International Journal of Nursing Studies Advances最新文献

{"title":"Interventions to promote resilience and passion for work in health settings: A mixed-methods systematic review","authors":"Supan Unjai ,&nbsp;Elizabeth M. Forster ,&nbsp;Amy E. Mitchell ,&nbsp;Debra K. Creedy","doi":"10.1016/j.ijnsa.2024.100242","DOIUrl":"10.1016/j.ijnsa.2024.100242","url":null,"abstract":"<div><h3>Background</h3><div>Resilience and passion for work are associated with better psychosocial wellbeing and professional quality of life for healthcare workers.</div></div><div><h3>Objective</h3><div>To evaluate the characteristics and efficacy of interventions to promote resilience and passion for work in health settings.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across six databases (MEDLINE, EMBASE, CINAHL, Web of Science, Scopus, and PsycINFO) for articles published between January 2003 and February 2023. Studies utilizing both quantitative and qualitative methodologies were included. Methodological quality assessment was performed using the Mixed Methods Appraisal Tool. Data from the included studies were analyzed using a convergent mixed methods design.</div></div><div><h3>Results</h3><div>A total of 33 studies met the inclusion criteria. All reported on interventions designed to enhance resilience for healthcare workers. None reported on interventions to enhance passion for work. Interventions included mindfulness-based programs, psychoeducation workshops, stress management techniques, and professional coaching. Interventions varied widely in terms of delivery modality, format, content, intensity, duration, and outcomes. Of the studies reporting quantitative data, most (21/29) reported statistically significant improvements in resilience. Of the studies reporting qualitative data, all reported a positive impact of the intervention on resilience and psychological well-being.</div></div><div><h3>Conclusions</h3><div>Overall, interventions designed to enhance resilience in health care settings appear to be effective across a variety of healthcare settings. The diversity of effective intervention approaches, delivery formats, intensity and duration suggest that brief, light-touch or self-directed online interventions may be equally as effective as more intensive, lengthy, in-person or group-based interventions. This provides health care organisations with the opportunity to select and flexibly implement interventions that align with organisational, and staff needs and preferences. Future research needs to explore effective approaches to building passion for work.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100242"},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000699/pdfft?md5=7a4ad94d3d961ee34b87e8d5f2a409ae&pid=1-s2.0-S2666142X24000699-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142316082","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’ experiences and sense making of COVID-19 redeployment and the impact on well-being, performance, and turnover intentions: A longitudinal multimethod study.","authors":"Alice Dunning ,&nbsp;Hannah Hartley ,&nbsp;Kerrie Unsworth ,&nbsp;Ruth Simms-Ellis ,&nbsp;Michael Dunn ,&nbsp;Angela Grange ,&nbsp;Jenni Murray ,&nbsp;Jayne Marran ,&nbsp;Rebecca Lawton","doi":"10.1016/j.ijnsa.2024.100244","DOIUrl":"10.1016/j.ijnsa.2024.100244","url":null,"abstract":"<div><h3>Background</h3><div>During Covid-19 nurses were redeployed to new teams and specialties at a level never previously experienced. Little is known about how nurses made sense of and coped with this situation and what we can learn from this for future redeployment approaches.</div></div><div><h3>Objectives</h3><div>We sought to understand how nurses made sense of ongoing redeployment during the COVID-19 pandemic and how this related to their psychological distress, burnout, turnover intentions, and perceived performance</div></div><div><h3>Design</h3><div>A longitudinal multi-method design. (ISRCTN: 18,172,749).</div></div><div><h3>Setting(s)</h3><div>Three acute National Health Service (NHS) Trusts in England, selected for diversity in geographical location and ethnicity, with different COVID-19 contexts.</div></div><div><h3>Participants</h3><div>Sixty-two nurses (90 % female; 83 % white) who experienced different types of redeployment during the pandemic, with an average of 17 year's post-registration experience (mean age 41 years).</div></div><div><h3>Methods</h3><div>We gathered both interview and survey data from 62 nurses across two or three time points in 2020–2021 and sought to find commonalities and differences in patterns of experience using Pen Portrait analysis.