Nursing-Research and Reviews最新文献

{"title":"A Brief Report of an Executive Functioning Training Pilot RCT in Adults with HIV: A Descriptive Case Comparison Study.","authors":"Ikenna Obasi Odii, Hathaichanok Phaowiriya, Shayla B Brooks, Nicholas K Wright, Andres Azuero, Pariya L Fazeli, Junghee Lee, Crystal Chapman Lambert, Dara L James, Emma Sophia Kay, David Eugene Vance","doi":"10.2147/NRR.S527440","DOIUrl":"https://doi.org/10.2147/NRR.S527440","url":null,"abstract":"<p><strong>Background and purpose: </strong>Cognitive intra-individual variability (IIV) refers to the fluctuations observed in cognitive performance. The aim of this article was to characterize and describe for illustrative purposes an approach to administer executive functioning training to people living with HIV (PLWH) to reduce their cognitive IIV. This brief report highlights four cases in an on-going study investigating cognitive IIV in HIV. In HIV, cognitive IIV has been associated with cognitive decline, cortical atrophy, and mortality risk. The Executive Dysfunction Hypothesis suggests improving executive functioning could reduce cognitive IIV.</p><p><strong>Study design: </strong>In the parent on-going pilot RCT (called the Executive Functioning Training (EFT) Study), 120 PLWH are randomized to either a no-contact control group or an executive functioning training group which receives 20 hours of computerized exercises. To characterize this study, this article describes an interim descriptive case analysis (<i>N</i>=4) that was conducted with the first two participants who completed training (<i>n</i>=2) and compared to demographically-matched control (<i>n</i>=2) participants.</p><p><strong>Results: </strong>Using the Connor's Continuous Performance Test 3^rd Edition, results showed improvements in reaction time (<i>Hit RT, by -24.5 points</i>) and cognitive IIV (<i>HRT SD</i>, <i>Variability, by -16 points</i>) in the training group compared to the no-contact control group. In other words, the training appeared to reduce cognitive IIV.</p><p><strong>Conclusion: </strong>This finding suggests that by improving executive functioning through executive functioning training, this may stabilize cognitive functioning in general, as indicated by reduced cognitive IIV. Although preliminary, these encouraging results support the Executive Dysfunction Hypothesis and suggests further exploration of cognitive IIV may provide insights on how to improve cognition in aging PLWH. Implications for neuroscience nursing are provided.</p>","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"15 ","pages":"129-139"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973222","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":"OPtimizing Technology to Improve Medication Adherence and BP Control (OPTIMA-BP) Invention Versus Waitlisted Group in African American Adults with Hypertension: A Randomized Control Trial Protocol.","authors":"Carolyn Harmon Still, Carla Harwell, Cheryl Killion, Abdus Sattar, Satish E Viswanath","doi":"10.2147/nrr.s491609","DOIUrl":"https://doi.org/10.2147/nrr.s491609","url":null,"abstract":"<p><strong>Background: </strong>Consistent adherence to prescribed hypertension treatment regimens is an important goal for persons living with hypertension, yet it remains a challenge for minority and underserved populations. Employing technology-based intervention (TBI) to support self-managing hypertension presents an opportunity to effectively control BP, and potentially have long-term effects on health outcomes.</p><p><strong>Objective: </strong>The objective of this study is to test the efficacy of a TBI, OPtimizing Technology to Improve Medication Adherence and BP Control (OPTIMA-BP), as an approach to support hypertension self-management to improve BP, health-related quality of life (HRQOL), and long-term compliance in African Americans with hypertension.</p><p><strong>Methods: </strong>This prospective, 2-arm randomized trial conducted in the Midwest will enroll African American older adults with hypertension, 50 years of age and older, recruited from primary clinics and community settings. Participants are allocated in a 1:1 ratio using computer-generated randomization to OPTIMA-BP intervention (<i>n</i> = 104) or Waitlist control group (<i>n</i> = 104). Participants are asked to participate in the study over a 12-month period and complete 5 study visits. Individuals in the OPTIMA-BP intervention group will receive three technology components (web-based education, medication adherence mHealth app, study provided home BP monitor), coupled with nurse counselling and communication to providers for guideline-directed treatment regimen. We will also collect data on knowledge-attitude mechanisms of self-management (hypertension knowledge, self-efficacy, perceived social support) and proximal behavioral mechanisms (antihypertension medication-taking, diet, exercise). Qualitative analyses will explore participants' experiences with self-managing hypertension using technology.