International Journal of Nursing Studies Advances最新文献

{"title":"Cold sensitivity among female clinical nurses in Japan: A nationwide study","authors":"Miyuki Suzuki ,&nbsp;Toshie Tsuchida ,&nbsp;Aki Ibe","doi":"10.1016/j.ijnsa.2024.100208","DOIUrl":"10.1016/j.ijnsa.2024.100208","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to clarify the nature of cold sensitivity in female nurses working in hospitals in Japan.</p></div><div><h3>Design</h3><p>A cross-sectional post survey research design.</p></div><div><h3>Settings</h3><p>The questionnaire targeted nurses working in 14 hospitals across ten prefectures throughout Japan.</p></div><div><h3>Participants</h3><p>1,138 female nurses</p></div><div><h3>Methods</h3><p>The survey captured participants’ characteristics, work environment, health, and lifestyle. The factors investigated were perceived cold sensitivity, cold sensitivity according to the Hiesho Sensation Scale, and cold sensitivity during nursing care. The Diagnostic Inventory of Health and Life Habits (DIHAL.2) assessed health and lifestyle habits.</p></div><div><h3>Results</h3><p>Of the respondents, 44.3 % were aware of daily cold sensitivity and 21.4 % had a cold sensitivity disorder. The majority of respondents (63.1 %) felt cold in their hands when providing nursing care, and 28.1 % felt discomfort due to the coldness of their hands. Individuals diagnosed with cold sensitivity disorders exhibited poorer overall health compared to those without such disorders. However, there was no statistically significant difference in the overall health status between individuals who reported perceiving cold sensitivity and those who did not. The group with perceived cold sensitivity had significantly lower scores on exercise behavior, meal regularity, rest, sleep regularity, and sleep sufficiency. The proportion of female nurses working in Japanese hospitals who experienced cold sensitivity was similar to that of Japanese women with the same sensitivity. Most female nurses experienced cold in their hands while providing care. Nearly 30 % of the respondents experienced discomfort owing to cold hands.</p></div><div><h3>Conclusions</h3><p>The study underscores the widespread issue of cold sensitivity among female nurses in Japanese hospitals, emphasizing the critical need for targeted interventions to improve their comfort and optimize care provision.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100208"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000353/pdfft?md5=f92fd6ced5833b6ecf75c57dc2c2cffc&pid=1-s2.0-S2666142X24000353-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049217","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":"Nursing students' personality (Temperament and Character), burnout symptoms, and health and well-being","authors":"Danilo Garcia ,&nbsp;Maryam Kazemitabar ,&nbsp;Elina Björk ,&nbsp;Thiago Medeiros da Costa Daniele ,&nbsp;Marko Mihailovic ,&nbsp;Kevin M. Cloninger ,&nbsp;Mirna Albuquerque Frota ,&nbsp;C.Robert Cloninger","doi":"10.1016/j.ijnsa.2024.100206","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100206","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;About 9 million nurses will be needed by 2030. To face these unprecedented times, governments/institutions focus on educating as many nursing students as possible. This strategy is clouded by burnout and lack of both health and well-being among students and by the fact that personality is one of the major determinants of these health outcomes. Nevertheless, recent findings show that personality is a complex adaptive system (i,e., nonlinear) and that combinations of people's temperament and character traits (i.e., joint personality networks) might provide further information to understand its development, academic burnout, and lack of health and well-being.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aims&lt;/h3&gt;&lt;p&gt;Our aims were to investigate the linear relationship between nursing students’ personality, burnout, health, and well-being; investigate the linear mediational effects of personality and burnout on health and well-being; and investigate differences in these health outcomes between/within students with distinct joint personality networks (i.e., nonlinear relationships).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;p&gt;Swedish nursing students (189 women, 29 men) responded to the Temperament and Character Inventory, The Maslach Burnout Inventory-General Survey for Students, and the Public Health Surveillance Well-Being Scale. We conducted correlation analyses and Structural Equation Modeling and, for the nonlinear relationships, Latent Profile Analysis and Latent Class Analysis for clustering and then Analyses of Variance for differences in health outcomes between/within students with distinct personality networks. This study was not pre-registered.