</div></div><div><h3>Results</h3><div>The pandemic redeployment process was life-changing for all nurses, personally and professionally<strong>.</strong> The research uncovered an intertwined pattern of identity and sensemaking as nurses coped with COVID-19 redeployment. Three sensemaking ‘journeys’ were evident, involving professional identity as a nurse and identification with one's organisation. Nurses in journey one: ‘Organisational Identification and Professional Identity Maintained’ (n = 28) had the best outcomes for wellbeing, burnout, performance, and retention. Those experiencing the ‘Devaluation of Organisational Identification But Maintenance of Professional Identity’ journey (n = 24) maintained their professional identity, but their organisational identification deteriorated. Journey three nurses: ‘Devaluation of both Organisational Identification and Professional Identity’ (n = 10) had the worst outcomes for wellbeing, burnout, performance, and retention. A salient nurse identity triggered stoicism and resilient behaviours while external cues of control, support and contextual awareness affected organisational identification.</div></div><div><h3>Conclusions</h3><div>Nurses made sense of their experiences of redeployment during Covid-19 differently which, in turn affected their outcomes. Given the stark differences in how nurses perceived their psychological distress, burnout, turnover intentions and performance across the journeys, the importance of understanding the cues (e.g. having autonomy) associated with each journey is apparent. Thus, our research provides clear guidance for managers to help them support nurses during redeployment.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100244"},"PeriodicalIF":3.1,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357029","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":"Comprehensive needs assessment tool for informal cancer caregivers (CNAT-ICs): Instrument development and cross-sectional validation study","authors":"Eranthi Weeratunga ,&nbsp;Sampatha Goonewardena ,&nbsp;Lalitha Meegoda","doi":"10.1016/j.ijnsa.2024.100240","DOIUrl":"10.1016/j.ijnsa.2024.100240","url":null,"abstract":"<div><h3>Background</h3><div>Growing cancer incidence and its subsequent burden is a worldwide concern. Needs assessment for caregivers has recently received growing attention, as it identifies specific unmet needs. The remaining tools have been established within the healthcare context of Western countries and have been studied only in some Asian populations; it seems appropriate to develop needs assessment tools that apply to a wider ethnic and socio-cultural context.</div></div><div><h3>Objective</h3><div>This study planned to adapt and examine the psychometric properties of the CNAT-C for the Sri Lankan informal caregivers for wider applicability.</div></div><div><h3>Design</h3><div>An instrument development and cross-sectional validation study was conducted.</div></div><div><h3>Setting</h3><div>Apeksha Hospital Maharagama, Sri Lanka (National Cancer Institute).</div></div><div><h3>Participants</h3><div>A sample of 226 informal caregivers (ICs) providing palliative care for patients with advanced cancer was selected.</div></div><div><h3>Methods</h3><div>A CNAT-C (41 items; seven factors) was incorporated and used after a cross-cultural adaptation following WHO guidelines after the permission and pilot test. ICs completed the socio-demographic and clinical details along with the validated Centre for Epidemiological Studies-Depression (CES-D), and the World Health Organization-Quality of Life-Brief (WHOQOL-BREF). Internal consistency and test-retest were used to check the reliability. Convergent and divergent validity of the Sinhala version of CNAT (S-CNAT) was confirmed using the CES-D scale and WHOQOL-BREF. Construct validity was evaluated using the exploratory factor analysis (EFA) and confirmatory factor analysis (CFA).</div></div><div><h3>Results</h3><div>Most of the participants were female (60 %) and married (72 %), and the mean age was 41.78 (SD+14.54). Face and content validity were established during the cross-cultural adaptation. Cronbach's alpha was 0.903 for the overall S-CNAT and the test-retest reliability was 0.965. The S-CNAT was associated positively with the CES-D while negatively with the WHOQOL-BREF. Both EFA and CFA discovered a structure contained seven factors (35 items); domain named as healthcare staff/nurses’ support and information, physical/practical needs, medical officers’ support, psychological needs, social/family support, spiritual/religious support, and hospital facilities/service.