International Journal of Nursing Sciences最新文献

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Relationship between nurses’ perception of professional shared governance and their career motivation: A cross-sectional study 护士专业共享治理感知与职业动机的关系:横断面研究
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.016
Amal Diab Ghanem Atalla , Loujain Saud Sharif , Nouran Essam Katooa , Faten Shawky Kandil , Alaa Mahsoon , Naglaa Abdelaziz Mahmoud Elseesy
{"title":"Relationship between nurses’ perception of professional shared governance and their career motivation: A cross-sectional study","authors":"Amal Diab Ghanem Atalla ,&nbsp;Loujain Saud Sharif ,&nbsp;Nouran Essam Katooa ,&nbsp;Faten Shawky Kandil ,&nbsp;Alaa Mahsoon ,&nbsp;Naglaa Abdelaziz Mahmoud Elseesy","doi":"10.1016/j.ijnss.2023.09.016","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.016","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to investigate the level of professional shared governance and career motivation and their relationship among nurses in Egypt.</p></div><div><h3>Methods</h3><p>A cross-sectional survey was conducted. A total of 724 nurses working in inpatient medical, surgical, and critical care units in Alexandria Main University Hospital were recruited from May to August 2022. The Index of Professional Nursing Governance (IPNG) version 3.0 and the Career Motivation Scale were used for evaluation.</p></div><div><h3>Results</h3><p>The IPNG version 3.0 total score was 109.18 ± 22.76, that nurses perceived had a low level of professional shared governance; the access to information dimension achieved the highest average mean score (2.81 ± 0.76), followed by the ability to set goals and conflict resolution dimension (2.75 ± 0.53). On the other hand, the dimension of participation in the committee structure achieved the lowest average mean score (1.65 ± 0.37). The total score of career motivation was 69.82 ± 9.70 this reflects that nurses perceived a moderate level of career motivation. The career insight dimension achieved the highest average mean score (3.56 ± 0.34), while the career resilience dimension achieved the lowest average mean score (3.07 ± 0.49). Male nurses, less than 30 years old, had a bachelor’s degree in nursing sciences, and worked in the ICU had higher total scores of the IPNG and career motivation (<em>P</em> &lt; 0.001). There was a positive correlation between the IPNG version 3.0 score and the Career Motivation Scale score (<em>r</em> = 0.239, <em>P</em> = 0.003).</p></div><div><h3>Conclusions</h3><p>The study’s findings can serve as a theoretical foundation for nursing managers to re-plan the management model and develop appropriate methods to give better career planning for nurses.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“Failure to control blood sugar” experiences of persons with type 2 diabetes mellitus 2型糖尿病患者“血糖控制失败”的经历
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.004
Patcharee Numsang , Areewan Oumtanee , Suwakon Kurat , Rattana Sananok , Sakaorat Kraichan , Puangkaew Sarapoke
{"title":"“Failure to control blood sugar” experiences of persons with type 2 diabetes mellitus","authors":"Patcharee Numsang ,&nbsp;Areewan Oumtanee ,&nbsp;Suwakon Kurat ,&nbsp;Rattana Sananok ,&nbsp;Sakaorat Kraichan ,&nbsp;Puangkaew Sarapoke","doi":"10.1016/j.ijnss.2023.09.004","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.004","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to explore the experiences of persons with type 2 diabetes mellitus having poor glycemic control.</p></div><div><h3>Methods</h3><p>A narrative qualitative study was conducted. Eight participants were recruited at a hospital’s primary care unit (PCU) in northeastern Thailand from October to December 2021. The data was collected using in-depth interviews, field notes, and non-participatory observation. It was then analyzed based on the thematic analysis guide of Braun &amp; Clarke (2006).</p></div><div><h3>Results</h3><p>The results revealed four main themes and eight sub-themes: lifestyle practice (inappropriate eating behaviors, taking diabetes drugs irregularly, exercising irregularly); perception of self-care (misperceptions about self-care practices, diabetes was a genetic disease and therefore had to be accepted); awareness regarding complications (not being aware of glycemic control, issues with social gatherings); stress from socioeconomic issues (feeling stressed in daily life).</p></div><div><h3>Conclusions</h3><p>It is the role of healthcare professionals to stress the importance of healthy behaviors to improve glycemic control in terms of diet, exercise, medication use, perception, awareness, culture, and beliefs. The study results could aid healthcare providers in developing innovations in nursing care or interventions to change unhealthy behaviors.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability and validity of the Chinese version of the Self-Efficacy Perception Scale for Administrator Nurses 中文版管理护士自我效能感量表的信度和效度
