International Journal of Nursing Sciences最新文献

{"title":"Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia","authors":"Rizki Fitryasari ,&nbsp;Marthoenis Marthoenis ,&nbsp;Sri Warsini ,&nbsp;Kim Usher ,&nbsp;Hanik Endang Nihayati ,&nbsp;Winda Kusumawardani ,&nbsp;Hasmila Sari","doi":"10.1016/j.ijnss.2024.12.003","DOIUrl":"10.1016/j.ijnss.2024.12.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals. This study aimed to explore the challenges that community health workers (CHWs) encounter while providing mental health services in the community.</div></div><div><h3>Methods</h3><div>Forty CHWs were selected to participate in the study by purposive sampling method from July to August 2023 in seven primary health centers (PHCs) among three cites of Indonesia. Focus group discussions were used to collect data. All of data were analyzed using the interpretive phenomenological analysis method.</div></div><div><h3>Results</h3><div>Considering the participants’ voluntary CHW role, the results were organized into five themes. These comprised two themes of challenges—family stigma and limited understanding of mental disorders, and three themes regarding efforts to overcome the challenges—maintaining self-motivation, fostering self-efficacy, and using communication skills when approaching families and patients.</div></div><div><h3>Conclusions</h3><div>Upskilling and empowering CHWs helps to enhance community mental health. Thus, it is crucial to support CHWs through training programs that aim to improve mental health literacy and communication skills and diminish family stigma.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 27-34"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlated factors of posttraumatic growth in patients with colorectal cancer: A systematic review and meta-analysis","authors":"Dingyuan Wei ,&nbsp;Xue Wang ,&nbsp;Mengxing Wang ,&nbsp;Jiayan Wang ,&nbsp;Fangping Chen ,&nbsp;Luyang Jin ,&nbsp;Xuemei Xian","doi":"10.1016/j.ijnss.2024.12.004","DOIUrl":"10.1016/j.ijnss.2024.12.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review and meta-analysis aimed to identify and synthesize the factors correlated with posttraumatic growth (PTG) in patients with colorectal cancer (CRC).</div></div><div><h3>Methods</h3><div>PubMed, Web of Science, Embase, PsycINFO, CINAHL, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang database, China Science and Technology Journal Database (VIP) and SinoMed were searched for studies that reported data on the correlated factors associated with PTG in patients with CRC from inception to September 3, 2024. The methodological quality of the included studies was assessed via the Agency for Healthcare Research and Quality (AHRQ) methodology checklist and the Newcastle-Ottawa Scale (NOS). Pearson correlation coefficient (<em>r</em>) was utilized to indicate effect size. Meta-analysis was conducted in R Studio.</div></div><div><h3>Results</h3><div>Thirty-one eligible studies encompassing 6,400 participants were included in this review. Correlated factors were identified to be significantly associated with PTG in patients with CRC including demographic factors: residential area (<em>r</em> = 0.13), marital status (<em>r</em> = 0.10), employment status (<em>r</em> = 0.18), education level (<em>r</em> = 0.19), income level (<em>r</em> = 0.16); disease-related factors: time since surgery (<em>r</em> = 0.17), stoma-related complications (<em>r</em> = 0.14), health-promoting behavior (<em>r</em> = 0.46), and sexual function (<em>r</em> = 0.17); psychosocial factors: confrontation coping (<em>r</em> = 0.68), avoidance coping (<em>r</em> = −0.65), deliberate rumination (<em>r</em> = 0.56), social support (<em>r</em> = 0.47), family function (<em>r</em> = 0.50), resilience (<em>r</em> = 0.53), self-efficacy (<em>r</em> = 0.91), self-compassion (<em>r</em> = −0.32), psychosocial adjustment (<em>r</em> = 0.39), gratitude (<em>r</em> = 0.45), stigma (<em>r</em> = −0.65), self-perceived burden (<em>r</em> = −0.31), fear of cancer recurrence (<em>r</em> = −0.45); and quality of life (<em>r</em> = 0.32).</div></div><div><h3>Conclusions</h3><div>This meta-analysis identified 23 factors associated with PTG in CRC patients. Medical workers can combine those relevant factors from the perspective of positive psychology, further explore the occurrence and development mechanism of PTG, and establish targeted interventions to promote PTG.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 96-105"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Chinese-version Behavioral Inhibition System/Behavioral Activation System Scales among stroke survivors with depressive symptoms","authors":"Dan Shi ,&nbsp;Yuen Yu Chong ,&nbsp;Lijuan Zhou ,&nbsp;Ho Yu Cheng","doi":"10.1016/j.ijnss.2024.12.002","DOIUrl":"10.1016/j.ijnss.2024.