International Journal of Nursing Studies Advances最新文献

{"title":"Acceptability and feasibility of a comprehensive fall prevention model for independent older adults: A qualitative evaluation","authors":"Francisca Marquez-Doren,&nbsp;Camila Lucchini-Raies,&nbsp;Claudia Alcayaga,&nbsp;Claudia Bustamante,&nbsp;Marcela González-Agüero","doi":"10.1016/j.ijnsa.2024.100220","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100220","url":null,"abstract":"<div><h3>Background</h3><p>Falls amongst the elderly represent a global public health challenge because of their potential to cause illness, death, and reduce the autonomy of this group. They also impact the emotional, family, social and economic well-being of those involved. Various strategies to prevent falls have been reported in the literature, focusing mainly on addressing individual risk factors, and on the continuous assessment of the risk of falls in older people.</p></div><div><h3>Objective</h3><p>This study evaluated user satisfaction and acceptability of a comprehensive model, implemented in the community, to prevent falls amongst independent older adults aged 65 years and above. It sought to capture both the perceptions of the individuals who received the intervention and of the interventionists who implemented it. The study protocol was registered at ClinicalTrials.gov in November 2020 (ID: NCT04313062).</p></div><div><h3>Design</h3><p>Qualitative, exploratory study using a case study design. The evaluation of the intervention followed the recommendations proposed by the Medical Research Council for complex interventions. Methods and participants: In the period between April 2021 to April 2022, 11 semi-structured interviews were conducted with independent older adults between 65 and 80 years of age who participated in the implementation of the comprehensive model in Santiago, Chile. Data were also collected with eight interventionists through: three semi-structured interviews at the beginning of the intervention; and two focus groups with seven interventionists at the end of the implementation of the model. The team members undertook a content analysis of the data collected.</p></div><div><h3>Results</h3><p>Three themes emerged to account for the satisfaction and acceptability of the intervention with the model on the part of the participants and interventionists: (1) Previous experience of older persons and interventionists; (2) The older person-interventionist encounter and its context; and (3) Identification of facilitators, strengths and challenges for the implementation of the model. The results show a positive assessment of the model, highlighting the value of the social contact derived from the intervention by both participants and interventionists. Although the model involved an individual intervention, the participants’ accounts indicate that it reached out to others, including family members and other elderly acquaintances. Moreover, the interventionists helped identify challenges in implementation and made recommendations to strengthen the model.</p></div><div><h3>Conclusion</h3><p>The evaluation of satisfaction and feasibility of implementing the model showed positive results that will nurture the next phase of development of this model, which involves scaling up the intervention.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100220"},"PeriodicalIF":3.1,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X2400047X/pdfft?md5=3a39869b57bc154f5bb630c2f37c1c2d&pid=1-s2.0-S2666142X2400047X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141483790","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":"Learning and achieving basic mental health competence in placement studies with the support of a tool: A qualitative study of student nurses’ experiences","authors":"Siv Camilla Marriott ,&nbsp;Ellen Karine Grov ,&nbsp;Marianne Thorsen Gonzalez","doi":"10.1016/j.ijnsa.2024.100219","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100219","url":null,"abstract":"<div><h3>Background</h3><p>Learning basic mental health care competence is often challenging for the bachelor of science student nurses, and many lack basic mental health care competence to ensure safe and confident mental health care practice. Mental health assessment is an integrated part of this competence.</p></div><div><h3>Objective</h3><p>The objective of this study was to explore and describe in depth how student nurses experience learning and achieving basic mental health competence while on mental health placement with the support of a learning tool.</p></div><div><h3>Design</h3><p>An explorative and descriptive qualitative design was conducted to gain insight on how student nurses experienced learning basic mental health competence when on placement.</p></div><div><h3>Setting</h3><p>A diversity of mental health placement settings in which student nurses were involved with patient care or welfare were approached; general psychiatric wards (<em>n</em> = 2), psychiatric ward for elderly people (<em>n</em> = 1), community mental health in-patient facilities (<em>n</em> = 2) and unconventional placements in the community (<em>n</em> = 9). Unconventional placements are a diversity of non-clinical service contexts.