Journal of Nursing最新文献

{"title":"[The Effectiveness of a Pap Smear Screening Practical Skills Training Program for Nurse-Midwifery Students].","authors":"Chia-Sui Weng, Li-Li Chen, Su-Fen Cheng, Tzu-Ling Chen","doi":"10.6224/JN.202502_72(1).07","DOIUrl":"10.6224/JN.202502_72(1).07","url":null,"abstract":"<p><strong>Background: </strong>Pap smear screenings effectively reduce the incidence of cervical cancer. However, the effectiveness of practical teaching strategies for this procedure is seldom discussed.</p><p><strong>Purpose: </strong>This study was designed to evaluate the effectiveness of a Pap smear screening training approach using the two strategies of classroom simulation and practical community screening demonstrations.</p><p><strong>Methods: </strong>Convenience sampling was used to recruit undergraduate students enrolled between 2021 and 2023 in the nursing midwifery department of a national university. Data were collected between September 2023 and June 2024 and analyzed using a pre-experimental design with a one-group pretest-posttest design. The learning outcomes considered included self-directed learning ability and practical ability performance in cervical smear procedures. Self-directed learning ability was assessed using a self-reported questionnaire, while practical ability performance was separately evaluated by two instructors using direct observation.</p><p><strong>Results: </strong>Fifty-two students were enrolled as participants. Over time, and with the changes in teaching strategies, significant improvements were observed in self-directed learning ability in terms of mean total and subscale scores. In addition, DOPS scores showed a significant increase in practical ability performance.</p><p><strong>Conclusions / implications for practice: </strong>Integrating clinical hands-on training into classroom-based simulation teaching can enhance autonomous learning, improve skill proficiency, and foster future self-directed learning and practical abilities in students to promote women's health.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"41-50"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013408","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 of Home Blood Pressure Monitoring in Hypertension Management].","authors":"Yi-Chen Wang, Hsing-Yu Yang","doi":"10.6224/JN.202502_72(1).13","DOIUrl":"10.6224/JN.202502_72(1).13","url":null,"abstract":"<p><p>Hypertension is a common disease both globally and in Taiwan that poses significant health risks. According to Taiwan's Health Promotion Administration, abnormal blood pressure is prevalent in up to 80% of the adult population aged 65 and above. Hypertension is associated with serious health issues such as cerebrovascular diseases, renal failure, and cardiovascular diseases, and ranks as the seventh leading cause of death in Taiwan. The diagnostic criteria for hypertension have been lowered to 130/80 mmHg. Regular and continuous blood pressure monitoring is crucial in hypertension management. Studies have demonstrated that home blood pressure monitoring (HBPM) offers significant advantages, providing accurate and long-term data on blood pressure variations, avoiding the white-coat effect, and showing a stronger correlation with cardiovascular events. HBPM not only aids in the detection and management of hypertension but also enhances patient medication adherence. Diagnosing and long-term monitoring for hypertension are recommended in 2022 Taiwan Hypertension Treatment Guidelines. The purpose of this paper is to explore the evolution of hypertension diagnostic criteria and the importance of HBPM in hypertension management, emphasizing how HBPM should be applied in diagnosis and treatment. Also, the procedures for HBPM are introduced to help healthcare professionals acquire accurate nursing guidance information. The authors hope these help nursing colleagues better understand the advantages of HBPM in hypertension management and to increase their competence in teaching patients to self-monitor their blood pressure at home to improve the overall health management of hypertensive patients through HBPM.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"103-111"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013324","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":"[New Directions in Elderly Care Workforce Nurturing: Cross-Professional Collaboration From a Social Co-Care Perspective, Drawing Insights From Japan's Elderly Care Experience].","authors":"Shu-Hung Chang","doi":"10.6224/JN.202502_72(1).04","DOIUrl":"10.6224/JN.202502_72(1).04","url":null,"abstract":"<p><p>The increasingly severe issue of societal aging worldwide has prompted the reevaluation of elderly-care strategies and related workforce development. This paper was developed to explore new directions in elderly care workforce development from the perspective of social co-care. The current state and challenges of elderly care personnel in Taiwan are analyzed, emphasizing the importance of cross-professional collaboration to enhancing elderly care quality. Cross-professional collaboration models and training systems currently used in Japan are examined with the goal of identifying how these models and systems as well as practice experiences may benefit and help improve Taiwan's current elderly care system. The future goal is to elevate the academic qualifications and skills of care workers, foster their professional ethics and competencies, strengthen their interprofessional collaboration abilities, and improve their autonomy and professional identity. Ultimately, a clear career advancement pathway should be established to ensure care workers play a leading role within the geriatric care team.