Journal of Nursing最新文献

{"title":"[The Effectiveness of Cryotherapy to Manage Taxane-Induced Peripheral Neuropathy in Patients With Breast Cancer: A Systematic Review].","authors":"Chia-Ching Ho, Shiow-Ching Shun, Chiu-Hui Chen, Li-Lu Chang","doi":"10.6224/JN.202504_72(2).09","DOIUrl":"10.6224/JN.202504_72(2).09","url":null,"abstract":"<p><strong>Background: </strong>Taxanes are essential chemotherapy agents for breast cancer treatment. However, patients frequently experience chemotherapy-induced peripheral neuropathy (CIPN) during their course of treatment. Cryotherapy is a non-pharmacological approach that has been explored for its potential effects on preventing or improving CIPN. However, although several studies have reported on the effects of cryotherapy, no comprehensive review has been conducted to confirm its benefits.</p><p><strong>Purpose: </strong>This study was designed to investigate the potential benefits of cryotherapy in terms of alleviating CIPN in patients with breast cancer undergoing taxane-containing chemotherapy.</p><p><strong>Methods: </strong>This systematic review was conducted using databases including PubMed, Embase, Cochrane, CINAHL, Medline, and Airiti Library, focusing on female patients over 18 years old with breast cancer treated using taxane-containing regimen. Key words searched were based on the PICO (patient/problem, intervention, comparison, outcome) framework, and cover articles in the literature published up to December 2023. In this study, the Jadad Quality Scale was employed to evaluate the randomized controlled trials (RCTs), while methodological index for non-randomized studies was utilized for non-RCTs.</p><p><strong>Results: </strong>The 11 studies used in this analysis included five RCTs comprising 198 patients and six non-RCTs comprising 1,930 patients. Five of the studies reported cryotherapy may help prevent CIPN, five reported cryotherapy may alleviate CIPN symptoms, and one study reported no significant prevention or alleviation effect.</p><p><strong>Conclusions / implications for practice: </strong>Cryotherapy shows promise as a practical and safe method the prevention / alleviation of CIPN symptoms during chemotherapy treatment. However, the related evidence is inadequate, indicating a need for more rigorous studies to establish stronger evidence.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"66-78"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764709","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":"[A Multifaceted Strategy to Improve the Hospice Care Completeness of Intensive Care Nurses].","authors":"Chuan-Yu Sun, Bo-Yu Wang, Yi-Dan Huang, Wen-Chuan Hsu","doi":"10.6224/JN.202504_72(2).11","DOIUrl":"10.6224/JN.202504_72(2).11","url":null,"abstract":"<p><strong>Background & problems: </strong>In recent years, awareness of the need to facilitate death with dignity has advanced significantly in Taiwan. Critically ill patients admitted to intensive care units (ICUs) often endure the pain of medical interventions. Therefore, providing comprehensive end-of-life care that respects patient dignity is crucial. A situational analysis revealed that the ICUs in our hospital lacked standardized care procedures, that ICU staff were unclear about the role of the palliative care team, and that related educational training was deficient. Further investigation showed the completeness rate of ICU nurse implementation of end-of-life care to be 46.3%.</p><p><strong>Purpose: </strong>This project was developed and executed to increase the end-of-life care completeness rate to 85.0%.</p><p><strong>Resolutions: </strong>Establish end-of-life care standard operating procedures; design a small portable reminder card featuring the slogan \"Physical, Mental, and Spiritual Care\" to help prompt nurses while on duty; and plan educational training and cross-team workshops that utilize a simple tabletop game to support course teaching and increase engagement and interactivity.</p><p><strong>Results: </strong>Result: After full project implementation, the rate of end-of-life care completion was 88.4%.</p><p><strong>Conclusions: </strong>The developed project effectively improved the integrity of end-of-life care provided by ICU nurses, alleviating the suffering of terminally ill patients and enhancing their dignity. The project also helped families face the grieving process with greater composure, improving the overall quality of end-of-life care provided in our ICUs.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"88-95"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765332","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":"[Enhancing the Accuracy of Sexual Assault Forensic Care by Emergency Nurses Using Creative Teaching Methods].","authors":"Chih-Yu Liu, Li-Ting Liu, Yu-Ting Wang","doi":"10.6224/JN.202504_72(2).10","DOIUrl":"10.6224/JN.202504_72(2).10","url":null,"abstract":"<p><strong>Background & problem: </strong>A case of mishandled sexual assault forensic evidence in our unit during February 2022 potentially harmed the rights of the victim, the integrity of the legal procedure, and increased legal risks for our hospital.</p><p><strong>Purpose: </strong>This incident led to a project aimed at improving emergency nurse accuracy in handling forensic evidence related to sexual assault.