicit associations with behaviours to improve resident mood: development of implicit association tasks for nursing home care providers","authors":"Inge Knippenberg ,&nbsp;Ruslan Leontjevas ,&nbsp;Ine Declercq ,&nbsp;Jacques van Lankveld ,&nbsp;Debby Gerritsen","doi":"10.1016/j.ijnsa.2025.100292","DOIUrl":"10.1016/j.ijnsa.2025.100292","url":null,"abstract":"<div><h3>Objective</h3><div>To develop and evaluate instruments for measuring implicit associations of nursing home care providers with behaviours aimed at improving resident mood.</div></div><div><h3>Method</h3><div>Study 1 (<em>N</em> = 41) followed an iterative approach to develop two implicit association tasks measuring implicit attitude (positive versus negative valence) and motivation (wanting versus not wanting) regarding mood-improving behaviours, followed by an evaluation of the content validity for target stimuli representing these behaviours. In Study 2 (<em>N</em> = 230), the tasks were assessed for stimulus classification ease (accuracy and speed) and internal consistency. A subsample (<em>n</em> = 111) completed additional questionnaires to evaluate convergent validity (with self-reported attitudes towards depression, altruism, and mood-improving behaviours), and discriminant validity (against social desirability), and repeated the tasks after 2 weeks to assess test-retest reliability.</div></div><div><h3>Results</h3><div>Content validity indexes for target stimuli were satisfactory. Error rates were acceptable for attribute stimuli, but exceeded the 10 % limit for target stimuli. Response times for all stimuli exceeded the 800-millisecond threshold. Both tasks demonstrated good internal consistency but poor test-retest reliability. Regarding convergent validity, both tasks significantly correlated with altruism, the implicit attitude task associated with self-reported mood-improving behaviours, and the implicit motivation task correlated with the behavioural scale of attitudes towards depression. Discriminant validity was supported as neither task was significantly associated with social desirability.</div></div><div><h3>Conclusions</h3><div>The implicit association tasks show potential for measuring implicit associations with mood-improving behaviours of care providers, offering an innovative pathway for exploring processes influencing caregiving behaviours. However, limitations in psychometric properties were identified, aligning with challenges observed in similar measures.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100292"},"PeriodicalIF":3.1,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060883","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":"Foot screening and customized health education program for patients with diabetic peripheral neuropathy: A nurse-led, real-world observational study","authors":"Shuhong Liu ,&nbsp;Hexiao Ding ,&nbsp;Dandan Li ,&nbsp;Fen Lu,&nbsp;Gumei Luo,&nbsp;Yujin He,&nbsp;Hui Li,&nbsp;Xiuhong Zeng,&nbsp;Kaixin Li,&nbsp;Dong-E Gong,&nbsp;Xiling Hu,&nbsp;Yanming Chen,&nbsp;Xubin Yang","doi":"10.1016/j.ijnsa.2025.100291","DOIUrl":"10.1016/j.ijnsa.2025.100291","url":null,"abstract":"<div><h3>Background</h3><div>Research has shown that DPN affects 50 % of individuals with diabetes and, in severe cases, can lead to amputation or death. Interventions led by doctors for DPN have demonstrated limited effectiveness in delaying its onset and progression. Nevertheless, there is an increasing recognition of the significance of nurse-led screening and health education in the early detection and slowing down of DPN.</div></div><div><h3>Method</h3><div>The present study conducted a retrospective analysis of medical records of 10,191 diabetic patients from 2019 to 2023, who also regularly attended outpatient clinics. Patients with incomplete medical data, transfers, critical conditions or death, existing foot ulcers or amputations, bedridden or uncooperative individuals (5,470 individuals) were excluded, and a total of 4,721 individuals were selected for analysis. The screening and intervention components of the FSCHE program were all led by nurses. A total of 2022 participants received foot screening and customized health education (FSCHE) program, while 2699 participants recevied regular care. The primary outcome is on determining the prevalence rate of DPN among all the included diabetic patients. The data was collected through experimental tests and nurse-led foot screening. Prevalence rates were reported as the number of cases per 1000 individuals. Odds Ratios were calculated to approximate Risk Ratios to determine the effectiveness of the FSCHE program.