International Journal of Nursing Sciences最新文献

{"title":"Factors influencing evidence-based practice among undergraduate nursing students: A cross-sectional analysis","authors":"Apiradee Nantsupawat ,&nbsp;Orn-Anong Wichaikhum ,&nbsp;Kulwadee Abhicharttibutra ,&nbsp;Kedsaraporn Udkunta ,&nbsp;Lusine Poghosyan ,&nbsp;Shefaly Shorey","doi":"10.1016/j.ijnss.2023.06.002","DOIUrl":"10.1016/j.ijnss.2023.06.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to describe the current situation of evidence-based practice (EBP) among undergraduate nursing students in Thailand.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted. A convenience sample of 470 third- and fourth-year undergraduate nursing students from five public universities across Thailand participated in this study from January 2021 to March 2021. All participants were invited to complete a general information questionnaire, and the Student Evidence-Based Practice Questionnaire (S-EBPQ).</p></div><div><h3>Results</h3><p>The overall mean S-EBPQ score was 5.29 ± 0.71, and the four subscales, from highest to lowest, were attitudes (5.50 ± 0.93), sharing and applying EBP (5.37 ± 0.87), practice (5.18 ± 0.84), and retrieving and reviewing evidence (5.10 ± 0.81). The current situation of S-EBPQ was higher among nursing students who had higher previous EBP studies, familiarity with research methods, confidence in clinical decision-making, preparedness in practice, and access to journals (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>This study’s findings provide valuable insights for planning strategies that can be integrated into the existing nursing curricula to enhance nursing undergraduates’ EBP application in clinical settings.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10308298","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":"Longitudinal impact of volunteering on the cognitive functioning of older adults: A secondary analysis from the US Health and Retirement Study","authors":"Ester Villalonga-Olives ,&nbsp;Kayleigh R. Majercak ,&nbsp;Josue Almansa ,&nbsp;Tasneem Khambaty","doi":"10.1016/j.ijnss.2023.06.018","DOIUrl":"10.1016/j.ijnss.2023.06.018","url":null,"abstract":"<div><h3>Objectives</h3><p>To examine the relationship of volunteering with cognitive activity, social activity, and physical activity among older adults and, ultimately, with later cognitive functioning across different time periods.</p></div><div><h3>Methods</h3><p>We used individual responding to three waves of the US Health and Retirement Study panel data from 2008, 2012, and 2016 (<em>n</em> = 2,862). Self-reported questionnaires were used to assess annual volunteering frequency (non volunteering, volunteering &lt;100 h and ≥100 h), and an adapted version of the Telephone Interview for Cognitive Status (TICS) was used to assess memory, mental processing, knowledge, language, and orientation. A structural equation model was estimated to assess effects on cognitive functioning throughout waves.</p></div><div><h3>Results</h3><p>Those participants that were part of volunteering activities in 2012 showed an increase between 2008 and 2012 in moderate physical activity (<em>β</em> = 0.19, <em>P</em> &lt; 0.001 for those volunteering less than 100 h and <em>β =</em> 0.21, <em>P</em> &lt; 0.001 for those volunteering at least 100 h), increase in social activity (<em>β =</em> 0.10, <em>P =</em> 0.052 for those volunteering less than 100 h and <em>β =</em> 0.12, <em>P =</em> 0.018 for those volunteering at least 100 h) and increase in higher cognitive activity (<em>β =</em> 0.13, <em>P</em> &lt; 0.001 for those volunteering at least 100 h), compared to participants who did not volunteer. Higher levels of cognitive activity in 2008 and 2012 were associated with higher cognitive functioning on the following waves (<em>β =</em> 0.66 and <em>β =</em> 0.60, <em>P</em> &lt; 0.001, respectively).</p></div><div><h3>Discussion</h3><p>Volunteering is a modifiable activity that can be increased to bolster cognitive functioning in older adulthood, primarily mediated by increased cognitive activity.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9949505","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":"Newly qualified intensive care nurses’ lived experiences of being a shift leader in a private healthcare institution in Gauteng, South Africa","authors":"Lucky Mtsoeni,&nbsp;Sidwell Matlala,&nbsp;Charlené Downing","doi":"10.1016/j.ijnss.2023.06.007","DOIUrl":"10.1016/j.ijnss.2023.06.007","url":null,"abstract":"<div><h3>Objective</h3><p>Newly qualified intensive care nurses (NQICNs) are expected to execute the shift-leading role immediately after graduation. Critical reasoning, problem-solving, decision-making, and evidence-based clinical judgment are thus essential skills for intensive care nursing graduates. This study aimed to explore and describe NQICNs’ lived experiences of being shift leaders.