Nursing ReportsPub Date : 2025-03-12DOI: 10.3390/nursrep15030094
Hsiao-Yun Chang, Kuei-Chun Yeh, Yu-Yao Huang, Jui-Hsiang Li
{"title":"The Impact of Self-Regulation Education Combined with Continuous Glucose Monitoring (CGM) on Diabetes Outcomes: A Randomized Controlled Study.","authors":"Hsiao-Yun Chang, Kuei-Chun Yeh, Yu-Yao Huang, Jui-Hsiang Li","doi":"10.3390/nursrep15030094","DOIUrl":"10.3390/nursrep15030094","url":null,"abstract":"<p><p>In previous studies exploring continuous glucose monitoring (CGM), there has been a limited focus on how CGM influences key behavioral outcomes such as self-efficacy, health behaviors, and medication adherence. <b>Background/Objectives</b>: The aim of this study was to assess the impact of combining self-regulation health education with CGM on medication adherence, diabetes self-efficacy, diabetes health behaviors, and glucose control in individuals with diabetes. <b>Methods</b>: A randomized controlled study, reported following the CONSORT 2010 reporting guidelines. Individuals with diabetes volunteered to participate and were randomly allocated into two groups: the CGM group (n = 34) and the control group (n = 34). The CGM group received real-time CGM devices and education on self-regulation theory to enable them to self-adjust health promotion strategies and behaviors, while the control group received routine diabetes health education focusing on self-monitoring of blood glucose. Outcome measures included medication adherence, diabetes self-efficacy, diabetes health behaviors, and glucose control. <b>Results</b>: The CGM group demonstrated consistent diabetes self-efficacy, significant improvements in diabetes health behaviors, and a reduction in HbA1c levels over time. However, no significant differences in outcomes were observed between the CGM group and the control group. <b>Conclusions</b>: The use of continuous glucose monitoring (CGM) provides continuous, real-time glucose data. When combined with self-regulation education, it may help provide personalized insights into how specific foods, activities, medications, and stress levels affect blood glucose levels. This allows individuals with diabetes to make personalized adjustments to their lifestyle and treatment plans to optimize their blood sugar control.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732201","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}
Nursing ReportsPub Date : 2025-03-12DOI: 10.3390/nursrep15030095
Stephen Jacobs, Willoughby Moloney, Daniel Terry, Peter A Lewis, Annie Topping, Marcela González-Agüero, Stephen Cavanagh
{"title":"Creating Organisational Working Conditions Where Nurses Can Thrive: An International Action Research Study.","authors":"Stephen Jacobs, Willoughby Moloney, Daniel Terry, Peter A Lewis, Annie Topping, Marcela González-Agüero, Stephen Cavanagh","doi":"10.3390/nursrep15030095","DOIUrl":"10.3390/nursrep15030095","url":null,"abstract":"<p><p><b>Background</b>: Attracting and retaining sufficient numbers of nurses is an international challenge. The group most difficult to retain are newly qualified nurses within their first five years of practice or earlier. A recent US study reported that approximately 25 percent of nurses leave within the first year of graduation. Health organisations play a crucial role in providing workplace cultures where nurses feel empowered and can thrive. Research needs to focus on improving organisational culture, yet most approaches to supporting and retaining nurses have used top-down, management-designed interventions. This article describes a collaborative international programme of research. <b>Methods</b>: This innovative international theory-driven multi-site action research programme adopts a longitudinal co-design approach based on principles of appreciative inquiry to develop and implement organisational support for newly qualified nurses. It integrates the Institute for Health Improvement (IHI) Framework for Improving Joy at Work and the Thriving at Work model, both focused on improving the well-being of the healthcare workforce and health service outcomes. Each year, a new group of nurses during their first-year orientation is invited to participate. Over five years, each cohort will then participate in an annual survey, focus groups, and co-design meetings with nurse leaders/managers, generating new solutions developed through open dialogue for subsequent testing driven by these key stakeholders. <b>Expected outcomes</b>: This research will generate a new co-design management model to improve systems of support that may assist nurse retention and thriving that can be shared with other nursing organisations. It will provide an understanding of the effectiveness of current support for nurses by their employers from the perspective of those nurses whilst providing evidence about what extra support nurses would like from their employers. <b>Conclusions</b>: This international research programme gives agency to nurses and organisational nurse leaders/managers to co-design interventions for building positive work environments where early-career nurses can thrive. This programme will capture what works, where, how, and with whom, ultimately benefiting both individual nurses and the overall effectiveness and sustainability of healthcare systems.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732274","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}