</p><p><strong>Results: </strong>Participant recruitment began in March 2022, and is currently ongoing. It is anticipated that preliminary findings appropriate for analysis will be disseminated Summer 2025. The primary endpoint is a change in BP (<130/80 mmHg) and improved HRQOL.</p><p><strong>Conclusion: </strong>Using TBI along with standard preventive measures provides a unique opportunity to improve BP control and enhance secondary CVD prevention in this high-risk group.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT05564728; https://clinicaltrials.gov/study/NCT05564728.</p>","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"15 ","pages":"29-41"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020424","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":"Executive Functioning Training for Reducing Cognitive Intra-Individual Variability in People Living with HIV: A Pilot Randomized, Controlled Trial Protocol.","authors":"Ikenna O Odii, Hathaichanok Phaowiriya, Cierra Hopkins, Pariya L Fazeli, Leah Rubin, Andres Azuero, Junghee Lee, Shayla B Brooks, Crystal Chapman Lambert, David Eugene Vance","doi":"10.2147/nrr.s492990","DOIUrl":"https://doi.org/10.2147/nrr.s492990","url":null,"abstract":"<p><strong>Background and purpose: </strong>Cognitive training programs have been attempted to improve cognition in cognitively vulnerable people living with HIV (PLWH). Some have attempted to improve episodic memory or speed of processing, while others have used an individualized cognitive domain approach targeting each person's cognitive deficits. Although effective, none of these approaches considered the influence of cognitive intra-individual variability (IIV). Cognitive IIV refers to the fluctuations in one's individual cognitive ability across cognitive domains (dispersion) or within the same test (inconsistency). Greater cognitive IIV predicts cognitive decline as well as decreased cognitive integrity and increased neuropathology. Some neuroscientists posited that poor executive functioning, known as the Executive Dyscontrol Hypothesis, increases cognitive IIV. Thus, if we can improve executive functioning, we may be able to decrease cognitive IIV and improve overall cognitive functioning. This article provides the rationale and protocol for a feasibility clinical trial examining an executive functioning training intervention in middle-aged and older PLWH.</p><p><strong>Study design: </strong>This study utilizes a two-arm baseline/posttest experimental design to examine the primary aim 1 (feasibility and acceptability) and the exploratory aim 1 (cognition) in 120 community-dwelling PLWH aged 40 and older. Participants will be randomized into one of the two arms: 1) 20 hours of computerized executive functioning training group, or 2) a no-contact control group. The proposed training time is 10 to 12 weeks (1 to 2 one-hour training sessions/week, while working around participants' schedules). At baseline and posttest, participants will receive a 1.5 to 2-hour assessment that includes many measures including the Connor's Continuous Performance Test (Version 3), and a 50-minute self-administered computerized cognitive performance battery (BRACE+ = BrainBaseline Assessment of Cognition and Everyday Functioning).</p><p><strong>Conclusion: </strong>This study tests an innovative intervention designed to reduce cognitive IIV; to our knowledge, no other study has targeted cognitive IIV as an intervention outcome.</p>","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"15 ","pages":"17-28"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12368866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973155","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":"Protocol for a Pilot Randomized Controlled Trial of a Resilience Intervention Adapted for Older People Living with HIV: Resilience Intervention for Successful Aging Enhancement (RISE+).","authors":"Pariya L Fazeli, David E Vance, Jeremy D Delgadillo, Shakaye R Haase, Crystal Chapman Lambert, Brittany L Bradley, Andres Azuero, Bulent Turan, Mirjam Colette Kempf","doi":"10.2147/nrr.s538597","DOIUrl":"10.2147/nrr.s538597","url":null,"abstract":"<p><strong>Purpose: </strong>Despite evidence that: 1) older people living with HIV (PLHIV) experience a high burden of stress that is associated with myriad poorer outcomes, 2) psychological resilience may buffer the negative effects of stress in older PLHIV, and 3) older PLHIV may possess lower levels of this protective factor than seronegative counterparts, little work has examined strategies to bolster resilience in older PLHIV. This article details the protocol for a pilot clinical trial examining the feasibility and efficacy of a theory-driven resilience intervention that has been adapted for older PLHIV.