</div></div><div><h3>Results</h3><div>The prevalence of DPN in diabetic patients who received the FSCHE program decreased from 557 cases per 1000 individuals in 2019 to 199 cases per 1000 individuals in 2023. The hospitalization duration decreased from 11.2 days to 7.59 days. The risk of DPN in diabetic patients participating in the FSCHE program was 0.741 times higher than that of regular diabetes care (RR [95 % CI]: 0.741 [0.654, 0.840], <em>p</em> &lt; 0.001). The DPN-related risk factors showed promising control results as well.</div></div><div><h3>Conclusions</h3><div>In this observational study conducted among Chinese patients with diabetes, it was found that the nurse-led FSCHE program effectively manages DPN and its associated risk factors. These results highlight the importance of employing objective screening tools to detect DPN at an early stage, as well as the significance of nurse-led interventions in promoting healthy behaviors and preventing the development and progression of DPN.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100291"},"PeriodicalIF":3.1,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081359","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":"Proposing a two-stage screening approach to distinguish between transient and enduring postnatal depressive symptoms: A prospective cohort study","authors":"Johanne Smith-Nielsen ,&nbsp;Ida Egmose ,&nbsp;Stephen Matthey ,&nbsp;Maria Stougård ,&nbsp;Sophie Reijman ,&nbsp;Mette Skovgaard Væver","doi":"10.1016/j.ijnsa.2024.100284","DOIUrl":"10.1016/j.ijnsa.2024.100284","url":null,"abstract":"<div><h3>Background</h3><div>Screening for perinatal depression using the Edinburgh Postnatal Depression Scale (EPDS) improves detection and increases health service utilization. However, previous studies with antenatal samples indicate that positive screenings might reflect transient distress that resolves without intervention, raising concerns about over-pathologizing typical postnatal responses and inefficiencies in referral practices. Therefore, distinguishing between transient and enduring depressive symptoms for appropriate referrals to secondary services is crucial, highlighting the need for a refined screening practice.</div></div><div><h3>Objectives</h3><div>We aimed to assess the prevalence of transient distress among postnatal women who initially screened positive on the EPDS and evaluate the effectiveness of a refined two-stage screening approach. Three research questions were addressed: Can the \"transient phenomenon\" be replicated in a postnatal sample? Can initial screening data predict transient status? What are the implications of adopting a two-stage screening approach?</div></div><div><h3>Methods</h3><div>In a prospective cohort study, 427 postnatal women in Copenhagen who scored above the cut-off on their initial EPDS screening (EPDS-1) underwent a second screening (EPDS-2) 1–4 weeks later, without intervention in between. We analyzed the predictive power for transient versus enduring distress using EPDS-1 total scores, responses to item 10 (\"self-harm item\"), parity, maternal age, and a history of depression. Three screening scenarios were compared for their clinical and ethical implications: (i) a traditional single screening approach where all individuals screening positive at EPDS-1 are directly referred to secondary services, (ii) a simple two-stage approach where all positive screenings at EPDS-1 undergo a second screening before referral, and (iii) a refined two-stage screening approach where selected criteria determine immediate referral or further screening.</div></div><div><h3>Results</h3><div>Among women who screened positive, 29.3 % displayed transient distress with a clinically meaningful decrease in EPDS scores. An EPDS-1 score of 15 or more was the most robust predictor of enduring symptoms (OR = 6.28, 95 % CI 3.5–11.8; Absolute Risk = 90.4 %) and was used along with a positive score on item 10 as indicators of immediate referral in scenario-iii. The refined two-stage approach reduced unnecessary referrals by 24 %, directly referred 60 % of women with enduring symptoms, and effectively managed suicidal risk.