Nursing ReportsPub Date : 2025-03-10DOI: 10.3390/nursrep15030093
Sandra Vera-Ruiz, Alejandro Vega-Muñoz, Nicolás Contreras-Barraza, Diego Silva-Jiménez, José A Iturra-González, Ana Martín-Romera
{"title":"Socially Responsible Behaviors of Nursing Students in Private Universities in Santiago, Chile: A Study on the Alignment with Sustainable Development Goals.","authors":"Sandra Vera-Ruiz, Alejandro Vega-Muñoz, Nicolás Contreras-Barraza, Diego Silva-Jiménez, José A Iturra-González, Ana Martín-Romera","doi":"10.3390/nursrep15030093","DOIUrl":"10.3390/nursrep15030093","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Universities, particularly in nursing education, have evolved to incorporate University Social Responsibility (USR) into their curricula, emphasizing ethical, social, and sustainable competencies, which align with the Sustainable Development Goals (SDGs) to enhance healthcare and education. The study examines socially responsible behaviors, ethical competencies, and sustainability values among nursing students in private universities in Santiago, Chile, and their relation to sociodemographic variables. <b>Methods</b>: The study measures social responsibility in nursing students at private universities, accredited and co-financed by the State in Santiago, Chile, using the ICOSORE-U questionnaire, with statistical analyses such as EFA and CFA to validate the scale and evaluate correlations with sociodemographic variables. <b>Results</b>: The study validated the ICOSORE-U-10 scale for social responsibility in Chilean nursing students through both exploratory and confirmatory factor analysis. The results revealed a two-factor structure and an acceptable internal reliability (α = 0.841), with no significant differences related to sociodemographic variables. The findings confirmed that socially responsible behaviors are positively correlated with the development of ethical competencies and sustainability among these students. <b>Conclusions</b>: the socially responsible behaviors of nursing students are mainly determined by their orientation towards University Social Responsibility (USR) and not by sociodemographic variables. This orientation favors the development of ethical and professional competencies, improving their ability to address social and ethical challenges in the health field. Integrating the principles of USR in university education is key to training professionals committed to social justice, equity and sustainability in health care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11946046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732187","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}
{"title":"Burnout Among Hospital Nurses in Kazakhstan.","authors":"Makhigul Maxudova, Dinara Ospanova, Areti Stavropoulou, Lyazzat Alibekova, Gulnar Sultanova, Galina Veklenko, Kundyzay Tobzhanova","doi":"10.3390/nursrep15030092","DOIUrl":"10.3390/nursrep15030092","url":null,"abstract":"<p><p><b>Background:</b> Burnout is an important psychological condition that affects the work performance of nurses. It occurs under long-term psychological or emotional stress associated with the work of a nurse. As a result, symptoms such as emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA) may be experienced. The purpose of this study was to determine the syndrome of \"burnout\" using three subscales-emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA)-among nurses providing round-the-clock nursing care in multidisciplinary hospitals in the Republic of Kazakhstan. <b>Methods:</b> A cross-sectional study was conducted among nurses in the Republic of Kazakhstan working in round-the-clock care. In total, 284 respondents participated in the online survey. The Maslach Burnout Inventory for Medical Personnel (MBI-HSS-MP) was used for collecting data. <b>Results:</b> The results demonstrated that burnout occurred among 61.97% of hospital nurses in the Republic of Kazakhstan. EE was identified among 29.23% of the respondents, DP in 60.92% of the respondents, and PA in 38.73%. Burnout, according to these indicators, occurred in 25.7% (EE), 19.37% (DP), and 12.68% (PA) of nurses. The level of burnout was higher among young nursing specialists and more frequent in the southern region of the Republic of Kazakhstan. <b>Conclusions:</b> This study revealed a high level of burnout among nurses providing round-the-clock care in multidisciplinary hospital settings. These findings have implications for further research into the impact of burnout on nurses' work and for developing interventions to reduce potential risks to nursing staff health and improving the quality of nursing care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11946353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732208","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}
