International Journal of Nursing Sciences最新文献

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Self-management behavior preferences and influencing factors in Chinese patients with recurrent gout: A qualitative study 中国复发性痛风患者自我管理行为偏好及其影响因素的定性研究
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.001
Xinyi Hao , Aiping Wang , Hao Huang , Yue Sun , Yingying Duan , Shanwen Sun
{"title":"Self-management behavior preferences and influencing factors in Chinese patients with recurrent gout: A qualitative study","authors":"Xinyi Hao ,&nbsp;Aiping Wang ,&nbsp;Hao Huang ,&nbsp;Yue Sun ,&nbsp;Yingying Duan ,&nbsp;Shanwen Sun","doi":"10.1016/j.ijnss.2024.10.001","DOIUrl":"10.1016/j.ijnss.2024.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the preferences and influencing factors of self-management behaviors in patients with recurrent gout and provide a theoretical basis for developing targeted strategies to improve self-management preferences.</div></div><div><h3>Methods</h3><div>A total of 10 patients with recurrent gout were recruited from the gout specialist outpatient clinic at a tertiary hospital in Shenyang, Liaoning Province, China. Semi-structured interviews were conducted with these patients, and the Kawakita Jiro (KJ) method was used to analyze the interview data.</div></div><div><h3>Results</h3><div>After four rounds of screening by five researchers, 35 codes were selected from an initial 132. After three rounds of discussion and induction, the KJ method identified seven domains of self-management behavior preferences in patients with recurrent gout: 1) extensive knowledge of gout, yet difficulty in distinguishing between accurate and inaccurate information; 2) a passive attitude of “no pain, no management”; 3) the challenge of changing entrenched daily habits; 4) the optimistic but unrealistic belief of “self-delusion”; 5) a tendency to seek medical attention late due to hopelessness of cure and familiarity with recurrences; 6) preference for analgesics for gout recurrences while neglecting long-term urate-lowering therapy (ULT); and 7) gout-related stigma.</div></div><div><h3>Conclusion</h3><div>The results of this study showed that the self-management behavior of patients with recurrent gout could be improved, especially in the aspects of medical seeking behavior, medication compliance, daily management and emotional management. At the same time, we found that gout stigma, difficulty in distinguishing true and false knowledge of gout and negative attitude of “ignoring pain” were significantly associated with self-management behavior.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 544-552"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748710","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}
引用次数: 0
Assessment of nurses’ workplace silence behaviour motives: A cross-sectional study 护士工作场所沉默行为动机评估:一项横断面研究
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.006
Hanadi Mohammed Alhojairi , Naglaa Abdelaziz Mahmoud Elseesy , Sabah Mahmoud Mahran , Maram Ahmed Banakhar , Fatmah Alsharif
{"title":"Assessment of nurses’ workplace silence behaviour motives: A cross-sectional study","authors":"Hanadi Mohammed Alhojairi ,&nbsp;Naglaa Abdelaziz Mahmoud Elseesy ,&nbsp;Sabah Mahmoud Mahran ,&nbsp;Maram Ahmed Banakhar ,&nbsp;Fatmah Alsharif","doi":"10.1016/j.ijnss.2024.10.006","DOIUrl":"10.1016/j.ijnss.2024.10.006","url":null,"abstract":"<div><h3>Objectives</h3><div>The motives that lead to nurses’ workplace silence behaviour are essential to understand, as the failure to voice their concerns and maintain silence may cause various adverse outcomes, including burnout, turnover, job dissatisfaction, low productivity, and mental and moral distress. This study aimed to identify the level and influencing motives of the workplace silence behaviour among nurses at the National Guard Hospital in Madinah.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional survey was conducted in January and February 2023. The participants completed a questionnaire with two parts: the sociodemographic data form and the Workplace Silence Behavior Nursing Motives Scale. Data analysis was performed by descriptive statistics and the chi-square test.