Journal of Nursing最新文献

{"title":"[Improving the Standby Process Completion Rate Among Nurses for High-Risk Neonates].","authors":"Mo-Fen Wu, Li-Ying Chung","doi":"10.6224/JN.202404_71(2).10","DOIUrl":"10.6224/JN.202404_71(2).10","url":null,"abstract":"<p><strong>Background & problems: </strong>Readiness process effectiveness significantly impacts the safety of high-risk neonates and requires an immediately responsive and well-trained healthcare team. Analysis of our unit found the high-risk neonatal standby process completion rate among nursing staff to be very low. Reasons for this poor level of performance included absence of standardized procedures for high-risk neonatal standby, lack of an auditing system, inadequate education and training, multiple medical supplies in the standby kits, absence of a checklist for the kits, and failure to regularly inventory the contents of these kits.</p><p><strong>Purpose: </strong>This study was designed to improve the high-risk neonatal standby process completion rate among nursing staff.</p><p><strong>Resolution: </strong>We developed standardized procedures and videos for high-risk neonatal standby situations, established an auditing system, conducted regular scenario-based training, organized medical supplies in the standby kits, designed a checklist, and defined procedures for stocking and using the supplies.</p><p><strong>Results: </strong>The high-risk neonatal care completion rate among nursing staff increased to 100%, and the satisfaction rate with the standby procedure for high-risk neonates rose from 59.5% to 96.5%.</p><p><strong>Conclusions: </strong>Following proper standardized procedures and conducting education and training can ensure effective and high-quality care in critical healthcare situations.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294824","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":"[Exploring Significant Predictors of Retention Willingness in Nurses Diagnosed With COVID-19].","authors":"Pei-Hsuan Yang, Ying-Hua Tseng, Su-Chen Cheng","doi":"10.6224/JN.202404_71(2).08","DOIUrl":"10.6224/JN.202404_71(2).08","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 affected both the physical and mental health of frontline nurses and the stability of the nursing workforce.</p><p><strong>Purpose: </strong>This study was designed to explore the influence of demographic variables, physical and mental health status, perceived work stress, and job satisfaction on intention to continue working as nurses among nursing staff who had been infected by COVID-19.</p><p><strong>Methods: </strong>In this cross-sectional study, an internal online survey was used to collect data from 152 nurses at a hospital in southern Taiwan. The questionnaires in the survey included the Chinese Health Survey Scale, Stress Scale on COVID-19 Patient Care, McCloskey/ Mueller Satisfaction Scale, and Employee Retention Scale. Data analysis was conducted using SPSS/Windows 22.0.</p><p><strong>Results: </strong>The most significant predictors identified included age, seniority, level of education, job satisfaction, physical and mental wellbeing, and work stress. These predictors collectively explained 32% of the total variance in retention willingness (F [18,128] = 4.78, p < .001). Almost half (46.7%; 71/152) of the participants expressed intent to continue working in nursing. Being a senior staff and having a master's degree or higher were positively associated with retention.</p><p><strong>Conclusions / implications for practice: </strong>The findings may be referenced by healthcare organizations and managers to help healthcare staff gain strength and resilience against future pandemics. Key recommendations include reducing staff work stress, increasing job satisfaction, and facilitating a more equitable life-work balance.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294823","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":"[Providing Health-Literacy-Level-Appropriate Health Education to Older Adults in the Post-Pandemic Era].","authors":"Pi-Yu Lee","doi":"10.6224/JN.202304_70(2).02","DOIUrl":"https://doi.org/10.6224/JN.202304_70(2).02","url":null,"abstract":"<p><p>The rapidly changing and high-risk nature of communicable diseases for older adults require individuals in this age group to appropriately change their lifestyle and healthcare habits and engage in self-care more actively and seriously. Good self-health management relies on good health literacy in order to be able to read, understand, and apply relevant health information; to communicate clearly with healthcare providers; and to take health-related decisions and actions. The results of research indicate the health literacy of over 50% of older adults in Taiwan to be inadequate, which may be expected to negatively impact on related health outcomes. After introducing the content, determinants, and impacts of health literacy, the author suggests strategies to improve health literacy in older adults in five activity domains based on current theories and research findings. These domains include: formulate public policies for health literacy, adjust the orientation of health services, construct a friendly healthy information environment for health literacy, strengthen community health literacy education resources, and promote gerontological education and shared decision-making in health care.