</p><p><strong>Patients and methods: </strong>This study plans to randomize 100 older PLHIV aged 45+ with suboptimal HIV treatment management to either an intervention condition (i.e., Resilience Intervention for Successful Aging Enhancement [RISE+]) or an attention-matched control condition. Both arms include weekly one-hour in person group intervention sessions. The comprehensive assessment includes proximal mechanistic measures, (i.e., real-time measurement of resilience resources and stress reactivity and recovery via experience sampling method [ESM] text message-prompted online surveys) and health (i.e., psychological functioning and HIV outcomes) measures. Primary Aims focus on intervention effects on: the use of resilience resources and whether such increases drive improved affective stress reactivity and recovery (Aim 1) and distal health outcomes at three months (Aim 2).</p><p><strong>Conclusions: </strong>This study tests a novel resilience intervention among older PLHIV and has several strengths, including focusing on an at-risk and understudied population, rigorous examination of efficacy and mechanism, and utilizing an intervention with minimal facilitator involvement, which has implications for future scalability. Findings will identify intervention mechanisms and inform the development of potent and scalable interventions for building resilience in older PLHIV and other diverse populations of older adults.</p>","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"15 ","pages":"151-163"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12428870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066047","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":"The Magnitude of Turnover Intention and Associated Factors Among Nurses Working at Governmental Hospitals in Southern Ethiopia: A Mixed-Method Study","authors":"Getachew Nigussie Bolado, Tadele Lankrew Ayalew, Bizuayehu Atinafu Ataro, Adem Hussein","doi":"10.2147/nrr.s404623","DOIUrl":"https://doi.org/10.2147/nrr.s404623","url":null,"abstract":"","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"39 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73914533","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 Male Involvement in Institutional Child Delivery Services of Their Partner in Southern Ethiopia","authors":"M. Alemu, Girmay Adhena, N. Assefa, Yadeta Dessie","doi":"10.2147/nrr.s380433","DOIUrl":"https://doi.org/10.2147/nrr.s380433","url":null,"abstract":"","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"132 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85609965","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":"Exploring Occupational Stress Among Intensive Care Units Nurses in Saudi Arabia Using the Health and Safety Executive Management Standards Indicator Tool","authors":"M. Ageel, Abdullah M Shbeer","doi":"10.2147/nrr.s386670","DOIUrl":"https://doi.org/10.2147/nrr.s386670","url":null,"abstract":"Background: Work in intensive care units (ICU) is associated with high levels of stress, which can result in reduced productivity and compromised health care quality, if not managed appropriately. The Health and Safety Executive (HSE) has developed the Management Standards Indicator Tool (IT) that includes the six HSE Management Standards; demands (workload, work patterns and environment), control (how much say a person has in the way they work), manager support (encouragement, sponsorship, resources provided by organization/line management) and peer support (encouragement and resources from colleagues), workplace relationships (promoting positive working to avoid conflict and deal with unacceptable behavior), roles (whether people understood their role), and change (how organizational change is managed). This study aimed to assess occupational stress and identify the major management standards indicators of organizational psychosocial hazard exposure among ICU nurses in public hospitals in Jazan, Saudi Arabia, using the HSE-IT for occupational stress. Methods: The survey population included all full-time ICU nurses affiliated with the Jazan Region Health Administration. This study used a cross-sectional online survey based on the HSE-IT, which assesses the six HSE Management Standards representing potential stress hazards. The mean scores were interpreted in relation to the HSE benchmarks. It also included a qualitative component in the form of narrative comments regarding the most common sources of occupational stress and recommendations to reduce this stress. The data were analyzed to obtain descriptive and inferential statistics. The demographic variables examined for their association with the HSE-IT Standards. Results: A total of 120 responses were collected from ICU nurses, with a response rate of 66%. The nurses were primarily female (53.3%) and aged between 25 and 34 years (60.0%). They had bachelor’s degrees (61.7%) and between 6 and 10 years of experience (55.0%). Most of them lived in urban settings (75.0%), were married (60.0%), and earned between 10,000 and 15,000 Saudi riyals per month (41.7%). In terms of weekly overtime, 66.7% of them did fewer than 5 hours. The results show that in relation to the HSE benchmarks, “good but needs improvement” was indicated in the change standard, “clear need for improvement” was indicated in the demands, peer support and relationships standards, “urgent action needed” was indicated in the control, manager support and roles standards. The qualitative data revealed