</div></div><div><h3>Results</h3><div>The overall level for all workplace silence behavior motives is moderate (3.29 ± 0.69), with Avoidance Motives dimension receiving the highest scores (3.62 ± 0.75) and Organization-Oriented Motives dimension receiving the lowest (3.15 ± 0.86). Chi-square test showed that Saudi nationality <em>(χ</em><sup><em>2</em></sup> = 0.015, <em>P</em> = 0.019<em>)</em> and monthly income <em>(χ</em><sup><em>2</em></sup> = 0.045<em>, P</em> = 0.013) are factors in high-moderate levels of silence behaviour.</div></div><div><h3>Conclusions</h3><div>The overall level of workplace silence behaviour motives was found to be moderate, nurses have higher monthly salaries and non-Saudi nationals tend to have higher levels of workplace silence behaviour motives. The study results provide a reference for nursing managers to pay attention to nurses’ workplace silence behavior and take corresponding intervention measures.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 553-562"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748711","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}
引用次数: 0
The impact of perception bias for cardiovascular disease risk on physical activity and dietary habits 心血管疾病风险感知偏差对身体活动和饮食习惯的影响
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.011
Zhiting Guo , Yujia Fu , Xuyang Wang , Aline Aparecida Monroe , Yuping Zhang , Jingfen Jin , Meifen Chen
{"title":"The impact of perception bias for cardiovascular disease risk on physical activity and dietary habits","authors":"Zhiting Guo ,&nbsp;Yujia Fu ,&nbsp;Xuyang Wang ,&nbsp;Aline Aparecida Monroe ,&nbsp;Yuping Zhang ,&nbsp;Jingfen Jin ,&nbsp;Meifen Chen","doi":"10.1016/j.ijnss.2024.10.011","DOIUrl":"10.1016/j.ijnss.2024.10.011","url":null,"abstract":"<div><h3>Objective</h3><div>Cardiovascular disease (CVD) remains a significant public health challenge in China. Accurate perception of individual CVD risk is crucial for timely intervention and preventive strategies. This study aimed to determine the alignment between CVD risk perception levels and objectively calculated CVD risk levels, then investigate the disparity in physical activity and healthy diet habits among distinct CVD risk perception categories.</div></div><div><h3>Methods</h3><div>From March to August 2022, a cross-sectional survey was conducted in Zhejiang Province using convenience sampling. Participants aged between 20 and 80 years, without prior diagnosis of CVD were included. CVD risk perception was evaluated with the Chinese version of the Attitude and Beliefs about Cardiovascular Disease Risk Perception Questionnaire, while objective CVD risk was assessed through the Prediction for Atherosclerotic Cardiovascular Disease Risk (China-PAR) model. Participants’ demographic information, self-reported physical activity, and healthy diet score were also collected.</div></div><div><h3>Results</h3><div>A total of 739 participants were included in the final analysis. Less than a third of participants (29.2%) accurately perceived their CVD risk, while 64.5% over-perceived it and 6.2% under-perceived it. Notably, half of the individuals (50.0%) with high CVD risk under-perceived their actual risk. Compared to the accurate perception group, individuals aged 60–80 years old (<em>OR</em> = 6.569), currently drinking (<em>OR</em> = 3.059), and with hypertension (<em>OR</em> = 2.352) were more likely to under-perceive their CVD risk. Meanwhile, participants aged 40-&lt;60 years old (<em>OR</em> = 2.462) and employed (<em>OR</em> = 2.352) were more likely to over-perceive their risk. The proportion of individuals engaging in physical activity was lowest in the under-perception group, although the difference among the three groups was not statistically significant (<em>χ</em><sup>2</sup> = 2.556, <em>P</em> = 0.278). In addition, the proportion of individuals practicing healthy diet habits was also lowest in the under-perception group, and a significant statistical difference was observed among the three groups (<em>χ</em><sup>2</sup> = 10.310, <em>P</em> = 0.006).</div></div><div><h3>Conclusion</h3><div>Only a small proportion of participants accurately perceived their CVD risk, especially among those with high actual CVD risk. Individuals in the under-perceived CVD risk group exhibited the lowest rates of physical activity engagement and healthy diet adherence. Healthcare professionals should prioritize implementing personalized CVD risk communication strategies tailored to specific subgroups to enhance the accuracy of risk perception.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 505-512"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748791","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}