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9164092","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 Role of Nurses in Bridging the Health Literacy Gap: Empowering Patients in the Post-Pandemic Era].","authors":"Chien-Lin Kuo","doi":"10.6224/JN.202304_70(2).01","DOIUrl":"https://doi.org/10.6224/JN.202304_70(2).01","url":null,"abstract":"<p><p>Health literacy (HL) is an essential ability used by people throughout life to access, understand, appraise, and apply health related information and services and is widely recognized as a key determinant of health. HL has been the focus of increasing international attention in the 21st century, with the World Health Organization identifying HL as a 2030 sustainable development target (World Health Organization, 2016). \"Strengthening health communication and improving HL nationwide\" is also an issue targeted in a Taiwan government white paper for improvement by 2025. Key related actions and strategies noted in this paper include investigating the HL of each life course; disseminating accurate, easy-to-access, and implementable health and safety information; improving the public's awareness and use of mobile tools; using multiple marketing models (public, organization, interpersonal communication); combining cloud technology to develop a health management system; setting up websites; providing cloud care; and developing other e-media (Ministry of Health and Welfare, 2016). The COVID-19 pandemic has greatly challenged the global healthcare system as well as individual health. Due to the difficulties and uncertainties associated with emerging diseases, updating regularly changing information in a timely manner is not easy. Ensuring public access to and application of updated information is a key challenge to improving public HL. Abel & McQueen (2020) pointed out that \"critical health literacy\", the ability of individuals to reflect on complex health issues and critically evaluate available information, will be the key to promoting and enhancing healthy behaviors in response to emerging diseases. Taiwan is rapidly moving toward becoming a super-aged society, at which time frail older adults, individuals with dementia, and individuals with disabilities and multiple chronic diseases are expected to be the primary targets of healthcare system services. During the pandemic, many individuals in vulnerable groups died quickly due to COVID-19-related severe illnesses, leaving their families with insufficient time to respond and adjust. This experience highlights the importance of palliative and end-of-life care communication with clients and of permitting family members to grieve. In addition, disease control measures such as isolation, wearing masks, and reducing visits to patients have also affected communication between people, widening the distance between patients, their families, and healthcare professionals. This experience has made us reflect on how to better use online and mobile tools to support self-care for patients and their families. In this issue, Professor Li first expounds on promoting HL in the elderly through the use of health education strategies such as formulating public policies related to HL, adjusting the orientation of health services, constructing a friendly environment for HL information dissemination, strengthening communi","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9164089","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":"[Hospice Palliative Care Communications in Long-Term Care Facilities in the Post-Pandemic Era: The Role of Nurses].","authors":"Hung-Lan Wu","doi":"10.6224/JN.202304_70(2).03","DOIUrl":"https://doi.org/10.6224/JN.202304_70(2).03","url":null,"abstract":"<p><p>The high infectivity, severity, and mortality of COVID-19 led to the devastating impact this disease has had on people's lives during the pandemic. The related strict infection controls and restrictions affected how palliative and end-of-life care could be discussed with clients and how family members could deal with their grief afterward. However, the provision of concise and accurate information by healthcare providers was found to help ease anxiety and fear during the COVID-19 pandemic. In the post-pandemic era, nurses should actively facilitate, support, advocate for, and coordinate palliative care communications with long-term care facility residents. Thus, the Understanding, Respect, Planning, Expression, Act, Care, and Education (U-R-PEACE) communication strategy is introduced and suggested in this article for this purpose. Palliative care communications should be commenced by nurses as early as possible. Moreover, nurses may help residents optimize their quality of life and death by understanding their and their family members' expectations and preferences, encouraging them to discuss their care plan with doctors, and respecting their decisions. The care goals of achieving a good death and relief of suffering may also be promoted through care that is delivered using a holistic, person/family-centered care approach.