International Journal of Nursing Studies Advances最新文献

{"title":"Psychological safety in enhancing the competence of nurse educators among early career nursing faculty in Japan: A cross-sectional study","authors":"Miho Satoh ,&nbsp;Naoko Sato ,&nbsp;Noriko Tamura ,&nbsp;Akiko Fujimura","doi":"10.1016/j.ijnsa.2024.100254","DOIUrl":"10.1016/j.ijnsa.2024.100254","url":null,"abstract":"<div><h3>Background</h3><div>Given the diverse roles and responsibilities expected of academic nurse educators, it is essential that they acquire relevant nursing educator competencies. Early career nursing faculty often struggle to engage in their tasks. Therefore, systematic support is crucial in developing the necessary capacities for early career nursing faculty. In organizational sociology, the positive interaction between organizational and individual resources enhances the competence of nurse educators. Psychological safety enhances organizational members' ability to cope with challenges and perform effectively. It may also foster a high sense of coherence, linked to improved job performance and competence in nursing faculty. Both psychological safety and coherence promote work engagement, further boosting nurse educator competence.</div></div><div><h3>Aim</h3><div>This study explored the relationships between psychological safety, sense of coherence, work engagement, and competence of nurse educators among assistant professors and assistants in nursing education.</div></div><div><h3>Design</h3><div>A cross-sectional survey design was used. Data were collected from 164 early career nursing faculty using an anonymous self-administered web-based questionnaire. The study measured the psychological safety, sense of coherence, work engagement, and competence of academic nurse educators. The mediating effects of a sense of coherence and work engagement on the relationship between psychological safety and competency were assessed using the PROCESS macro model. Bootstrapping with 5,000 re-samples was used to determine the significance of the mediating effects.</div></div><div><h3>Setting</h3><div>The study was conducted from October 1 to December 31, 2022, at nursing universities in Japan.</div></div><div><h3>Results</h3><div>Positive correlations were identified among psychological safety, sense of coherence, work engagement, and the competence of nurse educator. The sense of coherence and work engagement indirectly mediated the relationship between psychological safety and the competence of nurse educator. A serial multiple mediation model demonstrated that psychological safety indirectly influenced the competence of nurse educator through a sense of coherence and work engagement.</div></div><div><h3>Conclusions</h3><div>Supportive organizational environments foster a sense of coherence, enabling effective resource utilization and the competence of nurse educator development. While structured intervention programs such as faculty development are vital, establishing supportive systems that nurture adaptable qualities and use various resources is also essential. A positive work environment can create a cycle of increasing competency through positive attitudes toward work.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100254"},"PeriodicalIF":3.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560791","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":"How can family members of patients in the intensive care unit be supported? A systematic review of qualitative reviews, meta-synthesis, and novel recommendations for nursing care","authors":"Thora Gunnlaugsdóttir ,&nbsp;Rannveig J. Jónasdóttir ,&nbsp;Kristín Björnsdóttir ,&nbsp;Marianne Elisabeth Klinke","doi":"10.1016/j.ijnsa.2024.100251","DOIUrl":"10.1016/j.ijnsa.2024.100251","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Families are an important part of the intensive care unit (ICU) team. Being a family member in the ICU can be distressing due to interacting factors, such as the critical condition of the patient, the responsibility of acting as the patient's advocate, and partaking in decision-making related to treatment. Nurses need to be aware of the family's well-being throughout the patient's ICU stay.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To synthesize reviews of family members' experiences and needs during patients' ICU admission and develop recommendations to support nurses in strengthening their relationships with families.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review of qualitative and mixed method reviews.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;Extensive searches without time limits identified systematic reviews published until June 27, 2024 in CINAHL, PubMed, Scopus, and Web of Science. Reviews were eligible if they provided knowledge required to inform high-quality on-site family care during the patient's ICU admission.