引用次数: 0
A conceptual analysis of facilitation to improve clinical outcomes in critical care units 促进改善重症监护病房临床结果的概念分析
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.008
Mpho G. Chipu , Charlené Downing
{"title":"A conceptual analysis of facilitation to improve clinical outcomes in critical care units","authors":"Mpho G. Chipu ,&nbsp;Charlené Downing","doi":"10.1016/j.ijnss.2024.10.008","DOIUrl":"10.1016/j.ijnss.2024.10.008","url":null,"abstract":"<div><h3>Objectives</h3><div>Effective facilitation is crucial to improve critical care outcomes in life-threatening conditions through improved teamwork, caring, decision-making, and problem-solving. The meaning of facilitation remains unprecise in a critical care context despite its frequent usage in nursing education and clinical practice. This study aimed to report a thorough concept analysis to clarify the meaning of facilitation in the critical care context by formulating attributes, antecedents, and consequences and providing model cases related to facilitation.</div></div><div><h3>Methods</h3><div>This analysis was performed by searching online sources published from 1999 to 2023. EBSCOhost, CINAHL, PubMed, and Google Scholar databases were searched using online search engines. The analysis also included the manual search of books, thesaurus and dictionaries that showed relevance to facilitation. Walker and Avant’s eight-step approach was applied to explore and analyze the meaning of facilitation in critical care units.</div></div><div><h3>Results</h3><div>A total of 68 articles were included in the analysis of this study. Eleven attributes, six antecedents, and seven consequences related to facilitation were formulated. The attributes included dynamic, interactive processes, creating a positive environment, mobilizing resources, assistance, student-centered, shared goals, collaboration, engagement, participation, and feedback. Antecedents were facilitator qualities, motivation, a positive learning environment, student-facilitator relationship, time availability, and specified learning outcomes. The consequences of facilitation were identified as follows: change, professional development, competency, quality development, increased job satisfaction, staff retention, and self-confidence.</div></div><div><h3>Conclusions</h3><div>The findings from the analysis indicated that effective facilitation results in nurses and critical care staff developing competency, caring, critical thinking, and independence. Therefore, clinical outcomes in critical care environments are improved through teamwork, decision-making, and problem-solving in life-threatening situations.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 595-603"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748692","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}
引用次数: 0
A review of clinical practice guidelines on the management of preeclampsia and nursing inspiration 子痫前期处理及护理启示的临床实践指南综述
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.010
Ruiyang Sun , Xiu Zhu , Junying Li , Ting Zhang , Hong Lu
{"title":"A review of clinical practice guidelines on the management of preeclampsia and nursing inspiration","authors":"Ruiyang Sun ,&nbsp;Xiu Zhu ,&nbsp;Junying Li ,&nbsp;Ting Zhang ,&nbsp;Hong Lu","doi":"10.1016/j.ijnss.2024.10.010","DOIUrl":"10.1016/j.ijnss.2024.10.010","url":null,"abstract":"<div><h3>Objectives</h3><div>To review, evaluate, and synthesize the recommendations of guidelines on preeclampsia (PE) from a nursing perspective.</div></div><div><h3>Methods</h3><div>This is a systematic review of international and national guidelines on PE. Electronic databases and related guideline websites were searched from 2013 to 2023. After systematic retrieval and screening, we used the AGREE II tool to appraise the methodological quality of guidelines that met the eligibility criteria. Then, we analyzed and summarized the recommendations using descriptive analysis and the framework method. Furthermore, we rated the quality of evidence and the strength of the recommendations using the GRADE approach.