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Outcomes of a Risk-Stratified Protocol for Preventing Peristomal Skin Complications in Patients with an Ostomy: A Cohort Study. 预防造口术患者口周皮肤并发症的风险分层方案的结果:一项队列研究。
IF 2.4
Nursing Reports Pub Date : 2025-05-20 DOI: 10.3390/nursrep15050179
Francesco Carlo Denti, Eliana Guerra, Francesca Caroppo, Pietro Abruzzese, Fabrizio Alessi, Filippo Barone, Pasqualina Bernardino, Massimiliano Bergamini, Maria Cristina Bernardo, Gloria Bosio, Paula Carp, Manuela Cecconello, Annalinda Cerchier, Francesca Croci, Rita Detti, Mina Milenova Dimitrova, Cristina Di Pasquale, Maria Rosaria D'Ippolito, Simona Ditta, Erica Ducci, Anna Belloni Fortina, Stefano Frascarelli, Marianna Galante, Rita Guarino, Nicola Leggio, Elisabetta Livio, Alessandra Marchetti, Francesca Marelli, Rita Mastropaolo, Viviana Melis, Nicola Palmiero, Arianna Panarelli, Anna Lea Pascali, Francesco Pizzarelli, Laura Precisi, Cinzia Rastello, Silvia Regaglia, Rossana Elvira Rinaldi, Nadia Rumbolo, Claudio Sansone, Angela Santelli, Giovanni Sarritzu, Stefano Sfondrini, Sara Stanzani, Mattia Stella, Margherita Walterova, Rosario Caruso
{"title":"Outcomes of a Risk-Stratified Protocol for Preventing Peristomal Skin Complications in Patients with an Ostomy: A Cohort Study.","authors":"Francesco Carlo Denti, Eliana Guerra, Francesca Caroppo, Pietro Abruzzese, Fabrizio Alessi, Filippo Barone, Pasqualina Bernardino, Massimiliano Bergamini, Maria Cristina Bernardo, Gloria Bosio, Paula Carp, Manuela Cecconello, Annalinda Cerchier, Francesca Croci, Rita Detti, Mina Milenova Dimitrova, Cristina Di Pasquale, Maria Rosaria D'Ippolito, Simona Ditta, Erica Ducci, Anna Belloni Fortina, Stefano Frascarelli, Marianna Galante, Rita Guarino, Nicola Leggio, Elisabetta Livio, Alessandra Marchetti, Francesca Marelli, Rita Mastropaolo, Viviana Melis, Nicola Palmiero, Arianna Panarelli, Anna Lea Pascali, Francesco Pizzarelli, Laura Precisi, Cinzia Rastello, Silvia Regaglia, Rossana Elvira Rinaldi, Nadia Rumbolo, Claudio Sansone, Angela Santelli, Giovanni Sarritzu, Stefano Sfondrini, Sara Stanzani, Mattia Stella, Margherita Walterova, Rosario Caruso","doi":"10.3390/nursrep15050179","DOIUrl":"10.3390/nursrep15050179","url":null,"abstract":"<p><strong>Background/objectives: </strong>Peristomal skin complications (PSCs) are common among patients with ostomies, significantly impacting quality of life and increasing healthcare utilization. This study aimed to evaluate the effects of the Dermamecum protocol, a risk-stratified educational intervention, on the prevention of PSCs, self-care improvements, health-related quality of life (HRQoL), and patient satisfaction over a 90-day follow-up period.</p><p><strong>Methods: </strong>This prospective cohort study included 305 patients stratified into three risk-based groups (green, yellow, and red paths) according to the Dermamecum protocol. Primary outcomes included PSC rates at 30, 60, and 90 days. Secondary outcomes included self-care scores, HRQoL, and patient satisfaction. Comparative analyses and trend assessments were performed across groups and time points. Temporal trends in PSCs were analyzed using Poisson regression.</p><p><strong>Results: </strong>Early PSC rates were 8.5% at 30 days, with late complications at 7.9% and 6.2% at 60 and 90 days, respectively. No significant differences in PSC rates were observed between paths. Self-care scores improved over time, with stability across groups and domains. HRQoL remained stable, with minor fluctuations in physical and mental components. Patient satisfaction was high across all paths. Poisson regression identified significant temporal trends in PSC rates, with higher risks at 30, 60, and 90 days compared to baseline. Age, BMI, and path assignment (lower risk for the green path) were significant predictors of PSCs.</p><p><strong>Conclusions: </strong>The Dermamecum protocol effectively maintained low PSC rates, supported self-care, and sustained HRQoL and patient satisfaction. These findings highlight the value of risk-stratified, patient-centered interventions in ostomy care. Further studies are needed to validate these results and explore long-term outcomes.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adaptation to Long-Term Home Non-Invasive Ventilation for People with Chronic Hypercapnic Respiratory Failure: A Qualitative Study. 慢性高碳酸血症性呼吸衰竭患者对长期家庭无创通气的适应:一项定性研究
IF 2.4
Nursing Reports Pub Date : 2025-05-20 DOI: 10.3390/nursrep15050176
Nur Zahrah Yuko Yacob Hussain, Norasyikin Hassan, Hang Siang Wong, Yingjuan Mok, Piyanee Klainin-Yobas