</p></div><div><h3>Participants</h3><p>The participants comprised student nurses in their 3rd and final year while on mental health placement. Potential participants received information from course coordinators, the online learning platform, and from teachers in plenary. Using purposive sampling, 14 student nurses were recruited.</p></div><div><h3>Methods</h3><p>Individual semi-structured interviews were conducted online and in person at two campuses of one university in Norway between August 2020 and December 2021. The interviews were transcribed and thematically analysed as described by Braun and Clarke.</p></div><div><h3>Results</h3><p>Students expressed insecurity in a new clinical context. They engaged in new learning situations and realized the diversity of nursing practice. Unconventional placements were described as challenging contexts for learning basic mental health care competence.</p></div><div><h3>Conclusions</h3><p>This qualitative study provided insight into how student nurses experience learning mental health assessment, and gaining relational, communicative, and ethical competence while on placement. Students revealed their insecurities and challenges in learning in a new context. Awareness of clinical learning opportunities on placement when preparing student nurses to learn basic mental health competence may help improve their confidence.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100219"},"PeriodicalIF":3.1,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000468/pdfft?md5=bbac92b37eac6cb8d3c3c49280c3ae04&pid=1-s2.0-S2666142X24000468-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541378","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":"Bi-lingual content validation of the Non-Technical Skills for Operating Room Nurses (NOTSORN) tool: A Delphi study","authors":"Irene Sirevåg ,&nbsp;Britt Sætre Hansen ,&nbsp;Ingrid Tjoflåt ,&nbsp;Brigid M. Gillespie","doi":"10.1016/j.ijnsa.2024.100218","DOIUrl":"10.1016/j.ijnsa.2024.100218","url":null,"abstract":"<div><h3>Background</h3><p>The primary responsibility of the operating room nurse is to prevent adverse events and patient harm during surgery. Since most preventable adverse events are the result of breakdowns in communication and teamwork, or non-technical skills, training such skills should strengthen the operating room nurses’ error prevention abilities. Behavioural marker systems operationalise non-technical skills; however, previous systems for operating room nurses do not cover the full extent of non-technical skills used by operating room nurses. Thus, the Non-technical Skills for Operating Room Nurses (NOTSORN) behavioural marker system was developed.</p></div><div><h3>Objective</h3><p>The objective of this study was to establish face and content validity of the Non-Technical Skills for Operating Room Nurses behavioural marker system. This multi-item scale measures individual non-technical skills in operating room nursing.</p></div><div><h3>Participants</h3><p>A purposive sample of operating room nursing researchers, educators, and senior clinicians from nine countries worldwide.</p></div><div><h3>Methods</h3><p>A two round, Delphi panel with international experts in operating room nursing. The survey was administered online. Content validity index (CVI) was used to measure agreement among panel members.</p></div><div><h3>Results</h3><p>25 operating room nurse experts participated in the online Delphi study. After round 1, 56 items were accepted, 26 items were revised, and 1 item was dropped. Following round 2, all items (6 with minor revisions) were accepted. Thus, the Non-technical Skills for Operating Room Nurses tool comprise 81 items. The scale level CVI score for the final 81 item tool was 0.99. The individual item level CVI scores ranged from 0.9 to 1.0.</p></div><div><h3>Conclusions</h3><p>The Non-Technical Skills of Operating Room Nurses behavioural marker system is a nuanced tool with a myriad of non-technical skills operating room nurses need to undertake their work safely. The tool's intended use includes student/trainee supervision, supervision of novice operating room nurses, self-reflection for performance reports, and in operating room nursing education. Over time, use of the tool has the potential to contribute to patient safety in the operating room.</p></div><div><h3>Tweetable abstract</h3><p>The NOTSORN tool provides a comprehensive and holistic evaluation of OR nurses' non-technical skills for safe surgical performance</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100218"},"PeriodicalIF":3.1,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000456/pdfft?md5=bb8434f00f4313821b88c68266743ecd&pid=1-s2.0-S2666142X24000456-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951271","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":"Number of palliative care nurse home visits and duration of palliative care associated with domains of the Good Death Inventory: A national survey of bereaved family caregivers in a middle income country","authors":"Byron Crape ,&nbsp;Makpal Akhmetova ,&nbsp;Pana Akhmetniyaz ,&nbsp;Faye Foster ,&nbsp;Kamalzhan Nadyrov ,&nbsp;Lyazzat Toleubekova","doi":"10.1016/j.ijnsa.2024.100217","DOIUrl":"10.1016/j.ijnsa.2024.100217","url":null,"abstract":"<div><h3>Background</h3><p>In the lower-middle-income country of Kazakhstan, palliative care services are in the early stages of integration into healthcare services. No prior studies have investigated associations between palliative care service factors and a good death in lower-middle-income countries, nor explored how palliative care nurses contribute to a good death. In this paper, a good death is referred to as the control of pain and symptoms, clear decision-making, a sense of closure, being recognized and perceived as an individual, preparation for death, and still being able to contribute to others, all taken together.