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;div&gt;Quality appraisal adhered to the Joanna Briggs Institute checklist for systematic reviews and research syntheses. Themes were generated by integrating review results and narratively summarizing the main contents. Finally, findings were translated into clinical practice recommendations by using the four-component GRADE-CERQual assessment (low to high recommendation grades). Recommendations were backtracked to primary research studies for validation. All recommendations were critically reflected upon with an expert panel of ICU nurses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The nine included reviews were built on 124 original studies published between 1995 and 2021. One central theme, “Emotional limbo and extreme moments”, mirrored the core of families' experiences characterized by waiting time, i.e., for the patient to get better or worse, and overwhelming emotions and confusion brought about by the patient's critical illness. Three sub-themes reflected actions to counterbalance emotional challenges: a) Responding to family members' existential needs, b) Establishing optimal grounds for reciprocal communication, and c) Enhancing a humanizing approach and atmosphere in the ICU. The meta-synthesis resulted in 11 aggregated recommendations. The findings highlighted that nurses should proactively address emotional issues to help preserve families' ability to keep going, allow families to be present and function as a part of the team, and inform families of the patient's situation and how they can practically help.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Nurses should use multiple adjustable approaches to alleviate family's burden during an ICU stay. Findings help nurses to prioritize care and make physical and emotional space for family caregivers. Results emphasize the need to facilitate the agency of family caregivers and reinforce their strengths throug","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100251"},"PeriodicalIF":3.1,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142573390","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":"From ‘strong recommendation’ to practice: A pre-test post-test study examining adherence to stroke guidelines for fever, hyperglycaemia, and swallowing (FeSS) management post-stroke","authors":"Kelly Coughlan ,&nbsp;Tara Purvis ,&nbsp;Monique F. Kilkenny ,&nbsp;Dominique A. Cadilhac ,&nbsp;Oyebola Fasugba ,&nbsp;Simeon Dale ,&nbsp;Kelvin Hill ,&nbsp;Megan Reyneke ,&nbsp;Elizabeth McInnes ,&nbsp;Benjamin McElduff ,&nbsp;Jeremy M. Grimshaw ,&nbsp;N Wah Cheung ,&nbsp;Christopher Levi ,&nbsp;Catherine D'Este ,&nbsp;Sandy Middleton","doi":"10.1016/j.ijnsa.2024.100248","DOIUrl":"10.1016/j.ijnsa.2024.100248","url":null,"abstract":"<div><h3>Background</h3><div>The Quality in Acute Stroke Care (QASC) Trial demonstrated that assistance to implement protocols to manage Fever, hyperglycaemia (Sugar) and Swallowing (FeSS) post-stroke reduced death and disability. In 2017, a ‘Strong Recommendation’ for use of FeSS Protocols was included in the Australian Clinical Guidelines for Stroke Management. We aimed to: i) compare adherence to FeSS Protocols pre- and post-guideline inclusion; ii) determine if adherence varied with prior participation in a treatment arm of a FeSS Intervention study, or receiving treatment in a stroke unit; and compare findings with our previous studies.</div></div><div><h3>Methods</h3><div>Pre-test post-test study using Australian acute stroke service audit data comparing 2015/2017 (pre-guideline) versus 2019/2021 (post-guideline) adherence. Primary outcome was adherence to all six FeSS indicators (composite), with mixed-effects logistic regression adjusting for age, sex, stroke type and severity (ability to walk on admission), stroke unit care, hospital prior participation in a FeSS Intervention study, and correlation of outcomes within hospital. Additional analysis examined interaction effects.</div></div><div><h3>Results</h3><div>Overall, 112 hospitals contributed data to ≥1 one Audit cycle for both periods (pre=7011, post=7195 cases); 42 hospitals had participated in any treatment arm of a FeSS Intervention study. Adherence to FeSS Protocols post-guideline increased (pre: composite measure 35% vs post: composite measure 40 %, aOR:1.2 95 %CI: 1.2, 1.3). Prior participation in a FeSS Intervention study (aOR:1.6, 95 %CI: 1.2, 2.0) and stroke unit care (aOR 2.3, 95 %CI: 2.0, 2.5) were independently associated with greater adherence to FeSS Protocols. There was no change in adherence over time based on prior participation in a FeSS Intervention study (<em>p</em> = 0.93 interaction), or stroke unit care (<em>p</em> = 0.07 interaction).</div></div><div><h3>Conclusions</h3><div>There is evidence of improved adherence to FeSS Protocols following a ‘strong recommendation’ for their use in the Australian stroke guidelines. Change in adherence was similar independent of hospital prior participation in a FeSS Intervention study, or stroke unit care. However, maintenance of higher pre-guideline adherence for hospitals prior participation in a FeSS Intervention study suggests that research participation can facilitate greater guideline adherence; and confirms superior care received in stroke units. Nevertheless, less than half of Australian patients are being cared for according to the FeSS Protocols, providing impetus for additional strategies to increase uptake.