Nursing Reports最新文献

{"title":"Public Health Nurses' Perceptions of Their Roles and Activities Throughout the Phases of the Fukushima Nuclear Disaster: A Qualitative Study.","authors":"Tamami Koyama, Takumi Yamaguchi, Yuko Matsunari","doi":"10.3390/nursrep14040256","DOIUrl":"https://doi.org/10.3390/nursrep14040256","url":null,"abstract":"<p><p><b>Background/Objectives</b>: To explore how Public Health Nurses (PHNs) in Fukushima perceived their roles and activities as necessary or inadequate from the immediate aftermath through the long-term recovery of the nuclear disaster. <b>Methods</b>: We conducted a qualitative study using a self-administered questionnaire with open-ended questions to capture the perceptions of PHNs across three disaster phases: peacetime; nuclear emergency; and recovery. Responses were analyzed through qualitative content analysis. <b>Results</b>: PHNs' needs and perceived inadequacies varied across the disaster phases. In peacetime, the emphasis was on education for disaster preparedness for both nurses and residents. During the nuclear emergency, the focus shifted to the need for PHN deployment and radiation screening systems, highlighting a significant gap in radiation knowledge. In the recovery phase, the importance of ongoing resident support, rumor management, and trust-building was emphasized, alongside an increased need for radiation education. <b>Conclusions</b>: This study highlights the critical need for phase-specific support systems and educational programs to enhance PHNs' disaster response capabilities. It underscores the importance of preparedness plans and continuous training to improve PHNs' effectiveness in addressing public health challenges during nuclear disasters. This study was not registered.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3515-3523"},"PeriodicalIF":2.4,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Motivations for Enrolment and Dropout of First-Year Undergraduate Nursing Students: A Pilot Multimethod Study.","authors":"Elena Viottini, Alice Ferrero, Beatrice Albanesi, Johnny Acquaro, Giampiera Bulfone, Francesca Condemi, Donatella D'Accolti, Azzurra Massimi, Elisa Mattiussi, Roberta Sturaro, Alessio Conti, Valerio Dimonte","doi":"10.3390/nursrep14040254","DOIUrl":"https://doi.org/10.3390/nursrep14040254","url":null,"abstract":"<p><strong>Background/objectives: </strong>Higher education institutions must improve the attractiveness and retention of the nursing profession to address the widespread shortage. This pilot multimethod study aimed to preliminarily understand the relationship between motivations for enrolment and dropout among first-year undergraduate nursing students.</p><p><strong>Methods: </strong>A two-step approach was conducted among first-year nursing students from five Italian universities involving: (a) a baseline quantitative online survey collecting their characteristics and motivations for enrolment; (b) a follow-up semi-structured interview qualitative data collection among students who dropped out. Descriptive and inferential statistics were used to describe the motivations for enrolment and differences between universities. Dropout motivations emerged from inductive content analysis, with data categorisation according to Urwin's framework.</p><p><strong>Results: </strong>A total of 759 students completed the online survey. Primary motivations for enrolment included the desire to be useful (88.8%), help suffering people (84.3%), and find employment (74.2%); 22.3% cited unsuccessful admission to another university as motivation for enrolment. Of the 141 students who discontinued, 31 were interviewed (22%). Eleven categories and three themes were identified. More than half of the participants dropped out due to interest in other courses and lack of aptitude, while a smaller number cited personal circumstances. Other motivations for dropout were related to negative learning environments or feelings and difficulties related to course characteristics.</p><p><strong>Conclusions: </strong>This study provides an initial insight into these complex phenomena that will be instrumental in understanding data from an Italian multicenter cohort study. The findings can inform recommendations and strategies to strengthen the future nursing workforce.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3488-3504"},"PeriodicalIF":2.