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.015
Taotao He , Yang Chen , Caini Song , Chaoqun Li , Jia Liu , Jing Huang
{"title":"Reliability and validity of the Chinese version of the Self-Efficacy Perception Scale for Administrator Nurses","authors":"Taotao He ,&nbsp;Yang Chen ,&nbsp;Caini Song ,&nbsp;Chaoqun Li ,&nbsp;Jia Liu ,&nbsp;Jing Huang","doi":"10.1016/j.ijnss.2023.09.015","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.015","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to translate the Self-Efficacy Perception Scale of Administrator Nurses (SEPSAN) into Chinese and test its reliability and validity among nurse managers.</p></div><div><h3>Methods</h3><p>A scale translation and cross-sectional validation study was conducted. The English version was translated for Chinese by the Brislin translation model included direct translation, back translation, integration, and cultural adjustment. A total of 382 nurse administrators were recruited from 20 general hospitals in five Chinese cities to assess the reliability and validity of the scale from April to May 2023. Validity assessments included content, structural, and convergent validity. Reliability was evaluated using Cronbach’s α coefficient and test–retest reliability.</p></div><div><h3>Results</h3><p>The item-content validity index (I-CVI) of the scale ranged from 0.86 to 1.00, and the average scale-level content validity index (S-CVI/Ave) for the overall scale was 0.98. The exploratory factor analysis indicated five dimensions (planning, organizing, commanding, coordinating, controlling, and inspecting) with 41 items. The cumulative variance contribution rate was 63.72%. Confirmatory factor analysis showed an acceptable fit. The general Cronbach’s α coefficient was 0.95, and the test–retest reliability was 0.87.</p></div><div><h3>Conclusion</h3><p>The Chinese version of SEPSAN showed satisfactory reliability and validity and thus can be used to assess the self-efficacy of nurse administrators in China.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Call for papers for a special issue on evidence-based practice in nursing 关于护理循证实践的特刊征稿
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.013
Hong-Lin Chen , Yan Hu
{"title":"Call for papers for a special issue on evidence-based practice in nursing","authors":"Hong-Lin Chen ,&nbsp;Yan Hu","doi":"10.1016/j.ijnss.2023.09.013","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.013","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum to “Effects of a symptom management intervention based on group sessions combined with a mobile health application for persons living with HIV in China: A randomized controlled trial” [Int J Nurs Sci 8 (2021) 370–379] “基于小组会议结合移动健康应用程序的症状管理干预对中国艾滋病毒感染者的影响:一项随机对照试验”的勘误表[国际护理科学杂志8 (2021)370-379]
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.023
Shuyu Han , Yaolin Pei , Rui Zhao , Yan Hu , Lin Zhang , Xiang Qi , Zheng Zhu , Wenxiu Sun , Bei Wu
{"title":"Corrigendum to “Effects of a symptom management intervention based on group sessions combined with a mobile health application for persons living with HIV in China: A randomized controlled trial” [Int J Nurs Sci 8 (2021) 370–379]","authors":"Shuyu Han ,&nbsp;Yaolin Pei ,&nbsp;Rui Zhao ,&nbsp;Yan Hu ,&nbsp;Lin Zhang ,&nbsp;Xiang Qi ,&nbsp;Zheng Zhu ,&nbsp;Wenxiu Sun ,&nbsp;Bei Wu","doi":"10.1016/j.ijnss.2023.09.023","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.023","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The associations among nurse work engagement, job satisfaction, quality of care, and intent to leave: A national survey in the United States 护士工作投入、工作满意度、护理质量和离职意向之间的关系:美国的一项全国性调查
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.010
Holly Wei , Leann Horsley , Yan Cao , Lisa M. Haddad , Katherine C. Hall , Roslyn Robinson , Margaret Powers , Debra Gay Anderson