Nursing ReportsPub Date : 2025-03-06DOI: 10.3390/nursrep15030091
Nurit Zusman, Caryn Scheinberg Andrews, Vladislav Kaslin, Anna C Kienski Woloski Wruble
{"title":"Creating a Supportive Work Environment: A Cognitive Behavioral Approach for Nurse Leaders.","authors":"Nurit Zusman, Caryn Scheinberg Andrews, Vladislav Kaslin, Anna C Kienski Woloski Wruble","doi":"10.3390/nursrep15030091","DOIUrl":"10.3390/nursrep15030091","url":null,"abstract":"<p><strong>Purpose: </strong>This article focuses on identifying cognitive behavioral (CB) techniques that can help nurse supervisors more effectively navigate interpersonal challenges, reduce workplace stress, improve team cohesion, and, ultimately, enhance overall organizational performance and staff well-being.</p><p><strong>Approach: </strong>Through a comprehensive review of leadership literature and clinical management practices, we determined that CB techniques could be integrated into nursing management. Two hypothetical scenarios within this context are offered, where CB techniques can enhance nursing leadership effectiveness.</p><p><strong>Conclusions and recommendations: </strong>CB techniques offer a humanistic approach to nursing leadership through: (1) providing tools for leaders to reframe challenges and frustrations, particularly in resource-limited settings; (2) offering stress-management strategies for nursing leaders; and (3) enhancing communication skills, self-awareness, and team motivation. These applications can potentially improve both staff and management satisfaction, ultimately improving patient care quality. Healthcare organizations should consider incorporating CB techniques into their leadership development programs. We suggest practical ways to implement these techniques in daily nursing management, emphasizing the importance of creating supportive and safe work environments and provide recommendations for future research. This perspective extends the cognitive behavioral approach beyond its traditional therapeutic context into nursing leadership, providing a novel theoretical framework for understanding and enhancing leadership development in healthcare settings.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11946263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732271","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}
{"title":"Association of Health Information Literacy and Health Outcomes Among Individuals with Type 2 Diabetes and Metabolic Syndrome.","authors":"Kailu Wu, Xiaoyan Qi, Aihua Li, Huan Dong, Xiaojing Wang, Meihua Ji","doi":"10.3390/nursrep15030090","DOIUrl":"10.3390/nursrep15030090","url":null,"abstract":"<p><p><b>Objectives</b>: Based on social cognitive theory, this study aims to explore the associated factors of and whether and how health information literacy was correlated to health behavior and glycemic control among individuals with type 2 diabetes and metabolic syndrome. <b>Methods</b>: Following convenient sampling, this cross-sectional, correlational study was conducted among 225 patients with type 2 diabetes and metabolic syndrome from an outpatient clinic in a suburban area of Beijing, China. Hierarchical multiple regression and mediation analysis were performed to explore the effect of health information literacy on self-management practice and hemoglobin A1c in this sample. The STROBE guidelines for cross-sectional studies were followed. <b>Results</b>: The findings showed incompetent health information literacy, inadequate self-management behavior, and suboptimal glycemic control in a sample of patients with type 2 diabetes and metabolic syndrome. Based on social cognitive theory, the results of regression analysis indicated that self-management attitude, health problem-solving, and chronic illness resources were correlated with self-management practice, and health problem-solving and health information evaluation were correlated with hemoglobin A1c. Mediation analysis revealed that self-management attitude, health problem-solving, and chronic disease resources fully mediated the effect of health information literacy on self-management practice. There was an indirect effect of health information literacy on hemoglobin A1c through health problem-solving. <b>Conclusions</b>: The findings demonstrated that health information literacy has significant indirect and direct effects on self-management behavior and glycemic control through self-management attitude, health problem-solving, and chronic disease resources in a sample of patients with type 2 diabetes and metabolic syndrome.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732200","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}
Nursing ReportsPub Date : 2025-03-04DOI: 10.3390/nursrep15030088
Laura Elvira Piedrahita Sandoval, Jorge Sotelo-Daza, Liliana Cristina Morales Viana, Cesar Ivan Aviles Gonzalez
