International Journal of Nursing Studies Advances最新文献

{"title":"Peer specialists and mental health nurses who work with patients who are suicidal: A comparative interview study","authors":"Diana D. Van Bergen,&nbsp;Tove Henseler","doi":"10.1016/j.ijnsa.2024.100285","DOIUrl":"10.1016/j.ijnsa.2024.100285","url":null,"abstract":"<div><h3>Background</h3><div>In the field suicide prevention, knowledge about the involvement and approaches of peer specialists is scarce, prompting an examination of their potential unique contributions compared to what mental health nurses offer.</div></div><div><h3>Objectives</h3><div>We compared perspectives of peer specialists, mental health nurses, and patients with suicidal thoughts) on: 1) ‘causes’ of suicidality, 2) essential skills, insights, and interactions in working with patients who feel suicidal; and 3) beneficial approaches for reducing suicidality.</div></div><div><h3>Design</h3><div>Qualitative interviews with three types of informants were analysed thematically using the Constant Comparative Method. The samples, all from the Netherlands, consisted of 19 peer specialists with a history of suicidality, 18 mental health care nurses, and seven patients with suicidality who had been in contact with both peer specialists and mental health nurses.</div></div><div><h3>Results</h3><div>All three groups viewed suicidality as a prolonged process driven by problematic situations and thoughts, primarily to escape life rather than die. All groups found the following important: suicide literacy (i.e., knowing what it means to be suicidal and what is optimal suicide care), empathy, and understanding. Patients, however, felt peer specialists showed greater unconditional empathy than nurses, likely because nurses focused on risk assessment and safety. Patients also found peer specialists more convincing in promoting recovery from suicidality than nurses, with their lived experiences serving as powerful examples.</div></div><div><h3>Conclusion</h3><div>Both mental health care nurses and peer specialists articulated suicide literacy and understood the relevance of empathy and genuine listening in caring for patients who feel suicidal. Nevertheless, in practice, nurses are less often experienced as empathic by patients and do not always abide by shared decision making (due to prioritising risk- and safety assessment). Through their own previous suicidal crises, peer specialists are unique in their ability to break down hierarchical barriers with authentic empathetic support.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100285"},"PeriodicalIF":3.1,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012997","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":"Decent work and nurses' work ability: A cross-sectional study of the mediating effects of perceived insider status and psychological well-being","authors":"Heba Emad El-Gazar ,&nbsp;Amira Mohammed Ali ,&nbsp;Mona Shawer ,&nbsp;Reham Moharam Serag ,&nbsp;Mohamed Ali Zoromba","doi":"10.1016/j.ijnsa.2024.100283","DOIUrl":"10.1016/j.ijnsa.2024.100283","url":null,"abstract":"<div><h3>Background</h3><div>While the benefits of decent work—employment that respects fundamental human rights, ensures fair income, guarantees workplace security, and provides social protection for families—have recently gained scholarly attention regarding job satisfaction, psychological empowerment, and work engagement, its potential to enhance nurses' work ability—defined as the ability to carry out job responsibilities—remains unaddressed. Furthermore, a gap exists in understanding the mechanisms through which decent work influences its outcomes.</div></div><div><h3>Purpose</h3><div>We aimed to investigate: (1) if securing decent work is associated with elevated nurses' work ability, and (2) if perceived insider status and psychological well-being mediate the association between decent work and nurses' work ability.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted across four public hospitals in two regions of Egypt, utilizing a self-reported survey with validated instruments, including the Decent Work Scale, Perceived Insider Status Scale, Psychological Well-being Scale, and Work Ability–Personal Radar Scale. Data analysis was performed using descriptive statistics, Pearson's correlation analyses, and structural equation modeling.</div></div><div><h3>Results</h3><div>A total of 204 nurses were involved in this study. Decent work was positively associated with nurses' work ability, and this association was fully mediated by perceived insider status and psychological well-being.</div></div><div><h3>Conclusions</h3><div>Cultivating decent work conditions might enable healthcare administrators to enhance nurses' sense of insider status and psychological well-being, thereby potentially boosting their work ability.