Journal of Integrative Nursing最新文献

Self-leadership and hand hygiene compliance: Building a hygiene culture from within nurses 自我领导与手部卫生遵守：从护士内部建立卫生文化

Journal of Integrative Nursing Pub Date : 2025-10-01 DOI: 10.4103/jin.jin_114_25

Windri Dewi Ayu, Ahmad Jaelani, Awaludin Jahid Abdilah

{"title":"Self-leadership and hand hygiene compliance: Building a hygiene culture from within nurses","authors":"Windri Dewi Ayu, Ahmad Jaelani, Awaludin Jahid Abdilah","doi":"10.4103/jin.jin_114_25","DOIUrl":"https://doi.org/10.4103/jin.jin_114_25","url":null,"abstract":"Background: Healthcare-associated infections continue to pose a significant threat to patient safety, and hand hygiene practices remain an effective preventive measure. Despite global campaigns, nurse compliance often remains substandard. Previous research has focused on technical and environmental factors; however, the influence of internal psychological aspects, such as self-leadership, has been rarely studied, particularly in Indonesia. Increasing compliance depends not only on external interventions but also on empowering nurses’ motivation and self-regulation. Objective: This study aims to determine the relationship between self-leadership and hand hygiene compliance among inpatient nurses. Materials and Methods: A quantitative correlational design with a total sample of 88 nurses was used. Self-leadership was measured using the Abbreviated Self-Leadership Questionnaire, and compliance was assessed through direct observation based on the World Health Organization “5 Moments for Hand Hygiene” guidelines. Data analysis was conducted descriptively and using the Chi-square test. Results: The results showed that 54.5% of nurses had high self-leadership, but only 29.5% were compliant with hand hygiene procedures. The Chi-square test showed a significant relationship between self-leadership and compliance ( χ 2 = 7.453; P = 0.006). Conclusion: Higher self-leadership correlates with better compliance; however, low overall compliance indicates an intention-behaviour gap. Therefore, integrating self-leadership training with organisational support is necessary to strengthen the patient safety culture.","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"7 4","pages":"232-237"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147919341","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}

引用次数: 0

Operating procedures of traditional Chinese medicine breast massage 中医乳房按摩的操作规程

Journal of Integrative Nursing Pub Date : 2023-04-01 DOI: 10.4103/jin.jin_27_23

Jingjin Xu, Hong Chen, Jing Zhang, Jiaji Li, Ye Li, Ling Tang

引用次数: 0

Impact of designed infection control educational program on nurses' knowledge and compliance with standard precautions at maternity hospitals 设计感染控制教育方案对妇产医院护士知识和遵守标准预防措施的影响

Journal of Integrative Nursing Pub Date : 2023-04-01 DOI: 10.4103/jin.jin_120_22

Fatma Zaghloul-Mahmoud, Mohamed Gamal-Mostafa, Walaa Mahmoud-Abdel-Rahman

{"title":"Impact of designed infection control educational program on nurses' knowledge and compliance with standard precautions at maternity hospitals","authors":"Fatma Zaghloul-Mahmoud, Mohamed Gamal-Mostafa, Walaa Mahmoud-Abdel-Rahman","doi":"10.4103/jin.jin_120_22","DOIUrl":"https://doi.org/10.4103/jin.jin_120_22","url":null,"abstract":"Objectives: This study aimed to assess the nurses' knowledge and compliance with infection control standard precautions and evaluate the impact of the designed infection control educational program on nurses' knowledge and compliance with standard precautions at the maternity hospital. Materials and Methods: A quasi-experimental one-group pretest-posttest design was used on convenient sample of 60 nurses working at Obstetrics and Gynecological hospital in Cairo University Hospital, Kasr El Ainy, who received “designed infection control educational program” for 6 months. The data were collected through the questionnaire comprising demographics, knowledge, and compliance with standard precautions questionnaire. The nurses' knowledge and compliance score were compared before and after intervention. Results: The studied nurses had higher level of knowledge (85.3%) and compliance (92.8%) regarding infection control standard precautions after the educational program compared to before the program. The results revealed statistically significant difference between before and after the program regarding nurses' knowledge score (15.5 ± 2.9 vs. 17.1 ± 1.6, P < 0.001) and compliance score (58.5 ± 13.2 vs. 74.3 ± 5.1, P < 0.001). In addition, there was insignificant relation between nurses' knowledge and compliance with standard precautions both before (r = 0.952, P = 0.474) and after educational program (r = 0.164, P = 0.223). Conclusion: The nurses' level of knowledge and compliance regarding infection control standard precautions was significantly improved after the program. Therefore, it is recommended that periodical educational programs regarding the standard precautions of infection control are essential for nurses at maternity hospital.","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"74 1","pages":"138 - 144"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84929522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early warning systems for enteral feeding intolerance in patients with stroke 脑卒中患者肠内喂养不耐受早期预警系统