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Core Competences of School Nurses for the Development of Anti-Bullying Strategies: Protocol for a Scoping Review.","authors":"Waldemar Brandão Neto, Helena Vitória Silva Pinheiro, Nicolle Augusta Artoni de Brito Araújo, Rayssa Cavalcanti Umbelino de Albergaria, Beatriz Molina Carvalho, Maria Regina Pontes Luz Riccioppo, Eunice de Fátima Soares da Cunha, Ana Virgínia Rodrigues Veríssimo, Estela Maria Leite Meirelles Monteiro, Maria Cândida de Carvalho Furtado","doi":"10.3390/nursrep14040255","DOIUrl":"https://doi.org/10.3390/nursrep14040255","url":null,"abstract":"<p><strong>Background/objectives: </strong>School nurses are capable of fostering safe and healthy school environments that are favorable to quality learning and social interactions. To this end, it is essential that they acquire a set of skills needed to implement bullying intervention programs. This article describes the protocol for a scoping review to identify and map the core competences for school nurses to develop anti-bullying strategies.</p><p><strong>Methods: </strong>The review will be conducted according to the JBI methodology for scoping reviews. The review will include primary, secondary, and gray literature, including theses and reports, found through comprehensive research in several databases: Scopus, WoS, APA PsycINFO, Embase, ScienceDirect, MEDLINE/PubMed, CINAHL (EBSCOhost), ERIC, LILACS, BDENF, IBECS, Cochrane Library, CAPES Dissertations and Theses Portal, RCAAP, Theses Canada, ProQuest Dissertations and Theses, and Google Scholar, as well as reference tracking. No geographical restrictions will be applied. The studies must include investigations into actions and interventions conducted by or involving nurses for the prevention of bullying in the school context. Two reviewers will act independently in screening the studies and extracting data using an extraction tool developed by the research team.</p><p><strong>Results: </strong>The results will be presented in a tabular format, supported by a narrative synthesis. The details of the scoping review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines.</p><p><strong>Conclusions: </strong>We anticipate that our scoping review will to strengthen a field of nursing that is still little explored, showing the school nurses' role in prevent bullying episodes.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3505-3514"},"PeriodicalIF":2.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Perceived and Received Social Support in Family Caregivers: A Systematic Review with Meta-Analysis.","authors":"Belén Gutiérrez-Sánchez, Catalina López-Martínez, Henrique da-Silva-Domingues, Rafael Del-Pino-Casado","doi":"10.3390/nursrep14040252","DOIUrl":"https://doi.org/10.3390/nursrep14040252","url":null,"abstract":"<p><p><b>Background:</b> The care of dependent people is eminently family-oriented, and often, there is a high level of dedication to this family care. Constant and continuous care leads to a series of negative psychological consequences. Social support has been related to improved mental health in family caregivers. We found heterogeneous results regarding the relationship between the types of social support received and the perceived level of support. In addition, to our knowledge, no reviews analyse this relationship among family caregivers. <b>Objectives</b>: Therefore, we objective to systematically synthesise the relationships between perceived and received social support in informal caregivers. <b>Methodology</b>: We have carried out a quantitative systematic review with a meta-analysis, registered in PROSPERO (id: CRD42023470047); the systematic search was carried out in the following databases: PubMed, CINAHL, PsycINFO, and Scopus, until November 2023. After the selection and review of the results, twelve studies were obtained, two of which were eliminated due to a high risk of classification bias. <b>Results</b>: Regarding the results, a medium-size positive statistical association was found (r = 0.43). The results were consistent, accurate, and robust. The Trim and Fill test showed a variation of 7%. Subgroup analysis indicated no differences in the age group of the people cared for (adults or children), selection bias, and confounding bias. <b>Conclusions</b>: In conclusions, perceived social support is related to more social support received by family caregivers.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3466-3475"},"PeriodicalIF":2.