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100283"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012753","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":"Background and design of the Physical Frailty and Symptom Monitoring and Management Behaviors in Heart Failure (PRISM-HF) study: A mixed methods study","authors":"Quin E. Denfeld ,&nbsp;Shirin O. Hiatt ,&nbsp;Susan J. Rosenkranz ,&nbsp;S.Albert Camacho ,&nbsp;Christopher V. Chien ,&nbsp;Nathan F. Dieckmann ,&nbsp;Tyler B. Ramos ,&nbsp;Christopher S. Lee ,&nbsp;Barbara Riegel ,&nbsp;Lissi Hansen","doi":"10.1016/j.ijnsa.2024.100282","DOIUrl":"10.1016/j.ijnsa.2024.100282","url":null,"abstract":"<div><h3>Background</h3><div>Many adults with heart failure (HF) are physically frail and have worse outcomes. While the biological profile of physical frailty in HF has been examined, the behavioral profile remains unstudied. Physical frailty may impact self-care behaviors, particularly symptom monitoring and management (SMM), which in turn results in adverse outcomes. This paper describes the background and design of a study that addresses this knowledge gap, entitled “Physical Frailty and Symptom Monitoring and Management Behaviors in Heart Failure” (PRISM-HF).</div></div><div><h3>Study design and methods</h3><div>PRISM-HF is a sequential mixed methods study where in Phase 1, we collect quantitative data from a sex-balanced sample of 120 adults with HF, and in Phase 2, we collect qualitative data from ∼32–40 adults from this sample, aiming to: (1) quantify associations among physical frailty, SMM behaviors, and outcomes; (2) describe the experience of SMM behaviors for physically frail and non-physically frail adults with HF; and (3) identify the SMM behavioral needs of physically frail and non-physically frail adults with HF. At baseline, we measure symptoms, SMM behaviors, and physical frailty and collect clinical events at 6-months. We will use generalized linear modeling and survival analysis in Aim 1, directed content analysis in Aim 2, and triangulation analyses using an informational matrix in Aim 3.</div></div><div><h3>Conclusions</h3><div>This innovative study will investigate the behavioral underpinnings of physical frailty in HF, incorporate the patient's perspective of SMM behaviors in the context of physical frailty, and identify possible explanations for the effect of physical frailty on outcomes.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100282"},"PeriodicalIF":3.1,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984991","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":"Pre-pregnancy fertility guidance for women of childbearing age with epilepsy: A scoping review","authors":"Liu Siqin ,&nbsp;Song Jia ,&nbsp;Huang Shiming ,&nbsp;Yuan Xiaoli ,&nbsp;Peng Yan ,&nbsp;Gu Congcai ,&nbsp;Xu Zucai","doi":"10.1016/j.ijnsa.2024.100276","DOIUrl":"10.1016/j.ijnsa.2024.100276","url":null,"abstract":"<div><h3>Background</h3><div>Epilepsy is one of the most common neurological conditions affecting women of reproductive age. Epilepsy management during pregnancy is a clinical conundrum, requiring a balance between seizure control and risk minimization for women with epilepsy, as well as for their fetuses.</div></div><div><h3>Objective</h3><div>In this review, we aimed to systematically search, evaluate, and summarize relevant evidence on perinatal fertility guidance for women with epilepsy to provide a basis for medical staff to offer comprehensive fertility counseling.</div></div><div><h3>Methods</h3><div>Systematic searches were conducted for system evaluations, expert consensus, guidelines, and evidence summarizing best clinical practices and clinical decision-making in fertility guidance for women with epilepsy. The search encompassed resources from the National Institute of Health and Clinical Optimization in the United Kingdom, the National Guidelines Network in the United States, the International Guidelines Collaboration Network, Registered Nurses' Association of Ontario guidelines in Canada, the Scottish Interhospital Guidelines Network, the International Anti-Epilepsy Alliance, the Royal College of Obstetricians and Gynecologists in the United Kingdom, the American Association of Obstetricians and Gynecologists, Chinese Anti Epilepsy Association, PubMed, UpToDate, BMJ Best Clinical Practice, Web of Science, Embase, JBI Evidence Based Health Care Center, Cochrane Library Database, and China National Knowledge Infrastructure databases or websites from inception to July 31st 2023. Two researchers with evidence-based nursing backgrounds independently completed literature screening and quality evaluation while extracting and summarizing evidence based on themes.