{"title":"Adaptation to Long-Term Home Non-Invasive Ventilation for People with Chronic Hypercapnic Respiratory Failure: A Qualitative Study.","authors":"Nur Zahrah Yuko Yacob Hussain, Norasyikin Hassan, Hang Siang Wong, Yingjuan Mok, Piyanee Klainin-Yobas","doi":"10.3390/nursrep15050176","DOIUrl":"10.3390/nursrep15050176","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Home non-invasive ventilation use is the primary treatment for improving respiratory function in people with chronic hypercapnic respiratory failure. Non-invasive ventilation has also been studied to understand users' perspectives. However, no studies have been conducted on how users adapt to non-invasive ventilation in their homes from the early phase of their diagnosis as a long-term utility. <b>Methods:</b> The study employed a descriptive qualitative design guided by Roy's adaptation model. A purposive sample was used. People with chronic hypercapnic respiratory failure who had used NIV at home for a minimum of six months would be eligible. They were interviewed at a sleep and assisted ventilation centre. Their interviews were audio recorded before proceeding with transcription. Each transcript was thematically analysed. <b>Results:</b> Twenty participants were included in the study, from which six themes emerged. They experienced a common transition, from denying the need for non-invasive ventilation to integrating them into their daily lives at home. Throughout this process, they had emotional turmoil, faced difficulties in keeping their masks on, and improved sleep quality. They also adjusted their social interactions before fully accepting the use of non-invasive ventilation. Their coping strategies in their role functions at home and social interaction were also narrated. Their family members were pivotal in their adaptation period. <b>Conclusions</b>: Gaining insight into individuals' adaptation experiences can facilitate early identification of potential challenges faced by new users of non-invasive ventilation. This study calls for healthcare professionals to assess users' understanding of long-term commitment and their living conditions early for a successful NIV adaptation.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Traditional and Ultrasound-Guided Techniques for Vascular Access in Patients with Difficult Venous Access in Emergency Departments: Randomized Clinical Trial Protocol. 传统与超声引导技术在急诊科静脉通道困难患者血管通路中的比较:随机临床试验方案。
IF 2.4
Nursing Reports Pub Date : 2025-05-20 DOI: 10.3390/nursrep15050177
Mercedes S Peralta-Gámez, Marina Gómez de Quero Córdoba, Silvia Reverté-Villarroya, Roser Cuesta-Martínez
{"title":"Comparison of Traditional and Ultrasound-Guided Techniques for Vascular Access in Patients with Difficult Venous Access in Emergency Departments: Randomized Clinical Trial Protocol.","authors":"Mercedes S Peralta-Gámez, Marina Gómez de Quero Córdoba, Silvia Reverté-Villarroya, Roser Cuesta-Martínez","doi":"10.3390/nursrep15050177","DOIUrl":"10.3390/nursrep15050177","url":null,"abstract":"<p><p><b>Background</b>: Vascular access in emergency departments (ED) is challenging for patients with difficult venous access (DIVA), causing delays and discomfort. Ultrasound-guided techniques may offer improved outcomes, making it crucial to assess their benefits, risks, and the effectiveness of validated identification systems. <b>Objectives</b>: To contribute new evidence regarding the effectiveness of validated tools for identifying DIVA and to assess the clinical benefits of ultrasound-guided vascular access in emergency care, and to assess their utility in arterial puncture for arterial blood gas sampling, from now on ABG, within the ED. <b>Methods</b>: This study follows the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) guidelines for protocol development and the Consolidated Standards of Reporting Trials (CONSORT) guidelines for the conduct and reporting of the randomized clinical trial (RCT). The trial will be conducted in Spain throughout 2025. The study population will consist of 114 subjects with difficult intravenous access (DIVA), identified using the DIVA scale for individuals under 14 years of age and the A-DICAVE scale for adults, along with 80 subjects from the general surgical area (GSA). Participants will be randomly assigned, in a 1:1 ratio, to either the Control Group (CG) (traditional technique) or the Experimental Group (EG) (ultrasound-guided technique). Data collected will include sociodemographic characteristics, procedure-related variables (e.g., time required, human resources, and materials used), as well as pain levels, assessed