</div></div><div><h3>Conclusions</h3><div>The Sinhala version of CNAT is shown to have adequate validity and reliability in assessing the comprehensive and multidimensional/unmet needs of informal caregivers of patients with advanced cancer (S-CNAT-ICs). It would be a helpful tool to determine the unmet needs of ICs and guide future interventions to meet those needs and enhance or maintain the quality of life for patients and their informal caregivers.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100240"},"PeriodicalIF":3.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326822","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":"Development and psychometric evaluation of the self-care of informal caregivers inventory","authors":"Negin Dorri ,&nbsp;Barbara Riegel","doi":"10.1016/j.ijnsa.2024.100237","DOIUrl":"10.1016/j.ijnsa.2024.100237","url":null,"abstract":"<div><h3>Background</h3><p>In recent years, a growing body of literature on informal caregivers’ health and well-being has emerged, highlighting the need for a tool to measure their self-care practices.</p></div><div><h3>Objective</h3><p>The aim of the study was to develop a theory-based instrument measuring the self-care behaviors of informal caregivers and test its psychometric properties.</p></div><div><h3>Design</h3><p>The initial phase of instrument development entailed a detailed, six-step process (conceptualization, theoretical adaptation, back-translation and cultural adaptation, cognitive interviewing, item enhancement, and content validity), followed by formal psychometric testing (participant engagement, validity, internal consistency reliability, test-retest reliability).</p></div><div><h3>Setting</h3><p>Study conducted at a hospital located in Tehran, Iran.</p></div><div><h3>Participants</h3><p>A sample of 234 informal caregivers of cancer outpatients receiving treatment in oncology wards was enrolled. Caregivers had to be 18 years or older, recognized as the primary caregiver by the patient, and willing to provide informed consent.</p></div><div><h3>Methods</h3><p>The Self-Care of Informal Caregivers Inventory items comprise three dimensions: self-care maintenance (11 items), self-care monitoring (7 items), and self-care management (9 items), which achieved a content validity index rating of 100 % in a panel of experts. Data were collected from caregivers during routine clinic visits. Construct validity was verified through exploratory structural equation modelling and reliability was verified using Cronbach's α and multidimensional model-based reliability. Test-retest reliability was evaluated using the Intraclass Correlation Coefficient.</p></div><div><h3>Results</h3><p>All three dimensions showed good model fit indices (self-care maintenance: Comparative Fit Index = 1.00, Tucker-Lewis Index = 0.99, Root Mean Square Error of Approximation = 0.044; self-care monitoring: Comparative Fit Index = 1.00, Tucker-Lewis Index = 1.00, Root Mean Square Error of Approximation = 0.027; self-care management: Comparative Fit Index = 0.99, Tucker-Lewis Index = 0.99, Root Mean Square Error of Approximation = 0.048) and Cronbach's α of 0.88, 0.88, and 0.91, respectively. The overall multidimensional model-based reliability was 0.93. The Intraclass Correlation Coefficient values for the three dimensions were 0.94, 0.60, and 0.51, respectively.</p></div><div><h3>Conclusion</h3><p>Preliminary testing provides support for use of the Self-Care of Informal Caregivers Inventory in research. Using this theory-based instrument to assess the self-care practices of informal caregivers can assist in identifying topics to discuss and opportunities for guidance.</p></div><div><h3>Tweetable Abstract</h3><p>The Self-Care of Informal Caregivers Inventory: A validated tool for informal caregivers is useful for research. #Informalcaregivers #SelfCare</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100237"},"PeriodicalIF":3.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X2400064X/pdfft?md5=1e6a17b03d9c55bd8b402262b3321c17&pid=1-s2.0-S2666142X2400064X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142243763","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":"Practice of blood pressure self-monitoring and associated factors among hypertensive patients on follow-up visits at hospitals, West Shoa Zone, Oromia, Ethiopia, 2022…An institution-based cross-sectional study","authors":"Nimona Amena ,&nbsp;Adamu Birhanu ,&nbsp;Lammi Atomsa ,&nbsp;Dawit Teklehymanot ,&nbsp;Befkad Derese Tilahun","doi":"10.1016/j.ijnsa.2024.100236","DOIUrl":"10.1016/j.ijnsa.2024.100236","url":null,"abstract":"<div><h3>Introduction</h3><p>Blood pressure self-monitoring is patients' regular use of personal blood pressure measurement equipment to measure their blood pressure outside of a clinical environment. Inadequate blood pressure self-monitoring remains a significant problem faced by healthcare providers and populations in the prevention of Hypertension. This study is to assess the practice of blood pressure self-monitoring and associated factors among hypertensive patients on follow-up visits at Hospitals, West Shoa zone, Oromia, Ethiopia, 2022.