</div></div><div><h3>Results</h3><div>A total of 11 articles were ultimately included, comprising one clinical decision, six guidelines, two expert consensus statements, one meta-analysis, and one evidence summary. In these articles, authors collectively addressed five themes: pre-pregnancy consultation and preparation, pregnancy management, delivery management, postpartum and newborn care, and selection of contraceptive measures.</div></div><div><h3>Conclusion</h3><div>We have synthesized the most compelling evidence regarding reproductive counseling for women with epilepsy across the preconception, pregnancy, labor and delivery, and postpartum periods. This serves as a foundation for healthcare professionals to implement effective reproductive counseling practices. In clinical practice, medical personnel should consider the patient's clinical context, individual circumstances, and preferences when devising treatment and care plans. This will facilitate the implementation of scientifically-sound management strategies for women with epilepsy to enhance maternal and infant outcomes.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100276"},"PeriodicalIF":3.1,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012999","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":"Knowledge and practice of catheter-related urinary tract infection prevention and its associated factors among nurses working at public hospitals, in the Oromia region of Ethiopia: Cross-sectional survey","authors":"Misra Nure ,&nbsp;Abebe Dechasa ,&nbsp;Meseret Ifa ,&nbsp;Jamel Bedane","doi":"10.1016/j.ijnsa.2024.100281","DOIUrl":"10.1016/j.ijnsa.2024.100281","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Catheter associated urinary tract infection is the most common nosocomial infection that is associated with serious systemic infections that imply prolonged hospital stay, financial costs for hospitalization, and increased morbidity, and mortality. There is a dearth of evidence related to nurse's knowledge and practice of catheter associated urinary tract infection prevention in Oromia, Ethiopia. Determining the nurse's knowledge and preventive practice of catheter associated urinary tract infections and their associated factors is important for developing strategies of its prevention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To assess the knowledge and practice of catheter associated urinary tract infection prevention and its associated factors among nurses working at public hospitals in the Oromia region, Ethiopia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Institution-based cross-sectional study was conducted among 422 nurses working at public hospitals in the Oromia, Ethiopia. The respondents were selected by a simple random sampling technique. A structured self-administered questionnaire was used to collect the data. Data analysis was done to describe the knowledge and practice of catheter associated urinary tract infection prevention and its associated factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result&lt;/h3&gt;&lt;div&gt;Of the 422 nurses surveyed, 408 (96.7 %) returned their questionnaire. The result shows that 63.5 % of nurses had adequate knowledge while 34.6 % of them had good practice of catheter associated urinary tract infection prevention. In-service training (adjusted odds ratio: 1.862, 95 % confidence interval (1.11–3.14)), working in an intensive care unit (adjusted odds ratio: 3.148, 95 % confidence interval (1.13–8.75)) perceived availability of library (adjusted odds ratio: 2.97, 95 % confidence interval (1.78–4.96)) and access to guideline (adjusted odds ratio: 2.78, 95 % confidence interval (1.49–5.16)) were factors found to be statistically significantly associated with the nurses’ knowledge. Years of experience (adjusted odds ratio: 3.63, 95 % confidence interval (1.55–8.47)), working unit (operating theatre room) (adjusted odds ratio: 2.37, 95 % confidence interval (1.08–5.19)), in-service training (adjusted odds ratio: 1.905, 95 % confidence interval (1.21–3.24)), internet access (adjusted odds ratio: 5.82, 95 % confidence interval (2.45–11.30)) and favourable attitude (adjusted odds ratio: 1.89, 95 % confidence interval (1.07–3.15) were statistically significantly associated with the nurses practice of catheter associated urinary tract infection prevention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;More than one-third of the respondents have inadequate knowledge while less than two-thirds of the respondents have inadequate practices which suggests the presence of knowledge to practice gap in catheter associated urinary tract infection prevention. In-service training, nurse's current working unit, and the presence of a guidel","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100281"},"PeriodicalIF":3.1,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972475","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":"Daily routines, short-term priorities, and nurses’ role hamper self-management support in a hospital setting: A mixed methods study","authors":"Susanne van Hooft ,&nbsp;Elke Berger ,&nbsp;Cailey van Torenburg ,&nbsp;AnneLoes van Staa","doi":"10.1016/j.ijnsa.2024.100279","DOIUrl":"10.1016/j.ijnsa.2024.100279","url":null,"abstract":"<div><h3>Background</h3><div>Self-management support is widely considered a critical aspect of nursing. Still, many studies indicate that nurses frequently experience difficulties in daily practice.