using validated scales (EVA, FLACC, PAINAD), and overall satisfaction from both patients and healthcare professionals. Ethical approval has been obtained, and the trial will be registered as an RCT through an official clinical trial registry before recruitment begins. <b>Results</b>: Expected results suggest ultrasound guidance will significantly improve first-attempt success rates, reduce procedural time, enhance patient comfort, and optimize resource utilization compared to traditional techniques. <b>Conclusions</b>: The integration of ultrasound-guided vascular access into routine emergency protocols could enhance patient safety, satisfaction, and procedural efficiency in emergency care settings.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Resilience in Nursing Education: Insights from Thai Instructors on Supporting Student Growth. 护理教育中的临床弹性:泰国教师对支持学生成长的见解。
IF 2.4
Nursing Reports Pub Date : 2025-05-20 DOI: 10.3390/nursrep15050180
Pimwalunn Aryuwat, Jessica Holmgren, Margareta Asp, Matanee Radabutr, Annica Lövenmark
{"title":"Clinical Resilience in Nursing Education: Insights from Thai Instructors on Supporting Student Growth.","authors":"Pimwalunn Aryuwat, Jessica Holmgren, Margareta Asp, Matanee Radabutr, Annica Lövenmark","doi":"10.3390/nursrep15050180","DOIUrl":"10.3390/nursrep15050180","url":null,"abstract":"<p><p><b>Background:</b> Resilience is a cornerstone attribute for nursing students, enabling them to adapt to stressful situations encountered during their educational journey and subsequent healthcare career. <b>Objective:</b> This qualitative study aimed to explore nursing instructors' experiences promoting resilience among nursing students during clinical education. <b>Methods:</b> Focus groups were conducted with 27 instructors from four nursing colleges in Thailand. Data were analyzed using Braun and Clarke's inductive thematic analysis approach, guided by the Unitary Caring Science Resilience-Building Model. <b>Results</b>: Two main themes emerged: (1) Challenges to Nursing Students' Resilience and (2) Support Strategies for Enhancing Resilience. Challenges included bridging theory and practice, upholding confidence in clinical skills, adapting to new clinical environments, and managing expectations. Support strategies encompassed providing comprehensive preparation, fostering open communication, implementing peer support systems, and utilizing reflective practice. <b>Conclusions:</b> The findings highlight the complex interplay of factors affecting nursing students' resilience and the multifaceted approaches instructors use to support it. This study underscores the need for a holistic approach to nursing education that addresses clinical competence and psychological well-being. Implications include curriculum redesign to bridge the theory-practice gap, enhanced instructor training in mentorship and resilience-building, implementation of comprehensive student support systems, and technology integration to support learning and resilience.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical Thinking and Clinical Decision Making Among Registered Nurses in Clinical Practice: A Systematic Review and Meta-Analysis. 临床实践中注册护士的批判性思维与临床决策:一项系统回顾和meta分析。
IF 2.4
Nursing Reports Pub Date : 2025-05-20 DOI: 10.3390/nursrep15050175
Nur Hidayah Zainal, Md Asiful Islam, Nur Syahmina Rasudin, Zakira Mamat, Tengku Muhammad Hanis, Wan Shakira Rodzlan Hasani, Kamarul Imran Musa
{"title":"Critical Thinking and Clinical Decision Making Among Registered Nurses in Clinical Practice: A Systematic Review and Meta-Analysis.","authors":"Nur Hidayah Zainal, Md Asiful Islam, Nur Syahmina Rasudin, Zakira Mamat, Tengku Muhammad Hanis, Wan Shakira Rodzlan Hasani, Kamarul Imran Musa","doi":"10.3390/nursrep15050175","DOIUrl":"10.3390/nursrep15050175","url":null,"abstract":"<p><p><b>Background:</b> Critical thinking is fundamental for registered nurses (RNs) when making clinical decisions, which impact patient outcomes. This review aimed to identify studies on critical thinking and clinical decision making among nurses in clinical practice and synthesize their findings based on the regional area, observed findings, and predictive factors, and to assess the measurement tools used. <b>Methods</b>: A comprehensive search of the PubMed, Web of Science, CINAHL, and SCOPUS databases up to December 2024 was conducted in accordance with the PRISMA guidelines. The Newcastle-Ottawa Scale was used to assess the quality of included studies. Studies with similarly themed components were grouped for narrative synthesis. A meta-analysis of random-effects