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the reliability and validity of the Chinese version of the Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) scales among stroke survivors.</div></div><div><h3>Methods</h3><div>The cross-sectional study was conducted at four comprehensive hospitals in Taizhou, Jiangsu, China. A sample of 232 first-ever stroke survivors were recruited from June to August 2023. Validity was examined using face validity and construct validity, which used confirmatory factor analysis (CFA) and known-group analysis. Reliability was evaluated by internal consistency and test-retest reliability.</div></div><div><h3>Results</h3><div>The BIS/BAS scales demonstrated satisfactory face validity. The findings of CFAs supported the original four-factor structure of BAS-reward, BAS-drive, BAS-fun seeking, and BIS with acceptable model fit indices. Discriminative validity, assessed via known-group analysis, indicated that stroke survivors with probable depression had significantly lower mean BAS-reward, BAS-drive, and BAS-fun seeking scores (<em>P</em> &lt; 0.001) and a higher mean BIS score (<em>P</em> = 0.028) compared to those without probable depression. The internal consistency, measured by Cronbach’s α coefficients for the subscales, ranged from 0.669 to 0.964. Test-retest reliability, assessed using intra-class correlation coefficients, ranged from 0.61 to 0.93.</div></div><div><h3>Conclusions</h3><div>The Chinese version of the BIS/BAS scales could be a reliable and valid instrument for measuring behavioral activation among stroke survivors.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 74-80"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retention of international nurses in receiving country: Voices of Indonesian nurses in Japanese healthcare facilities","authors":"Ferry Efendi ,&nbsp;Eka Mishbahatul Mar’ah Has ,&nbsp;Rifky Octavia Pradipta ,&nbsp;Grace Solely Houghty ,&nbsp;Hisaya Oda ,&nbsp;Yuko Tsujita","doi":"10.1016/j.ijnss.2024.12.008","DOIUrl":"10.1016/j.ijnss.2024.12.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the voices of Indonesian migrant nurses on their retention in Japanese healthcare facilities.</div></div><div><h3>Methods</h3><div>A descriptive qualitative study was conducted between June and September 2023. The snowball sampling method was utilized to recruit 22 Indonesian nurses working in healthcare facilities in seven prefectures of Japan. Semi-structured interviews were conducted based on their shared experiences. All interview data were audio-recorded, transcribed verbatim, and analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Six prominent themes and 15 subthemes emerged: 1) organizational factors (caring leader, involvement in decision making, career development, and participation in training); 2) social support systems (group support, colleagues support and friend support); 3) individual drive (lifelong learning and persistent); 4) national policies (government support in public service and flexibility in finding a comfortable placement); 5) family factors (positive support of child education and development and maintaining relationship with spouse); and 6) economic factors (staying due to high salary and increasing income streams).</div></div><div><h3>Conclusions</h3><div>Retention of Indonesian migrant nurses in Japan is a multifaceted challenge that hinges on various interconnected factors. This study has gone some way toward enhancing our understanding of international nurse retention in the receiving countries. Corresponding supports at the individual, family, organizational, economic, social, and national policy levels should be considered to keep them in their destination countries.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 3-11"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of subgroups of self-reported outcomes among breast cancer patients undergoing surgery and chemotherapy: A cross-sectional study","authors":"Feixia Ni ,&nbsp;Tingting Cai ,&nbsp;Tingting Zhou ,&nbsp;Changrong Yuan","doi":"10.1016/j.ijnss.2024.12.007","DOIUrl":"10.1016/j.ijnss.2024.12.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify the subgroups of self-reported outcomes and associated factors among breast cancer patients undergoing surgery and chemotherapy.