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100248"},"PeriodicalIF":3.1,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532364","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":"Implementation of an algorithm for predicting exacerbations in telemonitoring: A multimethod study of patients’ and clinicians’ experiences","authors":"Sisse Heiden Laursen ,&nbsp;Lisa Korsbakke Emtekær Hæsum ,&nbsp;Julie Egmose ,&nbsp;Thomas Kronborg ,&nbsp;Flemming Witt Udsen ,&nbsp;Ole Kristian Hejlesen ,&nbsp;Stine Hangaard","doi":"10.1016/j.ijnsa.2024.100257","DOIUrl":"10.1016/j.ijnsa.2024.100257","url":null,"abstract":"<div><h3>Background</h3><div>Prediction algorithms may improve the ability of telehealth solutions to assess the risk of future exacerbations in patients with chronic obstructive pulmonary disease. Learning from patients’ and clinicians’ evaluations and experiences about the use of such algorithms is essential to evaluate its potential and examine factors that could potentially influence the implementation and sustained use.</div></div><div><h3>Objective</h3><div>To investigate the patients’ and clinicians’ perceptions and satisfaction with an algorithm for predicting exacerbations in patients with chronic obstructive pulmonary disease.</div></div><div><h3>Design</h3><div>Multimethod study.</div></div><div><h3>Setting</h3><div>Three community nursing sites in Aalborg Municipality, Denmark.</div></div><div><h3>Participants</h3><div>One hundred and eleven adults with chronic obstructive pulmonary disease and four clinicians (three nurses and one physiotherapist) specialized in telehealth monitoring of the disease.</div></div><div><h3>Methods</h3><div>The study was performed from November 2021 to November 2022 alongside a clinical trial in which a prediction algorithm was integrated into an existing telehealth system. The patients’ perspectives were investigated using a self-constructed questionnaire. The clinicians’ perspective was explored using semistructured individual interviews.</div></div><div><h3>Results</h3><div>Most patients (84.0 %–90.8 %) were satisfied with the algorithm and the additional measurements required by the algorithm. Approximately 71.7 %–75.9 % found that the algorithm could be a useful tool for disease assessment. Patients elaborated that they could see an exacerbation prevention potential in the algorithm. Patients trusted the algorithm and found an increased sense of security. The clinicians showed a positive response toward the algorithm and its user-friendliness. However, they were concerned that the additional measurements could be too demanding for some patients and questioned the accuracy of the measurements. Some felt that the algorithm could risk being time-consuming and harm the overall assessment of the individual patient. They expressed a need for continuous information about the algorithm to understand its functions and alarms.</div></div><div><h3>Conclusions</h3><div>Optimal use of the algorithm would require that patients perform additional pulse and oxygen saturation measurements. Furthermore, it will require in-depth insight among clinicians regarding the algorithm's functions and alarms.</div></div><div><h3>Registration</h3><div>The study was performed alongside a clinical trial, which was first registered September 9, 2021, at clinicaltrials.gov (registration number NCT05218525). Date of first recruitment was September 28, 2021.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100257"},"PeriodicalIF":3.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142573455","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":"Exploring the experience of participants in a pilot scheme to recognise teaching excellence in healthcare: A mixed methods approach","authors":"Dianne Burns ,&nbsp;Jess Grundy ,&nbsp;Helen White ,&nbsp;Deborah A O'Connor ,&nbsp;Christine Furber","doi":"10.1016/j.ijnsa.2024.100255","DOIUrl":"10.1016/j.ijnsa.2024.100255","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Within healthcare settings, practice-based healthcare professionals are expected to teach, supervise, assess and/or support learners in their respective disciplines. Ongoing development opportunities focusing specifically on teaching skills and support of students are varied and there are no mandatory requirements for practice-based healthcare professionals to develop formal teaching qualifications, despite their direct involvement with learners.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore the experience of participants in a pilot scheme to recognise teaching excellence in healthcare.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A mixed methods approach was used.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;One inner-city integrated health care system in the UK.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;This study involved eleven participants in total: seven applicants who successfully completed the award and four mentors who supported them throughout the application process. Mentors were all Advance HE Fellowship holders employed within one National Health Service (NHS) organisation and one Higher Education Institution situated within the Northwest of England.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Data collection methods included an online anonymised survey followed by individual semi- structured interviews. Quantitative data were analysed descriptively, and qualitative data were analysed using framework analysis principles.