</div></div><div><h3>Conclusions</h3><div>A substantial proportion of postnatal women experience transient symptoms that are distinguishable from enduring symptoms through a refined two-stage screening strategy. This approach significantly improves referral efficiency and minimizes over-pathologization, enhancing clinical practice in perinatal mental health.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100284"},"PeriodicalIF":3.1,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048065","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":"Physical symptoms distress and demoralization among haemodialysis patients; the mediating effect of spirituality and self-compassion. A cross-sectional questionnaire survey","authors":"Chia-Hui Lin ,&nbsp;Yi-Chien Chiang ,&nbsp;Wen-Yi Li ,&nbsp;Tsung-Lan Chu ,&nbsp;Ya-Chu Hsiao","doi":"10.1016/j.ijnsa.2024.100288","DOIUrl":"10.1016/j.ijnsa.2024.100288","url":null,"abstract":"<div><h3>Background</h3><div>Long-term haemodialysis patients often experience physical symptom distress (PSD) and varying levels of demoralization. Spirituality and self-compassion can help patients to cope these challenges. However, the interrelations between these variables remain underexplored, necessitating further investigation.</div></div><div><h3>Objectives</h3><div>To examine the effect of PSD on demoralization among haemodialysis patients and to determine whether spirituality and self-compassion mediate these relationships.</div></div><div><h3>Design</h3><div>A cross-sectional correlational study.</div></div><div><h3>Settings</h3><div>A convenience sample was used to recruit from two haemodialysis clinics.</div></div><div><h3>Methods</h3><div>Self-report questionnaires were the Physical Symptom Distress Scale, Demoralization Scale, Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-12, and Self-Compassion Scale. Relationships and mediators were examined with Pearson's correlations and multiple linear regression analysis, respectively.</div></div><div><h3>Results</h3><div>A total of 156 participants participated. Mean age of participants was 61.3 years (<em>SD</em> = 11.3). Most participants were male (66 %) and had received dialysis for ≥ 5 years (61.5 %). Pearson's correlation indicated higher scores for PSD were significantly associated with lower levels of spirituality and self-compassion and higher levels of demoralization. There was a significant total and direct effect of PSD on demoralization. Mediation analysis indicated that the relationship between PSD and demoralization was partially and significantly mediated by spirituality and self-compassion. Demoralization can be explained by 46.83 % variance accounted by these predictors in the mediation model.</div></div><div><h3>Conclusion</h3><div>Long-term haemodialysis can cause chronic symptom distress and feelings of demoralization. The mediating effects of spirituality and self-compassion on PSD and demoralization suggest that these qualities may act as emotional regulators that enable haemodialysis patients to be more accepting of symptom distress, which results in lower levels of demoralization. Our findings imply that developing strategies to increase spirituality and self-compassion could help patients manage chronic symptom distress associated with haemodialysis, reduce demoralization, and ultimately improve their quality of life.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100288"},"PeriodicalIF":3.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053606","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":"Technology acceptance and use among nursing staff in Latin American hospitals: A mixed methods study","authors":"Juan Manuel Aranda ,&nbsp;María Elisa Moreno-Fergusson ,&nbsp;William Javier Guerrero ,&nbsp;Beatriz Sanchez Herrera ,&nbsp;María Alejandra Galiano ,&nbsp;Maryory Guevara ,&nbsp;Ingrid Xiomara Bustos ,&nbsp;Francisca Muñóz","doi":"10.1016/j.ijnsa.2024.100290","DOIUrl":"10.1016/j.ijnsa.2024.100290","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Digital health technologies can improve health outcomes and the efficiency of healthcare delivery when used appropriately. Nevertheless, the human-computer interaction is a concern in compassionate patient care and nurses' professional well-being.