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013365","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":"[Reducing the Invalid Alarm Rate for Fetal Heartbeat Monitoring in High-Risk Pregnancies in the Delivery Room].","authors":"Ya-Ju Yang, Chen-Yu Yeh, Ming-Ying Hong, Hao-Yuan Chang","doi":"10.6224/JN.202502_72(1).10","DOIUrl":"10.6224/JN.202502_72(1).10","url":null,"abstract":"<p><strong>Background & problems: </strong>Fetal heartbeat (FHB) monitoring is used to monitor the condition of a fetus in the uterus and estimate the expected time of delivery. It is crucial to accurately and comprehensively monitor fetal heart beats in high-risk pregnancies. However, invalid alarms frequently occur in clinical environments, easily promoting alarm fatigue among nurses and causing anxiety and distrust in the laboring women and their families. Health professionals may ignore valid alarms due to alarm fatigue and miss the opportunity to save a fetus' life. A survey in our hospital identified invalid alarm rates for fetal heart beats as high as 65.1%, with causes including a lack of standard operating procedures for FHB monitoring in high-risk pregnancies and incomplete health education.</p><p><strong>Purpose: </strong>This project was developed to reduce the rate of invalid alarms in FHB monitoring in high-risk pregnancies to less than 42.8%.</p><p><strong>Resolutions: </strong>According to patient safety references for medical equipment management, our team established FHB monitoring standards and procedures for high-risk pregnancies. We edited FHB monitoring nursing guidance leaflets and multimedia health education videos. Nurses distributed the health education leaflets and explained the purpose and precautions during labor to expectant mothers at hospital admission. We invited nurses to share the dilemmas of caring for high-risk pregnancy experiences with nurses and obstetricians. Obstetricians and nurses proposed joint solutions for monitoring to improve the feasibility of comprehensive FHB monitoring and reduce the rate of invalid alarms.</p><p><strong>Results: </strong>The invalid alarm rate associated with FHB monitoring in high-risk pregnancies was reduced from 65.1% to 21.3%. In addition, the integrity of FHB monitoring was increased from 41.7% to 100%.</p><p><strong>Conclusions: </strong>This project effectively reduced the invalid alarm rate for delivery room nurse FHB monitoring in high-risk pregnancies and improved the integrity of this monitoring procedure. Adopting this approach has the potential of reducing anxiety and distrust in women in labor and their families, thereby enhancing the quality of care provided to these women experiencing high-risk pregnancies.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"76-84"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013385","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":"[Age-Friendly Health Care: An Example of Providing Integrated Care for Older People (ICOPE) in Pingtung County, Taiwan].","authors":"Hsiu-Chun Chang, Chia-Hui Chiu, Yi-Hua Lee, Pei-Fang Chia","doi":"10.6224/JN.202502_72(1).05","DOIUrl":"10.6224/JN.202502_72(1).05","url":null,"abstract":"<p><p>Population aging has become a prevalent societal trend in the 21st century, giving rise to intricate challenges for healthcare systems. Taiwan is expected to become a \"super-aging society\" in 2025. In 2020, the Health Promotion Administration, referencing World Health Organization (WHO) guidelines on integrated care for older people (ICOPE), began promoting person-centered functional assessments for older adults to prevent and delay disability, reduce reliance on formal healthcare, and promote healthy aging, aging in place, and active aging. Pingtung County faces a healthcare gap between urban and rural areas. To address this, the county's executive team integrated community and healthcare systems into a single Age-Friendly Health Network to help older adults self-detect intrinsic functional decline problems at an early stage and receive early treatment. The implementation of this network is being done in the following four phases: preparation, action, implementation and revision, and promotion. As of August 2024, ICOPE intake in the county reached 11,873, representing a coverage rate of 7.42%. In addition to inadequate training opportunities for community healthcare professionals, rural communities are currently confronted with a dearth of referral mechanisms for post-ICOPE screening aftercare services for anomalous cases, representing a significant challenge that demands collaboration between industry, government, academia, and research. In light of the expanding older adult population, community nursing can be a formidable undertaking, necessitating the provision of ongoing nursing professional training and psychosocial support.