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The findings indicated that participants (applicants and mentors) found the overall experience positive and rewarding. The main positive aspects of taking part were:&lt;/div&gt;&lt;div&gt;I. Increased confidence and sharing of teaching experience.&lt;/div&gt;&lt;div&gt;II. Increased reflection and use of pedagogy.&lt;/div&gt;&lt;div&gt;III. Formation of a teaching community of practice.&lt;/div&gt;&lt;div&gt;IV. Perceived teaching career progression opportunities.&lt;/div&gt;&lt;div&gt;The application process appeared to act as a catalyst towards re-engagement with underpinning pedagogy when considering the suitability and utility of effective teaching approaches for learners in practice. It also helped to promote a teaching community of practice where mentors were able to ‘pay forward’ and support practice colleagues to be recognised for their teaching roles.&lt;/div&gt;&lt;div&gt;The main challenges were the competing demands on applicants’ time and the self-directed approach required to complete the award application.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Gaining recognition of teaching excellence through an award scheme such as Advance HE Fellowship can foster a sense of empowerment, recognition and reward for educators who work with learners undertaking Higher Education Programmes, irrespective of the setting where teaching and learning takes place. However, without wider organisation support and resources, the benefits of such schemes can be diminished.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;N/A&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abs","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100255"},"PeriodicalIF":3.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142554495","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":"Psychological hardiness, social support, and emotional labor among nurses in Iran during the COVID-19 pandemic: A cross-sectional survey study","authors":"Elham SAEI ,&nbsp;Raymond T. LEE","doi":"10.1016/j.ijnsa.2024.100249","DOIUrl":"10.1016/j.ijnsa.2024.100249","url":null,"abstract":"<div><h3>Background</h3><div>Our study of nurses in Tehran was conducted in June of 2020, when the lockdown from the pandemic had been implemented. Nurses had been faced with how to effectively manage their own emotion responses during patientcare.</div></div><div><h3>Objectives</h3><div>Our study aims to evaluate how psychological and social resources were jointly related to the use of emotional labor through surface acting and deep acting among nurses at public hospitals.</div></div><div><h3>Design</h3><div>The study design was a single-wave, cross-sectional self-report questionnaire survey containing validated measures where the nurses reported on their work experiences during the pandemic.</div></div><div><h3>Settings</h3><div>The participants came from five out of 50 public hospitals within Tehran<strong>.</strong></div></div><div><h3>Participants</h3><div>Of the 250 nurses chosen by using multi-stage randomly sampling, 224 were retained after listwise deletion of missing data and outliers.</div></div><div><h3>Method</h3><div>Through a survey questionnaire, participants responded to scale measures of psychological hardiness, social support, and emotional labor to investigate the joint impact of hardiness and social support on emotional labor. Their responses provided information on the (1) validity and reliability of all variables, and (2) the hypothesized structural relations, using <em>SPSS</em>-AMOS 22 software.</div></div><div><h3>Results</h3><div>Challenge and control were related to social support; coworker sympathy and supervisory support were related to surface acting; coworker sympathy was related to deep acting. Under strong support, high hardiness was most negatively related to surface acting and positively related to deep acting.</div></div><div><h3>Conclusion</h3><div>Through coworker and supervisory support, hardiness became an effective means for nurses to regulate their own emotions during interactions to enhance patientcare.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100249"},"PeriodicalIF":3.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142532365","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":"Frailty as a mediator of postoperative delirium in older adults undergoing orthopedic surgery: A causal mediation analysis","authors":"Inthira Roopsawang ,&nbsp;Suparb Aree-Ue ,&nbsp;Hilaire Thompson ,&nbsp;Pawin Numthavaj","doi":"10.1016/j.ijnsa.2024.100247","DOIUrl":"10.1016/j.ijnsa.2024.100247","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative delirium has a high prevalence in hospitalized older adults. Frail older adults have an increased risk for developing it. Preoperative pain—a common symptom in older adults with orthopedic conditions—shows a connection with frailty through an inflammatory process. However, an association among preoperative pain, frailty, and postoperative delirium remains unexplored among older adults undergoing orthopedic surgery.</div></div><div><h3>Objectives</h3><div>To examine the magnitude, direction, and mediation effect of frailty on the association between preoperative pain and postoperative delirium among older adults undergoing orthopedic surgery.