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To analyze the degree of technological acceptance and use within nurses in two Latin American university hospitals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A mixed methods study design.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;Two Latin American university hospitals, one in Chile and the other in Colombia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;A total of 53 nurses participated in the study. In phase 1, 31 nurses took part, with 15 from a Chilean hospital and 16 from a Colombian hospital. In phase 2, 22 nurses participated, with 14 in Chile and 8 in Colombia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;&lt;strong&gt;:&lt;/strong&gt; A mixed methods sequential study was conducted in inpatient services. It was developed in three phases. First, a quantitative one with a call to all nurses in two institutions, in Chile and Colombia. A scale of the unified theory of acceptance and use of technology, adapted to nursing in Spanish, was employed following expert validation both facial and content aspects. Second, a qualitative one with four focus groups with service coordinator nurses and in-depth interviews with nursing managers or supervisors. These sessions were recorded and transcribed verbatim. Quantitative data were analyzed using descriptive statistics and hypothesis testing for mean differences, while qualitative data underwent content analysis. Finally in the third phase, both qualitative and quantitative data were integrated to establish the acceptability and use of the technology.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Quantitative analysis revealed a statistically significant positive correlation between behavioural intention to use the system and facilitating conditions (&lt;span&gt;&lt;math&gt;&lt;mrow&gt;&lt;mi&gt;r&lt;/mi&gt;&lt;mspace&gt;&lt;/mspace&gt;&lt;mo&gt;(&lt;/mo&gt;&lt;mn&gt;31&lt;/mn&gt;&lt;mo&gt;)&lt;/mo&gt;&lt;mo&gt;=&lt;/mo&gt;&lt;mn&gt;0.50&lt;/mn&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/span&gt;, &lt;span&gt;&lt;math&gt;&lt;mrow&gt;&lt;mi&gt;p&lt;/mi&gt;&lt;mo&gt;&lt;&lt;/mo&gt;&lt;mo&gt;.&lt;/mo&gt;&lt;mn&gt;01&lt;/mn&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/span&gt;). Also, there is a positive correlation between behavioural intention to use the system and effort expectancy in Chile (&lt;span&gt;&lt;math&gt;&lt;mrow&gt;&lt;mi&gt;r&lt;/mi&gt;&lt;mo&gt;(&lt;/mo&gt;&lt;mn&gt;13&lt;/mn&gt;&lt;mo&gt;)&lt;/mo&gt;&lt;mo&gt;=&lt;/mo&gt;&lt;mn&gt;0.60&lt;/mn&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/span&gt;, &lt;span&gt;&lt;math&gt;&lt;mrow&gt;&lt;mi&gt;p&lt;/mi&gt;&lt;mo&gt;&lt;&lt;/mo&gt;&lt;mo&gt;.&lt;/mo&gt;&lt;mn&gt;05&lt;/mn&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/span&gt;). Additionally, a statistically significant difference (&lt;span&gt;&lt;math&gt;&lt;mrow&gt;&lt;mi&gt;p&lt;/mi&gt;&lt;mo&gt;&lt;&lt;/mo&gt;&lt;mo&gt;.&lt;/mo&gt;&lt;mn&gt;05&lt;/mn&gt;&lt;/mrow&gt;&lt;/math&gt;&lt;/span&gt;) exists between the two institutions regarding social influence and facilitating conditions. Qualitative data confirmed these findings. Integration made it possible to specify the factors such as the performance expectancy, facilitating conditions, and anxiety determine the acceptability and use of technology by nurses in the studied institution","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100290"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053608","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":"Oral health care in older people in long-term care facilities: An updated systematic review and meta-analyses of implementation strategies","authors":"Lina F. Weening-Verbree ,&nbsp;Anouk Douma ,&nbsp;Cees P. van der Schans ,&nbsp;Getty J. Huisman-de Waal ,&nbsp;Annemarie A. Schuller ,&nbsp;Sytse U. Zuidema ,&nbsp;Wim P. Krijnen ,&nbsp;Johannes S.M. Hobbelen","doi":"10.1016/j.ijnsa.2024.100289","DOIUrl":"10.1016/j.ijnsa.2024.100289","url":null,"abstract":"<div><h3>Introduction</h3><div>Oral health care of older people in long-term care facilities is insufficient, stressing the need for clear evidence-based implementation strategies to improve oral care. In 2013, a systematic review was performed and new evidence was published. This study aimed to gain insights into implementation strategies used to promote or improve oral health care for older people in long-term care facilities, explore their effectiveness and uncover strategy content in behavioral change techniques, and report the differences between the current results and those of the 2013 study.