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with and Predictive Model for Resilience in Family Caregivers of Care-Dependent Adults.","authors":"Belen Gutierrez-Baena, Ester Gilart, Carmen Romero-Grimaldi","doi":"10.3390/nursrep14040253","DOIUrl":"https://doi.org/10.3390/nursrep14040253","url":null,"abstract":"<p><p><b>Background:</b> Caring for dependent people is an intense task that leads family caregivers to suffer physical or mental pathologies. Resilience is a protective factor that makes an individual more resistant to adverse events. Some characteristics of the caregiver or the care provided predispose the caregiver to be less resilient. Knowing these characteristics will allow us to detect vulnerable caregivers. <b>Aim:</b> The aim of this study was to explore the factors associated with caregiver resilience and establish a predictive model, including the relationship between preparedness, burden, resilience, and anxiety. <b>Materials and Methods:</b> The study design was descriptive, observational, and cross-sectional, with purposive sampling. The sample included 172 family caregivers of care-dependent patients in Spain. Questionnaires were administered to assess caregiver resilience, anxiety, burden, and the preparedness of care-dependent patients. Correlation, univariate, and multiple linear regression analyses were performed to identify the factors associated with resilience. <b>Results:</b> We found that there is a correlation between resilience, preparation, and burden. Factors related to resilience include age, the caregiver's health status, kinship, childcare, and state aid granted. Caregiver preparedness is the factor that most predicts caregiver resilience in our model. Caregivers with high levels of resilience also demonstrated high levels of preparedness and experienced less burden than those with low levels of resilience. <b>Conclusions:</b> These findings emphasize the relevance of improving the preparation of family caregivers to increase their resilience and, at the same time, the quality of care provided.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3476-3487"},"PeriodicalIF":2.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life Among Natural Menopausal Women and Early Surgical Menopausal Women: A Study from Greece.","authors":"Fotini Kavga, Anastasia Bothou, Christina Nanou, Giannoula Kyrkou, Victoria Vivilaki, Anna Deltsidou","doi":"10.3390/nursrep14040250","DOIUrl":"https://doi.org/10.3390/nursrep14040250","url":null,"abstract":"<p><strong>Background/objectives: </strong>The general health and well-being of middle-aged women have become a major public health issue worldwide. More than 80% of women experience physical or psychological symptoms during the transition to menopause. This study aims to compare the effect of menopause on quality of life (QOL) in two groups of women undergoing natural and surgical menopause.</p><p><strong>Methods: </strong>The sample consisted of 100 female patients from a Greek hospital in Athens, with an average age of 44.5 years, half of whom had natural menopause, while the remaining women had iatrogenic menopause after surgery for any reason other than malignancy. A questionnaire related to the QOL in menopause was used to collect the data. The scale used to evaluate the QOL of women is the Utian QOL Scale (UQOL), translated into Greek.</p><p><strong>Results: </strong>From the analysis of the data, it was found that there is no statistically significant difference between the QOL of women with natural and surgical menopause. Menopausal symptoms, psychosocial and sexual health, as well as the general health of the two groups, showed similar rates (OR: 63.7-66.6, <i>p</i> = 0.248). The only statistically significant difference found was in weight gain, with natural menopausal women having greater weight gain compared to surgically menopausal women (<i>p</i> = 0.041).</p><p><strong>Conclusions: </strong>Menopausal symptoms are associated with a decrease in women's QOL. However, QOL is affected regardless of the type of menopause transition. This study was not registered.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3445-3453"},"PeriodicalIF":2.4,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Job Crafting on Nurses' Intent to Stay: A Cross-Sectional Study.","authors":"Mª Carmen Rodríguez-García, Ángeles Ramos-Martínez, Celia Cruz-Cobo","doi":"10.3390/nursrep14040249","DOIUrl":"https://doi.org/10.3390/nursrep14040249","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The increasing rates of nurse turnover pose significant challenges to healthcare systems, negatively impacting patient outcomes and increasing operational costs. Despite the recognized importance of retaining nursing staff, factors contributing to turnover intentions, such as job dissatisfaction and burnout, remain inadequately addressed. Developing job crafting skills among nurses can be a proactive strategy to mitigate these issues, leading to a more engaged and committed workforce. The aim of this study was to analyze nurses' job crafting and its relationship with the intention to stay at their working hospitals or to leave the nursing profession. <b>Methods</b>: A cross-sectional, correlational study was conducted with a sample of 284 registered nurses using a