</p></div><div><h3>Objectives</h3><p>To identify new opportunities for palliative care service nurses by investigating associations between palliative care service factors and a good death, as measured by the Good Death Inventory.</p></div><div><h3>Methods</h3><p>Family caretakers of deceased patients from palliative care units and hospices were surveyed across six different regions of Kazakhstan. Data collected included demographics for patients and caregivers, palliative care service data, and Good Death Inventory items. Poisson regression analysis with r variance and linear regressions were conducted to identify determinants for achieving a Good Death and for the 18 Good Death Inventory domains.</p></div><div><h3>Results</h3><p>Two hundred and eleven family caregivers participated in the survey. Bivariate analysis revealed five statistically significant associations (<em>p</em> ≤ 0.05) with the outcome of a good death. In multivariate linear regression analyses, a palliative care duration of greater-than-6-months, compared to less-than-1-month, was associated with improvements in 10 out of 18 domains of the Good Death Inventory (<em>p</em> ≤ 0.05). More-than-once-weekly palliative care home visits by nurses, compared to no visits, were also associated with improvements in four domains (<em>p</em> ≤ 0.05).</p></div><div><h3>Conclusion</h3><p>We provide new directions for improvements in palliative care services in low-middle-income countries, giving impetus for resource allocation to palliative care home visits by nurses for achieving a good death for greater numbers of patients.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100217"},"PeriodicalIF":3.1,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000444/pdfft?md5=0ab225079b2b651c752e2da855251443&pid=1-s2.0-S2666142X24000444-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141399365","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":"Priorities in healthcare provision in Parkinson's disease from the perspective of Parkinson Nurses: A focus group study","authors":"","doi":"10.1016/j.ijnsa.2024.100213","DOIUrl":"10.1016/j.ijnsa.2024.100213","url":null,"abstract":"<div><h3>Background</h3><p>Through their expertise and diverse skills, Parkinson Nurses are key care providers for people with Parkinson's disease. They are seen as an important profession for person-centered and multidisciplinary care, considered priorities in Parkinson's care delivery. Currently, however, little is known about the priorities that this profession itself defines for the care of Parkinson's patients and how they perceive their own role in the care process.</p></div><div><h3>Objective</h3><p>To explore the perspective of Parkinson Nurses on care priorities in people with Parkinson's disease.</p></div><div><h3>Design</h3><p>Qualitative study.</p></div><div><h3>Setting(s)</h3><p>The iCare-PD study served as the object of study by establishing an interdisciplinary, person-centered and nurse-led care model in several European countries and Canada. The nurses who participated in this model were part of the study.</p></div><div><h3>Participants</h3><p>Six Parkinson Nurses participated in the study.</p></div><div><h3>Methods</h3><p>We conducted a thematic focus group, adopting the paradigm of pragmatism to draft an interview guide. The focus group was based on the inspiration card method and followed recommendations for co-creation processes.</p></div><div><h3>Results</h3><p>Parkinson Nurses define care priorities for Parkinson's in areas of education, multi-professionalism, and need-orientation. They see themselves as mediators and coordinators of care delivery processes.</p></div><div><h3>Conclusions</h3><p>In line with international recommendations, Parkinson Nurses prioritize key aspects of multidisciplinary and person-centered care. At the same time, however, the nurses also name care priorities that go beyond the international recommendations. It is therefore crucial to integrate the perspective of this important profession into recommendations for the delivery of healthcare for people with Parkinson's.</p><p>Tweetable abstract How do <em>specialized nurses define priorities for person-centered Parkinson's care? Answers are sought in this qualitative study by @MarlenaMunster.