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9164091","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":"[Social Media Use and Empowerment in Dementia Care: Facebook Groups for Family Caregivers as an Example].","authors":"Yen-Chieh Lo","doi":"10.6224/JN.202304_70(2).04","DOIUrl":"https://doi.org/10.6224/JN.202304_70(2).04","url":null,"abstract":"<p><p>The expected and nearing approach of a super-aged society and dementia \"tsunami\" in Taiwan must be prioritized by healthcare professionals to help family caregivers of patients with dementia find effective health information and social support and become more empowered in their caregiving roles. The multiple information and communication technology (ICT) platforms currently available for dementia education and family caregivers range from websites and apps designed by healthcare professionals to social media outlets such as Facebook and Twitter. This article discusses the characteristics of social media, lists the various ICT applications available for dementia care, and highlights the advantages of using Facebook groups created by family caregivers over other digital tools in terms of empowering family caregivers. Finally, the author shares his own field observations of family caregivers FB groups, with the findings expected to assist healthcare professionals, including nurses, to develop and implement more-effective social media strategies.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9164095","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":"[Establishment of Administrative Core Competencies and Evaluation Indicators for Head Nurses].","authors":"Hsueh-Ming Kuo, Fang-Ru Yueh, Pei-Mei Chan, Shih-Hsin Liang, Ying-Ju Chang","doi":"10.6224/JN.202404_71(2).06","DOIUrl":"10.6224/JN.202404_71(2).06","url":null,"abstract":"<p><strong>Background: </strong>The increasing complexity of the healthcare environment in recent years highlights the importance of cultivating in head nurses the leadership and management competencies necessary to effectively handle complicated administrative tasks and lead nurses in facing various challenges. Identifying the core administrative management competencies required of head nurses and evaluating competency level using behavioral indicators are fundamental to evaluating related training outcomes.</p><p><strong>Purpose: </strong>This study was designed to identify the core administrative management competencies required of head nurses as well as the associated job responsibilities, tasks, behavioral evaluation indicators, work outputs, and requisite knowledge and skills.</p><p><strong>Methods: </strong>This study was conducted in two phases using a qualitative method. The first phase identified the core administrative management competencies and their behavioral definitions. The second phase established competency-related job responsibilities, tasks, behavioral evaluation indicators, work outputs, and requisite knowledge and skills. Each phase consisted of (1) a qualitative interview (first stage) or focus group discussion (second stage) to establish the prototype content; (2) a head nurse workshop to obtain multiple perspectives to modify the prototype content; and (3) a focus group discussion to achieve consensus regarding the content.</p><p><strong>Results: </strong>Nine core competencies related to head nurse administration were identified, including: strategic planning, care supervision, quality improvement, communication, crisis management, responsible leadership, evidence-based practice, digital technology application, and presentation persuasion. Corresponding to these competencies, four responsibilities and associated work tasks were identified. Finally, the related behavioral evaluation indicators, work outputs, and requisite knowledge and skills were confirmed.</p><p><strong>Conclusions / implications for practice: </strong>The results of this study may be used as the basis for head nurse administrative management training programs, while the identified behavioral evaluation indicators may be used to evaluate head nurse work performance and training outcomes. We recommend other institutions apply the results of this study and develop their own administrative core competencies and evaluation indicators for head nurses.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140294794","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 Effects of the Question Prompt List on Usefulness, Satisfaction and Anxiety in Patients With Terminal Cancer: A Meta-Analysis].","authors":"Yi-Hui Lee,&nbsp;Shu-Hui Yeh,&nbsp;Fang-Yu Cheng","doi":"10.6224/JN.202304_70(2).09","DOIUrl":"https://doi.org/10.6224/JN.202304_70(2).09","url":null,"abstract":"<p><strong>Background: </strong>Difficulties and anxiety caused by poor communication between patients with terminal cancer and their caregivers and medical teams are common in clinical practice. This may lead to uncertainty and fear of treatment, affecting the progress of treatment and achievement of hospice-care goals. The results of prior research indicate that using a question prompt list to promote shared decision-making can improve communication between medical care providers and patients.</p><p><strong>Purpose: </strong>This study was developed to explore the effectiveness of using question prompt lists in communications with terminal cancer patients and their families in clinical settings in Taiwan.</p><p><strong>Methods: </strong>A systematic review of the literature using a meta-analysis research design was conducted in this study. Cochrane Risk of Bias Tool 2 was used to assess literature quality. The selected keywords were used to search six databases, including the English-language PubMed, Cochrane Library, Embase, EBSCOhost, and MEDLINE databases and the Chinese-language Airiti Library database. RevMen 5.4 software (the latest version released by the Nordic Cochrane Center in September 2020) was used for data analysis.