</div></div><div><h3>Objective</h3><div>To gain a deeper understanding of the factors perceived by nurses to impede or promote their support of patients’ self-management within the dynamic environment of the in-patient hospital setting.</div></div><div><h3>Design</h3><div>Mixed methods design.</div></div><div><h3>Participants</h3><div>Nurses (<em>n</em> = 269) working in a teaching hospital in the Netherlands completed a questionnaire. Subsequently, 38 nurses participated in interviews.</div></div><div><h3>Methods</h3><div>The SEPSS-36 questionnaire assessed nurses’ self-efficacy and performance in self-management support. Semi-structured interviews were conducted to address salient results from the questionnaire, focusing on factors influencing self-management support, goal setting, follow-up care, and the nurse's role in a hospital setting.</div></div><div><h3>Results</h3><div>the response rate for the questionnaire study was 62 %. A paired t-test revealed a significant mean difference of 6.30 95 % CI [5.91–6.69] <em>p</em> ≤ 0.001 between nurses’ perceived self-efficacy (mean = 18.34/24) and their actual performance (mean = 12.03/24) in self-management support. The interviews revealed that nurses typically focus on medical procedures and maintaining patients’ functional status. Spending time with patients to offer emotional support was viewed as ‘something extra’ rather than a core part of their job. High patient turnover hindered nurses from having meaningful conversations with patients.</div></div><div><h3>Conclusions</h3><div>Short-term priorities such as ‘getting the work done’ dominate nurses’ daily tasks in hospital wards, leading them to overlook often the benefits of supporting patient self-management. This narrow view of their responsibilities can hinder patient care, whereas adopting a broader perspective on the patient journey could be very beneficial.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100279"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885604","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":"Trust in nurses and its association with medication adherence of cardiovascular patients: A descriptive correlational study","authors":"Ebrahim Aliafsari Mamaghani,&nbsp;Ali Soleimani,&nbsp;Mohammad Zirak","doi":"10.1016/j.ijnsa.2024.100278","DOIUrl":"10.1016/j.ijnsa.2024.100278","url":null,"abstract":"<div><h3>Background</h3><div>Medication adherence plays an important role in managing cardiovascular diseases. Trust in nurses may be effective in enhancing medication adherence in patients with cardiovascular diseases.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the correlation between trust in nurses among cardiac patients and their medication adherence and explore the predictors of medication adherence.</div></div><div><h3>Methods</h3><div>This descriptive correlational design was conducted among \"302″ cardiac patients hospitalized at Amir Al-momenin Teaching Hospital affiliated with Maragheh University of Medical Sciences. Data was gathered using a demographic characteristics questionnaire, Medication Adherence Scale, and Trust in Nurses’ Scale. Data was analyzed using descriptive (frequency, percentage, mean, standard deviation, median, and descriptive tables) and inferential (Kruskal-Wallis, Mann-Whitney, Spearman correlation coefficient, and quartile regression) statistics. Data was gathered from October 2023 to January 2024. The data was analyzed using SPSS software ver.21.</div></div><div><h3>Findings</h3><div>The mean and standard deviation of medication adherence and trust in nurses were 91.6 ± 6.9 and 10.5 ± 3.9, respectively. A significant positive correlation was found between trust in nurses and medication adherence(<em>r</em> = 0.61). There was a significant difference in medication adherence based on the type of disease. So that, the median medication adherence was the highest for coronary artery patients and the lowest for hypertensive patients. The results of quartile regression analysis showed that trust in nurses and type of disease are the main predictors of medication adherence (R² =20 %.)