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;High levels of health and well-being and low burnout symptoms (low Emotional Exhaustion, low Cynicism, and high Academic Efficacy) were associated with low Harm Avoidance and high Self-Directedness. Some personality traits were associated with specific health outcomes (e.g., high Self-Transcendence-high Emotional Exhaustion and high Persistence-high Academic Efficacy) and their effects on health and well-being were mediated by specific burnout symptoms. Cynicism and Emotional Exhaustion predicted low levels of health and well-being, Academic Efficacy predicted high levels, and Cynicism lead both directly and indirectly to low levels of health and well-being through Emotional Exhaustion. We found two joint personality networks: students with an &lt;em&gt;Organized/Reliable&lt;/em&gt; combination who reported being less emotionally exhausted by their studies, less cynical towards education, higher self-efficacy regarding their academic work/skills, and better health and well-being compared to nursing students with an &lt;em&gt;Emotional/Unreliable&lt;/em&gt; combination.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;The coherence of temperament-character, rather than single traits, seems to determine students’ health outcomes. Thus, nursing education might need to focus on helping students to develop professional ","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100206"},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X2400033X/pdfft?md5=133e311120360bf089e2813db4c92e3b&pid=1-s2.0-S2666142X2400033X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140950282","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":"Pregnancy loss among Muslim women: A narrative review","authors":"Khadijat K. Adeleye ,&nbsp;Oluwabunmi Ogungbe ,&nbsp;Muhammad Chutiyami ,&nbsp;Favorite Iradukunda","doi":"10.1016/j.ijnsa.2024.100205","DOIUrl":"10.1016/j.ijnsa.2024.100205","url":null,"abstract":"<div><h3>Background</h3><p>Diversity in spirituality, religion, and cultural norms among women leads to varying attitudes, grieving processes, and coping mechanisms after a pregnancy loss. Despite this, there is a limited understanding of grief, coping mechanisms, and mental health outcomes following pregnancy loss among Muslim women.</p></div><div><h3>Objectives</h3><p>This study aims to examine the impact of religion, spirituality, and faith communities on the psychological health of Muslim women during pregnancy loss.</p></div><div><h3>Method</h3><p>We systematically searched six databases with the key concepts, ‘pregnancy loss’ and ‘Muslim women,’ in PubMed, CINAHL, Embase, Web of Science, APA PsycINFO, and Academic Search. The search strategy was developed in line with the PCOT framework: Population – Muslim Women with \"pregnancy loss,\" \"miscarriage,\" \"stillbirth, Context - \"religion,\" faith, \"spirituality,\" \"faith communities,\" Outcome – “religious practices,” perception, coping mechanism, \"psychological health.\"Studies were screened, their quality appraised, and narratively sized in line with the review aim. The review protocol was registered at Open Science Framework (OSF): <span>https://doi.org/10.17605/OSF.IO/52QTA</span><svg><path></path></svg>.</p></div><div><h3>Result</h3><p>Findings from the reviewed articles addressed the following themes: (a) Overwhelming Grief and Loss, (b) social isolation and stigmatization, (c) impact on mental health, and (d) trust in divine destiny. Islamic beliefs were strongly featured in how Muslim women processed pregnancy loss. Concepts such as tawakkul and yaqeen (trusting and certainty) were used to interpret pregnancy loss, with many women acknowledging that their Islamic faith eased the sorrow of pregnancy loss, facilitated acceptance, and strengthened their Islamic belief system.</p></div><div><h3>Conclusion</h3><p>This review revealed that there is limited information on Muslim women's experience of pregnancy loss. Professionals helping Muslim women dealing with the grief of pregnancy loss need to be aware that spirituality and faith communities play a major role in shaping their coping mechanisms. Future studies on the development of culturally congruent bereavement care models and supportive interventions for Muslim women facing pregnancy loss.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100205"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000328/pdfft?md5=2475675c29fbbb59b79c002d73b6fdd9&pid=1-s2.0-S2666142X24000328-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141035360","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":"A nursing perspective on the antecedents and consequences of incivility in higher education: A scoping review","authors":"Tatiana Penconek ,&nbsp;Leslie Hayduk ,&nbsp;Diane Kunyk ,&nbsp;Greta G. Cummings","doi":"10.1016/j.ijnsa.2024.100204","DOIUrl":"10.1016/j.ijnsa.2024.100204","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Understanding antecedents and consequences of incivility across higher education is necessary to create and implement strategies that prevent and slow uncivil behaviors.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;p&gt;To identify the nature, extent, and range of research related to antecedents and consequences of incivility in higher education.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;1) To identify disciplines and programs sampled in higher education incivility research, and 2) to compare antecedents and consequences examined in nursing education research with other disciplines and programs in higher education.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;A scoping review of the literature.