{"title":"How Does Professional Habitus Impact Nursing Autonomy? A Hermeneutic Qualitative Study Using Bourdieu's Framework.","authors":"Laura Elvira Piedrahita Sandoval, Jorge Sotelo-Daza, Liliana Cristina Morales Viana, Cesar Ivan Aviles Gonzalez","doi":"10.3390/nursrep15030088","DOIUrl":"10.3390/nursrep15030088","url":null,"abstract":"<p><p><b>Background/Objective:</b> In nursing practice, differences have been noted between the shared habitus acquired during academic training and professional practices within healthcare systems. In this context, nurses tend to experience an impact on their autonomy due to the ways in which their professional habitus has been established, which, in some way, alters the cultural capital acquired during their academic training. The objective of this study was to identify factors that facilitate and/or limit autonomy in nursing practice based on professional habitus. <b>Method:</b> This research was conducted using a hermeneutic qualitative study framed within a critical approach that incorporated Bourdieu's theory of fields (habitus, field, and capital). This study included 11 registered nurses working in hospital settings, 17 nursing students, and six university professors. Data collection included 34 sociodemographic forms, 34 individual semi-structured interviews, and five <i>focus group discussions</i> conducted with an interview guide. The collected data were analyzed using an interpretative hermeneutic approach, integrating grounded theory and Bourdieu's theory of fields, focusing on the concepts of habitus, field, and capital. <b>Results:</b> This study identified a central theme-clarification of the nurse's role (professional habitus)-alongside three subthemes: (1) strengthening the nursing identity (identity habitus), (2) optimizing nursing education (optimization habitus), and (3) reinforcing professional credibility (validation habitus). Autonomy was found to be influenced by hierarchical structures, power relations, and institutional constraints within the healthcare social field, which led to limitations in the accumulation of nurses' symbolic capital. <b>Conclusions:</b> The professional habitus of nurses is shaped by various elements within the healthcare social field. This field is constrained by hierarchical structures and factors such as subordination to the hegemonic biomedical discourse and the medical profession, limited recognition of humanized care, institutional restrictions on acknowledging the nursing process, and a lack of solidarity and leadership. These constraints ultimately hinder the accumulation of symbolic and social capital in nursing, leading to a loss of autonomy and hindering professional development.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732338","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}
Nursing ReportsPub Date : 2025-03-04DOI: 10.3390/nursrep15030089
Luis Polo-Ferrero, Víctor Navarro-López, Manuel Fuentes, Jesus Lacal, María Dolores Cancelas-Felgueras, Natalia Santos-Blázquez, Roberto Méndez-Sánchez, Juan Luis Sánchez-González
{"title":"Effect of Resistance Training on Older Adults with Sarcopenic Obesity: A Comprehensive Systematic Review and Meta-Analysis of Blood Biomarkers, Functionality, and Body Composition.","authors":"Luis Polo-Ferrero, Víctor Navarro-López, Manuel Fuentes, Jesus Lacal, María Dolores Cancelas-Felgueras, Natalia Santos-Blázquez, Roberto Méndez-Sánchez, Juan Luis Sánchez-González","doi":"10.3390/nursrep15030089","DOIUrl":"10.3390/nursrep15030089","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Sarcopenic obesity (SO) is a clinical condition in which there is an excess of fat mass and a loss of muscle mass, strength, and function. Its prevalence increases with age, particularly in adults over 65 years old. However, debate persists on the definition and assessment of SO. The purpose of this review is to examine the impact of resistance training on older adults with sarcopenic obesity. <b>Methods</b>: This review included studies investigating the effects of resistance training interventions in older adults with SO. A comprehensive literature search was conducted across six databases (PubMed, SCOPUS, Cochrane Library, Embase, EBSCO, and Web of Science), yielding 1882 articles. The risk of bias in the included studies was assessed using the PEDro scale and the GRADE system. <b>Results</b>: Eleven randomized clinical trials were analyzed qualitatively and nine were analyzed quantitatively. The meta-analysis demonstrated that exercise interventions revealed the positive effects of exercise mainly on physical performance ([SMD] = 0.36, [95% CI] = 0.03, 0.69, <i>p</i> = 0.003) and body composition ([SMD] = 0.35, [95% CI] = 0.12, 0.57, <i>p</i> = 0.003), with no significant differences in biomarkers ([SMD] = 0.1, [95% CI] = -0.28, 0.49, <i>p</i> = 0.52). <b>Conclusions</b>: Resistance training benefits older adults with SO, improving body composition and physical function, whereas there were no significant differences in blood biomarkers. The present review highlights the limitations of the existing evidence base. Many included studies exhibited methodological shortcomings, necessitating the cautious interpretation of findings. Future research should prioritize rigorous study designs, including larger sample sizes and extended follow-up periods, to enhance the precision and generalizability of results.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732279","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}