</div></div><div><h3>Design</h3><div>A secondary analysis of a prospective cohort study.</div></div><div><h3>Setting and participants</h3><div>A cohort of 200 older adults (60 years and older) who underwent major orthopedic surgery at a university hospital in Thailand was recruited for the study.</div></div><div><h3>Methods</h3><div>Participants responded to the Demographic and Health Information Form, the Reported Edmonton Frailty Scale-Thai version, and the Thai version of the 4 A's test. Analyses were conducted using a causal mediation analysis with 95 % confidence intervals.</div></div><div><h3>Results</h3><div>We found that 12.5 % of participants developed postoperative delirium. For the direct paths associated with postoperative delirium, statistically significant effects were observed for frailty, preoperative pain, and comorbidity. Considering frailty as a mediator of postoperative delirium, a significant positive indirect effect was identified from preoperative pain. Controlling for age and comorbidities, frailty mediated the association between preoperative pain and postoperative delirium in a statistically significant manner; the average direct effect was 0.014 (95 % confidence interval: 0.008–0.020), the average causal mediating effect was 0.002 (95 % confidence interval: 0.000–0.010), the total effects was 0.017 (95 % confidence interval: 0.010–0.020), and the probability mediation accounted for 14 % (95 % confidence interval: 0.031–0.300).</div></div><div><h3>Conclusion</h3><div>Integrating the concept of age-related decline and frailty assessment may offer opportunities to provide disease-specific care and strengthen precision perioperative care, which ultimately enhance quality of life in older adults undergoing orthopedic surgery.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100247"},"PeriodicalIF":3.1,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416304","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":"Silver Linings: A principle-based concept analysis examining the emergence of positive changes that accompany adversity","authors":"Emily Anne Barr ,&nbsp;Jennifer L. Raybin ,&nbsp;C. Robert Bennett ,&nbsp;Marlaine C. Smith","doi":"10.1016/j.ijnsa.2024.100243","DOIUrl":"10.1016/j.ijnsa.2024.100243","url":null,"abstract":"<div><h3>Background</h3><div><em>Silver linings</em> are commonly referenced in healthcare, yet rarely defined. Researchers have defined similar phenomena related to personal growth accompanying a challenge. Despite increased use in the literature, the meaning of the concept remains ambiguous.</div></div><div><h3>Objective</h3><div>To define the concept of <em>silver linings</em> through a principle-based concept analysis.</div></div><div><h3>Methods</h3><div>Using a principle-based concept analysis framework, records (<em>n</em> = 1513) were retrieved through MEDLINE, Embase, the Cochrane Library, PsycINFO, and CINAHL Plus. Eligibility criteria narrowed the field to 582 abstracts. The research team screened the resulting abstracts for relevance and selected 92 articles (1966 to 2022) for full review. After review, 32 articles were included for detailed thematic principle-based quality appraisals, of which 27 met final criteria. Preconditions, characteristics, similarities to related concepts, and outcomes were collected, analyzed, and synthesized to formulate a theoretical definition.</div></div><div><h3>Results</h3><div>Articles originated from 19 countries with conceptual commonalities that described silver linings, post-traumatic growth, and benefit finding. The pre-condition included an adverse event or series of challenging events, which led to a personal, paradoxical, and surprising awareness. Derived themes included pattern shifting, connection, and opportunities, with sub-themes described. Outcomes or consequences were related to improved coping, engagement in care, mental health, goal attainment, and ultimately, a new normal. Creative strategies to support the emergence and awareness of silver linings are presented.</div></div><div><h3>Conclusion</h3><div>Our definition of silver linings creates a foundation for future research to examine how they interact with health outcomes of people experiencing adversity, including chronic illness, mental health challenges, or acute traumatic events.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100243"},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416310","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":"Consensus and controversies on post-acute care decision making and referral to geriatric rehabilitation: A national survey","authors":"Aafke J. de Groot ,&nbsp;Ewout B. Smit ,&nbsp;Dagmar Keizer ,&nbsp;Cees M. P. M. Hertogh ,&nbsp;Romke van Balen ,&nbsp;Johannes C. van der Wouden ,&nbsp;Elizabeth M. Wattel","doi":"10.1016/j.ijnsa.2024.100245","DOIUrl":"10.1016/j.ijnsa.2024.100245","url":null,"abstract":"<div><h3>Background</h3><div>Transitioning older hospital patients to the appropriate type of post-acute care has become an urgent clinical issue within the context of changing demographics and limited duration of hospital stay.</div></div><div><h3>Objective</h3><div>Consensus on assessments that guide post-acute care decision making would benefit potential patients and support cooperation between settings.