</div></div><div><h3>Discussion and conclusions</h3><div>The results indicated that medication adherence among cardiovascular patients was moderate and patients' trust in nurses was less than average. Considering the type of disease as an unmodifiable variable, trust in nurses was the main modifiable factor that plays an important role in increasing medication adherence of cardiovascular patients. Therefore, appropriate strategies such as teaching communication skills to nurses, and training and attracting interested individuals with high communication skills should be taken to enhance patients' trust in nurses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100278"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932710","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 Risk for Violence Screening Tool: a psychometric validation and reliability study","authors":"Sheila Mallett-Smith,&nbsp;Alirio Olmedo,&nbsp;Catherine P. Canamar","doi":"10.1016/j.ijnsa.2024.100280","DOIUrl":"10.1016/j.ijnsa.2024.100280","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;There is a lack of high-quality evidence to support the recommendation of an instrument to screen emergency department patients for their risk for violence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To demonstrate the content and predictive validity and reliability of the novel Risk for Violence Screening Tool to identify patients at risk for violence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design and Setting&lt;/h3&gt;&lt;div&gt;This retrospective risk screening study was conducted at a 100-bed emergency department in an urban, academic, safety net trauma center in Southern California.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Nine subject matter expert employees and 22,583 non-critical adult emergency patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Subject matter experts rated the relevance of 30 risk items and 10 domains comprising the Risk for Violence Screening Tool. Content Validity Index/Average Content Validity and Universal Agreement analyses determined the tool's content validity. Predictive validity, analyzed with logistic regression, used data from a patient incidence of violence registry (an incident occurred or did not occur), compared with the Risk for Violence Screening Tool screening result (positive or negative). Response agreement among three nurses who independently utilized the Risk for Violence Screening Tool to assess the same patients upon their arrival at the emergency department determined inter-rater reliability.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The overall Content Validity Index was 0.84, and the item-level Content Validity Index and the universal agreement scores were 1.00, indicating perfect agreement on item relevance and a unanimous consensus among experts. Patients who screened positive on the Risk of Violence Screening Tool, indicating a high probability of violence, were 27.55 times more likely to commit an act of violence compared to those who screened negative (95 % CI = 24.73 to 30.70). The logistic regression model was statistically significant, (χ&lt;sup&gt;2&lt;/sup&gt;&lt;sub&gt;(1)&lt;/sub&gt; = 1140.29, &lt;em&gt;p&lt;/em&gt; &lt; 0.0001), explaining a range from 4.9 % (Cox &amp; Snell &lt;em&gt;R&lt;sup&gt;2&lt;/sup&gt;&lt;/em&gt;) to 37.3 % (Nagelkerke &lt;em&gt;R&lt;sup&gt;2&lt;/sup&gt;&lt;/em&gt;) of the variance and indicating that the Risk for Violence Screening Tool successfully predicted violent incidents. The calculated area under the curve of 0.843 (95 % confidence interval, 0.812–0.873, &lt;em&gt;p&lt;/em&gt; &lt; 0.001) affirmed the Risk for Violence Screening Tool's discriminatory ability to distinguish between individuals with and without a risk for violent behavior. Cohen's Kappa statistic yielded a value of 0.86 (&lt;em&gt;p&lt;/em&gt; &lt; 0.001).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The Risk for Violence Screening Tool is valid and reliable. This standardized tool can be used in emergency departments as part of a robust violence prevention program, creating a safer workplace for both staff and patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;div&gt;The Risk for Violence Screening Tool (R","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100280"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980215","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":"Telehealth use in the well-child health setting. A systematic review of acceptability and effectiveness for families and practitioners","authors":"Kim Howland ,&nbsp;Kristina Edvardsson ,&nbsp;Helen Lees ,&nbsp;Leesa Hooker","doi":"10.1016/j.ijnsa.2024.100277","DOIUrl":"10.1016/j.ijnsa.2024.100277","url":null,"abstract":"<div><h3>Background</h3><div>Universal well-child health nursing services in high-resource countries promote the health and well-being of children and families while preventing health inequities. The COVID-19 pandemic and technological advancements have led to the increased use of telehealth in this field. To enhance policies and practices, it's important to understand the acceptability and effectiveness of telehealth, as well as the barriers and enablers to its implementation, and to determine when its use is appropriate and safe.