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;p&gt;Eight electronic databases searched in January 2023 including MEDLINE Ovid, CINAHL, ERIC, PsycINFO, Scopus, ProQuest Education Database, Education Research Complete, and ProQuest Dissertations and Theses Global.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;p&gt;We included primary research articles examining antecedents or consequences of incivility in higher education. Two reviewers independently screened and determined inclusion of each study. Data extraction was completed. We employed a numerical descriptive summary to analyze the range of data and content analysis to categorize the antecedents and consequences of incivility in higher education.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Database searches yielded 6678 unique articles. One hundred and nineteen studies published between 2003 and 2023 met the inclusion criteria, of which, 65 reported research in nursing education, and 54 in other programs and disciplines. A total of 91 antecedents and 50 consequences of incivility in higher education were reported. Stress (&lt;em&gt;n&lt;/em&gt; = 12 nursing, &lt;em&gt;n&lt;/em&gt; = 4 other programs), faculty incivility (&lt;em&gt;n&lt;/em&gt; = 9 nursing, &lt;em&gt;n&lt;/em&gt; = 5 other programs), and student incivility (&lt;em&gt;n&lt;/em&gt; = 4 nursing, &lt;em&gt;n&lt;/em&gt; = 5 other programs) were reported as antecedents of incivility in higher education. Physiological and psychological negative outcomes (&lt;em&gt;n&lt;/em&gt; = 25 nursing, &lt;em&gt;n&lt;/em&gt; = 12 other programs), stress (&lt;em&gt;n&lt;/em&gt; = 6 nursing, &lt;em&gt;n&lt;/em&gt; = 6 other programs), and faculty job satisfaction (&lt;em&gt;n&lt;/em&gt; = 3 nursing, &lt;em&gt;n&lt;/em&gt; = 2 other programs) were reported as consequences of incivility in higher education&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;Supporting development of teaching practices and role modeling of civility by faculty is a crucial element to slowing the frequency of uncivil interactions between faculty and students. Specific strategies that target stress, such as, cognitive behavioral therapy, coping skills, and social support could mitigate incivility in higher education. Future research needs to examine the strength of the negative effects of incivility on physiological and psychological outcomes through advanced statistical methods, as well as the cumulative effects of uncivil behavior on these outcomes over time for both students a","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100204"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000316/pdfft?md5=04128f72a6531dc4e25486b8d912c150&pid=1-s2.0-S2666142X24000316-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141040179","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":"Black African international nurses' experiences of pastoral support: A scoping review","authors":"Chinenye Ifeoma Ubah ,&nbsp;Sally Goldspink ,&nbsp;Samson Maekele Tsegay","doi":"10.1016/j.ijnsa.2024.100202","DOIUrl":"10.1016/j.ijnsa.2024.100202","url":null,"abstract":"<div><h3>Purpose</h3><p>Overseas nurses are not new to the United Kingdom (UK), and neither is the concept of pastoral care. The immense contributions of international nurses are so obvious that it would be commonly assumed that there will be a strong literature base on pastoral care for these nurses. However, the opposite is very much the case. Pastoral support is crucial to the successful adaptation and integration of nurses who are recruited outside the United Kingdom to work within the NHS. To offer comprehensive fit-for-purpose support, the perspective of the nurses is important.</p></div><div><h3>Objective</h3><p>This scoping review aims to identify what is known about pastoral support for internationally educated nurses in the UK.</p></div><div><h3>Methods</h3><p>A scoping review method was used to review literature on pastoral support.</p></div><div><h3>Results</h3><p>Existing literature provided evidence on current practices, the challenges, and outcome criteria for successful pastoral support. It also provided evidence on how early pastoral support can fortify the nurses or deskill them. Finally, it revealed significant disparities in the support received by overseas nurses.</p></div><div><h3>Conclusion</h3><p>While the nurses’ experience of the previous adaptation programme has been explored, evidence on the current pastoral care practices is mostly found in policy guidelines, trainers’ reports, and opinion pieces. Since the inception of the NMC test of competence in 2014, the voice of the recipients of pastoral care is yet to be heard. This scoping review suggests that there is a difference in understanding of pastoral care practices. Therefore, the perspectives of specific groups such as Black African nurses should be explored on this issue.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100202"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000298/pdfft?md5=c0fa0b1fe197f2eac0c132f976ea6527&pid=1-s2.0-S2666142X24000298-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038804","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":"Transforming the discharge conversation through support and structure: A scoping review","authors":"Marie C. Haverfield ,&nbsp;Gisselle De Leon ,&nbsp;Angelica Johnson ,&nbsp;Victoria L. Jackson ,&nbsp;Geetali Basu ,&nbsp;Jane Dodge","doi":"10.1016/j.ijnsa.2024.100203","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100203","url":null,"abstract":"<div><h3>Background</h3><p>System level demands and interpersonal barriers can disrupt nurse delivery of high-quality information at discharge, which can contribute to a lack of caregiver preparedness to manage care of the patient and ultimately affect patient health.