Journal of Nursing最新文献

{"title":"[Effectiveness of Resistance Training on Multiple Sclerosis-Related Fatigue: A Systematic Review].","authors":"Chia-Chi Kuo, Yi-Jung Chang, Yu-Hsuan Chiu, Wen-Hua Lu, Hsing-Yi Wu, Pei-Yi Chen, Chih-Tung Lu, Han-Chang Ku","doi":"10.6224/JN.202508_72(4).10","DOIUrl":"https://doi.org/10.6224/JN.202508_72(4).10","url":null,"abstract":"<p><strong>Background: </strong>Patients with multiple sclerosis (MS) often experience impaired muscular fitness and fatigue. Exercise is known to help maintain muscle fitness and alleviate fatigue, with resistance training being recommended as a potential intervention. However, due to the variety of resistance exercises used and inconsistencies in the results obtained, an evidence-based systematic review is needed to synthesize the effectiveness of this intervention.</p><p><strong>Purpose: </strong>This study was designed to synthesize the current research on the effectiveness of resistance training in improving muscle fitness and reducing fatigue in patients with MS.</p><p><strong>Methods: </strong>A systematic review was conducted in March 2024, with five English and Chinese databases searched using keywords related to MS, resistance training, and fatigue. Only randomized controlled trials (RCTs) were included, and a total of five studies met the inclusion criteria. A quality appraisal of the included studies was performed using the Joanna Briggs Institute's critical appraisal tool for evaluating RCTs.</p><p><strong>Results: </strong>The five RCTs included in this systematic review examined different resistance training protocols, including high-intensity, fast-velocity concentric, high-intensity eccentric, and respiratory muscle resistance training. Overall, the results indicate resistance training led to better muscular fitness improvements in terms of muscle strength, endurance, maximal inspiratory pressure, maximal expiratory pressure, and fatigue reduction. However, statistical significance was achieved in only some of the studies.</p><p><strong>Conclusions / implications for practice: </strong>Resistance training appears to be beneficial in improving muscle fitness and reducing fatigue in patients with MS, even though only some of the studies achieved statistical significance. The current evidence is weak due to the limited number of published studies and the small sample sizes and diversity in training protocols used. Further systematic reviews are needed to update findings as more research becomes available. Clinically, resistance training may be considered as part of exercise recommendations for MS patients, and outcomes should be monitored.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 4","pages":"78-87"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754561","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}

{"title":"[Advancing Nursing Education Through Entrustable Professional Activities: Bridging Academic Education and Clinical Training].","authors":"Chia-Chuan Chang, Yueh-Er Chiou, Xin-Yi Liu","doi":"10.6224/JN.202508_72(4).02","DOIUrl":"https://doi.org/10.6224/JN.202508_72(4).02","url":null,"abstract":"<p><p>The gap between classroom learning and clinical practice has presented a challenge to nursing education for decades, posing significant risks to patient safety and care quality-particularly in light of the chronic global shortage of nursing professionals. Entrustable Professional Activities (EPAs) offer a competency-based approach to bridging this gap by assessing whether learners can independently perform essential clinical tasks in authentic care settings, thereby guiding appropriate levels of supervision and delegation. In Taiwan, EPAs, which have been preliminarily implemented in the context of newly graduated nurse and clinical preceptor training, have demonstrated potential benefits in both competency assessment and nurse retention. Notably, countries such as the Netherlands and Singapore have successfully integrated EPAs into nursing education, highlighting their adaptability in addressing workforce shortages and supporting professional development. The aim of this article is to explore the application of EPAs in nursing education, offering nursing educators new insights on strategies for enhancing curriculum assessment and professional entrustment. By integrating EPAs into nursing education, the goal is to cultivate clinical competencies in nursing professionals more effectively, close the theory-practice gap, and thus better ensure patient safety and the quality of care.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 4","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754608","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}