</div></div><div><h3>Results</h3><div>Ten guidelines were included, among which eight were deemed “clinically useful” and records were extracted. In total, 31 recommendations, including 46 items on the nursing management of PE, were summarized from three aspects: 1) antenatal care (18 recommendations), including the assessment and regular monitoring of PE, standardized blood pressure (BP) measurement, prevention education for PE, antihypertensive agent monitoring, and magnesium sulfate (MgSO<sub>4</sub>) use; 2) intrapartum care (4 recommendations), including childbirth care; 3) postpartum care (9 recommendations), including regular nursing monitoring, breastfeeding care and longer-term health counseling. Most of the evidence was rated as “very low” (19/46) or “moderate” (15/46) quality. For the strength of the recommendations, 30 items were graded as “strong” and 16 items were rated as “weak”.</div></div><div><h3>Conclusions</h3><div>This study provides professional, evidence-based nursing care resources both for preservice education for nursing staff and health care education for women with PE to help them detect and treat PE in a timely manner.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 528-535"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748795","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}
引用次数: 0
Characteristics of moral distress from nurses’ perspectives: An integrative review 护士视角下道德困扰的特征:一项综合综述
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.005
Mohannad Aljabery , Isabel Coetzee-Prinsloo , Annatjie van der Wath , Nathira Al-Hmaimat
{"title":"Characteristics of moral distress from nurses’ perspectives: An integrative review","authors":"Mohannad Aljabery ,&nbsp;Isabel Coetzee-Prinsloo ,&nbsp;Annatjie van der Wath ,&nbsp;Nathira Al-Hmaimat","doi":"10.1016/j.ijnss.2024.10.005","DOIUrl":"10.1016/j.ijnss.2024.10.005","url":null,"abstract":"<div><h3>Objective</h3><div>This integrative review aimed to identify the common characteristics of moral distress in nursing and distinguish it from other types of distress by examining nurses’ perspectives in the literature. These insights will help update existing tools and create new ones to capture moral distress better, guiding the development and implementation of strategies to support nurses in addressing this challenge.</div></div><div><h3>Methods</h3><div>Whittemore and Knafl’s integrative review method was employed to guide a systematic search for literature in three databases (EBSCO Medline, CINAHL, and PubMed). Additionally, two journals, <em>Bioethics</em> and <em>Nursing Ethics</em>, were manually searched to reduce search bias. The included studies were primary resources published in English between 2018 and 2023, utilizing quantitative, qualitative, or mixed methods to examine moral distress’s characteristics, components, and definitions. All of identified studies were screened, extracted, and analyzed independently by two researchers.</div></div><div><h3>Results</h3><div>Nineteen studies were included. The results were grouped into five themes shaping the main characteristics of moral distress: 1) experiencing a moral situation, with five ethically conflicted situations identified, including treatment plans, professional and personal moral values, team dynamics, complex contexts, clinical practices, and patient-centered care; 2) making a moral judgment, where nurses experience moral distress when they cannot act consistently with their values, ethical principles, and moral duties; 3) the presence of constraints, categorized at three levels: individual factors related to the nurse, patient, and patient’s family; team factors related to the team or unit involved; and system factors, including institutional and policy elements; 4) moral wrongdoing, which occurs when nurses are unable to perform the right moral action; and 5) moral suffering, with studies showing that moral distress impacts physical, emotional, and psychological well-being.</div></div><div><h3>Conclusion</h3><div>The findings enhance the understanding of moral distress characteristics among nursing staff, highlighting the concept of the crescendo effect, which underscores the cumulative and escalating nature of unresolved moral distress, emphasizing the need to address moral conflicts proactively to prevent the erosion of moral integrity and professional satisfaction.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 578-585"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748690","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}
引用次数: 0
Nurses’ job embeddedness and turnover intention: A systematic review and meta-analysis 护士工作嵌入与离职倾向:系统回顾与元分析
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.003