</em></p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100213"},"PeriodicalIF":3.1,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000407/pdfft?md5=8c493eeb2c0d60dd871c0fc42e271fff&pid=1-s2.0-S2666142X24000407-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412615","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":"Resilience of individuals with chronic illness who reside in low resource communities: a concept analysis","authors":"Tara Leigh Moore","doi":"10.1016/j.ijnsa.2024.100215","DOIUrl":"10.1016/j.ijnsa.2024.100215","url":null,"abstract":"<div><h3>Background</h3><p>Chronic illness diagnosis while living in low resourced communities creates ongoing adversity in the process of adaptation. Resilience is an important phenomenon of study to improve health outcomes. The subject in this particular population has been poorly studied.</p></div><div><h3>Objective</h3><p>To conceptualize resilience of individuals with chronic illness who reside in low resource communities.</p></div><div><h3>Design</h3><p>Concept analysis</p></div><div><h3>Data sources</h3><p>Seminal works and current studies were searched in PubMed (including Medline), Science Direct, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, Google Scholar, OVID, Ebsco, and the Cochrane Database. Qualitative and quantitative studies that investigated individual resilience of adults in the setting of chronic illness who reside in low resource communities were included. Exclusions included children with chronic illness and resilience of communities and populations.</p></div><div><h3>Methods</h3><p>Walker and Avant's method of concept analysis was utilized. The key elements for conceptualizing resilience in the setting of chronic illness who reside in low resource communities included defining attributes, antecedents and consequences of resilience identified from the literature search.</p></div><div><h3>Results</h3><p>Analysis revealed three defining attributes: (1) reflection, contemplation, and the will to live despite adversity through hope; (2) personal transcendence through action; and (3) continuous personal transcendence and maintenance. Antecedents and consequences of resilience in the setting of chronic illness who reside in low resource communities were described and outlined.</p></div><div><h3>Conclusions</h3><p>The conceptualization of resilience in the setting of chronic illness who reside in low resource communities is based on the defining attributes, antecedents, and consequences that resulted in a preliminary conceptual model. The model can be further tested in diverse populations to add to the existing knowledge on the subject, and develop interventions to foster resilience aimed to improve health outcomes and quality of life.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100215"},"PeriodicalIF":3.1,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000420/pdfft?md5=ece0f02fbc2d9cd9b8214fb6a23efc88&pid=1-s2.0-S2666142X24000420-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141411534","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 Emperor's new clothes?’ Healthcare professionals’ perceptions of the nursing associate role in two UK National Health Service hospitals: A qualitative interview study","authors":"","doi":"10.1016/j.ijnsa.2024.100211","DOIUrl":"10.1016/j.ijnsa.2024.100211","url":null,"abstract":"<div><h3>Background</h3><p>The introduction of nursing associates in England in 2017 as a professional ‘bridging’ role aimed to mitigate chronic staffing shortages, enable career progression of healthcare assistants and release registered nurses to provide more complex care. Limited evidence exists about the alignment between the identity and purpose of nursing associate roles described by the UK independent regulator, the Nursing &amp; Midwifery Council, and the expectations, obligations, and team dynamics encountered in practice.</p></div><div><h3>Purpose</h3><p>Investigate the perceptions of nursing associate roles through the views and experiences of role holders, registered nurses, and healthcare assistants.</p></div><div><h3>Setting</h3><p>Two British National Health Service (NHS) Hospital Trusts in London, England (UK).</p></div><div><h3>Methods</h3><p>For this registered service evaluation, data were collected via in-person, semi-structured interviews. Verbatim transcripts were coded inductively. An adapted framework analysis method, suitable for use with Excel, was applied to support the identification of cross cutting themes. We used the Standards for Reporting Qualitative Research checklist for reporting this study.</p></div><div><h3>Results</h3><p>Eleven registered nurses, five nursing associates, and five healthcare assistants participated. Their experiences seldom reflected the policy vision of the nursing associate role in practice. Several participants likened the nursing associate role to the fable of the ‘Emperor's New Clothes’ in which expectations and reality diverge. With this over-arching theme, four sub-themes were identified: (1) preparedness of organisational infrastructure to support this role; (2) credibility of the role in practice; (3) perceived organisational “blindness” to the ambiguities of the role and (4) increasing task orientation and segmentation in care delivery.