</p></div><div><h3>Methods</h3><p>This descriptive qualitative study was based on the data collected through semi-structured individual interviews. Five NQICNs in five hospitals from one region in Gauteng, South Africa, were interviewed between September and December 2019. NQICNs working as shift leaders for 10 to 12 months after intensive care training were eligible for inclusion in the study. Data were analyzed using the four steps suggested by Giorgi.</p></div><div><h3>Results</h3><p>The results revealed three themes and seven sub-themes. NQICNs suffered greatly intrapersonally (NQICNs reported intrapersonal suffering, manifesting as pre-shift anxiety, severe work stress, and post-shift exhaustion; NQICNs employed coping mechanisms and either fought, fled, or froze during conflict or crises; NQICNs lack of shift-leading experience did not match their heavy load of responsibilities and accountability); the NQICNs interpersonally matured and empowered themselves (NQICNs experienced support and challenges on an interpersonal level; NQICNs improved their interpersonal relationships and felt proud of and empowered by their professional growth); NQICNs highlighted various requirements to help them manage the high demands of leading shifts (others should fulfill certain needs to enable NQICNs to handle the shift-leading role; self-awareness as a need to enable NQICNs to embrace the shift-leading role).</p></div><div><h3>Conclusion</h3><p>A greater understanding of NQICNs and their unmet needs will enable nurse managers, educators, and nurses to better support NQICNs’ evolution from novice to competent shift leaders.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9952331","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":"Development and validation of a risk prediction model for visual impairment in older adults","authors":"Yue Zhao,&nbsp;Aiping Wang","doi":"10.1016/j.ijnss.2023.06.010","DOIUrl":"10.1016/j.ijnss.2023.06.010","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to determine the risk factors that affect visual impairment in older adults for developing and evaluating a visual impairment risk prediction model.</p></div><div><h3>Methods</h3><p>In this hospital-based unmatched case-control design study, we enrolled 586 participants (411 in the training set and 175 in the internal test set) from the ophthalmology clinic and physical examination center of a teaching hospital in Liaoning Province, China, from June to December 2020. Visual impairment was defined as best-corrected visual acuity &lt;6/18 (The WHO definition). Possible influencing factors of visual impairment were assessed, including demographic factors, socioeconomic factors, disease and medication factors, and lifestyle. A visual impairment risk prediction model was developed using binary logistic regression analysis. The area under the ROC curve (AUC) was used to evaluate the effectiveness of the proposed prediction model.</p></div><div><h3>Results</h3><p>Six independent influencing factors of visual impairment in older adults were identified: age, systolic blood pressure, physical activity scores, diabetes, self-reported ocular disease history, and education level. A visual impairment risk prediction model for older adults was developed, showing powerful predictive ability in the training set and internal test set with AUCs of 0.87 (95%CI 0.83–0.90) and 0.81 (95%CI 0.74–0.88), respectively.</p></div><div><h3>Conclusions</h3><p>The risk prediction model for visual impairment in older adults had high predictive power. Identifying older adults at risk for developing visual impairment can help healthcare workers to adopt appropriate targeted programs for early education and intervention to prevent or delay visual impairment and prevent injuries due to visual impairment in older adults.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9954834","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":"Critical care: A concept analysis","authors":"Martin Christensen ,&nbsp;Mining Liang","doi":"10.1016/j.ijnss.2023.06.020","DOIUrl":"10.1016/j.ijnss.2023.06.020","url":null,"abstract":"<div><h3>Objective</h3><p>The terms critical care and the Intensive Care Unit (ICU) are often used interchangeably to describe a place of care. Defining critical care becomes challenging because of the colloquial use of the term. Using concept analysis allows for the development of definition and meaning. The aim of this concept analysis is to distinguish the use of the term critical care to develop an operational definition which describes what constitutes critical care.