Xin Wang , Ming Liu , Angela Y.M. Leung , Xiaoyan Jin , Hongxia Dai , Shaomei Shang
{"title":"Nurses’ job embeddedness and turnover intention: A systematic review and meta-analysis","authors":"Xin Wang ,&nbsp;Ming Liu ,&nbsp;Angela Y.M. Leung ,&nbsp;Xiaoyan Jin ,&nbsp;Hongxia Dai ,&nbsp;Shaomei Shang","doi":"10.1016/j.ijnss.2024.10.003","DOIUrl":"10.1016/j.ijnss.2024.10.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to review the relationship between job embeddedness and turnover intentions among nurses and explore the effects of the Job Embeddedness Scale, number of years in the career, education, and marital status on this relationship.</div></div><div><h3>Methods</h3><div>The review was conducted by searching the China Knowledge Resource Integrated Database (CNKI), Weipu Database (CQVIP), China Biology Medicine (CBM), Wanfang Database, PubMed, Web of Science, Embase, CINAHL, and APA-PsycNet for articles on nurses’ job embeddedness and turnover from intention up to March 2024. The research quality was evaluated using the Agency for Healthcare Research and Quality (AHRQ) assessment criteria. The review protocol has been registered on PROSPERO [CRD42023483947].</div></div><div><h3>Results</h3><div>The results of this review included 47 studies consisting of 15,742 nurses from seven countries worldwide. A moderate negative correlation was found between job embeddedness and turnover intention (<em>r</em> = -0.487). Furthermore, on-the-job embeddedness (<em>r</em> = -0.527) was more negatively associated with turnover intention than off-the-job embeddedness (<em>r</em> = -0.234). The highest negative correlation was found between sacrifice and turnover intention (<em>r</em> = -0.460), while the lowest was for the link (<em>r</em> = -0.185). Furthermore, the relationship between job embeddedness and its dimensions with turnover intention was affected by different job embeddedness scales, number of years in the career, education, and marital status (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>This systematic review and meta-analysis analyzed the relationships between nurses’ job embeddedness, dimensions, and turnover intention. Meanwhile, subgroup analysis and meta-regression explored the factors influencing these relationships. It is an important reference for nurse managers to promote nurse retention.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 563-570"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748685","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}
引用次数: 0
Stroke nurse-led intravenous thrombolytic therapy strategy for ischemic stroke based on timeline process: A quality improvement program from China 基于时间进程的脑卒中护士主导的缺血性脑卒中静脉溶栓治疗策略:来自中国的质量改进项目
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.004
Baiyu Li, Zhufeng Zhang, Keye Li, Lingdie Zhao, Rong Niu
{"title":"Stroke nurse-led intravenous thrombolytic therapy strategy for ischemic stroke based on timeline process: A quality improvement program from China","authors":"Baiyu Li,&nbsp;Zhufeng Zhang,&nbsp;Keye Li,&nbsp;Lingdie Zhao,&nbsp;Rong Niu","doi":"10.1016/j.ijnss.2024.10.004","DOIUrl":"10.1016/j.ijnss.2024.10.004","url":null,"abstract":"<div><h3>Objective</h3><div>Early thrombolytic therapy for ischemic stroke within the therapeutic window is associated with improved clinical outcomes. This study investigated whether optimizing intravenous thrombolytic (IVT) therapy strategies for stroke could reduce treatment delays.</div></div><div><h3>Methods</h3><div>To reduce delays in IVT therapy for ischemic stroke, a series of quality improvement measures were implemented at a tertiary hospital in Hangzhou, Zhejiang Province, from June 2021 to August 2023, which included developing a timeline process management system, forming a nurse-led stroke process management team, providing homogeneous training, standardizing the IVT therapy process for ischemic stroke, and introducing an incentive policy. During the pre- (from June 2021 to February 2022, group A) and post- (from March to November 2022, group B1; from December 2022 to August 2023, group B2 [implementation of an additional incentive policy]) of the implementation the strategy, the door-to-computed tomographic angiography (CTA) time (DCT), CTA time, neurology consultation to consent for IVT, CTA-to-needle time (CNT), and door-to-needle time (DNT), the percentage of people who underwent CTA within 20 min, 15 min, and 10 min and DNT within 60 min, 45 min, and 30 min were collected and compared.