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013233","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":"[Factors Influencing Obstructive Sleep Apnea Among Employees With Metabolic Syndrome: An Example of a District Hospital in Northern Taiwan].","authors":"Yi-Fen Wang, Hsiu-Chin Hsu, Li-Pang Chuang, Hsiang-Ping Huang","doi":"10.6224/JN.202502_72(1).08","DOIUrl":"10.6224/JN.202502_72(1).08","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) is a common sleep disorder shown to be significantly correlated with metabolic syndrome (MS). Healthcare professionals affected by both MS and OSA may suffer from poor sleep quality, raising potential concerns about patient safety. Currently, there remains a gap in research specifically addressing the relationship between MS and OSA in healthcare professionals.</p><p><strong>Purpose: </strong>This study was conducted to examine the prevalence of employees with MS concomitant with OSA and to identify the factors of influence affecting MS employees with OSA in the workplace.</p><p><strong>Methods: </strong>A cross-sectional study design and convenient sampling were used, and participants were recruited from a district hospital in northern Taiwan. Data were collected using a structured questionnaire and a home sleep apnea test. Multiple logistic regression analysis was used to determine the significant factors influencing OSA in employees with MS.</p><p><strong>Results: </strong>A total of 89 participants completed the assessment, with 65.2% of those with MS also found to have OSA. The main factors found to be associated with these employees with MS having OSA as well include gender, job position, body mass index, neck circumference, waist circumference, oxygen desaturation index, and snoring frequency.</p><p><strong>Conclusions / implications for practice: </strong>In light of the high percentage (65.2% in this study) of MS employees affected by OSA, regular health screenings should include a home sleep apnea test for high-risk employees to assess their risk of developing OSA. In addition, promoting a healthy lifestyle to improve MS and prevent OSA is needed.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"51-63"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013360","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":"[Using Therapeutic Play to Increase the Oral Administration Adherence Rate of Preschool Pediatric Inpatients].","authors":"Tsui-Ping Li, Shen-Ling Huang, Yi-Ting Wu, Jui-Chun Feng, Chan-Chuan Yu","doi":"10.6224/JN.202502_72(1).11","DOIUrl":"10.6224/JN.202502_72(1).11","url":null,"abstract":"<p><strong>Background & problems: </strong>Oral administration is the most common mode of medical treatment for pediatric patients. Although over 98% of the patients in the targeted pediatric unit require oral medication, the oral administration adherence rate in 2022 was 43.9%. The reasons for this low rate were identified as: (1) no relevant oral administration educational materials, (2) no relevant continued nursing education provided, and (3) lack of assistive tools and feeding aids to help administer oral medication to young children.</p><p><strong>Purpose: </strong>This project was developed to increase the adherence rate of oral administration of preschool pediatric inpatients in our hospital.</p><p><strong>Resolutions: </strong>The improvement strategies included the design of patient-centered oral medication care guidance leaflets and QR code (quick response code) video links, the development of therapeutic play aids, adding cartoon characters to medicine feeders, and the creation of a \"Rescue the Forest\" picture book and video and reward stickers.</p><p><strong>Results: </strong>The oral medication adherence rate increased from 43.9% pretest to 91.9% posttest.</p><p><strong>Conclusions: </strong>This project and its positive effect on the rate of oral medication adherence may be referenced by other pediatric units.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"85-94"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013349","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":"[Aging and Gender: Inclusive Care Practices and Policies for Lesbian, Gay, Bisexual and Transgender Older Adults].","authors":"Ya-Ching Wang, Hsiu-Hung Wang","doi":"10.6224/JN.202502_72(1).03","DOIUrl":"10.6224/JN.202502_72(1).03","url":null,"abstract":"<p><p>In line with global population aging, the number of lesbian, gay, bisexual, and transgender (LGBT+) older adults is expected to continue to increase. Compared to their heterosexual peers, LGBT+ older adults have poorer physical and psychological health status, experience less social support, and face more barriers when accessing healthcare services, which may lead to higher health disparities and a lower quality of life within LGBT+ older populations. Healthcare providers have been shown to be inadequately prepared to address the unique healthcare needs and challenges of LGBT+ older adults, often leaving these individuals forced to receive care that does not meet their health needs and expectations. Based on the Declaration on Universal Health Coverage proposed by the United Nations and the World Health Organization, medical care and long-term care facilities must provide to healthcare providers training courses in culturally competent care and foster LGBT-friendly care environments to achieve health equity and universal health coverage for LGBT+ populations.