{"title":"The associations among nurse work engagement, job satisfaction, quality of care, and intent to leave: A national survey in the United States","authors":"Holly Wei ,&nbsp;Leann Horsley ,&nbsp;Yan Cao ,&nbsp;Lisa M. Haddad ,&nbsp;Katherine C. Hall ,&nbsp;Roslyn Robinson ,&nbsp;Margaret Powers ,&nbsp;Debra Gay Anderson","doi":"10.1016/j.ijnss.2023.09.010","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.010","url":null,"abstract":"<div><h3>Objectives</h3><p>Employee work engagement, job satisfaction, quality of care, and intent to leave are critical indicators for healthcare organizational performance. This study aimed to analyze the current state of nurses’ work engagement and its factors to examine the associations among nurses’ work engagement, job satisfaction, quality of care, and intent to leave in the United States (US).</p></div><div><h3>Methods</h3><p>This is a quantitative descriptive cross-section design. Data were collected online from the US registered nurses from March to September 2022. Measures comprised the Utrecht Work Engagement Scale, the demographics, and questions regarding job satisfaction, perceived quality of care, and intent to leave.</p></div><div><h3>Results</h3><p>Nine hundred nurses participated in the online survey. Among the participants, 79.2% reported holding a specialty certification, 59.4% scored high/very high on job satisfaction, 82.2% expressed high/very high on the perceived quality of nursing care, and 28.4% conveyed likely/very likely to leave in the following year. Nurses’ work engagement was positively associated with nurses’ job satisfaction and their perceived quality of care but negatively associated with intent to leave. More certified nurses reported high or very high job satisfaction than non-certified nurses. As for demographics, the linear regression analysis showed that nurses who were older, identified as White, and held doctorate degrees reported higher levels of work engagement in comparison to their counterparts.</p></div><div><h3>Conclusions</h3><p>This study shows that nurses’ work engagement is associated with their job satisfaction, perceived quality of care, and intent to leave. Nurses’ work engagement in this study is lower than in other studies, especially before the COVID-19 pandemic, which may indicate a possible association with the COVID-19 impact. Because nurses’ work engagement is significantly associated with job satisfaction, nurse leaders need to find ways to promote nurses’ job satisfaction and retention.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial 基于家庭的卒中后患者及其家庭项目的有效性:一项随机对照试验
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.020
Saisunee Deepradit , Arpaporn Powwattana , Sunee Lagampan , Weena Thiangtham
{"title":"Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial","authors":"Saisunee Deepradit ,&nbsp;Arpaporn Powwattana ,&nbsp;Sunee Lagampan ,&nbsp;Weena Thiangtham","doi":"10.1016/j.ijnss.2023.09.020","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.020","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the effectiveness of a family-based program for post-stroke patients and their families.</p></div><div><h3>Methods</h3><p>A cluster randomized controlled trial design was used. Participants were randomly selected in the experimental group (3 districts) and the comparison group (3 districts), with 62 families recruited. Sixty-two persons with new stroke and families (family caregivers and family members) who met the inclusion criteria were assigned to two groups, 31 in each group. Using the Neuman System Model as a framework, we implemented the stressors assessment and family-based intervention into the program. Participants in the comparison group received usual care, and those in the experimental group underwent a stressors assessment and received the family-based program. Measurement of functional status, depression, and complications in post-stroke patients and family function in family caregivers and family members, as well as caregiver burden and caregiver stress in family caregivers, were assessed at baseline, 4 weeks, and 12 weeks after enrollment. Data analysis included descriptive statistics, the chi-square test, Bonferroni test, and repeated measures analysis of variance.</p></div><div><h3>Results</h3><p>After participating in a 12-week family-based program, post-stroke patients in the experimental group showed statistically significant improvements in their functional status and decreased depression compared to the comparison group (<em>P</em> &lt; 0.05). The family function of the experimental group was significantly improved, and caregivers’ burden and stress were decreased compared to the comparison group (<em>P</em> &lt; 0.05). Three patients in the experimental group and seven in the comparison group experienced complications.</p></div><div><h3>Conclusions</h3><p>The study findings suggest that the present family-based program improved family function in family caregivers and family members and decreased caregiver burden and stress in family caregivers. The program also improved functional status and reduced depression in post-stroke patients. It is suggested the duration of the program be extended to assess its sustainable effectiveness.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strengths, weaknesses, opportunities and threats of peer support among disadvantaged groups: A rapid scoping review 弱势群体同伴支持的优势、劣势、机会和威胁:快速范围审查