</div></div><div><h3>Results</h3><div>Following the implementation of the standardized IVT process management strategy for stroke, the DNT for group B1 and group B2 were 30 (24, 44) min and 31 (24, 41) min, respectively, both significantly lower than the 46 (38, 58) min in group A (<em>P</em> &lt; 0.001); the median DCT were both 13 min in group B1 and B2 lower than 17min in group A (<em>P</em> &lt; 0.001); the median CTA were 12 min in Group B1 and 9 min in Group B2 lower than 14 min in group A (<em>P</em> &lt; 0.001); similar results were observed during the neurology consultation to obtain consent for IVT and CNT. Compared with group A, the proportion of DCT ≤ 20 min, 15 min, and 10 min was higher in groups B1 and B2 (<em>P</em> &lt; 0.05), and the same result was observed at DNT ≤60 min, 45 min, and 30 min (<em>P</em> &lt; 0.05). However, the additional incentive policy did not significantly differ between Group B2 and Group B1.</div></div><div><h3>Conclusions</h3><div>Optimizing IVT therapy for ischemic stroke is a feasible approach to limit the DNT to 30 min in ischemic stroke, significantly reducing delays within the therapeutic window and increasing the number of patients meeting target time segments. Additionally, generating a timeline for the IVT therapy process by scanning positioning quick response codes was a significant breakthrough in achieving the informatization of IVT quality management for stroke.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 521-527"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748793","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}
引用次数: 0
Advances in applying somatosensory interaction technology in geriatric care: A bibliometric analysis 体感相互作用技术在老年护理中的应用进展:文献计量学分析
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-11-01 DOI: 10.1016/j.ijnss.2024.10.009
Changle Pei , Weibo Lyu , Jingxia Liu , Yan Wang , Wenjia Ye , Zhou Zhou , Kangyao Cheng
{"title":"Advances in applying somatosensory interaction technology in geriatric care: A bibliometric analysis","authors":"Changle Pei ,&nbsp;Weibo Lyu ,&nbsp;Jingxia Liu ,&nbsp;Yan Wang ,&nbsp;Wenjia Ye ,&nbsp;Zhou Zhou ,&nbsp;Kangyao Cheng","doi":"10.1016/j.ijnss.2024.10.009","DOIUrl":"10.1016/j.ijnss.2024.10.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Somatosensory Interaction Technology (SIT) is used in various aspects of geriatric care. We aimed to conduct a bibliometric analysis to summarize relevant publications and visualize publication characteristics, current hotspots, and development trends, thereby inspiring subsequent researches.</div></div><div><h3>Methods</h3><div>We searched the Web of Science Core Collection database for publications on the application of SIT in geriatric care. Bibliometric visualization and clustering analysis were performed using VOSviewer V1.6.18 Software, while keywords burst detection analysis was conducted with CiteSpace 6.1.R6 Software.</div></div><div><h3>Results</h3><div>After screening, a total of 1,019 publications were included. The number of publications on SIT in geriatric care is gradually increasing, exhibiting a rapid growth rate. The United States, Canada, and Australia led in terms of publication volume. Keyword clustering analysis identified major research hotspots: crisis warning, somatic abilities, rehabilitation training and psychosocial support. Initial studies primarily explored themes such as recovery, movement, systems, and later shifted towards gait analysis, muscle strength, parameters, and home-based care. More recently, research themes have evolved to dementia, machine learning, and gamification.</div></div><div><h3>Conclusions</h3><div>SIT is innovative for promoting active aging, advancing intelligent healthcare, and elevating the daily quality of life for older adults in clinical and domestic settings. Applications of SIT can be categorized into early warning systems for crises, detailed analyses of physical conditions, rehabilitation enhancement, and support for psychosocial health. Research trends have transitioned from whole-body recognition to precise feedback, from a focus on physical health to mental health, and from technical feasibility to user-friendliness. Future research should focus on developing accessible and user-friendly devices, fostering interdisciplinary collaborations for innovation, expanding research to address both the physical and mental health needs of diverse older adults, and integrating emerging technologies to enhance data precision and accelerate the development of intelligent platforms.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 571-577"},"PeriodicalIF":2.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748689","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}