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"16-21"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013162","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":"[Effects of a Steno Diabetes Dialogue Card-Based Intervention on Self-Perceived Health, Health Literacy, and Glycemic Control in Older Adults With Type 2 Diabetes Mellitus Living in the Community].","authors":"Wen-Ching Wu, Shu-Chen Hsu","doi":"10.6224/JN.202502_72(1).09","DOIUrl":"10.6224/JN.202502_72(1).09","url":null,"abstract":"<p><strong>Background: </strong>The process of aging is associated with the deterioration of normal body functions as well as lower health awareness due to a reduced ability to acquire and understand health-related information. The subjects of this study were older adults with diabetes mellitus living in community settings. Visual-learning-based Steno diabetes dialogue cards were used to strengthen the learning and knowledge absorption capabilities of the subjects to improve diabetes health knowledge and increase compliance with blood sugar control protocols to achieve blood sugar control goals and delay / reduce the severity of complications.</p><p><strong>Purpose: </strong>This study was designed to assess the comparative effects of Steno diabetes dialogue cards and conventional health interventions on self-perceived health, health literacy, glycated hemoglobin (HbA1c) level, and fasting blood glucose level in older adults with diabetes.</p><p><strong>Methods: </strong>An experimental study was conducted in an outpatient clinic of the department of metabolism in a hospital in northern Taiwan. The subjects were randomized into the experimental group (receiving the Steno diabetes dialogue cards intervention) and control group (receiving conventional health education). Individual health education interventions of 15-20 min each were conducted once a month for 3 consecutive months in both groups.</p><p><strong>Results: </strong>There were 51 subjects in the experimental group and 47 in the control group, with an attrition rate of 10.91%. The changes in the experimental group and the control group before the intervention and three months after the intervention were analyzed, with significant between-group differences found in health literacy and self-perceived health (p < .001). The experimental group's three-month post-test scores were both greater than the pre-test. Significantly, there were significant, positive differences between pre- and post-test values for self-perceived health (p = .005), health literacy (p < .001), glycated hemoglobin (p < .001) and fasting blood glucose (p = .002). Moreover, the improvements were greater in the experimental than the control group.</p><p><strong>Conclusions / implications for practice: </strong>The individual health education interventions improved glycemic control efficacy in all of the subjects. However, the experimental group showed more significant improvements in all measures. Therefore, Steno diabetes dialogue cards offer a clear benefit in enhancing older adults' knowledge regarding self-glycemic control and improving compliance with disease behaviors.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"64-75"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013359","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":"[Integrated Geriatric Healthcare and Related Innovative Models].","authors":"Shu-Yu Chen","doi":"10.6224/JN.202502_72(1).01","DOIUrl":"10.6224/JN.202502_72(1).01","url":null,"abstract":"<p><p>The intensifying trend of population aging has made geriatric healthcare a key concern for countries worldwide. According to the United Nations, the global elderly population is projected to increase to 1.6 billion by 2050 at which time persons above 65 years old are expected to account for 16% of the world's population (United Nations, 2023). To address this challenge, proactive and systematic approaches as well as innovative models are needed to implement practices, education, research, and policy measures (Mohd Tohit & Haque, 2024). Innovative healthcare models and policies are being continuously developed that address aspects such as interdisciplinary collaboration, diverse gender needs, talent cultivation, community assessment and management, and home-based emergency care. For the column in this issue, we invited experts from various fields of geriatric healthcare to share their significant developments and application experiences. Their articles highlight several key related points.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"72 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013362","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}