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted between January and November 2021. We recruited patients from two tertiary hospitals in Shanghai, China, using convenience sampling during their hospitalization. Patients were assessed using a questionnaire that included sociodemographic and clinical characteristics, the Patient Reported Outcomes Measurement Information System profile-29 (PROMIS-29), and the PROMIS-cognitive function short form 4a. Latent class analysis was performed to examine possible classes regarding self-reported outcomes. Multiple logistic regression analysis was used to determine the associated factors. Analysis of variance (ANOVA) was conducted for symptoms across the different classes.</div></div><div><h3>Results</h3><div>A total of 640 patients participated in this study. The findings revealed three subgroups in terms of self-reported outcomes among breast cancer patients undergoing surgery and chemotherapy: low physical-social-cognitive function, high physical-low cognitive function, and high physical-social-cognitive function. Multivariable logistic regression analysis showed that age (≥ 60 years old), menopause, the third chemotherapy cycle, undergoing simple mastectomy and breast reconstruction, duration of disease 3–12 months, stage III/IV cancer, and severe pain were associated factors of the functional decline groups. Besides, significant differences in depression and sleep disorders were observed among the three groups.</div></div><div><h3>Conclusions</h3><div>Breast cancer patients receiving surgery and chemotherapy can be divided into three subgroups. Aging, menopause, chemotherapy cycle, surgery type, duration and stage of disease, and severe pain affected the functional decline groups. Consequently, healthcare professionals should make tailored interventions to address the specific functional rehabilitation and symptom relief needs.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 51-58"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on equity analysis and forecasting of nursing human resource allocation in Jiangxi Province, China","authors":"Yunyu Du ,&nbsp;Zhiqin Xie ,&nbsp;Zhen Yang ,&nbsp;Wanyin Xiong ,&nbsp;Li Zhou ,&nbsp;Min Zhang ,&nbsp;Suhua Zeng ,&nbsp;Min Wang","doi":"10.1016/j.ijnss.2024.12.009","DOIUrl":"10.1016/j.ijnss.2024.12.009","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the equity of nursing human resource allocation in Jiangxi Province, China, and forecast future trends in the next five years.</div></div><div><h3>Methods</h3><div>We used the related data from the <em>China Statistical Yearbook</em>, <em>China Health Statistics Yearbook</em>, and <em>Jiangxi Statistical Yearbook</em> (2003–2022). The equity of nursing human resource allocation was evaluated using Lorenz curves, Gini coefficients, and Theil index, from the perspective of population and geographical area. Demands for nursing human resource in Jiangxi Province from 2023 to 2027 were forecasted using the Autoregressive Integrated Moving Average (ARIMA) and Grey (1,1) models.</div></div><div><h3>Results</h3><div>From 2003 to 2022, all the key nursing human resource indicators continuously increased; the number of registered nurses in Jiangxi Province increased by 109,786, with an average annual growth rate of 7.80%. Registered nurses per 1,000 population rose by 2.21, while nurses per square kilometer increased by 0.66. Jiangxi Province has surpassed the national level in several nursing resource indicators, including registered nurses as a percentage of health technicians, registered nurses per square kilometer, and doctor-to-nurse ratio. Within the province, all indicators in cities are higher than those in county-level regions. Among the cities in Jiangxi Province, Ganzhou City had the highest number of registered nurses, Xinyu City led in the doctor-to-nurse ratio, and Nanchang City had the highest bed-to-nurse ratio. In 2022, the Gini coefficients for registered nurses in Jiangxi Province were 0.09 by population and 0.34 by geographical area, reflecting the allocation of registered nurses in Jiangxi Province is highly equitable by population but relatively equitable by geographical area. Forecasting results suggested that the number of registered nurses in Jiangxi Province will reach 170,100 by 2027, indicating continued growth and improvement in nursing resource allocation.</div></div><div><h3>Conclusions</h3><div>Over the past two decades, the human nursing resources in Jiangxi Province have grown substantially. The absolute fairness of nurse human resources allocation by population highlights significant progress, although regional disparities persist. These findings provide a foundation for optimizing future nursing resource allocation to ensure equitable access to healthcare services.