self-reported online questionnaire with the standardized Spanish version of the Job Crafting Scale. Mann-Whitney U and Kruskal-Wallis nonparametric tests were used to determine statistically significant differences between two or more different groups for the job crafting variable, respectively. The Spearman correlation coefficient was calculated to explore the relationships between variables. <b>Results</b>: Mean scores obtained for the Job Crafting Scale indicated that nurses in the study had a high level of job crafting. Nurses with lower scores for the 'Decreasing hindering job demands' subscale had a significantly lower intention to stay at their workplace. Greater 'Decreasing hindering job demands' scores were significantly associated with a lower intention to leave the nursing profession. Lower nurses' intention to leave the nursing profession was significantly associated with a greater intention to stay at hospitals. <b>Conclusions</b>: Improving 'Decreasing hindering job demands' job crafting skills to \"decrease hindering job demands\" through workload management, time management training, supportive supervision, resource availability, autonomy encouragement, promotion of team collaboration, and mental health support. It could lead to greater retention of nurses in their workplaces and in the nursing profession. Nursing managers and leaders should consider improving the job crafting skill \"Decrease Hindering Job Demands\" among nurses as a potential strategy for effective retention of nurses to address the challenges of the global nursing shortage.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3436-3444"},"PeriodicalIF":2.4,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Knowledge and Cultural Beliefs on Attitudes Toward HPV Vaccination Among Israeli Nurses and Nursing Students: Implications for Vaccine Advocacy.","authors":"Yulia Gendler, Nurit Ben-Aroya, Ayala Blau","doi":"10.3390/nursrep14040251","DOIUrl":"https://doi.org/10.3390/nursrep14040251","url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus (HPV) poses a significant health burden, yet the vaccine which successfully prevents HPV and its associated cancers remains underutilized. Nurses play a crucial role in patient education and advocacy for HPV vaccination. This study explores how knowledge, along with cultural, religious, and social beliefs, shapes the attitudes of Israeli nurses and nursing students toward the HPV vaccine and their advocacy efforts.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from August 2023 to January 2024 using an anonymous online questionnaire distributed via Facebook groups targeting Israeli nurses and nursing students. The questionnaire assessed demographic data, HPV-related knowledge, and attitudes toward HPV vaccination.</p><p><strong>Results: </strong>The study included 458 participants (229 nurses and 229 nursing students). Significant knowledge gaps were found, with 52% of participants incorrectly believing that the vaccine can cure existing infections and 47% mistakenly believing that it is administered in a single dose. Logistic regression revealed that nurses working in community settings were more likely to have positive attitudes toward HPV vaccination (OR = 2.98, 95% CI: 1.84-4.85). Higher levels of HPV-related knowledge (OR = 3.35, 95% CI: 2.10-5.35) and secular or traditional religious affiliations (OR = 2.45, 95% CI: 1.52-3.97) were strongly associated with positive attitudes toward and advocacy for the vaccine.</p><p><strong>Conclusions: </strong>Targeted educational programs addressing knowledge gaps, especially those tailored to Israel's cultural and religious diversity, are crucial for empowering nurses and nursing students as advocates for HPV vaccination. Enhancing their understanding of HPV can increase vaccine uptake, reduce the incidence of HPV-related diseases, and strengthen public health initiatives in Israel.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3454-3465"},"PeriodicalIF":2.4,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening Mental Health Though Resilience in Nursing Students: A Protocol for a Comprehensive Scoping Review.","authors":"Emilia Batista Mourão Tiol, Rauer Ferreira Franco, Amanda Oliva Spaziani, Gabriela Gouvea Silva, Emerson Roberto Dos Santos, Vânia Maria Sabadoto Brienze, Alba Regina de Abreu Lima, Sônia Maria Maciel Lopes, Josimerci Ittavo Lamana Faria, Alexandre Lins Werneck, Nádia Antônia Aparecida Poletti, Rafael Guerra de Aquino, Adriana Luiz Sartoreto Mafra, Andreia Mura Peres, Elena Carla Batista Mendes, Thaisa Fernanda Queiroz de Souza, Valéria da Silva Campoi, Luiz Fernando Campoi, Silvia Regina Dos Santos Benitez, Patrícia Freire de Vasconcelos, Júlio César André","doi":"10.3390/nursrep14040248","DOIUrl":"https://doi.org/10.3390/nursrep14040248","url":null,"abstract":"<p><strong>Background: </strong>Nursing students face unique challenges during their university education, making them vulnerable to mental health problems. Psychological resilience has been identified as a protective factor against these issues. However, previous reviews have identified gaps in the literature on resilience and mental health among nursing students.