</div></div><div><h3>Methods</h3><div>A systematic review of the literature according to PRISMA guidelines and meta-analyses of implementation strategies were performed. Cochrane Library, PubMed, and CINAHL databases were searched for papers published between 2011 and 2023. Strategies were identified using the Coding Manual for Behavioral Change Techniques. Meta-analyses of oral health outcomes (“plaque” and “denture plaque”) were performed with random-effects models using R language for statistical computing.</div></div><div><h3>Results</h3><div>16 studies were included in the current results; 20 studies were included in the 2013 findings. More high-quality studies (67 %) were included in this review than in 2013 (47 %). Dental care professionals were involved in 14 of the 16 studies. Fourteen of the 16 studies used and/ or combined five or more different implementation strategies: knowledge, intention, awareness, self-efficacy, attitude, and facilitation of behavior. Implementation positively affected the knowledge and attitudes of the nursing staff; however, the oral health of older people did not necessarily improve. In the 2013 review, more studies indicated combined oral health measurements were effective (71 %) than in the current review (20 %–33 %). Meta-analysis of four studies on dental plaque (0—3 scale) showed a significant, statistically small mean difference of -.21 (CI -.36; -.07, Cohen's <em>d -</em>.29) between the control and treatment group. Meta-analysis of three studies on denture plaque (0—4 scale), showed a significant, statistically large mean difference of -.76 (CI -1.48; -.05, Cohen's <em>d</em> -.88).</div></div><div><h3>Conclusions</h3><div>In this review, more implementation strategies and combinations were used to implement oral care in long-term care. Implementation strategies positively affected the knowledge and attitudes of nursing staff; however, the oral health of older people did not necessarily improve. Meta-analyses on plaque showed that oral care implementations are effective; for denture plaque, the effect size was large and thus may have more clinical value than for dental plaque.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100289"},"PeriodicalIF":3.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048063","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":"Nudging in the nursing home: A qualitative interpretive study","authors":"Anne Helene Mortensen,&nbsp;Dagfinn Nåden,&nbsp;Dag Karterud,&nbsp;Vibeke Lohne","doi":"10.1016/j.ijnsa.2024.100287","DOIUrl":"10.1016/j.ijnsa.2024.100287","url":null,"abstract":"<div><h3>Background</h3><div>Nudging involves deliberately changing the environment or context to induce better choices. Several studies consider such methods unethical manipulation that threatens the principles of informed consent and autonomy, which are particularly vital in healthcare. Others argue that nudging respects personal freedom because it is not in conflict with the person's explicit values or choices, beneficial, and easy to resist. Additionally, studies argue that such strategies are legitimate as they can prevent more intrusive forms of paternalism. Given the increasing prevalence of soft paternalism through nudging, there is a need to examine its use in healthcare.</div></div><div><h3>Objective</h3><div>This study explored the phenomenon of nudging in a nursing home context.</div></div><div><h3>Design</h3><div>A qualitative interpretive design informed by Gadamer's hermeneutics was employed.</div></div><div><h3>Setting</h3><div>Three distinct nursing home units in Norway, including long-term, dementia, and rehabilitation units. The study was conducted between December 7^th. 2019 and July 2^nd. 2020.</div></div><div><h3>Participants</h3><div>Individuals involved in the units during the observation period.