Journal of Integrative Nursing Pub Date : 2023-04-01 DOI: 10.4103/jin.jin_121_22

Gui-fang Liu, Yanyan Zhang, Ling Tang

{"title":"Early warning systems for enteral feeding intolerance in patients with stroke","authors":"Gui-fang Liu, Yanyan Zhang, Ling Tang","doi":"10.4103/jin.jin_121_22","DOIUrl":"https://doi.org/10.4103/jin.jin_121_22","url":null,"abstract":"Objective: The objective of this study was to construct an early warning system (EWS) to facilitate risk assessment, early identification, and appropriate treatment of enteral nutrition feeding intolerance (FI) in patients with stroke, so as to provide a reference for risk classification standards and interventions toward a complete EWSs for nursing care of stroke. Materials and Methods: Based on evidence and clinical nursing practice, a structured expert consultation method was adopted on nine experts over two rounds of consultation. Statistical analysis was used to determine the early warning index for FI in patients with stroke. Results: The expert authority coefficient was 0.89; the coefficients of variation for the two rounds of consultation were 0.088–0.312 and 0.096–0.214, respectively. There were significant differences in the Kendall's concordance coefficient (P < 0.05). Finally, 22 items in five dimensions of patient age, disease, treatment, biochemical, and enteral nutrition-related factors were identified. Conclusion: The early warning index for FI in patients with a history of stroke is valid and practical. It provides a reference for the early clinical identification of FI risk.","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"9 1","pages":"132 - 137"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85307219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heart failure symptom burden, dietary intake, and inflammation: An integrative review of the literature. 心力衰竭症状负担、饮食摄入和炎症：文献综述。

Journal of Integrative Nursing Pub Date : 2023-04-01 Epub Date: 2023-06-26 DOI: 10.4103/jin.jin_26_23

Erica Davis, Sandra Dunbar, Melinda Higgins, Kathryn Wood, Erin Ferranti, Alanna Morris, Brittany Butts

{"title":"Heart failure symptom burden, dietary intake, and inflammation: An integrative review of the literature.","authors":"Erica Davis, Sandra Dunbar, Melinda Higgins, Kathryn Wood, Erin Ferranti, Alanna Morris, Brittany Butts","doi":"10.4103/jin.jin_26_23","DOIUrl":"10.4103/jin.jin_26_23","url":null,"abstract":"<p><p>Heart failure (HF) is characterized by high symptom burden including, but not limited to fatigue, dyspnea, and edema. Up to 21.5% of HF patients experience significant depressive symptoms, much higher than 7.1% in adults without HF. Diet, metabolites, and other inflammatory mechanisms have gained notable attention in recent studies for contributions to symptoms in HF. Symptoms for black adults (B/As) with HF are often influenced by lifestyle factors, which may influence their higher mortality rates; few studies address these factors. Distinguishing the links between key elements with diet, inflammation, and symptoms may bring clarity for new dietary strategies in HF clinical care. The purpose of this integrative review is to examine the existing literature regarding relationships among physiologic pathways in HF along with physical and emotional symptoms in the context of inflammation, dietary intake, tumor necrosis factor-alpha (TNF-α), a biomarker of inflammation, and trimethylamine-N-Oxide (TMAO). Based on available evidence, inflammation may be a key link between physical symptoms, diet, depression, TMAO, and TNF-α in persons with HF and warrants further examination to clarify pathological links to solidify evidence for better guidance with dietary modifications. The literature reviewed in this study demonstrates that more work is needed to examine dietary planning, social support, and differences between men and women in the B/A community. Results of this literature review call attention to the essential, personalized care needs related to symptom monitoring and dietary planning which is expected to decrease symptom burden in the HF population.</p>","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"5 2","pages":"81-92"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/7c/nihms-1915254.PMC10508190.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152522","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}