Nursing ReportsPub Date : 2025-03-03DOI: 10.3390/nursrep15030087
Matteo Ratti, Riccardo Rescinito, Domenico Gigante, Alberto Lontano, Massimiliano Panella
{"title":"Influenza Vaccination of Nurses and Other Health Care Workers in Different Occupational Settings: A Classic and AI Mixed Approach for Time-to-Event Data.","authors":"Matteo Ratti, Riccardo Rescinito, Domenico Gigante, Alberto Lontano, Massimiliano Panella","doi":"10.3390/nursrep15030087","DOIUrl":"10.3390/nursrep15030087","url":null,"abstract":"<p><p><b>Background:</b> Seasonal influenza currently remains a major public health concern for the community and, in particular, the health care worker (HCW). According to the World Health Organization, HCWs are among the high-risk categories for which vaccination is recommended, due to the derived absenteeism, productivity loss, and high probability of transmitting the disease to vulnerable individuals or patients. Therefore, an HCW vaccination policy should be adopted by every health care provider. There is growing evidence that a time effect of the vaccination event is probable, which may influence vaccine effectiveness. We designed and conducted an observational study to investigate the time to anti-influenza vaccination event of different categories of HCWs belonging to different occupational settings in a tertiary hospital during three seasons in order to retrieve some insight about HCW prioritization when designing vaccination campaigns. <b>Materials and Methods:</b> We retrospectively analyzed the results of two HCW anti-influenza vaccination campaigns (2022 and 2023) to assess any difference regarding job typology and unit typology (critical care, surgical, medical, service). We first fitted a classic Cox proportional hazard model and then an AI random forest model to assess variable importance. We used R, RStudio, and the survex package. <b>Results:</b> Overall, other HCWs reported a lower vaccination rate compared to nurses (HR 0.77; 95%CI 0.62-0.97), and service unit personnel appeared to more likely be vaccinated (HR 1.42; 95%CI 1.01-1.99) compared to those belonging to the critical care units. As expected, older workers tended to be vaccinated more frequently (HR 1.70 for the (46, 65] category compared to the younger one; 95%CI 1.39-2.09). The variable importance analysis showed consistent superiority of the ward typology and age category variables with respect to time. During the entire timeline, the ward typology appeared to be more important than the HCW typology. <b>Conclusions:</b> Our results suggest a prioritization policy based firstly on the unit typology followed by the job typology for HCW anti-influenza campaigns.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732346","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}
Nursing ReportsPub Date : 2025-03-03DOI: 10.3390/nursrep15030086
Christiana Arampatzi, Vasiliki Michou, Panagiotis Eskitzis, Konstantinos Andreou, Loukas Athanasiadis
{"title":"Factors Associated with Postpartum Sexual Function During the Puerperium Period: A Cross-Sectional Study in Greece.","authors":"Christiana Arampatzi, Vasiliki Michou, Panagiotis Eskitzis, Konstantinos Andreou, Loukas Athanasiadis","doi":"10.3390/nursrep15030086","DOIUrl":"10.3390/nursrep15030086","url":null,"abstract":"<p><p><b>Background:</b> After childbirth, sexual activity and sexual desire decrease significantly. In recent years, postpartum sexual health has been a common concern that is often not discussed in antenatal postpartum care and has received little attention from either clinicians or researchers. This lack of attention is concerning, and thus, the aim of this study was to investigate associated factors with postpartum sexual function during the puerperium period, with the hope of sparking a change in this trend. <b>Methods:</b> Three hundred and thirty-six women participated in the study. They were asked to complete two questionnaires: a general questionnaire regarding demographic and other personal information about the postpartum period and the Female Sexual Functioning Index (FSFI). <b>Results:</b> The results showed that women scored an average of 20.8 points on the FSFI, and thus, their level of sexual functioning was characterized as moderate. Factors such as older age, lack of partner support, and negative body image appeared to influence scores on the FSFI scale. <b>Conclusions:</b> In conclusion, our research underscores the need for further investigation into the challenges women face during the puerperium period, which may negatively influence sexual health and functioning.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732320","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}