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 19-26"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of empowerment-based interventions on self-efficacy and self-care capacity among patients with sickle cell disease: A randomized controlled trial","authors":"Zohour Ibrahim Rashwan ,&nbsp;Hasan Abdali Khalil ,&nbsp;Leena Mohamed Khonji ,&nbsp;Gayathripriya Narayanan ,&nbsp;Marwan Kamal Altheeb ,&nbsp;Roseben Pradeep ,&nbsp;Rajeswari Krishnasamy ,&nbsp;Magda Mohamed Bayoumi","doi":"10.1016/j.ijnss.2024.12.011","DOIUrl":"10.1016/j.ijnss.2024.12.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the effect of empowerment-based interventions on self-efficacy and self-care capacity among adults with sickle cell disease (SCD).</div></div><div><h3>Methods</h3><div>A randomized control trial was conducted [NCT06296654]. A total of 76 patients were recruited by using a cluster sampling technique in the two health centers in Bahrain from February to May 2022 and randomly allocated to the intervention group (<em>n</em> = 38) or control group (<em>n</em> = 38). The intervention group received the empowerment-based intervention implemented through structured small-group discussion sessions, individualized consultations (5A model: assess, advise, agree, assist, and arrange), and follow-up sessions, while the control group received routine health education. The Sickle Cell Self-Efficacy Scale (SCSES) and the Appraisal of the Self-Care Agency Scale-Revised (ASA-R) were measured at baseline and one month after the intervention among two groups of patients.</div></div><div><h3>Results</h3><div>A total of 68 patients completed the study (36 patients in the intervention group and 32 patients in the control group). After the intervention, the score of SCSES in the intervention group was 37.0 (35.0, 39.8) higher than the control group 28.0 (25.2, 32.0) (<em>U</em> = − 6.121, <em>P</em> &lt; 0.001); the score of ASA-R in the intervention group was 61.0 (58.3, 65.0) higher than the control group 49.0 (43.3, 53.0) (<em>U</em> = 0.653, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Adopting the empowerment-based intervention using the 5As model effectively improves self-efficacy and self-care capacity among patients with SCD.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 42-50"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of autoethnography in nursing","authors":"Martin Salzmann-Erikson","doi":"10.1016/j.ijnss.2024.10.002","DOIUrl":"10.1016/j.ijnss.2024.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>Autoethnography combines personal experiences with cultural analysis, emerging as a response to the limitations of traditional ethnography. This review aimed to explore, describe, and delineate the utilization of autoethnography by nurses published in peer-reviewed journals.</div></div><div><h3>Methods</h3><div>A scoping review was conducted according to the Arksey and O’Malley framework. On October 12, 2023, autoethnographic studies in nursing were identified through searches of CINAHL, PubMed, PsycINFO, and Scopus. Peer-reviewed articles published in English language were retrieved. We applied no date restriction. Data were extracted on nursing, epiphany, results, style of writing, implications for nursing, and ethical considerations.</div></div><div><h3>Results</h3><div>Twenty-six articles met the inclusion criteria. Mental health nursing, covered by nine articles, elucidated experiences of stigma, ethical dilemmas, and professional identity. Nursing education, represented by seven articles, highlighted identity struggles, systemic biases, and evolving pedagogies. Palliative care, addressed by three articles, provided insights into communication challenges and emotional complexities in end-of-life care. The remaining articles explored rehabilitation, cultural competence, and chronic pain management. A conceptual framework integrating ontological, epistemological, ethical, and practical dimensions was developed, emphasizing the interplay between personal and professional roles.</div></div><div><h3>Conclusions</h3><div>This review underscores autoethnography’s value in uncovering the cultural and ethical dimensions of nursing. This framework advocates for a reflective, culturally attuned approach to healthcare, fostering transformative changes in nursing. Further research should explore underrepresented nursing specialties to harness autoethnography’s potential fully.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 586-594"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of structured nurse-patient conversation on preventing falls among patients in an acute care hospital: A mixed study","authors":"Kathrin Weber ,&nbsp;Susanne Knueppel Lauener ,&nbsp;Mieke Deschodt ,&nbsp;Florian Grossmann ,&nbsp;René Schwendimann","doi":"10.1016/j.ijnss.2024.08.012","DOIUrl":"10.1016/j.ijnss.2024.08.012","url":null,"abstract":"<div><h3>Objectives</h3><div>Inpatient falls are a major patient safety issue in acute care hospitals. Multifactorial in-hospital fall prevention programs have shown reductions in falls and related risks. One common element of successful programs is active patient involvement. This study objective was to explore patients’ and nurses’ experiences with a structured intervention to foster patient involvement.