model calculations was performed. <b>Results</b>: This review included forty studies (twenty-four on CT, twelve on CDM, four on both) from various WHO regions, revealing diverse findings on observed skills. Ten CT and four CDM measurement tools were identified. Many studies also explored individual and group-level predictive factors for these skills. Meta-analyses of four common tools (CCTDI, NCT4P, CDMNS, and NDMI) showed significant heterogeneity, with statistically significant pooled mean scores. <b>Conclusions</b>: The synthesis highlights the global research on nurses' critical thinking and clinical decision making, including the exploration of various predictive factors. However, the significant heterogeneity in the findings from meta-analyses of commonly used measurement tools underscores a need for more standardized measurement and analytical approaches, such as multilevel modeling, to better account for the hierarchical nature of potential predictive factors (individual and group levels), which would allow for more reliable comparisons and stronger conclusions in this field.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experience of Implementing a Cross-Border Primary Care Cooperation Project During the COVID-19 Pandemic: A Qualitative Study. 新型冠状病毒病疫情期间实施跨境初级保健合作项目的经验:一项定性研究
IF 2.4
Nursing Reports Pub Date : 2025-05-20 DOI: 10.3390/nursrep15050178
Silvia Caristia, Erica Busca, Sara Campagna, Erika Bassi, Alberto Dal Molin
{"title":"Experience of Implementing a Cross-Border Primary Care Cooperation Project During the COVID-19 Pandemic: A Qualitative Study.","authors":"Silvia Caristia, Erica Busca, Sara Campagna, Erika Bassi, Alberto Dal Molin","doi":"10.3390/nursrep15050178","DOIUrl":"10.3390/nursrep15050178","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The REACtion project was developed to provide nursing care to older adults at home within the primary care setting. The COVID-19 pandemic posed significant challenges to its implementation, acting both as a barrier and an opportunity. Although several studies have explored healthcare innovation during emergencies, there remains a need for strategic insights to guide real-world implementation efforts. This study aims to explore how the COVID-19 pandemic influenced the implementation of the REACtion project and identify the strategies adopted to ensure continuity and effectiveness in achieving its goals despite the challenges posed by the health emergency. <b>Methods</b>: A qualitative descriptive study was conducted. Semi-structured interviews were carried out with nine project stakeholders, including nurses and researchers, between April and May 2023. The interviews were transcribed verbatim, read in-depth, and analyzed using content analysis to identify perceived barriers, facilitators, and strategies adopted during the project. <b>Results</b>: The pandemic shifted priorities from routine care to emergency health activities. Barriers to project implementation included social distancing, disruptions in the decision-making processes, and a general decline in community welfare. Despite these obstacles, the COVID-19 context underscored the central role of Family and Community Nurses in proactive primary care. Stakeholders adopted relationship-based strategies, addressed workforce shortages, and implemented measures to mitigate personal fatigue. <b>Conclusions</b>: The implementation of innovative nursing interventions during emergencies requires adaptability, collaboration, and context-sensitive approaches. Strengthening stakeholder engagement and leveraging professional roles within the community are essential to overcoming barriers and seizing opportunities in crisis contexts.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Personality Traits as Predictors of Academic and Work Engagement in a Sample of Nursing Students and Professionals. 人格特质作为护理学生和专业人员学术和工作投入的预测因子。
IF 2.4
Nursing Reports Pub Date : 2025-05-15 DOI: 10.3390/nursrep15050174
Maja Kućar, Andreja Brajša-Žganec, Marijana Neuberg