</div></div><div><h3>Methods</h3><div>Seven to eight weeks of observations, followed by interviews with caregivers (nurses and auxiliary nurses), two occupational therapists, and two physiotherapists.</div></div><div><h3>Results</h3><div>The results suggest that nudging in this context can be understood across three themes: modification of physical surroundings, information and interaction, and ambiguous interventions.</div></div><div><h3>Conclusions</h3><div>Nudging is being used in nursing homes to guide residents’ choices and behaviors to foster their well-being and uphold social norms. However, caregivers are also navigating the use of diverse forms of influence, including subtle nudging and assertive persuasion, and must consider complex factors.</div></div><div><h3>Registration number</h3><div>REK – Regional ethics committee case number 175774</div><div>Sikt - Norwegian Agency for Shared Services in Education and Research case number 248550.</div></div><div><h3>Social media abstract</h3><div>Experienced caregivers in nursing homes effectively use nudging to guide care routines, resulting in efficient care and better interactions.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100287"},"PeriodicalIF":3.1,"publicationDate":"2024-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11762191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048130","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":"Nurses' self-efficacy and outcome expectancy in evidence-based practice: Translation, construct validity and internal consistency of the Dutch scales","authors":"Peter Hoegen ,&nbsp;Michael Echteld ,&nbsp;Cindy de Bot ,&nbsp;Annemarie de Vos ,&nbsp;Derya Demirçay ,&nbsp;Mary-Anne Ramis ,&nbsp;Lidwine Mokkink ,&nbsp;Hester Vermeulen","doi":"10.1016/j.ijnsa.2024.100286","DOIUrl":"10.1016/j.ijnsa.2024.100286","url":null,"abstract":"<div><h3>Background</h3><div>Evidence-based practice (EBP) is crucial for appropriate, effective, and affordable care. Despite EBP education, barriers like low self-efficacy and outcome expectancy limit nurses’ engagement in EBP. Reliable scales are essential to evaluate interventions aimed at improving self-efficacy and outcome expectancy in EBP. The English Self-efficacy and Outcome Expectancy in EBP scales are psychometrically sound.</div></div><div><h3>Objectives</h3><div>To describe the translation, construct validity and internal consistency of the Dutch Self-efficacy and Outcome Expectancy in EBP Scales.</div></div><div><h3>Method</h3><div>The scales were translated forward and backward, piloted for comprehensibility and completeness and then administered among Dutch nurses and nursing students.</div></div><div><h3>Results</h3><div>Pilot testing confirmed comprehensibility, completeness, and relevance of the items. Confirmatory factor analysis (CFA) (<em>n</em> = 769) tested a second-order model for the Self-efficacy scale (Comparative Fit Index (CFI)=0.96, Tucker-Lewis Index (TLI)=0.95, Root Mean Square Error of Approximation (RMSEA)=0.06, Standardized Root Mean Residual (SRMR)=0.04) and a single-factor model for the Outcome Expectancy Scale (CFI=0.99, TLI=0.99, RMSEA=0.06, SRMR=0.01). Chi-squared tests remained significant. Hypothesis testing confirmed construct validity of the Self-efficacy (<em>r</em> = 0.77) and Outcome Expectancy Scale (<em>r</em> = 0.74). Both scales exhibited high internal consistency with McDonald's Omega and Cronbach's Alpha values above 0.95.</div></div><div><h3>Discussion</h3><div>Both scales exhibit theoretical soundness and positive fit indices. Significant chi-square tests and high correlations between weighted and unweighted scores support using unweighted scores over utilizing the estimated model to calculate weighted scores.</div></div><div><h3>Conclusions</h3><div>Construct validity and internal consistency of the Dutch Self-efficacy and Outcome Expectancy in EBP Scales are good. Future research should prioritize responsiveness and test-retest reliability.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100286"},"PeriodicalIF":3.1,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11762229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048135","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}