</p></div><div><h3>Methods</h3><p>An institution-based cross-sectional quantitative study supported by a qualitative study was carried out on 412 hypertensive patients from September 01–30/09/2022. An interviewer-administered questionnaire was used to collect data, and a simple random sampling technique was employed to select the study participants. Data were entered into a computer using the Kobo toolbox and exported to Statical package of social science Version 26 for analysis. Binary logistic regression analysis was run to assess the association between the dependent and independent variables and Variables with P- value &lt; 0.25 were entered into a multivariate logistic regression to control the effects of potential confounding factors. P-value of &lt;0.05 was taken as a cutoff point to declare a statistically significant association between independent and dependent variables.</p></div><div><h3>Result</h3><p>The proportion of blood pressure self-monitoring practice among hypertensive patients on follow-up visits at hospitals in the West Shoa zone was 19.6 %. Educational level [AOR=7.49, 95 %CI (3.00, 8.67)], income [AOR=3.14, 95 %CI (1.21, 8.13)], co-morbidities [AOR=5.55, 95 %CI (2.74, 11.24)], recommendation toward self-monitoring [AOR=2.40, 95 %CI (1.15, 5.03)] and awareness of self-monitoring [AOR=8.54, 95 %CI (3.54, 10.60)] were factors significantly associated with blood pressure self-monitoring practice.</p></div><div><h3>Conclusion and Recommendation</h3><p>The proportion of blood pressure self-monitoring among hypertensive patients on follow-up visits at hospitals in the West Shoa zone was low. The practice of blood pressure self-monitoring needs to be deliberated by health education programs and recommended to minimize hypertension complications.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100236"},"PeriodicalIF":3.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000638/pdfft?md5=082b539c1012a25ea3cb3d3dd327b1b4&pid=1-s2.0-S2666142X24000638-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142243764","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 impact of the nurse practice environment, workload, and professional support on job outcomes and standards of care at primary health care clinics in South Africa: A structural equation model approach","authors":"Prudence Ditlopo ,&nbsp;Laetitia C. Rispel ,&nbsp;Peter Van Bogaert ,&nbsp;Duane Blaauw","doi":"10.1016/j.ijnsa.2024.100241","DOIUrl":"10.1016/j.ijnsa.2024.100241","url":null,"abstract":"<div><h3>Background</h3><p>There is substantial evidence on the associations between a positive nurse practice environment and improved nurse and patient outcomes, as well as the factors that mediate these associations, in high-income countries and in hospital settings. The knowledge gaps in African and primary health care settings motivated this empirical study.</p></div><div><h3>Objective</h3><p>The objective of this study was to examine the impact of the dimensions of the nurse practice environment, specifically human resource management, foundations for nursing care, and participation in clinic affairs, on job outcomes and standards of care.</p></div><div><h3>Design</h3><p>A cross-sectional study was conducted between November 2021 and June 2022.</p></div><div><h3>Setting</h3><p>180 primary health care clinics in two South African provinces of Gauteng and North West.</p></div><div><h3>Participants</h3><p>665 nurses of all categories.</p></div><div><h3>Methods</h3><p>A causal model was developed with pathways between the nurse practice environment dimensions and the outcomes of job satisfaction, intention to leave, and standards of care. A set of standardised instruments was used to measure the study variables. Using structural equation modelling, workload and professional support were tested as potential mediators between the nurse practice environment and the outcome variables.