</p></div><div><h3>Conclusion</h3><p>There is a discrepancy between the identity of the nursing associate role as imagined in the policy agenda and its reality in practice. There is a need for more protected and well-defined training, clear role boundaries, and accessible career progression pathways for nursing associates. Moreover, honest dialogue at an organisational and policy level must continue, so that the challenges and opportunities of the nursing associate role are properly realised.</p></div><div><h3>Tweetable abstract</h3><p>Emperor's new clothes! Experiences and views of new nursing associate roles in NHS (UK) acute hospitals @CarolynSpring3.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100211"},"PeriodicalIF":3.1,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000389/pdfft?md5=2d4b21337039443afda5db9c013e0e5b&pid=1-s2.0-S2666142X24000389-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389316","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":"Reducing costs and improving patient recovery through a nurse-driven centralized spinal orthoses program on a post-surgical unit: A quality improvement initiative","authors":"Amber Odom ,&nbsp;Leonie James ,&nbsp;Sheena Butts ,&nbsp;Charles J. French ,&nbsp;Jonathan M. Cayce","doi":"10.1016/j.ijnsa.2024.100212","DOIUrl":"10.1016/j.ijnsa.2024.100212","url":null,"abstract":"<div><h3>Background</h3><p>An external vendor providing off-the-shelf spinal orthoses to inpatients created significant costs and barriers to quality care for spinal surgery patients. A nursing leadership team initiated a quality improvement project to reduce the cost of providing off-the-shelf spinal orthoses and improve the care provided to spinal patients.</p></div><div><h3>Objective</h3><p>To develop and evaluate a nursing-led process for providing off-the-shelf orthoses to spinal surgery patients and eliminate high costs.</p></div><div><h3>Design</h3><p>Quality improvement project evaluated as a retrospective interrupted time-series</p></div><div><h3>Setting</h3><p>Post Surgery Inpatient Unit Level II Trauma Center in a United States hospital located in Florida</p></div><div><h3>Participants</h3><p>Vendor Program: 134 patients; Centralized Program: 155 patients</p></div><div><h3>Methods</h3><p>The nursing leadership team developed a centralized spinal orthoses program where the bedside nurse fitted the patient with a spinal orthosis, eliminating the need for an external orthotist. The study quantifies changes in study metrics by comparing patients identified through chart review who received care in the vendor program to those who received care in the centralized program utilizing nonparametric statistical techniques.</p></div><div><h3>Results</h3><p>The centralized nursing-led spinal orthosis program allowed the unit to mobilize patients more quickly than patients managed under the vendor program (3.85 hr. [95 % CI: 1.27 to 7.26 hrs] reduction; <em>p</em> = 0.004). The overall length of stay was reduced by 0.78 days ([1.34 – 0.02 days]; <em>p</em> = 0.063) or 18.72 h. While the statistical test did not indicate significance, the 18.72-hour reduction in length of stay represents a potential clinically relevant finding. Evaluating patients that suffered a primary spinal injury and no complications (vendor program: 54 patients; centralized program: 86 patients) showed a similar reduction in time to mobilization (4.5 hr reduction [0.53 to 12.93 hrs]; <em>p</em> = 0.025), but the length of stay reduction increased to 1.02 days [0.12 to 1.97 days], a difference determined to be statistically significant (<em>p</em> = 0.014). Centralizing the process for providing off-the-shelf spinal orthoses reduced the cost of a thoracic-lumbar sacral orthosis by $1,483 and the price of a lumbar-sacral orthosis by $1,327. Throughout the study, the new program reduced the cost of providing spinal orthoses by $175,319.</p></div><div><h3>Conclusions</h3><p>The results demonstrate that the nursing-led centralized spinal orthosis program positively impacted the quality of care provided to our patients while also reducing the cost of delivering the orthoses.</p></div><div><h3>Tweetable abstract</h3><p>A nursing-led centralized spinal orthosis program reduces the cost of care while reducing time to mobilization and length of stay.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100212"},"PeriodicalIF":3.1,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000390/pdfft?md5=ea873b1bd096b1d7a790c6acedce3b75&pid=1-s2.0-S2666142X24000390-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393626","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":"Program components, impact, and duration of implementing a new nurse orientation program in hospital contexts: A scoping review","authors":"Ernawaty Ernawaty ,&nbsp;Suni Hariati ,&nbsp;Ariyanti Saleh","doi":"10.1016/j.ijnsa.2024.100214","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100214","url":null,"abstract":"<div><h3>Background</h3><p>Orientation programs for new nurses play an essential role in preparing them for challenges in clinical practice. Different countries have applied varying program components and durations in organizing these programs.