</div></div><div><h3>Design</h3><div>A national web-based questionnaire focusing on professional contributions, patient involvement and the use of triage items and measures.</div></div><div><h3>Participants</h3><div>Hospital and geriatric rehabilitation professionals in the Netherlands participated as respondent groups, representing ‘sending’ and ‘receiving’ professionals.</div></div><div><h3>Methods</h3><div>A comprehensive questionnaire was used with open, multiple choice and closed questions, exploring in detail how assessment of hospital patients in need of a post-acute care decision was performed. Descriptive statistics were applied together with deductive coding of qualitative data.</div></div><div><h3>Results</h3><div>A total of 104 hospital liaison nurses (66.7 %) and 52 GR professionals (33.3 %) participated. Respondents were reasonably satisfied with the current triage practice. Hospital liaison nurses valued their operational responsibility for triage. Geriatric rehabilitation professionals wanted active involvement in decision making and deemed hospital paramedic expertise sub-optimally applied. ‘Too little involvement’ of patients and families was felt by 50.0 % of the GR respondents versus 15.5 % of hospital respondents. The importance of half (47.8 %) of the triage items was rated differently between respondent groups. When discussing complex cases between sending and receiving professionals, views were felt as complementary.</div></div><div><h3>Conclusions</h3><div>Both sending and receiving professionals expressed moderate satisfaction with post-acute care decision making, whereas their views on triage assessments differed according to setting and role. The patients’ voice may be insufficiently heard in triage decisions. Shared expertise and a consensual approach can develop when triage consultation is facilitated by both hospitals and PAC facilities. This study offers ingredients to reach a multi-professional view on post-acute care decision making and referral to geriatric rehabilitation.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100245"},"PeriodicalIF":3.1,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357030","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":"How does family resilience develop among stroke survivors and their caregivers? A mixed-method study using a chain mediating model","authors":"Qin Ye ,&nbsp;Yang Yang ,&nbsp;Jingling Li ,&nbsp;Ting Wang ,&nbsp;Ning Liu","doi":"10.1016/j.ijnsa.2024.100246","DOIUrl":"10.1016/j.ijnsa.2024.100246","url":null,"abstract":"<div><h3>Background</h3><div>Walsh's family resilience theory indicated that families could foster resilient outcomes among their members when they are facing changes or crises. However, little is known about family resilience among Chinese stroke survivors and their caregivers.</div></div><div><h3>Objectives</h3><div>To explore the direct and indirect relationships between the family resilience of stroke survivors, perceived social support, self-perceived burden, self-efficacy, and the burden on their principal caregivers, and to examine the journey of adapting to family resilience among stroke survivors.</div></div><div><h3>Design</h3><div>An explanatory sequential mixed-method study.</div></div><div><h3>Methods</h3><div>A quantitative assessment of perceived social support, self-perceived burden, self-efficacy, and family resilience was conducted among a cohort of stroke survivors. For a deeper understanding of the family resilience formation process, semi-structured, in-depth interviews were undertaken with a purposefully selected subset of participants, consisting of 15 stroke survivors and their principal caregivers who met the study criteria. Data analysis encompassed descriptive statistics, mediation models, and content analysis to integrate and interpret both quantitative and qualitative data.</div></div><div><h3>Results</h3><div>In a comprehensive hospital in Guangdong Province, China, 379 participants—229 men (60.4%) and 150 women (39.6%)—completed a cross-sectional questionnaire survey. The quantitative phase revealed significant statistical differences (<em>p</em> &lt; 0.05) in total family resilience scores among stroke survivors related to various factors, such as age, marital status, educational level, occupational status, average monthly income per capita, first-time onset, and types of stroke. Self-perceived burden and self-efficacy partially mediate the relationship between perceived social support and family resilience, contributing to a sequential chain-mediated effect. During the qualitative phase, in-depth interviews revealed a progressive trajectory from the initial shock of diagnosis through the ongoing presence of stress and challenges to the ultimate development of family resilience and an adaptive perspective toward the future.</div></div><div><h3>Conclusions</h3><div>Exploring the factors influencing family resilience in stroke survivors could assist healthcare professionals developing interventions to enhance family resilience and lessen the burden on principal caregivers from individual, family, and social perspectives.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100246"},"PeriodicalIF":3.1,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357028","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}