</p></div><div><h3>Method</h3><p>Walker and Avant’s eight-step approach to concept analysis guided this study. Five databases (CINAHL, Scopus, PubMed, ProQuest Dissertation Abstracts and Medline in EBSCO) were searched for studies related to critical care. The search included both qualitative and quantitative studies written in English and published between 1990 and 2022.</p></div><div><h3>Results</h3><p>Of the 439 papers retrieved, 47 met the inclusion criteria. The defining attributes of critical care included 1) a maladaptive response to illness/injury, 2) admission modelling criteria, 3) advanced medical technologies, and 4) specialised health professionals. Antecedents were associated with illness/injury that progressed to a level of criticality with a significant decline in both physical and psychological functioning. Consequences were identified as either death or survival with/without experiencing post-ICU syndrome.</p></div><div><h3>Conclusion</h3><p>Describing critical care is often challenging because of the highly technical nature of the environment. This conceptual understanding and operational definition will inform future research as to the scope of critical care and allow for the design of robust evaluative instruments to better understand the nature of care in the intensive care environment.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/07/28/main.PMC10401358.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9954837","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 education based on the Common-Sense Model of Self-Regulation on blood pressure and self-management of hypertensive patients: A clinical trial study","authors":"Zohre Kordvarkane ,&nbsp;Khodayar Oshvandi ,&nbsp;Younes Mohammadi ,&nbsp;Azim Azizi","doi":"10.1016/j.ijnss.2023.06.009","DOIUrl":"10.1016/j.ijnss.2023.06.009","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to determine the impact of training based on the Common-Sense Model of Self-Regulation (CSM) on blood pressure and self-management of patients with hypertension.</p></div><div><h3>Methods</h3><p>This randomized controlled trial study was conducted. Seventy-two hypertensive patients were referred to the Farshchian Hospital clinic in Hamadan from April 2021 to March 2022. Samples were selected and randomly assigned to the intervention group (<em>n</em> = 36) and control group (<em>n</em> = 36). The intervention group participated in a training program based on the CSM in five sessions of 30–45 min for one month. Phone follow-up was also done once every three days. The control group only received routine clinic education. The clinic’s nurse measured the patients’ blood pressure, and the participants completed the self-management questionnaire before and three months after the start of the study.</p></div><div><h3>Results</h3><p>A total of 68 participants completed the study. Results showed that before the intervention, there was no statistically significant difference in the mean scores of self-management and its dimensions, systolic, diastolic, and mean arterial pressure between intervention and control groups (<em>P</em> &gt; 0.05). However, after the intervention, the mean of systolic blood pressure (116.21 ± 14.52 vs. 128.62 ± 16.88) mmHg, mean arterial pressure (88.03 ± 8.47 vs. 98.11 ± 11.69) mmHg and the scores of self-management and its dimensions among patients in the intervention group were decreased comparison with control group (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>Education based on the CSM improved self-management and blood pressure reduction in hypertensive patients, so nurses should use it as an effective educational model.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9954840","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":"The development and evaluation of a social media-based HIV knowledge dissemination platform in China","authors":"Shuyu Han ,&nbsp;Hui Li ,&nbsp;Ke Li ,&nbsp;Zhiwen Wang","doi":"10.1016/j.ijnss.2023.06.003","DOIUrl":"10.1016/j.ijnss.2023.06.003","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to introduce the development of a social media-based HIV knowledge dissemination platform and evaluate its dissemination effects, users’ feedback, and preferences.</p></div><div><h3>Methods</h3><p>A social media-based HIV knowledge dissemination platform (“Lihui Space”) was developed as a WeChat Official Account (WOA) to disseminate HIV-related information and knowledge to the public and answer subscribers’ questions. A cross-sectional study was conducted on 784 platform subscribers between July 2021 and September 2021 to evaluate users’ experiences with and preferences for the platform. This platform included three content levels about HIV-related information and knowledge: individual level (health self-management), community level (social function), and society level (news and policy), and dissemination information through texts, pictures, videos, and websites. A descriptive analysis was conducted to estimate the dissemination effects of the platform and evaluation scores.