</p></div><div><h3>Objectives</h3><p>To explore the program components, impact, and duration of the orientation programs for new graduate nurses in hospital care settings.</p></div><div><h3>Method</h3><p>We gathered information from studies conducted in various countries. Searches were conducted on databases including PubMed, Sage Journal, ScienceDirect, EBSCO, and Wiley, with secondary searches from 2018 to 2023 using Arkey and O'Malley's Review Scoping Framework. The inclusion criteria comprised studies with primary data, both qualitative and quantitative, focusing on new nurses undergoing orientation programs in hospitals.</p></div><div><h3>Results</h3><p>Of the 989 articles screened, 14 were included. Methods identified included providing hands-on experience, sharing information, reflecting on work experiences, and developing technical skills. Significant findings encompassed increased competence, knowledge, confidence, and satisfaction, as well as professional development and positive organizational impacts. The duration of orientation programs ranged from 2 weeks to 2 years, depending on the program type and new graduate nurse needs.</p></div><div><h3>Conclusion</h3><p>This scoping review elucidates program components, impact, and duration of new nurse orientation programs in hospitals, providing valuable insights for hospital management in designing and developing improved programs.</p></div><div><h3>Tweetable abstract</h3><p>Exploring program components, impact, and duration of hopitals new graduate nurse orientation programs, revealing insights to enhance patient care and nursing practice@Ns_Ernawaty</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100214"},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000419/pdfft?md5=35628978583b4a4fdc784130bcca60f0&pid=1-s2.0-S2666142X24000419-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141324476","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":"Cancer parents’ experiences of parenting concerns about minor children: A meta-synthesis of qualitative studies","authors":"Jing-Ling Li ,&nbsp;Qin Ye ,&nbsp;Ning Liu","doi":"10.1016/j.ijnsa.2024.100210","DOIUrl":"10.1016/j.ijnsa.2024.100210","url":null,"abstract":"<div><h3>Background</h3><p>Some cancer patients not only endure physical and mental distress due to the disease and treatment but also shoulder the responsibility of raising their children. This situation significantly impacts the patients' quality of life. While there is a growing body of qualitative research focusing on parenting concerns among cancer patients, there remains a lack of comprehensive qualitative evidence.</p></div><div><h3>Objective</h3><p>This study aims to conduct a systematic review and synthesis of qualitative research evidence, investigating the experiences of cancer patients in raising minor children.</p></div><div><h3>Design</h3><p>Systematic review and synthesis of qualitative studies.</p></div><div><h3>Setting(s)</h3><p>Through a screening process employing inclusion/exclusion criteria, qualitative studies specifically addressing cancer patients raising minor children were identified.</p></div><div><h3>Participants</h3><p>Participants: A total of 669 participants from 40 studies were included in the review.</p></div><div><h3>Methods</h3><p>Four English (Pubmed, Web of Science, Embase and Cochrane Library) and three Chinese (CNKI, Wanfang and Sinomed) databases were searched for qualitative studies of the real-life experiences of raising children in cancer patients from the establishment of the library to January 2024. The methodological quality of the included literature was assessed using the Critical Appraisal Skill Program (CSAP). Qualitative data were extracted, summarized, and meta-synthesized.</p></div><div><h3>Results</h3><p>A total of 26 studies were included in this meta-synthesis, encompassing 11 different countries. 160 themes were extracted from these included literatures, which were combined into ten categories, ultimately forming four themes: the impact of parents' disease on their children, the challenges of parenting, coping strategies, and multifaceted parenting needs. Based on the Confidence in the Output of Qualitative research synthesis (ConQual) approach, the confidence level of the synthesized findings ranged from moderate to low.</p></div><div><h3>Conclusions</h3><p>Cancer patients experience significant psychological stress while raising children, which can lead to a reduction in their quality of life and influence treatment decisions. These findings elucidate the parenting concerns experienced by cancer patients, allowing medical staff to understand their emotions and treatment preferences. Additionally, healthcare professionals should pay attention to the special needs of this group and develop targeted interventions to support and reduce patients' psychological stress and burden.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100210"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000377/pdfft?md5=8bf05f7848f62b56fad5a035205b00b8&pid=1-s2.0-S2666142X24000377-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141142477","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}