{"title":"Personality Traits as Predictors of Academic and Work Engagement in a Sample of Nursing Students and Professionals.","authors":"Maja Kućar, Andreja Brajša-Žganec, Marijana Neuberg","doi":"10.3390/nursrep15050174","DOIUrl":"10.3390/nursrep15050174","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Academic engagement (AE) and work engagement (WE) are important indicators of performance and well-being in educational and occupational settings. Although these constructs are well researched independently, few studies have examined them concurrently among individuals navigating both academic and professional demands. Nursing students who are simultaneously employed as nurses represent a unique and under-researched population in this context. Understanding how personality traits influence both AE and WE in this dual-role group may offer insights relevant for academic success and well-being in healthcare settings. <b>Methods</b>: The sample consisted of 230 nursing students from a public university in Croatia who were also working as nurses. This study employed a repeated cross-sectional descriptive predictive research design (2022-2025). The participants completed questionnaires (UWES-9, UWES-S-9, and IPIP-15) during their university lectures. <b>Results</b>: The analysis yielded two personality clusters (adaptive-lower levels of neuroticism and higher levels of the other personality traits and maladaptive-the opposite). The participants in the adaptive cluster had higher levels of WE and AE. Regression analysis revealed that conscientiousness was a significant predictor for WE and AE, whereas agreeableness was a significant predictor for only WE. <b>Conclusions</b>: The findings highlight the importance of personality traits when addressing AE and WE, and fostering traits such as conscientiousness and agreeableness may enhance positive work and academic outcomes. Personality traits showed similar patterns of association with both AE and WE, indicating that dispositional factors may play a more crucial role in WE and AE than external influences.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the Opportunities and Challenges of Healthcare Innovation in UK Higher Education: A Narrative Review. 探索英国高等教育医疗保健创新的机遇与挑战:叙述性回顾。
IF 2.4
Nursing Reports Pub Date : 2025-05-14 DOI: 10.3390/nursrep15050171
Renske Emicke, Ashley Shepherd, Dylan Powell
{"title":"Exploring the Opportunities and Challenges of Healthcare Innovation in UK Higher Education: A Narrative Review.","authors":"Renske Emicke, Ashley Shepherd, Dylan Powell","doi":"10.3390/nursrep15050171","DOIUrl":"10.3390/nursrep15050171","url":null,"abstract":"<p><p><b>Background</b>: The healthcare sector is under increasing pressure due to an ageing population, rising multimorbidity, and a projected global workforce shortage of 10 million by 2030. It is becoming increasingly apparent that addressing these challenges requires more than simply increasing workforce numbers-it necessitates a shift towards innovative practices in healthcare education. Higher education (HE) plays a crucial role in preparing future healthcare professionals, yet embedding innovation within HE presents challenges such as resistance to change, resource limitations, and difficulties in interdisciplinary collaboration. This review explores the barriers and opportunities associated with fostering innovation in HE health programmes. <b>Methods</b>: This narrative review explored the recent literature on innovation in healthcare HE, examining national policies, institutional strategies, and emerging technological advancements. It describes the impact of digital learning tools, simulation-based education, artificial intelligence (AI), and interprofessional education (IPE) on student learning outcomes and workforce preparedness. <b>Results</b>: Findings suggest that while digitalisation and AI-driven innovations offer opportunities to enhance HE health programmes, their effectiveness is dependent on appropriate pedagogical integration and resource. Challenges include upskilling workforce to new more modern methods, ensuring equitable access to digital resources, and maintaining a balance between technological innovation and traditional face-to-face learning. <b>Conclusions</b>: To embed innovation effectively within healthcare HE, institutions may need to prioritise interdisciplinary collaboration, entrepreneurial thinking, and sustainable funding models. While technology is key to modernising education, it should be implemented alongside evidence-based pedagogical strategies to ensure meaningful learning outcomes and long-term workforce preparedness.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12113935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Steps to Adapt the Medication Administration Error Survey in Highly Specialised Units-Polish Perspectives. 在高度专业化的单位调整药物管理错误调查的步骤-波兰的观点。
IF 2.4
Nursing Reports Pub Date : 2025-05-14 DOI: 10.3390/nursrep15050173
Katarzyna Kwiecień-Jaguś, Wioletta Mędrzycka-Dąbrowska, Monika Kopeć