</p></div><div><h3>Results</h3><p>The nurses scored the domain of foundations for nursing care 71.2 out of 100 on average, indicating high agreement, while the mean scores for nurses’ participation in clinic affairs and human resources management were lower at 68.0 and 61.7 respectively. Although nurses expressed moderate satisfaction with professional support (67.7), they were less satisfied with their workload (52.2). The mean score of overall job satisfaction was moderate (58.9), with 53.8 % of the nurses reporting that they intended leaving the clinic where they were working. Thirty-six percent intended leaving the nursing profession, indicating low intention to stay. The final mediation model was judged to fit the data adequately based on goodness-of-fit indices, confirming that workload and professional support had a mediating role between the nurse practice environment dimensions of interest and both nurses’ job outcomes and standards of care.</p></div><div><h3>Conclusions</h3><p>We have highlighted the value of supportive practice environments, effective workload management, and enhanced professional support in improving nurses’ job outcomes and satisfaction with standards of care. Improving nurses’ practice environments at primary health care level may have a wide-ranging impact on the performance of the health system. Therefore, primary health care facility managers should ensure that workload is distributed equitably, professional support for nurses is enhanced, and the overall work environment is improved.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100241"},"PeriodicalIF":3.1,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000687/pdfft?md5=3dfae193ea3dfe0c2591cc55d7f28018&pid=1-s2.0-S2666142X24000687-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272187","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":"Understanding frailty and its opposites from community-dwelling older peoples’ perspectives: A phenomenological qualitative study","authors":"Rianne DJ Golbach ,&nbsp;Nanda Kleinenberg-Talsma ,&nbsp;Fons van der Lucht ,&nbsp;Johannes SM Hobbelen ,&nbsp;Harriët Jager-Wittenaar ,&nbsp;Evelyn J Finnema","doi":"10.1016/j.ijnsa.2024.100238","DOIUrl":"10.1016/j.ijnsa.2024.100238","url":null,"abstract":"<div><h3>Background</h3><p>the global population is ageing. As older people become more susceptible to frailty, an increase in frailty prevalence is also expected. Although frailty has been defined before in research, older peoples’ perceptions of frailty do not always coincide with those used in research or medical settings. Further exploring community-dwelling older people's viewpoints regarding frailty is essential for tailored care and policy.</p></div><div><h3>Aim</h3><p>the aim of this study was to explore the perspectives of Dutch community-dwelling older people regarding frailty and its opposing concepts.</p></div><div><h3>Methods</h3><p>a phenomenological qualitative study was conducted for which we carried out semi-structured interviews with independently living older people aged ≥65. Following the interviews, the participants filled out the Tilburg Frailty Indicator.</p></div><div><h3>Results</h3><p>the different domains of frailty: ‘physical’, ‘psychological’, and ‘social’, were recognized by participants. In addition, other aspects, such as financial capacity and digital functioning, have been identified. Four aspects of the meaning of frailty were identified in the category of other frailty definitions: ‘dependency’, ‘frailty as getting hurt’, ‘frailty as prone to deterioration’, and ‘frailty as experiences of loss and sacrifice’. Participants also described the opposites of frailty, which could also be distinguished according to the ‘physical’, ‘psychological’, and ‘social’ domains. In addition, participants mentioned the following concepts as opposing frailty: ‘vitality’, ‘resilience’, ‘independence’, ‘autonomy’, and ‘ambition’.</p></div><div><h3>Conclusion</h3><p>we found that frailty and its opposites share similar aspects, including physical, psychological, and social dimensions. Additionally, older people perceived cognition as an essential aspect of frailty. The psychological dimension seemed more dominant in concepts opposed to frailty, which raises opportunities to focus on the positive aspects and build on older people's (psychological) capabilities in managing frailty and its consequences. Based on these findings, policymakers and care professionals should consider the perspectives of older people regarding frailty and its opposing concepts.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100238"},"PeriodicalIF":3.1,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000651/pdfft?md5=4ca8c4072a808f90efdde1f131df01bf&pid=1-s2.0-S2666142X24000651-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162464","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":"Influential factors affecting nursing performance amid COVID-19: A cross-sectional study on nurse preparedness for infectious diseases","authors":"Kyung-sook Cha ,&nbsp;Dohyun Lee","doi":"10.1016/j.ijnsa.2024.100239","DOIUrl":"10.1016/j.ijnsa.2024.100239","url":null,"abstract":"<div><h3>Background</h3><div>The emergence of infectious diseases such as SARS, MERS, and COVID-19 underscores the need for effective nursing preparedness.