引用次数: 0
Evaluating the feasibility and preliminary effects of an online compassion training program for nursing students: A pilot randomized controlled trial 评估针对护理专业学生的在线同情心培训项目的可行性和初步效果:随机对照试验
IF 2.9 3区 医学
International Journal of Nursing Sciences Pub Date : 2024-09-01 DOI: 10.1016/j.ijnss.2024.08.007
Zhi Yang , Mimi Mun Yee Tse , Huiting Huang , Haiyun Fang , Joanne Wai Yee Chung , Doris Yin Kei Chong , Thomas Kwok Shing Wong
{"title":"Evaluating the feasibility and preliminary effects of an online compassion training program for nursing students: A pilot randomized controlled trial","authors":"Zhi Yang ,&nbsp;Mimi Mun Yee Tse ,&nbsp;Huiting Huang ,&nbsp;Haiyun Fang ,&nbsp;Joanne Wai Yee Chung ,&nbsp;Doris Yin Kei Chong ,&nbsp;Thomas Kwok Shing Wong","doi":"10.1016/j.ijnss.2024.08.007","DOIUrl":"10.1016/j.ijnss.2024.08.007","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the feasibility of an online compassion training program for nursing students and preliminarily investigate its effects on mindfulness, self-compassion, and stress reduction.</div></div><div><h3>Methods</h3><div>This study employed a randomized controlled trial design. Second-year students from a nursing college in Guangzhou, China, were recruited as research participants in August 2023. The intervention group participated in an 8-week online compassion training program via the WeChat platform, comprising three stages: mindfulness (weeks 1–2), self-compassion (weeks 3–5), and compassion for others (weeks 6–8). Each stage included four activities: psychoeducation, mindfulness practice, weekly diary, and emotional support. Program feasibility was assessed through recruitment and retention rates, program engagement, and participant acceptability. Program effectiveness was measured with the Mindful Attention Awareness Scale, Self-Compassion Scale - Short Form, and Perceived Stress Scale.</div></div><div><h3>Results</h3><div>A total of 28 students completed the study (13 in the intervention group, 15 in the control group). The recruitment rate was 36.46%, with a high retention rate of 93.3%. Participants demonstrated high engagement: 69.2% accessed learning materials every 1–2 days, 93.3% practiced mindfulness at least weekly, with an average of 4.69 diary entries submitted per person and 23.30 WeChat interactions with instructors. Regarding acceptability, all participants expressed satisfaction with the program, with 92.4% finding it “very helpful” or “extremely helpful.” In terms of intervention effects, the intervention group showed a significant increase in mindfulness levels from pre-intervention (51.54 ± 10.93) to post-intervention (62.46 ± 13.58) (<em>P</em> &lt; 0.05), while no significant change was observed in the control group. Although there were no statistically significant differences between the two groups in post-intervention self-compassion and perceived stress levels, the intervention group showed positive trends: self-compassion levels increased (35.85 ± 8.60 vs. 40.85 ± 5.54), and perceived stress levels slightly decreased (44.77 ± 8.65 vs. 42.00 ± 5.77).</div></div><div><h3>Conclusions</h3><div>This pilot study demonstrated the feasibility of an online compassion training program for nursing students and suggested its potential effectiveness in enhancing mindfulness, self-compassion, and stress reduction. Despite limitations such as small sample size and lack of long-term follow-up, preliminary evidence indicates promising prospects for integrating such training into nursing education. Further research is warranted to confirm these findings and assess the sustained impact of this approach on nursing education and practice.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 4","pages":"Pages 421-428"},"PeriodicalIF":2.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000814/pdfft?md5=04c0efa0b1d6d7f9e1a81327f6940223&pid=1-s2.0-S2352013224000814-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142315184","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}
引用次数: 0
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