{"title":"Steps to Adapt the Medication Administration Error Survey in Highly Specialised Units-Polish Perspectives.","authors":"Katarzyna Kwiecień-Jaguś, Wioletta Mędrzycka-Dąbrowska, Monika Kopeć","doi":"10.3390/nursrep15050173","DOIUrl":"10.3390/nursrep15050173","url":null,"abstract":"<p><p><b>Background and Objectives:</b> Medication errors are a critical issue in healthcare systems worldwide, contributing to significant patient harm, with studies indicating that medication-related incidents are among the most common causes of adverse events in medical practice. There are between 80 and 200 steps in providing a single patient with a single dose of drugs, with five stages, including prescription, preparation, dispensation, administration and monitoring. This study aims to describe and validate the MAEs (Medication Administration Error Scale) tool, which investigates the most common causes of medication errors in medication administration. <b>Materials and Methods:</b> Independent translators translated the original version of the scale using language verification. The agreed-upon version of the translation was then assessed by a team of nurses, specialists in anaesthetic and intensive care nursing, in terms of understanding the translated content. After introducing changes resulting from linguistic and organisational differences, a survey questionnaire was prepared and used in the pilot study. Eighty-six respondents participated in the pilot study via the Office 365 platform and the Forms programme. The research was led by nurses who work in highly specialised units. The reliability of the translated version of the questionnaire was examined by calculating the Cronbach's alpha coefficient. <b>Results</b>: The tool's internal consistency across ranges was within acceptable limits. For part A (questions 1-29), it was 0.93; for part B (questions 30-45), it was 0.94. In part C, regarding the percentages of the type of error occurring in a given medical facility, Cronbach's alpha coefficient was 0.97. When the factor loadings of the items were evaluated, they were determined to be in the range of 0.602-0.783. In this context, the factor loading levels of the items in the 5-factor model were high and sufficient. <b>Conclusions:</b> The statistical analyses suggest that the Polish version of the Medication Administration Error Survey demonstrates satisfactory reliability and is a promising tool for assessing the cause of medication administration errors.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Depression: [Mental] Health Literacy, Stigma, and Perceived Barriers to Help-Seeking During Transitions Among Undergraduate Nursing Students. 护理本科学生的心理健康素养、耻辱感和寻求帮助的障碍
IF 2.4
Nursing Reports Pub Date : 2025-05-14 DOI: 10.3390/nursrep15050172
Luís Loureiro, Rosa Simões, Amorim Rosa
{"title":"Depression: [Mental] Health Literacy, Stigma, and Perceived Barriers to Help-Seeking During Transitions Among Undergraduate Nursing Students.","authors":"Luís Loureiro, Rosa Simões, Amorim Rosa","doi":"10.3390/nursrep15050172","DOIUrl":"10.3390/nursrep15050172","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Mental health literacy (MHL) plays a crucial role in transitional processes, influencing, for example, students' adaptation to higher education and, later, their transition into the workforce. This study assesses MHL about depression among first- and fourth-year nursing students and identifies which MHL components and related variables are associated with a higher likelihood of being in either academic year. <b>Methods</b>: A cross-sectional descriptive correlational study was conducted with 478 nursing students (59.4% first-year students; 40.6% fourth-year students), predominantly female (82.2%), with a mean age of 20.41 years (SD = 4.71) and a median age of 19.0 years. <b>Results</b>: The results revealed a low level of recognition of depression and knowledge of mental health first aid (MHFA) strategies, including health literacy. Students tended not to hold beliefs based on myths and stereotypes about mental illness and individuals with mental illness and did not have highly stigmatizing views. MHL varied by year of study, with fourth-year students having more adequate MHL levels. <b>Conclusions</b>: These findings highlight the need to integrate MHL as a key element of academic success. Health education initiatives that promote mental health, prevention, and MHFA training may serve as effective strategies to enhance MHL among nursing students.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 5","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12114462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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