</p></div><div><h3>Objective</h3><p>To synthesize evidence on effective nurse communication with informal caregivers during hospital discharge of adult patients with cognitive decline or Alzheimer's disease and related dementia.</p></div><div><h3>Design</h3><p>A scoping review of inpatient nurse communication with informal caregivers.</p></div><div><h3>Methods</h3><p>Collected research (published between 2011 and 2023) from three databases (MEDLINE, PsycINFO, and CINAHL), along with a separate search for gray literature (<em>N</em> = 18), to extract and synthesize recommended communication practices evidenced to improve the nurse care experience and support caregiver activation and preparedness.</p></div><div><h3>Results</h3><p>Extraction synthesis of strategies resulted in two themes with corresponding sub-themes: Support (Information exchange, Space and time to determine preparedness, and Positive reinforcement of caregiver efforts) and Structure (Setting shared expectations, Informational resources, and Standardization).</p></div><div><h3>Conclusions</h3><p>We offer practical recommendations for both interpersonal and policy level facilitation of nurse delivery of high-quality information at discharge to caregivers of patients with serious illness.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100203"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000304/pdfft?md5=4f66dfeb0ce82ae33b46d4c8c96489ea&pid=1-s2.0-S2666142X24000304-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823867","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":"Patients’ perioperative experiences of an opioid-free versus opioid-based care pathway for laparoscopic bariatric surgery: A qualitative study","authors":"Alexander Olausson ,&nbsp;Eva Angelini ,&nbsp;Birgit Heckemann ,&nbsp;Paulin Andréll ,&nbsp;Pether Jildenstål ,&nbsp;Sven-Egron Thörn ,&nbsp;Axel Wolf","doi":"10.1016/j.ijnsa.2024.100201","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100201","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Despite recent evidence supporting the adoption of opioid-free anaesthetic and analgesic alternatives in the perioperative context, opioid-based regimens remain standard of care. There is limited knowledge about the patients’ perioperative experiences of bariatric surgery, with no study yet investigating their experiences within an opioid-free care pathway.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;We aimed to describe similarities and differences in patients’ perioperative experiences of undergoing bariatric surgery with either an opioid-free or opioid-based care pathway.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;A qualitative interview study&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;A strategic sample of patients enrolled in an ongoing randomized controlled trial investigating the effects of opioid-free anaesthesia for bariatric surgery were recruited. In the randomized controlled trial, participants were randomized to either opioid-based anaesthesia or opioid-free anaesthesia, including transcutaneous electrical nerve stimulation as primary postoperative pain management.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;p&gt;Twenty patients were interviewed 3 months after surgery: 10 participants in the opioid-free group versus 10 in the opioid-based group.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Semi-structured interviews were conducted between December 2020 and February 2022 and analysed with qualitative content analysis.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;The analysis yielded four categories and 12 subcategories. In Category 1, participants shared &lt;em&gt;diverse emotions before surgery,&lt;/em&gt; including &lt;em&gt;anticipation&lt;/em&gt; of a healthier life, but also &lt;em&gt;apprehensions&lt;/em&gt; and &lt;em&gt;feelings of failure&lt;/em&gt;. In Category 2, describing &lt;em&gt;liminality of general anaesthesia&lt;/em&gt;, there were similar descriptions of &lt;em&gt;struggling to remember&lt;/em&gt; the anaesthesia induction and &lt;em&gt;struggling to surface&lt;/em&gt; when recovering from anaesthesia. However, some participants in the opioid-free group shared descriptions of &lt;em&gt;struggling to keep control&lt;/em&gt;, describing accentuated memories of the anaesthesia induction. Category 3, &lt;em&gt;managing your pain,&lt;/em&gt; showed similar &lt;em&gt;experiences and strategies&lt;/em&gt; but different narrations of pain management, with the opioid-free group stating that &lt;em&gt;transcutaneous electrical nerve stimulation works but not when it really hurts&lt;/em&gt;, and the opioid-based group describing &lt;em&gt;confidence in but awareness of opioids&lt;/em&gt;. Throughout the overall perioperative time period, participants acknowledged Category 4, a &lt;em&gt;patient-professional&lt;/em&gt; presence, stating that &lt;em&gt;preparations boost the feeling of confidence&lt;/em&gt; before surgery and that they felt &lt;em&gt;confidence in a vulnerable situation&lt;/em&gt; although &lt;em&gt;vulnerability challenges communication&lt;/em&gt;.