引用次数: 0

The impact of nurses' organizational commitment on their perceptions of the work environment: Strong mediating effect of the psychological contract 护士组织承诺对工作环境感知的影响:心理契约的强中介作用

Journal of Integrative Nursing Pub Date : 2023-04-01 DOI: 10.4103/jin.jin_118_22

Pengxiang Zuo, Cengceng Lu, Jing Zhou, Ming Hou, Xiaohui Jiao

{"title":"The impact of nurses' organizational commitment on their perceptions of the work environment: Strong mediating effect of the psychological contract","authors":"Pengxiang Zuo, Cengceng Lu, Jing Zhou, Ming Hou, Xiaohui Jiao","doi":"10.4103/jin.jin_118_22","DOIUrl":"https://doi.org/10.4103/jin.jin_118_22","url":null,"abstract":"Objective: The objective is to assess the direct and indirect effects of nurses' organizational commitment (OC) on their work environment perceptions (WEP) and the role of the psychological contract (PC). Methods: A cross-sectional quantitative study of 3047 registered nurses in four Chinese hospitals was conducted. The Essentials of Magnetism II (Chinese version), OC, and PC scales were used in the study, and the structural equation modeling was used to assess the connections among variables. Results: The results showed that OC was positively correlated with WEP (r = 0.561, P < 0.001), and PC was negatively correlated with the WEP (r = −0.717, P < 0.001), and OC (r = −0.739, P < 0.001). Nurses' PC played a strong mediating role between OC and WEP, accounting for 87.64% of the total effect. Besides, PC played an important role in creating a healthy work environment. Conclusions: The exploration of the relationships among WEP, PC, and OC provides new insights for hospital managers to build a better work environment for nurses, which is conducive to maintaining a stable nurse team and providing high-quality nursing services for patients.","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"49 1","pages":"115 - 121"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88395957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric thermal burn injury: A retrospective analysis from pediatric care institutes, Eastern India 小儿热烧伤:来自印度东部儿科护理机构的回顾性分析

Journal of Integrative Nursing Pub Date : 2023-04-01 DOI: 10.4103/jin.jin_4_23

K. Mandal, Sourav Roy, P. Halder, P. Chakraborty, L. Neilasano, D. Guha

{"title":"Pediatric thermal burn injury: A retrospective analysis from pediatric care institutes, Eastern India","authors":"K. Mandal, Sourav Roy, P. Halder, P. Chakraborty, L. Neilasano, D. Guha","doi":"10.4103/jin.jin_4_23","DOIUrl":"https://doi.org/10.4103/jin.jin_4_23","url":null,"abstract":"Objective: Pediatric burns pose difficult healthcare issues in underdeveloped nations. Due to the scarcity of pediatric burn care facilities and qualified burn-care staff, patients are frequently referred from a rural hospital. This study explores the burn-treatment approach that could be used in rural hospitals in the absence of a dedicated pediatric burn care facility. Materials and Methods: A retrospective analysis of clinical data of 199 children who received treatment for burn-injury in an isolated general surgical ward. Wound debridement under anesthesia at the earliest was the cornerstone of the treatment plan for this cohort. Until the wounds healed, the treatment was repeated every alternate day. The patient's demographic data, number of surgical dressings, length of hospital stay, and outcome were analyzed. Results: The mean age of the patients was 51.68 ± 23.79 months. The male-female ratio was 1.45:1. The survival rate was 99.00%. The disability rate was 4.52%. Univariate logistic regression identified the age group, total body surface area affected, depth of the wound, and time of intervention as statistically significant variables (P < 0.05) predicting the disfigurement. Multivariate logistic regression identified the time intervals between surgical intervention and injury as an important predictor of morbidity. In addition, delayed presentation and delayed intervention led to a longer hospital stay, and more interventions than the early intervention cohort. Conclusions: Early debridement accelerates recovery and lessens the need for future skin grafts or contracture procedures. This approach can be used in rural hospitals as well because pediatric burns can be manageable in an isolated general ward.","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"216 1","pages":"108 - 114"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86850685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Technical operation specification for cupping therapy 拔火罐疗法技术操作规程