</div></div><div><h3>Objective</h3><div>To explore the global evidence on the use of telehealth in well-child health settings within high-income countries. Focussing on the effectiveness and acceptability of telehealth, along with the factors affecting its implementation and the considerations for safety from the perspectives of both providers and families.</div></div><div><h3>Design</h3><div>A mixed methods systematic review</div></div><div><h3>Methods</h3><div>A systematic review was conducted following PRISMA guidelines. The inclusion criteria for the review included: primary research papers written in English, conducted in high-income countries, focused on telehealth in the well-child health setting, and involving children under six years of age. The search, which was completed in July 2023, systematically explored the CINAHL, ProQuest Central, PubMed, and Web of Science bibliographic databases. Studies were critically appraised for quality, and relevant data extracted. A convergent segregated approach was employed to synthesise both quantitative and qualitative data, which is presented in a narrative format.</div></div><div><h3>Results</h3><div>A total of 4,354 records were identified and screened, and 169 full-text papers were assessed for eligibility, resulting in 20 papers for inclusion. Telehealth acceptability among families was reported in 13 of the 20 studies reviewed, with participants expressing high satisfaction regarding its use as a complement to standard care. Only three studies examined practitioners' acceptance, revealing mixed responses. Effectiveness was observed in 15 studies, with no significant differences found between the control and telehealth groups, suggesting that telehealth may achieve outcomes like those of standard care. Four studies identified both enablers and barriers to the implementation of telehealth, though none addressed concerns regarding safety and appropriateness.</div></div><div><h3>Conclusions</h3><div>Telehealth shows promise for well-child health services, but there is limited evidence of its effectiveness and safety. The COVID-19 pandemic increased its use, yet risks need further exploration. To validate telehealth in this field, we must identify effective applications, tackle implementation barriers, and ensure client safety. Additional research is essential for developing evidence-based policies for future practices.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100277"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903725","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 Protection Motivation Theory on clinical factors, behavior change, and cardiovascular disease: An integrative review","authors":"Maryam Ghasemiardekani ,&nbsp;Virginia Plummer ,&nbsp;Louisa Lam ,&nbsp;Biswajit Banik ,&nbsp;Wendy Cross","doi":"10.1016/j.ijnsa.2024.100267","DOIUrl":"10.1016/j.ijnsa.2024.100267","url":null,"abstract":"<div><h3>Objective</h3><div>To identify and synthesize the primary evidence on the effectiveness of Protection Motivation Theory on and cardiovascular disease and diseases that are risk factors for cardiovascular disease.</div></div><div><h3>Method</h3><div>An integrative review was conducted using the Whittemore and Knafl method (2005).</div></div><div><h3>Results</h3><div>Eleven articles met the inclusion and quality assessment criteria. The integration of evidence was abundant in three themes 1) Physical activity 2) Weight and Body Mass Index, and 3) Food consumption and each theme having the same six sub-themes of self-efficacy, response-efficacy, response cost, severity, vulnerability and reward. No studies have addressed all clinical factors and behavioral changes associated with cardiovascular disease.</div></div><div><h3>Conclusion</h3><div>Due to the limited literature on the effectiveness of Protection Motivation Theory on behavioral changes in patients with cardiovascular diseases, generalizations and practice recommendations are limited. Further research is required to evaluate the effectiveness of this theory in patient outcomes.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100267"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759133","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}