</p><p><strong>Resolution: </strong>Strategies implemented included developing creative mnemonics, establishing diverse digital learning materials, producing instructional videos on sexual assault forensic evidence handling procedures, refining training for newly recruited personnel, organizing regular in-service education sessions, and conducting scenario-based simulations.</p><p><strong>Results: </strong>Result: The accuracy rate of emergency nurses in handling sexual assault forensic evidence rose from 65.7% before project implementation to 94.5% after project implementation.</p><p><strong>Conclusions: </strong>The project significantly improved sexual assault forensic evidence handling among emergency nurses in our hospital using phased and gamified learning methods to enhance motivation and improve professional competence.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"79-87"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765336","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 Experiences of Community Nurses Providing Age-Friendly Care in Pingtung County: A Focus Group Study].","authors":"Pei-Fang Chia, Hsiu-Chun Chang, Chia-Hui Chiu, Pei-Fan Mu, Jui-Yua Su","doi":"10.6224/JN.202504_72(2).08","DOIUrl":"10.6224/JN.202504_72(2).08","url":null,"abstract":"<p><strong>Background: </strong>Pingtung is a county in Taiwan that covers a large area and a population marked by significant cultural diversity. Healthcare programs in the county must take geographical and cultural needs into consideration to create a person-centered, friendly-care model for the county's older adult residents.</p><p><strong>Purpose: </strong>This study was designed to explore the experiences of community nurses in Pingtung County caring for adults in the community and identify related core competency needs.</p><p><strong>Methods: </strong>A focus group research method was used, and community nurses were recruited to participate in focus group discussions. Each focus group included 10 to 12 nurses, and each session lasted about 120 minutes. The interview data were recorded, transcribed, content analyzed, and rigorously controlled.</p><p><strong>Results: </strong>The two discussion sessions organized for this study were both held on August 9, 2012, with a total of 12 head nurses and 13 registered nurses participating. The researchers identified the following six themes: 1. Training of cross-cultural community care and systemic care capabilities; 2. Cultivation and improvement of professional capabilities; 3. Improving capabilities of evidence implementation and innovative ideas; 4. Promoting evidence implementation and self-identity; 5. Leadership management transformation and organizational reengineering; 6. Optimizing dementia care and creating a more patient-friendly atmosphere.</p><p><strong>Conclusions: </strong>Community nurses play an important role in maintaining and improving public health. Special needs such as aging, multiculturalism, geographical characteristics, and dementia requires that systematic care provided be sensitive to cultural characteristics, work to improve evidence-based application capabilities, and strengthen leadership and management.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"57-65"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764926","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 New Era of Mindfulness and Compassion-Based Therapy in Developing Nurses' Self-Care].","authors":"Fei-Hsiu Hsiao","doi":"10.6224/JN.202504_72(2).02","DOIUrl":"10.6224/JN.202504_72(2).02","url":null,"abstract":"<p><p>The high-pressure nature of clinical nursing work and workplace environments influence how nurses perceive fatigue and their physical and mental health. Therefore, promoting self-care-related skills and capabilities has become an important issue in nursing education. The concept of nurse self-care, the content of mindful self-compassion therapy, and how to apply this therapy in nurse self-care are introduced in this article. Based on the findings of prior empirical research, the concept of self-care in the context of nurses consists of three key abilities: mindfulness, self-compassion, and resilience. These abilities emphasize promoting the ability of nurses to be aware of their body-mind-spirit distress in the present and to respond to suffering with kindness and empathy. Furthermore, resilience may be developed even while facing adversities in life. Mindful self-compassion therapy has been increasingly applied in recent years to improve body-mind well-being in healthcare professionals. This therapy includes the concepts of mindfulness and self-compassion, self-compassion actions, how self-compassion can be applied to facing emotional difficulties, and practicing gratitude and savoring life for a life happiness. Empirical research results consistently confirm that mindful self-compassion therapy can effectively reduce both occupational and compassion fatigue. Therefore, mindfulness self-compassion skills incorporated into nurses' daily lives and work have been subsequently developed based on the concepts underlying mindful self-compassion therapy. These skills help nurses be more consciously aware of the personal impact of work stress, take ameliorative actions such as breathing exercises or body scanning to trigger a physical relaxation response, and use self-compassionate language to self-support.