that the most cited source of occupational stress was unsupportive management. Consequently, the most commonly proposed recommendation to reduce such stress was better management. The associations between sociodemographic characteristics, place of residence and overtime working hours, and the HSE Management Standards were commonly observed. Conclusion: The findings of this study indicate that the risks associated with occupational stress","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"11 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79252049","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":"Nurses’ Experiences with an Electronic Tracking System in the Emergency Department: A Qualitative Study","authors":"M. Alqurashi, Abdulellah Al Thobaity, Faisal Alzahrani, H. Alasmari","doi":"10.2147/nrr.s384136","DOIUrl":"https://doi.org/10.2147/nrr.s384136","url":null,"abstract":"","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"22 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78686565","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":"Prevalence of Needle Stick Injuries Among Nurses in Jeddah, Saudi Arabia","authors":"Ruba Alharazi, H. Almutary, O. Felemban, Atheer S Alariany, Fatimah A Alshamrani, Ebtisam H Hawsawi, Lujain M Alsulami","doi":"10.2147/nrr.s376343","DOIUrl":"https://doi.org/10.2147/nrr.s376343","url":null,"abstract":"Purpose: Needle-stick injuries (NSIs), sharp tools, and other devices that penetrate the skin are considered occupational hazards for health workers. The most dangerous pathogens in the blood are transmitted through contaminated needles. Thus, this study aimed to investigate the prevalence and associated factors related to NSIs among nurses in Jeddah, Saudi Arabia. Patients and Methods: A quantitative cross-sectional descriptive study design was used. A total of 219 nurses working in a hospital in Jeddah, Saudi Arabia, were recruited for this study. All registered nurses and adult, male, and female nurses working in general and critical care units were included in this study. Data were collected using an online questionnaire. Data were analysed using descriptive statistics using IBM Statistical Package for the Social Sciences (SPSS) version 23. The chi-square test was used to identify variables associated with NSI. Results: The prevalence of NSIs among nurses in Jeddah, Saudi Arabia, was 19.7%. Conclusion: NSIs are the most dangerous pathogens transmitted through the blood between health workers. The prevalence of NSIs was 19.7%. Thus, nurses need to be provided with educational training on how to prevent NSIs.","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89742744","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":"Relation of Workplace Incivility, Prosocial Motivation and Emotional Exhaustion to Thriving of Nurses","authors":"Muhammad Nawaz, Ghulam Abid, Tawiah Kwatekwei Quartey-Papafio","doi":"10.2147/nrr.s373694","DOIUrl":"https://doi.org/10.2147/nrr.s373694","url":null,"abstract":"Background: The study attempt to investigate the impact of individual-level factor (prosocial motivation), negative contextual factor (workplace incivility), and personal resource (emotional exhaustion) on the thriving of nurses. Methods: Primary data from 215 Pakistani nurses were collected and analyzed. Data were analyzed through the Second Synthetic Grey Relational Analysis (SSGRA) and the Regression Analysis. Results: We found that workplace incivility and thriving are negatively associated, whereas prosocial motivation positively influenced thriving. We also found the moderating impact of emotional exhaustion on the associations of workplace incivility-thriving and prosocial motivation-thriving. Both SSGRA and Regression Analysis revealed that the impact of prosocial motivation on thriving is more significant than that of workplace incivility, and moderation can also be found significant. Conclusion: The study suggests that a suitable work environment, appropriate training, and guidance encourage emotional stability and improve prosocial motivation. Similarly, mentoring, socializing, and acknowledging the efforts of nurses’ faculty are likely to cope with workplace incivility and promote their thriving. This study focused on the impact of workplace incivility (a negative contextual factor), prosocial motivation (individual level factor) and emotional exhaustion (a chronic state of physical and emotional depletion) on the thriving of nursing faculty. We examined the moderating role of emotional exhaustion on the associations of 1) workplace incivility and thriving, and 2) prosocial motivation and thriving. A cross-level interaction of workplace incivility and emotional exhaustion on thriving, and similarly, the cross-level interaction of prosocial motivation and thriving was conducted empirically. Discussed below findings provides support to the hypothesized model.","PeriodicalId":42242,"journal":{"name":"Nursing-Research and Reviews","volume":"7 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73929240","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}