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;We highlighted the overall similarities in perioperative experiences of patients undergoing bariatric surgery. However, the differences in experiences du","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100201"},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000286/pdfft?md5=8a4c4de5a4188cfe5e52d4438e9c593f&pid=1-s2.0-S2666142X24000286-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140643660","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":"A nurse by any other name? An international comparison of nomenclature and regulation of healthcare assistants","authors":"Jennifer Jackson,&nbsp;Farida Gadimova,&nbsp;Sandra Epko","doi":"10.1016/j.ijnsa.2024.100200","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100200","url":null,"abstract":"<div><h3>Background</h3><p>Across international healthcare systems, healthcare assistant roles have proliferated, in part to decrease nursing costs and support workplace staffing. There is a lack of consensus about the professional title for healthcare assistants, and whether this group requires professional regulation. The variety of terms for healthcare assistants has resulted in confusion around their scope of practice and role within the healthcare team, which may influence patient care.</p></div><div><h3>Aim</h3><p>We aimed to identify the terminology used for healthcare assistants across English speaking countries and determine the international status of professional regulation of healthcare assistants.</p></div><div><h3>Method</h3><p>We conducted a deductive, structured search for healthcare assistant roles that were codified on English-language nursing regulator websites in each jurisdiction in Australia, New Zealand, USA, Canada, Ireland, and the United Kingdom. We assessed what terminology were used for healthcare assistant roles in each area, and whether they were regulated by a professional regulator, such as a college of nursing.</p></div><div><h3>Results</h3><p>Across 77 jurisdictions, we identified 37 different terms for healthcare assistants. The most frequent term was Certified Nurse Aid with 24 uses, and Certified Nursing Assistant with 13 uses. The majority of healthcare assistants are not professionally regulated. Only 12 jurisdictions have professional regulation programs for healthcare assistants, all in the USA.</p></div><div><h3>Conclusion</h3><p>There is an urgent need for international consensus about the nomenclature for healthcare assistants, so the healthcare assistant workforce can be supported, and their work evaluated via research studies. Regulators can consider how to engage with healthcare assistants and protect the public, as healthcare assistants provide an increasing proportion of patient care.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100200"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000274/pdfft?md5=82ec5204e7137127e47f5d3173e7365b&pid=1-s2.0-S2666142X24000274-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140643662","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":"Nursing home residents’ perspectives on oral health: An in-depth interview study","authors":"Patricia A․ I․ Vandenbulcke ,&nbsp;Johanna de Almeida Mello ,&nbsp;Valerie Cornette ,&nbsp;Marijke Brabants ,&nbsp;Emilie Schoebrechts ,&nbsp;Jan De Lepeleire ,&nbsp;Anja Declercq ,&nbsp;Dominique Declerck ,&nbsp;Joke Duyck","doi":"10.1016/j.ijnsa.2024.100198","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100198","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Oral health is associated with general health and care dependency, but is often neglected in nursing homes. Integration of oral care into general care is necessary, but is hampered by multiple barriers at different levels. This study is part of research into the implementation of the new Oral Health Section for use within the interRAI Long-Term Care Facilities instrument, which is used to assess care needs of nursing home residents. This new Oral Health Section evaluates nine aspects of oral health and results in two Collaborative Action Points.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;To identify residents' perspectives on oral health, oral care, and on the assessment of their oral health using the new Oral Health Section&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;Qualitative design using in-depth interviews.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;p&gt;Three nursing homes&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;p&gt;Residents were selected using purposeful sampling in nursing homes participating in research evaluating the use of the new Oral Health Section. The selection was based on their oral status for maximum variation and on their cognitive performance score. Twenty-two residents from three Flemish nursing homes agreed to participate.