</div></div><div><h3>Objectives</h3><div>This cross-sectional study sought to pinpoint the factors that impact nursing performance during the COVID-19 pandemic, focusing on nurses' self-efficacy, work environment, knowledge, and attitudes.</div></div><div><h3>Design</h3><div>The study utilized a cross-sectional design.</div></div><div><h3>Settings &amp; participants</h3><div>Between December 13, 2021, and January 21, 2022, an online and offline survey was conducted with 314 nurses who provided in-person care in tertiary and general hospitals throughout South Korea.</div></div><div><h3>Methods</h3><div>Using <em>t</em>-tests and ANOVA, the research compared nursing performance based on various demographic and work-related characteristics like age, gender, education, marital status, and other working conditions. A research model was formulated via structural equation modeling, positioning nursing performance as the dependent variable. The independent variables included career experience (indirect effect), work environment (indirect effect), COVID-19 knowledge (indirect effect), attitude toward COVID-19 (direct effect), and self-efficacy (direct effect). Data analysis was carried out using SPSS 26 and AMOS 28.</div></div><div><h3>Results</h3><div>The study demonstrated that self-efficacy and attitude toward COVID-19 significantly influence nursing performance, as reflected by robust critical ratios (CR) for self-efficacy (CR = 11.291, <em>p</em> &lt; 0.001) and attitude (CR = 5.133, <em>p &lt;</em> 0.001). They account for 43 % (<em>R</em>² = 0.43) of the variability of nursing performance. Self-efficacy was positively predicted by clinical experience (CR = 3.160, p = 0.002) and work environment (CR = 4.328, <em>p &lt;</em> 0.001), while attitude was similarly influenced (CR = 3.557 and 2.926, respectively). However, clinical experience and work environment only explained 8 % (<em>R</em>² = 0.08) of self-efficacy and 16 % (<em>R</em>² = 0.16) of attitude. Knowledge about COVID-19 exhibited a statistically insignificant influence in the dynamics.</div></div><div><h3>Conclusions</h3><div>This study, conducted among Korean nurses during the COVID-19 pandemic, reveals that self-efficacy and attitudes towards COVID-19 are key predictors of nursing performance, overshadowing knowledge's influence. These findings suggest the critical role of psychological factors in healthcare delivery during crises and underscore the need for enhanced focus on developing self-efficacy and positive attitudes in nursing education and professional development. Additionally, demographic and professional variables, including age, clinical experience, educational level, and marital status affect nursing performance.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100239"},"PeriodicalIF":3.1,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326823","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 lived experience of renal cachexia: An interpretive phenomenological analysis","authors":"Carolyn Blair ,&nbsp;Joanne Shields ,&nbsp;Robert Mullan ,&nbsp;William Johnston ,&nbsp;Andrew Davenport ,&nbsp;Denis Fouque ,&nbsp;Kamyar Kalantar-Zadeh ,&nbsp;Peter Maxwell ,&nbsp;Clare McKeaveney ,&nbsp;Helen Noble ,&nbsp;Sam Porter ,&nbsp;David Seres ,&nbsp;Adrian Slee ,&nbsp;Ian Swaine ,&nbsp;Miles Witham ,&nbsp;Joanne Reid","doi":"10.1016/j.ijnsa.2024.100235","DOIUrl":"10.1016/j.ijnsa.2024.100235","url":null,"abstract":"<div><h3>Background</h3><p>Chronic kidney disease is common, affecting up to 13 % of the global population, and is predicted to become the fifth leading cause of 'life years lost' by 2040. Individuals with end-stage kidney disease commonly develop complications such as protein-energy wasting and cachexia which further worsens their prognosis. The syndrome of ‘renal cachexia’ is poorly understood, under-diagnosed and even if recognised has limited treatment options.</p></div><div><h3>Objective</h3><p>To explore the lived experience of renal cachexia for individuals with end-stage kidney disease and the interrelated experiences of their carers.</p></div><div><h3>Design</h3><p>This interpretive phenomenological study was designed to facilitate an in-depth exploration of how patients and carers experience of renal cachexia. To improve and document the quality, transparency, and consistency of patient and public involvement in this study the Guidance for Reporting Involvement of Patients and the Public-Short Format was followed.