{"title":"[Translation and Validation of the Chinese Attitudes Toward Physician-Nurse Collaboration Scale].","authors":"Mei-Yu Lin, Pi-Chi Han, Ya-Hui Huang, Wei-Chuan Chen","doi":"10.6224/JN.202508_72(4).09","DOIUrl":"https://doi.org/10.6224/JN.202508_72(4).09","url":null,"abstract":"<p><strong>Background: </strong>Promoting interprofessional collaboration has become increasingly important in the work of healthcare professionals. However, in Asia, differences in role awareness and professional perceptions remain significant barriers to effective collaboration among these professionals. Interprofessional collaborative practice is recognized as a crucial strategy for achieving patient-centered and high-quality holistic care in Taiwan, with research indicating attitudes toward physician-nurse collaboration significantly shape this relationship and interprofessional collaborative practice, emphasizing the important influence of attitudes toward physician-nurse collaboration on the overall care process.</p><p><strong>Purpose: </strong>The Jefferson Scale of Attitudes toward Physician-Nurse Collaboration (JSAPNC) was translated into Traditional Chinese and validated in this study. After confirming its reliability and validity, this scale was used to measure and assess the attitudes toward collaboration of medical doctors and nurses.</p><p><strong>Methods: </strong>The JSAPNC scale was transformed into Chinese using a standardized translation procedure, and the expert content validity of the translated scale was verified. Next, a pre-test questionnaire was distributed to verify its reliability and validity. The participants in this study were all clinical nurses working in a medical center, and 150 valid questionnaires were collected.</p><p><strong>Results: </strong>The Traditional Chinese version of the JSAPNC was assessed as having good internal consistency (Cronbach's α = .79), with exploratory factor analysis showing good construct validity (factor loading ≥ .05).</p><p><strong>Conclusions: </strong>In this study, a Traditional Chinese version of the JSAPNC Chinese scale was produced and verified for reliability and validity. This scale may be used by medical institutions to promote cross-field collaboration cultures. It is recommended that, in the future, researchers in the medical field continue to conduct in-depth explorations of the impact of medical and nursing collaboration attitudes in Taiwan and provide guidance for medical decision-making. Developmental trends in promoting collaborative attitudes among physicians and managers with management levels.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 4","pages":"70-77"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754569","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}

{"title":"[Needs Assessment for Optimizing Airway Management Nursing Education: Application of the Importance-Performance Analysis and Locus for Focus Model].","authors":"Hui-Yi Li, Chien-Lin Kuo, Su-Fen Cheng","doi":"10.6224/JN.202508_72(4).06","DOIUrl":"https://doi.org/10.6224/JN.202508_72(4).06","url":null,"abstract":"<p><strong>Background: </strong>Airway-related incidents, common in clinical settings, are characterized by high urgency and complexity. Failure to manage these incidents promptly can pose serious threats to patient safety. However, many of these incidents can be prevented through the effective implementation of airway management education.</p><p><strong>Purpose: </strong>The objective of this study was to identify the priority educational needs of airway management for nurses to enhance clinical practice and reduce the risk of adverse events.</p><p><strong>Methods: </strong>A cross-sectional design was employed and 100 nurses from a medical center in northern Taiwan were enrolled as participants. Data were collected via an online questionnaire and analyzed using importance-performance analysis (IPA), Borich's Needs Score, and the Locus for Focus (LF) model, all of which have previously been shown to be effective in identifying educational priorities.</p><p><strong>Results: </strong>Items identified as top-priority educational needs were respectively located in Quadrant II of the IPA model, ranked among the top-10 in terms of Borich's Needs Score, and situated in Quadrant I of the LF model. The results highlighted \"rapid sequence intubation procedures\" and \"treatment of respiratory failure\" as the areas in most need of attention.</p><p><strong>Conclusions: </strong>The results of this study support that significant gaps exist between the perceived importance and self-assessed performance of nurses with regard to airway management. In this study, these gaps were most significant in the dimensions of rapid sequence intubation procedures and respiratory failure treatment. Targeted, outcome-focused educational programs are recommended to address these gaps to improve patient safety and the quality of clinical nursing care.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 4","pages":"39-48"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754565","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}

{"title":"[Physical Resilience in Older Adults: A Concept Analysis].","authors":"Fang-Ru Yueh, Yueh-Hsiu Lin, Fang-Wen Hu","doi":"10.6224/JN.202506_72(3).11","DOIUrl":"10.6224/JN.202506_72(3).11","url":null,"abstract":"<p><p>Acute illness and hospitalization, key stressors for older adults, are associated with significantly elevated risks of disability and mortality. Physical resilience is defined as the ability of an individual to resist or recover from functional decline following health stressors. Nurses working in partnership with older adults to assist their development of physical resilience can promote disease and functional recovery. However, the definition, concept, and measurement of physical resilience in older adults lack consensus in the literature. Using the conceptual analysis approach of Walker and Avant (1995), the defining characteristics of physical resilience in older adults identified in this article include: (1) experiencing a new or acute stressor, (2) having sufficient physiological reserves to address this stressor, and (3) having the capacity to resist functional decline. These characteristics are demonstrated using case examples that offer relevant empirical indicators and highlight their application in nursing research and practice. This analysis is hoped to help improve the understanding of physical resilience in older adults among nurses and suggest pathways for application in clinical practice.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 3","pages":"87-94"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152337","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}