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Residents’ oral health was assessed using the new Oral Health Section and dental indices. In-depth interviews were conducted, including the validated short-form Oral Health Impact Profile to evaluate the impact of oral conditions on residents’ well-being. The interviews were coded and analysed by three researchers and mapped into a model to understand participants’ oral health behaviours.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Low Oral Health Impact Profile scores indicated a low impact of oral health issues on participants’ lives. However, despite 77.3 % of the participants reporting satisfaction with their oral health, 86.4 % had poor oral hygiene and 68.2 % required referral to a dentist, suggesting a tendency to overestimate their oral health. Their oral health behaviour was determined by a lack of oral health knowledge (Capability), positive attitudes towards oral health and autonomy (Motivation), upbringing and social support (Opportunity). Participants considered assessments with the new Oral Health Section acceptable.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;This study shows how older people perceive their oral health and oral healthcare. Understanding their wishes and needs will not only facilitate their involvement in their oral care, but is also likely to enable the improvement of their oral hygiene and the development of effective oral care strategies for the future. Policy makers and managers of care organisations may use these results to foster integration of oral care guidelines into care protocols within nursing homes, including collaboration with dentists and dental hygienists.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;p&gt;Oral health assessments with the new Oral Health Sectio","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100198"},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000250/pdfft?md5=2bc75b9c424b2f5973bdfb8bdb9ce2bf&pid=1-s2.0-S2666142X24000250-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140643661","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":"Application and challenges of using a Constructivist Grounded Theory methodology to address an undertheorized clinical challenge: A discussion paper","authors":"Paul Bobbink ,&nbsp;Philip Larkin ,&nbsp;Sebastian Probst","doi":"10.1016/j.ijnsa.2024.100199","DOIUrl":"10.1016/j.ijnsa.2024.100199","url":null,"abstract":"<div><h3>Background</h3><p>The benefits of nurse-led therapeutic patient education regarding wound healing and the prevention of recurrences for individuals living with a venous leg ulcer remain unclear. Obtaining the individuals perspective could offer an in depth understanding of why and how they engage or not, in self-management strategies following nurse-led patient education. Despite strong evidence indicating the need for further investigation into the benefits of therapeutic patient education in this population there is a lack of research into how individuals cope with chronic venous insufficiency or resulting ulceration. With this discussion paper we therefore explore the challenges associated with employing a Constructivist Grounded Theory methodology to gain a deeper insight into the experiences of patients with venous leg ulcers receiving individualized nurse-led patient education programs focused on the self-management of their condition.</p></div><div><h3>Objective</h3><p>To identify and analyse the specific methodological and practical challenges encountered when applying a Constructivist Grounded Theory methodology to gain a better understanding of how patients with venous leg ulcer experience an individualised nurse-led patient education programme concerning the self-management of their condition.</p></div><div><h3>Design</h3><p>discussion paper</p></div><div><h3>Results and Discussion</h3><p>The constructivist approach to Grounded Theory methodology allows for the investigation of understudied phenomena such as nurse-led patient education for individuals living with venous leg ulcers. This methodology values the co-construction of a theory taking into consideration the inherent value of participants’ and researchers’ experiences. However, the specificities of constructivist epistemology challenge certain methodological aspects of Grounded Theory methods, such as how and when to use existing literature, conduct interviews to generate data and engage in the coding and theoretical sampling process for conceptualizing and proposing a theory.</p></div><div><h3>Conclusions</h3><p>The constructivist paradigm of grounded theory methodolgy resonates with the art and science of nursing through its collaborative ‘real-world’ reflective approach, offering a unique way to explore understudied complex clinical nursing practice.</p></div><div><h3>Registration</h3><p>This methodological paper is derived from a PhD study embedded in a clinical trial (NCT04019340) were the recruitment started on February 2020, approved by ethical committee of Geneva (CCER: 2019-01964)</p></div><div><h3>Tweetable abstract</h3><p>Constructivist Grounded Theory Methodologies could support an in depth understanding of the impact of nursing interventions</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100199"},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000262/pdfft?md5=1e57584bd4edff6684dadebcf168e124&pid=1-s2.0-S2666142X24000262-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140772551","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}