</p></div><div><h3>Results</h3><p>As of September 16, 2021, this platform’s WeChat Communication Index (WCI) score was 923.60, the total number of users was 100,008, and the total views in one month was more than 724,000. Participants reported a high level of satisfaction with this platform in terms of overall evaluation (23.36 ± 3.06), readability (18.46 ± 2.63), function evaluation (13.93 ± 1.92), design and structure (22.96 ± 3.36), and interactivity (12.56 ± 2.69).</p></div><div><h3>Conclusion</h3><p>This social media-based platform is currently available in the WeChat application. It is a promising tool for HIV knowledge dissemination and addressing disparities in accessing health care resources.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9952327","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":"Call for papers for a special issue on improving patient safety","authors":"Huaping Liu","doi":"10.1016/j.ijnss.2023.06.016","DOIUrl":"https://doi.org/10.1016/j.ijnss.2023.06.016","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49742961","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}

{"title":"Nursing in a posthuman era: Towards a technology-integrated ecosystem of care","authors":"Junqiang Zhao","doi":"10.1016/j.ijnss.2023.06.005","DOIUrl":"10.1016/j.ijnss.2023.06.005","url":null,"abstract":"<div><p>The healthcare sector has undergone significant transformation due to the rapid advancements in artificial intelligence and biotechnologies, presenting both opportunities and threats to the nursing profession. Posthumanism, as a critical perspective challenging anthropocentrism and emphasizing the increasingly blurred boundaries between humans and nonhumans, provides a novel lens to comprehend these technological advancements. In this commentary paper, I draw on the posthuman discourse to argue that in light of these technological forces, we need to contemplate the core values and fundamental patterns of knowing within the nursing discipline, reconfigure nursing scope, redefine its relations with other agents, and embrace a technology-integrated ecosystem of care.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10308299","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":"Influencing factors associated with oral health among older hospitalized patients with ischemic stroke: A cross-sectional survey","authors":"Chengfei Wu ,&nbsp;Huanhuan Huang ,&nbsp;Wenxin Xu ,&nbsp;Jinghong Li ,&nbsp;Mei Chen ,&nbsp;Qinghua Zhao","doi":"10.1016/j.ijnss.2023.06.011","DOIUrl":"10.1016/j.ijnss.2023.06.011","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the oral health status of older patients with ischemic stroke and analyze the influencing factors, providing valuable insights for developing effective oral health management strategies tailored for this population.</p></div><div><h3>Methods</h3><p>A cross-sectional survey was conducted from January to June 2022, selecting 350 older patients with ischemic stroke from two tertiary hospitals in Chongqing. The Barthel Index (BI), Eating Assessment Tool (EAT-10), and Oral Health Assessment Tool (OHAT) were used to assess patients’ self-care ability, swallowing function, and oral health status, respectively. A self-designed questionnaire was used to collect demographic information, disease-related information, and oral health behaviors of the patients. Binary logistic regression analysis was performed to analyze related influencing factors.</p></div><div><h3>Results</h3><p>A total of 346 older patients with ischemic stroke were included, with 199 males and 147 females. The median total score of OHAT was 5 (total score range 0–16). Dental decay (91.7%, 278/303) and poor oral hygiene (92.2%, 319/346) were the main oral health problems in this population. Binary logistic regression analysis showed that sex, hyperlipidemia, stroke severity, stroke events, oral health behaviors, and care dependency were influencing factors for the oral health of this population (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>The study revealed that healthcare professionals should strengthen the oral health assessment of older patients with ischemic stroke and implement individualized health education and management measures based on the characteristics of high-risk groups to promote their oral health.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/84/61/main.PMC10401348.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9954835","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}