</p><p><strong>Objectives: </strong>This scoping review aims to identify and map studies on psychological resilience and mental health in undergraduate nursing students, synthesize current evidence on their relationship, identify interventions for enhancing resilience, and highlight gaps in the existing literature.</p><p><strong>Eligibility criteria: </strong>Studies published between January 2019 and April 2024 in English, Portuguese, and Spanish addressing resilience and mental health in undergraduate nursing students will be included. Primary studies, secondary studies, clinical guidelines, and grey literature will be considered.</p><p><strong>Sources of evidence: </strong>Searches will be conducted in multiple databases including EMBASE, ERIC, PubMed, Science Direct, Web of Science, DOAJ, ELSEVIER, EMERALD, and WILEY ONLINE LIBRARY. Grey literature sources will also be searched.</p><p><strong>Charting methods: </strong>Data will be extracted using a standardized form and synthesized narratively. Thematic analysis will be conducted using MAXQDA software ((Verbi GmbH, 24 version, 2023). Quantitative summaries, visual mapping, subgroup analyses, and trend analyses will be performed where appropriate.</p><p><strong>Results: </strong>As this is a protocol, results are not yet available. The review will present a comprehensive map of the current literature on psychological resilience and mental health in nursing students, including identified interventions and research gaps.</p><p><strong>Conclusions: </strong>This scoping review will provide valuable insights to guide curriculum development, support services, and policy-making in nursing education. The findings may support actions to strengthen resilience and prevent mental health problems among future nursing professionals.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3427-3435"},"PeriodicalIF":2.4,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Care and Quality of Life of Ostomy Patients: A Structural Equation Modeling Analysis.","authors":"Ilaria Marcomini, Paolo Iovino, Laura Rasero, Duilio Fiorenzo Manara, Ercole Vellone, Giulia Villa","doi":"10.3390/nursrep14040247","DOIUrl":"https://doi.org/10.3390/nursrep14040247","url":null,"abstract":"<p><p><b>Background.</b> Previous research has shown that patients with ostomy frequently exhibit a low health-related quality of life (HRQoL). Self-care is a key element that influences their HRQoL. However, the evidence regarding the relationship between these two constructs in patients with ostomy is still not clear. <b>Materials and Methods.</b> This was a secondary analysis of an Italian multicenter, observational, longitudinal study. Participants were recruited from seven outpatient ostomy care clinics in central and northern Italy. The Stoma-Specific Quality of Life Questionnaire (Stoma QoL) and the Ostomy Self-Care Index (OSCI) were administered to the participants. The relationship between self-care and HRQoL was analyzed using structural equation modeling. <b>Results.</b> A total of 521 patients were enrolled. Our results emphasized that self-care is a predictor of HRQoL among people with ostomy. Self-care maintenance and self-care monitoring had a positive effect on HRQoL (self-care maintenance: β = 0.506, <i>p</i> < 0.001; self-care monitoring: β = 0.303, <i>p</i> < 0.001). The model exhibited acceptable fit indices: χ² (151, <i>n</i>= 521) = 516.447, <i>p</i> ≤ 0.001, comparative fit index (CFI) = 0.97, Tucker-Lewis index (TLI) = 0.96, root mean square error of approximation (RMSEA) = 0.068 (90% CI, 0.062-0.075), <i>p</i> < 0.001, and standardized root mean square residual (SRMR) = 0.038. <b>Conclusions.</b> The structural equation model tested the causal relationship between self-care and HRQoL in people with a stoma, demonstrating for the first time that inadequate self-care in patients with ostomy may lead to lower HRQoL. Thus, to enhance HRQoL, interventions should be designed to improve self-care behaviors. Future research should investigate potential mediating variables in the relationship between self-care and HRQoL.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"14 4","pages":"3417-3426"},"PeriodicalIF":2.4,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}