{"title":"[Forensic Nursing: The Fairness Doctrine, Right to Safety in Life, and Development Recommendations].","authors":"Chen-Fang Lou","doi":"10.6224/JN.202506_72(3).02","DOIUrl":"10.6224/JN.202506_72(3).02","url":null,"abstract":"<p><p>Public concern over violence against women and children is growing, with citizens demanding tougher punishments for offenders and closely monitoring court proceedings. Poor evidence collection not only undermines the rights of victims but also increases the risk of unduly light sentences for perpetrators. In cases involving women, children, violence, or accidental harm, hospitals face two urgent legal duties: to swiftly preserve original evidence to clarify accountability and to act before the narrow window for evidence collection closes due to medical intervention. For unconscious patients, despite the necessity of evidence speaking in their stead, Taiwan's healthcare system lacks an integrated forensic nursing service, leading to insufficient and weak evidence. This is a chronic and systemic issue that erodes victim rights and contributes to lighter penalties for offenders. Forensic nursing offers a critical solution by uniting healthcare and evidence preservation under a model that is recognized and supported internationally. In 2023, the Taiwan Nurses Association launched a forensic nursing training initiative that has since gained strong support from nursing professionals. However, creating a fully dedicated forensic nursing system still faces policy and resource challenges. Achieving this goal requires sustained public engagement, multi-stakeholder advocacy, and data-driven policymaking to establish a virtuous cycle of public demand, professional capacity, and government support. A comprehensive forensic nursing system is essential to upholding citizen rights and ensuring justice for the vulnerable.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 3","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152333","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}

{"title":"[The Effectiveness of an Early Parental Sensitivity Intervention on Attachment, Parenting Confidence, and Parental Stress in Mothers of Preterm Infants].","authors":"Ting-Yi Hsu, Chien-Chou Hsiao, Chieh-Yu Liu, Chi-Wen Chen","doi":"10.6224/JN.202504_72(2).06","DOIUrl":"10.6224/JN.202504_72(2).06","url":null,"abstract":"<p><strong>Background: </strong>Preterm infants require specialized hospital care and are often separated from their parents, which may impact mother-infant attachment, parenting confidence, and parental stress negatively. Moreover, the vulnerability of preterm infants leads to lower parenting confidence among parents, increasing parental stress.</p><p><strong>Purpose: </strong>This study was designed to examine the effectiveness of early parental sensitivity interventions on mother-infant attachment, parenting confidence, and parental stress in mothers of preterm infants.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted, with the participants, all mothers of preterm infants, assigned to either the experimental (n = 34) or control (n = 34) group. The control group received standard care instructions, while the experimental group received early parental sensitivity interventions, including a virtual reality tour of the neonatal intensive care unit, behavioral cue videos for premature infants, and participation in caregiving activities. The Maternal Attachment Inventory, Maternal Confidence Questionnaire, and Parental Stressor Scale: Infant Hospitalization were used to collect study data, with differences analyzed using generalized estimating equations.</p><p><strong>Results: </strong>The experimental group showed higher average mother-infant attachment and parenting confidence and lower average parental stress than the control group during the third through fifth days after birth. However, no significant changes in these three variables were observed between the fifth day and one month after birth in either group.</p><p><strong>Conclusions / implications for practice: </strong>The results of this study found that early intervention programs for mothers of preterm infants may not immediately establish attachment, build parenting confidence, or alleviate parental stress in a short period. It is recommended that the importance of continuous intervention be emphasized in future research.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"33-44"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764379","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}