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765039","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":"[Promoting Self-Care and Resilience in High-Stress Nursing Workplaces].","authors":"Hsing-Yu Yang","doi":"10.6224/JN.202504_72(2).01","DOIUrl":"10.6224/JN.202504_72(2).01","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Staffing shortages and excessive workloads are issues faced by nurses worldwide. In the United States, 62% of nurses experience burnout, with burnout rates reaching as high as 75% among nurses under the age of 25 (American Nurses Association, 2024). In Taiwan, recent nursing staff shortages have led to excessive workloads and exhaustion among clinical nurses, presenting a critical challenge for nursing administration and education. Occupational burnout not only affects psychological well-being but also negatively influences clinical decision-making and the ability to cope with stress (Gao et al., 2023). Self-care refers to the attention and care given to one's physical and mental health. Effective self-care involves regularly implementing strategies to prevent stress and anxiety while enhancing overall health and well-being (Kwon, 2023). Resilience is generally defined as a dynamic adaptation process describing the ability to overcome difficulties and grow from adversity without succumbing to burnout or psychosocial health issues. Nurses with higher levels of resilience tend to recover more quickly from stressful events and experience lower levels of emotional exhaustion (Tzeng et al., 2023). From maintaining awareness and care for one's physical and mental well-being to adapting and growing through difficulties and adversity, developing essential relevant knowledge and skills is crucial for nursing professionals, whose training is deeply rooted in altruism, dedication, and empathy and especially applicable in high-stress and overburdened workplace environments. Various self-care and resilience-building interventions have been developed for clinical nursing and nursing education. Examples include mindfulness training, cognitive-behavioral training, home text-based counseling, and resilience training focusing on gratitude, compassion, acceptance, and forgiveness as well as meditation. In addition to traditional in-person training, digital and virtual reality-based resilience programs have been developed to accommodate the needs of nurses who work rotating shifts (Clough et al., 2024; Yu et al., 2024). Research supports that mindfulness training effectively alleviates stress, reduces fatigue, and decreases workplace conflicts among nurses (Lee et al., 2024; Talebiazar et al., 2024). Moreover, fostering mindfulness contributes to greater resilience, increased job satisfaction, and improved patient care outcomes (Talebiazar et al., 2025). A systematic review of mindfulness-based interventions highlighted mindfulness as an effective strategy for emergency and critical care nurses to combat burnout, enhance compassion, and build resilience (Joseph & Jose, 2024). Moreover, a 10-minute virtual reality-based meditation intervention performed during shift hours has been shown to alleviate stress among clinical nurses working 12-hour shifts (Clough et al., 2024). For this issue, four distinguished experts in nursing and psychology specializing in self","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765337","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 Impact of Green Spaces on Physical and Mental Health: From Theory to Clinical Practice].","authors":"Shu-Li Cheng","doi":"10.6224/JN.202504_72(2).05","DOIUrl":"10.6224/JN.202504_72(2).05","url":null,"abstract":"<p><p>Green spaces are highly valued for their aesthetic appeal and recreational functions. However, with rapid urbanization and rising workplace pressures, mental health issues such as anxiety and mood disorders are becoming increasingly prevalent. Nurses, impacted by shift work and heavy workloads, often face challenges such as fatigue, psychological stress, and insomnia that can negatively affect work efficiency and patient care quality. Contact with nature has been shown to effectively relieve stress and enhance psychological resilience, making this an important strategy for improving overall health in nurses. In light of this, integrating green spaces into the design of healthcare facilities is essential. For example, creating outdoor gardens and natural landscape areas as well as incorporating natural light with window views and greenery not only provides nurses with spaces for stress relief but also helps enhance psychological resilience, boost happiness and job satisfaction, and, ultimately, improve patient care quality while supporting the sustainable development of healthcare services. At the policy level, management should actively implement health-promotion measures such as scheduling regular outdoor breaks and designing activities that encourage interactivity with nature. These strategies not only support the physical and mental well-being of nursing staff but also contribute to a more human-centered and sustainable healthcare environment, laying a solid foundation for the long-term sustainable development of the medical system.