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.002
Kalina Mikolajczak-Degrauwe , Sybren R. Slimmen , Dylan Gillissen , Petra de Bil , Valerie Bosmans , Corrine Keemink , Inge Meyvis , Yvonne J. Kuipers
{"title":"Strengths, weaknesses, opportunities and threats of peer support among disadvantaged groups: A rapid scoping review","authors":"Kalina Mikolajczak-Degrauwe ,&nbsp;Sybren R. Slimmen ,&nbsp;Dylan Gillissen ,&nbsp;Petra de Bil ,&nbsp;Valerie Bosmans ,&nbsp;Corrine Keemink ,&nbsp;Inge Meyvis ,&nbsp;Yvonne J. Kuipers","doi":"10.1016/j.ijnss.2023.09.002","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.002","url":null,"abstract":"<div><h3>Objective</h3><p>To explore the current state of knowledge and evidence about peer support for various disadvantaged groups; to identify the strengths, weaknesses, opportunities, and threats of peer support to critically reflect on peer support within health and social services.</p></div><div><h3>Methods</h3><p>A rapid scoping review was conducted according to Arksey and O’Malley’s framework, aiming to identify eligible studies in PubMed, APA PsychInfo, Education Resources Information Center, Cochrane Library, Academic Search Premier, ScienceDirect, Directory of Open Access Journals, ResearchGate, WorldCat, and Google Scholar. According to Rodgers’ concept analysis steps and the SWOT model, data was reported using thematic synthesis.</p></div><div><h3>Results</h3><p>Forty-five studies were included, describing a variety of peer support initiatives among groups of young migrants and unsupervised minors, young adults with autism, people with (mental) health problems, foster/shelter families, vulnerable pregnant women, people outside the labour force, older adults, and homeless people. The strength of peer support is its positive effect on the quality of life among vulnerable people. The weakness is represented by peers both being too involved and focused on personal interest or by peers lacking expertise and knowledge. Opportunities for peer support are mutual learning, the anticipated long-term effects, and the potential to facilitate social inclusion. Culture, language barriers, drop-out rates, securing sustainability, and peers’ lack of time and commitment are regarded as threats to peer support.</p></div><div><h3>Conclusion</h3><p>Although peer support offers good outcomes for various groups of vulnerable people, the weaknesses and threats need to be considered to provide and proliferate peer support.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The implementation and impacts of national standards for comprehensive care in acute care hospitals: An integrative review 急症医院综合护理国家标准的实施及影响:一项综合评价
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.008
Beibei Xiong , Christine Stirling , Melinda Martin-Khan
{"title":"The implementation and impacts of national standards for comprehensive care in acute care hospitals: An integrative review","authors":"Beibei Xiong ,&nbsp;Christine Stirling ,&nbsp;Melinda Martin-Khan","doi":"10.1016/j.ijnss.2023.09.008","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.008","url":null,"abstract":"<div><h3>Objectives</h3><p>To synthesise current evidence addressing implementation approaches, challenges and facilitators, and impacts of national standards for comprehensive care in acute care hospitals.</p></div><div><h3>Methods</h3><p>Using Whittemore &amp; Knafl’s five-step method, a systematic search was conducted across five databases, including Medline (EBSCO), CINAHL (EBSCO), Cochrane Library, Web of Science, and Scopus, to identify primary studies and reviews. In addition, grey literature (i.e., government reports and webpages) was also searched via Google and international government/organisation websites. All searches were limited to January 1, 2000 to January 31, 2023. Articles relevant to the implementation or impacts of national standards for comprehensive care in acute care hospitals were included. Included articles underwent a Joanna Briggs Institute quality review, followed by qualitative content analysis of the extracted data adhering to PRISMA reporting guidelines.