</p><p><strong>Results: </strong>Applying the question prompt list was found to significantly increase the number of questions asked (MD = 2.45, p = .01) and the usefulness (SMD = 0.25, p = .02). However, no significant changes in consultation time (MD = 4.49, p = .11), satisfaction (MD = 0.08, p = .91), or anxiety (SMD = 0.06, p = .62) were found.</p><p><strong>Conclusions / implications for practice: </strong>The results support that simplifying and focusing the topics of each chapter and theme of the question prompt list based on time of use may allow the list to be used effectively in combination with family meetings in clinical practice and to be focused based on patient, caregiver, and family needs to facilitate more-productive discussions. This will allow meetings to better facilitate therapeutic relationships and patient and caregiver participation in treatment plans. An external communication coach may be added in the future to help patients and caregivers clarify needs and concerns and improve the effectiveness of consultations. As questioning skills are important to empowering patients, a question prompt list for patients with terminal cancer should be developed. The results of this study may be used to guide the practice of healthcare providers and referenced in caregiver in-service education.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9164088","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":"[Tennis Ball Massage Therapy in Clinical Nurses: Effect on Relieving Musculoskeletal Disorders and Enhancing Self-Efficacy].","authors":"Yuen-Mei Hung,&nbsp;Shu-Wen Chen","doi":"10.6224/JN.202304_70(2).06","DOIUrl":"https://doi.org/10.6224/JN.202304_70(2).06","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal disorders are a common occupational disease. The prevalence of musculoskeletal disorders among nurses is estimated at 65.1%-87.3%, with neck, shoulders, and lower back being most affected.</p><p><strong>Purpose: </strong>To explore the effectiveness of tennis ball massage therapy in alleviating muscle soreness and improving pain relief self-efficacy.</p><p><strong>Methods: </strong>In this quasi-experimental, single-group, pre- and post-test study, 216 nurses in regional teaching hospitals were screened for neck, shoulder, and back pain. Based on the unit attributes, systematic random sampling was employed to recruit 36 nurses to participate in a four-week \"fighting pain\" intervention program. The \"Pain Visual Scale\" and \"Pain Relief Self-efficacy Scale\" were used as the assessment tools. One-way and two-way repeated measure analysis of variance, a signed ranks test, and the Friedman test were used to assess longitudinal change in the data.</p><p><strong>Results: </strong>Shoulders were the most reported site of muscle pain (94.4%), followed by the neck (88.9%) and the upper back (55.6%). The locations of neck, shoulder, and back pain were interacted differently with the four measurement times (F = 2.69, p = .020). In the post hoc comparison, pain relief effectiveness was most significant in the third posttest, followed by the second. The pain relief was significantly different between the pre-test and the third post-test (t = 6.39, 8.68, 6.96, p < .001). There was a significant difference before and after the intervention of the pain relief self-efficacy (F = 53.49, p < .001). The post hoc comparison results revealed that self-efficacy was lowest at pretest and highest at the third posttest. Significant differences were observed between the pre-test and third post-test at the end of the intervention (t = -10.25, p < .001).</p><p><strong>Conclusions / implications for practice: </strong>This study shows that tennis ball massage can improve neck, shoulder, and back pain in nurses and improve pain relief self-efficacy. Tennis ball massage is easy to implement, has no time and space restrictions, and requires no assistance to operate. This equipment can be used to effectively reduce muscle pain, improve the comfort of performing regular activities, and raise work efficiency, reducing the negative impact of muscle pain on work.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9164094","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":"[An Alternative Interpretation of Conflict Management: Interpersonal Conflicts and Doctor (Nurse)/Patient Communications].","authors":"Jung Hui Becky Yeh","doi":"10.6224/JN.202304_70(2).05","DOIUrl":"https://doi.org/10.6224/JN.202304_70(2).05","url":null,"abstract":"<p><p>In this paper, interpersonal conflict is redefined to highlight the conflict dimension, which is ignored in traditional definitions of this term. In this new definition, the \"no conflict\" situation refers to unnoticed differences, disagreements, or dissatisfaction that are accommodated or negotiated prior to being noticed. An essential element of conflict management is identifying the ideal time to express and respond to questions/complaints/disagreement. Communicative efforts for conflict management include increasing (affective) motives related to expressing and responding to disagreement; increasing (cognitively) confidence and competencies in managing interactive flows, and (behaviorally) engaging in communicative actions.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9156708","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}