Journal of Integrative Nursing Pub Date : 2023-04-01 DOI: 10.4103/jin.jin_24_23

Yongchun Wei, Yali Wang, H. E, Kaiye Zhang, Ling Tang

引用次数: 0

Intensive care environment: Perspective of relatives of critically ill patient sustained by health technology 重症监护环境:卫生技术支持下危重病人家属的视角

Journal of Integrative Nursing Pub Date : 2023-04-01 DOI: 10.4103/jin.jin_117_22

C. Nwozichi, O. Olorunfemi

{"title":"Intensive care environment: Perspective of relatives of critically ill patient sustained by health technology","authors":"C. Nwozichi, O. Olorunfemi","doi":"10.4103/jin.jin_117_22","DOIUrl":"https://doi.org/10.4103/jin.jin_117_22","url":null,"abstract":"The intensive care unit (ICU) is a complex setting by nature, and some have described it as bizarre due to its numerous sirens that sound when anything is dangerous, constant activity, equipment, bright lights, and high fatality rate. The demands placed on nurses to care for critically ill patients in this environment frequently prevent nurses and other health-care professionals from acknowledging the feelings of patient's relatives or family caregivers, resulting in a hostile environment from the patient's relative's perspective. When a patient's family enters the ICU, they feel that hospital administrators do little to nothing to alleviate their discomfort and fear. Despite research demonstrating the importance of providing a homely environment for patients' families, In Nigeria ICU is still far behind how a conventional ICU environment should be structured to accommodate patient's relations in the unit. The goal of this study was to look at the patient's relative's perspective on providing care for a critically ill patient in an ICU, with a focus on the unit's complexity and overall experience. Based on the findings of this study, we recommend that hospital administrators ensure that the environment of the upcoming ICU is designed to meet the needs of patient's relatives by addressing identified environmental concerns, like caring neglect, by providing a friendly and stress-free environment.","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"127 1","pages":"102 - 107"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77767608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diabetes self-management education: Benefits and challenges 糖尿病自我管理教育:益处与挑战

Journal of Integrative Nursing Pub Date : 2023-04-01 DOI: 10.4103/jin.jin_105_22

Ibironke Ojo, E. Ojo, S. Olubiyi

{"title":"Diabetes self-management education: Benefits and challenges","authors":"Ibironke Ojo, E. Ojo, S. Olubiyi","doi":"10.4103/jin.jin_105_22","DOIUrl":"https://doi.org/10.4103/jin.jin_105_22","url":null,"abstract":"Diabetes mellitus has spread throughout many nations of the world and is now a serious threat. A lack of patient self-management has been linked to this drain on global health. The consequences of diabetic patients' poor self-management have increased a variety of complications and lengthened hospital stays. Poor information and skill acquisition have been linked to poor self-management. Participating in a co-operative approach known as diabetes self-management education will help diabetes patients who want to successfully self-manage their condition and any associated conditions. Information is one of the most important components of a diabetes management strategy. In conclusion, numerous studies have shown that patients with diabetes have poor self-management skills and knowledge in all areas, making training in diabetes self-management necessary to minimize the complications that may result from diabetes mellitus among the patients. This review discussed the severity of diabetes mellitus, diabetes self-management, and the benefits and challenges of diabetes self-management, which may aid individuals in understanding the significance of diabetes self-management and how it relates to diabetes self-care.","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"4 1","pages":"93 - 101"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91333405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0