</p></div><div><h3>Results</h3><p>A total of 16 articles were included in the review (5 primary studies, 5 government reports, and 6 government webpages). Three countries (Australia, Norway, and the United Kingdom [UK]) were identified as having a national standard for comprehensive care. The Australian standard contains a unique component of minimising patient harm. Norway does not have a defined implementation framework for the standard, whereas Australia and the UK do. Limited research suggests that challenges in implementing a national standard for comprehensive care in acute care hospitals include difficulties in implementing governance processes, end-of-life care actions, minimising harms actions, and developing comprehensive care plans with multidisciplinary teams, the absence of standardised care plans and patient-centred goals in documentation, and excessive paperwork. Implementation facilitators include a new care plan template using the Identify, Situation, Background, Assessment and Recommendation framework for handover, promoting efficient documentation, clinical decision-making and direct patient care, and proactivity among patients and care professionals with collaboration skills. Limited research suggests introducing the Australian standard demonstrated some positive effects on patient outcomes.</p></div><div><h3>Conclusion</h3><p>The components and implementation approaches of the national standards for comprehensive care in Australia, Norway and the UK were slightly different. The scarcity of studies found during the review highlights the need for further research to evaluate the implementation challenges and facilitators, and impacts of national standards for comprehensive care in acute care hospitals.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meaning of community activity participation for older adults in couple households 老年人在夫妻家庭中参与社区活动的意义
IF 3.8 3区 医学
International Journal of Nursing Sciences Pub Date : 2023-10-01 DOI: 10.1016/j.ijnss.2023.09.003
Yumie Kanamori, Ayako Ide-Okochi
{"title":"Meaning of community activity participation for older adults in couple households","authors":"Yumie Kanamori,&nbsp;Ayako Ide-Okochi","doi":"10.1016/j.ijnss.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.09.003","url":null,"abstract":"<div><h3>Objective</h3><p>Currently, 65.3% of older adults in Japan live in couple households. If one partner dies, the other may be unable to reconstruct their lifestyles, have health problems, or become isolated. Participation in community activities helps them maintain physical, mental, and social health. This study aimed to clarify the meaning of participation in community activities among older adults in couple households.</p></div><div><h3>Methods</h3><p>Semi-structured individual interviews were used to collect data. In February 2019, six adults aged 65 and above who had lived with their spouses for at least one year and continuously participated in community activities were interviewed in Miyazaki City, Japan. Data were analyzed using the KJ method (a qualitative method that organizes ideas in a bottom-up fashion developed by Kawakita Jiro), supervised by a professional instructor.</p></div><div><h3>Results</h3><p>The results revealed seven symbols using this method: 1) building a cooperative relationship with a spouse: respect the willingness to work hard for members; 2) consideration for relationships with other organizations: pay attention to every detail; 3) proactive attitude: don’t leave everything to others, 4) attitude of questioning one’s way of being: myself in connection to others, 5) connection among participants: increased awareness directed toward others, 6) spiritual fulfillment: time, place, and opportunity for outings, 7) physical and mental self-control for continued community activities: growing awareness of health care.</p></div><div><h3>Conclusions</h3><p>For older adults in couple households, it is found that participation in community activities helps them receive support from their spouses and gain a proactive attitude, and the connection between participants contributes to physical and mental control and also improves their health.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71762269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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