</div></div><div><h3>Methods</h3><div>This study was conducted between September 2020 and April 2021 in a university hospital neurological ward. The studied intervention consisted of a falls information leaflet, and a structured nurse-patient conversation about fall risk-reduction activities. Nurses were trained to deliver the intervention and supported throughout the study. Nurses’ and patients’ experiences regarding personal involvement, satisfaction, and confidence were surveyed and analyzed quantitatively and qualitatively.</div></div><div><h3>Results</h3><div>Fifty-six patients recruited by ward nurses received the intervention. After receiving the intervention, patients reported high levels of satisfaction with the in-hospital fall prevention conversation. Twenty-one nurses indicated that they would use the leaflet and communication aid. Twenty-one nurses commented on intervention facilitators and barriers. More specific facilitators included their shared perception that “handing out the leaflet to patients was not problematic” and that the leaflet was seen as “applicable in many patient situations.” Their comments indicated two particularly prominent barriers to conducting the intervention in clinical practice: 1) “finding the time for the implementation in the daily clinical routine and workload” and 2) “environmental factors like a noisy and busy atmosphere on the ward.”</div></div><div><h3>Conclusions</h3><div>This study provides insights into a patient involvement intervention featuring a structured nurse-patient discussion about fall risks. The accompanying information leaflet and communication guide require adaptations to facilitate sustainable implementation into the hospital’s fall prevention program, but proved useful.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 513-520"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensity of nursing work in a primary healthcare center: An observational study","authors":"Melita Peršolja","doi":"10.1016/j.ijnss.2024.10.007","DOIUrl":"10.1016/j.ijnss.2024.10.007","url":null,"abstract":"<div><h3>Objectives</h3><div>In the sphere of occupational intensity, nursing stands recognized for its inherently demanding nature, marked by a rapid succession of tasks. Our primary aim was to assess the level of job intensity within nursing by analyzing the frequency and duration of activities performed by nurses, instances of task overlap, and the distribution of break times within a primary healthcare center.</div></div><div><h3>Methods</h3><div>This study was conducted using a descriptive working method. Nursing activities were recorded with the observation of six nurses, each monitored for 37.5 h. We used the Maribor System for measuring Quantity in Nursing Care in Primary Health Care Settings to measure the nursing care activities about direct patient care, indirect patient care, and other unproductive aspects through direct non-participant observations.</div></div><div><h3>Results</h3><div>About 41.5% (<em>n</em> = 1,640) of all nursing activities involving direct contact with patients, about 38.2% (<em>n</em> = 1,508) was indirect patient care, where a large amount worked with paper files (<em>n</em> = 666, 16.9%). In addition, about 15.0% were other nursing activities (mostly computer work), and just 5.3% (<em>n</em> = 210) of tasks were unproductive. The observational findings indicate a pronounced level of work intensity experienced by nurses in primary health clinics. Significantly, nurses were predominantly engaged in direct patient care tasks, often managing multiple activities simultaneously. Their transitions between tasks occurred approximately every 3 min, frequently without adequate intervals for breaks.</div></div><div><h3>Conclusions</h3><div>This study highlights the need to shift nurses’ focus from a task-centric approach to one centered on patient care. The prevailing emphasis on tasks may contribute to enduring fatigue and professional dissatisfaction. Consequently, there is an urgent need to redefine the scope of a nurse’s role and implement a comprehensive computer information system as an integral part of this redefined approach.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 536-543"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}