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764945","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":"[Resilience in Patients With Brain Injury].","authors":"Zi-Han Liu, Li-Ting Chen, Ching Li Lin, Yueh-Hsiu Lin","doi":"10.6224/JN.202504_72(2).13","DOIUrl":"10.6224/JN.202504_72(2).13","url":null,"abstract":"<p><p>After brain injury, patients must adapt to their altered lives and undergo long-term rehabilitation, which is a process that imposes increasing burdens on personal health, families, and society. In facing adversities in life, having a relatively high level of self-resilience can help patients secure critical support and successfully adapt to life changes. In this article, a literature review is used to discuss the challenges faced by patients with brain injuries and resilience in these patients is systematically and objectively analyzed using concept analysis. The significant mechanisms identified include the difficulties associated with having predisposing factors, internal and external risk factors, protective factors of attributes, and disease progression of the outcome. Furthermore, commonly used assessment tools in Taiwan and elsewhere are introduced, and empirical strategies that have been deployed in recent years to enhance scholarly understanding of resilience in patients with brain injuries and its progressive improvement are discussed. The objective of this study was to help medical professionals better understand the nature of resilience in patients with brain injury, strengthen protective factors, reduce risk factors, and ultimately improve resilience and quality of life.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"107-115"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765340","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":"[Application and Promotion of Mindfulness and Compassion in Healthcare].","authors":"Chun-Yu Lin","doi":"10.6224/JN.202504_72(2).03","DOIUrl":"10.6224/JN.202504_72(2).03","url":null,"abstract":"<p><p>Mindfulness and compassion have gained increasing recognition in global healthcare and nursing fields in recent years as important strategies for enhancing the mental health of healthcare professionals, reducing their occupational burnout, and improving the quality of clinical care they provide. In this article, the historical development, mechanisms, and applications of mindfulness in healthcare settings are explored. The related literature indicates that mindfulness enhances attention regulation, emotional management, and self-awareness to effectively reduce stress and anxiety in healthcare professionals while improving their professional performance, empathy, and self-compassion. To promote mindfulness and compassion in healthcare settings in Taiwan, concrete recommendations are given in two key areas: 1) selecting certified mindfulness instructors and standardized courses and 2) implementing institutional strategies such as providing learning opportunities, fostering supportive environments, and integrating mindfulness education into healthcare training. In addition, common misconceptions regarding mindfulness are discussed to underscore that it is not a panacea. Beginners should avoid unrealistic expectations, overly rely on self-sought online resources, or view mindfulness as a quick-fix tool. In this article, the importance of long-term, consistent practice and professional guidance is underscored. In conclusion, mindfulness and compassion offer promising approaches to enhancing well-being in healthcare professionals as well as the quality of patient care they provide. It is hoped this paper encourages greater awareness and adoption of mindfulness and compassion within Taiwan's healthcare community and helps ultimately integrate these practices into clinical settings to foster a healthier, more compassionate, and more humanistic healthcare environment.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 2","pages":"12-18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765334","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":"[Transitioning From a Pilot Program of Home Care for Acute Symptoms to Long-Term Care Services Planning].","authors":"Chien-Fang Chu","doi":"10.6224/JN.202502_72(1).06","DOIUrl":"10.6224/JN.202502_72(1).06","url":null,"abstract":"<p><p>The Ministry of Health and Welfare's \"Pilot Program of Home Care for Acute Symptoms\", launched in 2024, and complementary measures for long-term care services are introduced in this article. The goal of the pilot program is to provide appropriate home medical care to specific emergency patients as an alternative to hospitalization, allowing the extension of emergency care from hospitals to home and residential institutions and connecting long-term care resources during and after acute care. Given that many of those targeted by the pilot program are individuals with mobility issues or who require long-term care, and thus subject to higher levels of treatment difficulty and care service demand, the Ministry has relaxed the rules initially set for this program. Now, cases that meet the conditions for long-term care benefits under the \"Regulations on Application and Payment for Long-Term Care Services\" are eligible to access long-term care services during the home care period within the scope of care provided by the home care team without adjusting payment limits or co-payment terms. For institutional residents, additional incentive indicators for the pilot program have been incorporated into the \"Plan for Minimizing Outpatient Visits by Institutional Residents\". In summary, these measures are designed to improve the efficiency and quality of home care provided to address acute symptoms while optimizing the use of long-term care resources to address future medical and caregiving challenges in Taiwan's future super-aged society.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013436","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}