{"title":"[The Integration of Recovery Educators Into Psychiatric Mental Health Nursing Education].","authors":"Kai-Jung Tam, Ruei-Yong Gao, Chia-Chi Cheng, Jou-Ting Lin, Hsu-Chan Kuo, Hui-Ying Ma, Kao-Chin Chen, An-Nie Pan, Ching-Lan Esther Lin","doi":"10.6224/JN.202504_72(2).07","DOIUrl":"10.6224/JN.202504_72(2).07","url":null,"abstract":"<p><strong>Background: </strong>Stigma negatively affects the recovery of and care quality received by people with mental illnesses as well as the mental health of the entire population. As part of global anti-stigma trends, the teaching strategy of introducing recovered patients into classroom settings as \"recovery educators\" has been increasingly accepted and adopted. This strategy is designed to improve student attitudes toward mental illness while promoting self-identity and sense of value in recovered patients.</p><p><strong>Purpose: </strong>By training patients with mental illness to become recovery educators and incorporating core related concepts, this study was designed to develop an anti-stigmatizing mental health nursing education model appropriate to the Taiwanese culture context.</p><p><strong>Methods: </strong>A community participatory research approach was used to conduct a two-stage research process covering curriculum development and curriculum implementation. The participants included clinical professionals, nursing students, educators, recovery educators, and researchers. By conducting an inductive analysis of observational notes, meeting minutes, and reflective journals, the curriculum development process and outcomes were documented.</p><p><strong>Results: </strong>The Recovery Educator Training Camp and Anti-Stigma Curriculum Including Recovery Educators were developed based on the findings. The course development and implementation process may be summarized under the following three themes: (1) The vision, hopes, and concerns associated with community partner recruitment, (2) Viewing recovery from different perspectives and promoting health equity, and (3) Innovating and developing anti-stigmatization elements into the course.</p><p><strong>Conclusions: </strong>A community participatory research approach was used to develop \"recovery patients as educators\" as an anti-stigma mental health nursing education model. By allowing recovery educators to showcase their process of recovery and nursing students to interact directly with recovery educators, the developed model successfully facilitates recognition of recovery and promotes anti-stigmatization attitudes in both recovery educators and students.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"45-56"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765038","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}

{"title":"[The Power of Gratitude: A Key to Enhance Mental Health in Nurses and Improve Retention].","authors":"Yu-Yun Liu, Chiu-Yueh Yang","doi":"10.6224/JN.202504_72(2).04","DOIUrl":"10.6224/JN.202504_72(2).04","url":null,"abstract":"<p><p>The impact of gratitude on mental health and job stability in nurses is explored in this article, with a focus on relevant challenges and potential interventions. Based on a review of the literature, gratitude is a positive psychological resource that may effectively reduce stress, enhance psychological resilience and well-being, improve the workplace atmosphere, and reduce turnover intention. Gratitude, which encapsulates the recognition and response of an individual to the goodwill of others, may be cultivated through practice in nurses to further enhance job satisfaction and professional identity. Gratitude-related interventions such as keeping gratitude journals, writing letters, engaging in team activities, and practicing meditation have been shown to significantly reduce occupational burnout and stress. For example, recording three things one is grateful for each day or participating regularly in gratitude gatherings can improve interpersonal relationships and strengthen team cohesion. However, challenges such as high drop-out rates, limited intervention formats, and significant resource demands hinder organizations from fully implementing these interventions. Various measures to overcome these challenges, including taking regular gratitude walks and establishing gratitude walls, should be implemented while also ensuring that intervention designs are adequately adapted both culturally and contextually. In summary, gratitude interventions have the potential to significantly enhance the mental health of nursing staff while promoting their job satisfaction and retention. Future efforts should concentrate on advancing gratitude education and practices, optimizing intervention methods, and helping healthcare institutions address workforce shortages.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764975","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}

{"title":"[Qualitative Systematic Review Research Method: A Meta-Ethnographic Synthesis].","authors":"Wei-Ting Lai, Li-Min Wu, Min-Tao Hsu","doi":"10.6224/JN.202504_72(2).12","DOIUrl":"10.6224/JN.202504_72(2).12","url":null,"abstract":"<p><p>In this paper, meta-ethnographic synthesis is introduced as a qualitative systematic review method to provide researchers with a comprehensive theoretical foundation of this method and an understanding of its analytical steps. Grounded in interpretivism, this method incorporates Geertz's concept of \"thick description\" and Turner's concept of \"translation\" and emphasizes the exploration of meaning within cultural contexts. By continuously comparing and synthesizing similar and divergent concepts and metaphors across multiple qualitative studies, this approach highlights the cultural context and interpretive significance of integrated phenomena, thereby constructing higher-order interpretive frameworks. Moreover, comprehensive explanations are given of the seven phases proposed by Noblit and Hare (1988), i.e., getting started, determining relevant content for the initial inquiry, reading the studies, establishing how the studies are related, translating the studies into each other, synthesizing the translations, and presenting the final synthesis. Furthermore, potential applications of meta-ethnographic synthesis in the field of healthcare are described, including synthesizing multicultural caregiving experiences to elucidate the lived worlds of patients and caregivers. Meta-ethnographic synthesis not only fosters deeper cultural insights but also provides concrete qualitative evidence to inform policy-making and facilitates the translation and exchange of knowledge between academia and clinical practice. The insights provided in this paper highlight that meta-ethnographic synthesis, through its comparison and interpretation, offers unique insights into human experience and cultural diversity, enriching qualitative research with new perspectives and theoretical contributions.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"96-106"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765339","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}