</p></div><div><h3>Setting</h3><p>The study was conducted across two nephrology directorates, within two healthcare trusts in the United Kingdom.</p></div><div><h3>Participants</h3><p>Seven participants who met the inclusion criteria were recruited for this study, four patients (three female, one male) and three carers (two male, one female).</p></div><div><h3>Methods</h3><p>We employed a purposive sampling strategy. Data collection was conducted between July 2022 and December 2023. Interviews were semi-structured, audio-recorded, transcribed verbatim and analysed in six steps by two researchers using interpretive phenomenological analysis. Ethical approval was approved by the Office for Research Ethics Committees Northern Ireland (Reference: 22/NI/0107).</p></div><div><h3>Results</h3><p>Analysis generated six group experiential themes: the lived experience of appetite loss, functional decline and temporal coping, weight loss a visual metaphor of concern, social withdrawal and vulnerability, the emotional toll of eating challenges and psychological strain amidst a lack of information about cachexia.</p></div><div><h3>Conclusion</h3><p>This is the first qualitative study exploring the lived experience of renal cachexia for patients and carers. Our study highlights that psycho-social and educational support is urgently needed. Additionally, healthcare professionals need better information provision to help them to recognise and respond to the needs of this population. Further research is required to develop models of holistic support which could help patients and carers cope with the impact of renal cachexia and optimally manage this syndrome within the family unit.</p></div><div><h3>Registration</h3><p>N/A.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100235"},"PeriodicalIF":3.1,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000626/pdfft?md5=ec906371cb41ebd24b2b06fe016e369f&pid=1-s2.0-S2666142X24000626-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272801","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":"Self-management in the post-hair transplantation recovery period among patients with androgenetic alopecia: A qualitative study","authors":"Liu Shichang,&nbsp;Zhang Jufang,&nbsp;Yang Xiangying,&nbsp;Wu Yali,&nbsp;Ning Li","doi":"10.1016/j.ijnsa.2024.100234","DOIUrl":"10.1016/j.ijnsa.2024.100234","url":null,"abstract":"<div><h3>Background</h3><p>The success of hair transplantation surgeries for androgenetic alopecia is evaluated by postoperative long-term outcomes. Patients' self-management during the long recovery period affects this outcome.</p></div><div><h3>Objective</h3><p>This study aimed to explore patients' self-management status, facilitators, and impediments in the postoperative period and to provide a reference for developing a postoperative self-management intervention program.</p></div><div><h3>Methods</h3><p>Patients who underwent hair transplantation for androgenetic alopecia were selected using purposive sampling. They were interviewed using one-to-one semi-structured interviews at a general tertiary hospital in Hangzhou from March to April 2022. Qualitative research analysis software Nvivo 12.0 was used to analyze the collected data.</p></div><div><h3>Results</h3><p>The self-management of postoperative patients with androgenetic alopecia during the recovery period encompasses six areas: more problems with postoperative medication (e.g., not being able to take medication on time) and wound care (e.g., not daring to shampoo, etc.), not being able to review their postoperative condition on time (due to busy schedules at work and at home), more hindrances to the establishment of good living habits (affected by overtime work, socialising, and bad habits of the people around them), and seeking positive ways of relieving bad emotions (stress, anxiety, depression, etc.), worrying about one's image during recovery and taking the initiative to obtain and use resources to promote recovery (through the Internet, books, etc.)</p></div><div><h3>Conclusions</h3><p>Various factors impact the postoperative self-management abilities of patients, including medication, shampooing, and emotions. It is essential to design support programs to enhance these abilities and improve long-term hair transplantation outcomes.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100234"},"PeriodicalIF":3.1,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000614/pdfft?md5=8af42989f33b1735ea2ebe669bceda3b&pid=1-s2.0-S2666142X24000614-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089038","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}