SAGE Open Nursing最新文献

{"title":"Telepalliative Care in Home-Based Nursing Care for Older Adults With Metastatic Cancer Post COVID-19: An Ethnoscientific Study.","authors":"Jinpitcha Sathiyamas, Chatchai Mingmalairak, Bunyong Rungroungdouyboon, Chawakorn Sri-Ngernyuang","doi":"10.1177/23779608241279908","DOIUrl":"10.1177/23779608241279908","url":null,"abstract":"<p><strong>Introduction: </strong>The post-COVID-19 pandemic caused the whole world to make several changes to the nursing healthcare system. This sudden shift raised questions about telepalliative care in home-based nursing care in the context of healthcare utilization, including meeting the needs of older adults with metastatic cancer. The evidence suggests that telepalliative care in home-based nursing care is acceptable to most advanced practice nurses, but the extent of their use for metastatic cancer patients has not been defined.</p><p><strong>Objectives: </strong>To explore the use of telepalliative care in home-based nursing care for older adults with metastatic cancer in central Thailand following the post-COVID-19 pandemic.</p><p><strong>Methods: </strong>A qualitative approach with an ethnoscientific design was used to collect data from a purposive sample of 15 advanced practice nurses from May to September 2023. The interview transcripts were analyzed using componential analysis (core coding, categorizing, theme, and emerging theory).</p><p><strong>Results: </strong>The componential analysis revealed two themes of telepalliative care in home-based nursing care for older adults with metastatic cancer in the post COVID-19 pandemic. The first theme is telepalliative care delivery, with subthemes of delivering practice, nurse-mediated feedback and supportive care, remote monitoring of real-time emergencies, and transferring medical data. The second theme is advanced practice nurses' (APN) role in telepalliative nursing care, including the subthemes of virtual monitoring, life-threatening cancer, side effects, caregiving capacity, continuity of care, and long-term care services. The study found that caregiving capacity, continuity of care, and long-term care services were formed of telepalliative care in home-based nursing care for cancer patients following the COVID-19 pandemic.</p><p><strong>Conclusion: </strong>Telepalliative care in home-based nursing care is effective in delivering services to older adults with metastatic cancer during the post-COVID-19 pandemic. The findings suggested that remote monitoring of real-time emergencies, life-threatening cancer, and long-term care services are part of telepalliative care in home-based nursing care. Adapting the telepalliative competency standards of advanced practice nurses is needed to ensure high-quality healthcare access for older adults with metastatic cancer during the post-COVID-19 pandemic.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241279908"},"PeriodicalIF":2.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308706","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":"Factors Associated with Psychological Distress, Fear, and Coping Strategies during the COVID-19 Pandemic in Thailand: A Cross-Sectional Study.","authors":"Patraporn Bhatarasakoon, Suwit Inthong, Sirirat Nitayawan, Ratree Thongyu, Chayapa Sanlaung, Muhammad Aziz Rahman","doi":"10.1177/23779608241274250","DOIUrl":"https://doi.org/10.1177/23779608241274250","url":null,"abstract":"<p><strong>Introduction: </strong>Despite being initially perceived as a local infectious disease, COVID-19 has emerged as one of the most perilous global health threats, significantly impacting the psychological well-being of individuals worldwide.</p><p><strong>Objective: </strong>This cross-sectional descriptive study investigates the psychological distress, fear, and coping mechanisms among Thai people residing in Thailand during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This online cross-sectional survey targeted Thai individuals during the first and third waves of the COVID-19 pandemic. Participants aged 18 and above who provided consent self-reported their responses to the Kessler Psychological Distress Scale, Fear of COVID-19 Scale, and Brief Resilient Coping Scale. Data collection occurred between November 2020 and January 2021 across four regions of Thailand. Univariate and multivariate logistic regression analyses explored associations between contextual factors and the variables of interest.</p><p><strong>Results: </strong>Out of 498 survey respondents, with an average age of 43.07 (SD = 13.69) years, 81.9% were female, and 61.6% self-identified as healthcare workers, with 47.59% identified as frontline healthcare workers. Findings revealed that 46% of participants experienced moderate-to-very high levels of psychological distress, 14.3% reported high levels of fear of COVID-19, and 35.1% exhibited low resilient coping. Factors such as changes in employment status or financial situations, comorbidities, contact with known or suspected COVID-19 cases, recent healthcare utilization for COVID-19-related stress, and elevated fear of COVID-19 were associated with higher levels of psychological distress. Conversely, being nurses and perceived better mental health status were linked to more effective coping strategies.</p><p><strong>Conclusion: </strong>These results emphasize the critical importance of government interventions to safeguard the psychological well-being of healthcare workers and the broader Thai population. Urgent measures to bolster resilience among these groups during and after the pandemic are imperative.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241274250"},"PeriodicalIF":2.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297995","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":"Factors Associated With the Nursing Care Experience of Patients Admitted to Riyadh Region Hospitals.","authors":"Mona Al Sherim, Sami Abdulrahman Al Hamidi","doi":"10.1177/23779608241278531","DOIUrl":"https://doi.org/10.1177/23779608241278531","url":null,"abstract":"<p><strong>Introduction: </strong>In the contemporary healthcare landscape, the paradigm of patient experience and patient-centered care has emerged as a crucial point for healthcare reform, emphasizing the patient's active role in shaping healthcare systems.</p><p><strong>Objective: </strong>This study aimed to investigate the patient experience level of nursing care and examine associated factors among hospitalized patients in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>Cross-sectional secondary analysis of patient experience data included more than 8,000 patients discharged from Ministry of Health hospitals in Riyadh during 2022G. The national survey examined patient perceptions of multiple aspects of nursing care. Although most patients gave high overall scores, lower scores were observed for nurse introductions and prompt responses to call buttons. There are opportunities to improve communication and response through interventions targeting nurse staffing, training, and incentives. A checklist called Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) was used to report the study.</p><p><strong>Results: </strong>71.2% Of patients rated their nursing care experience as \"very good.\" No differences were seen between genders. However, Saudi patients reported higher satisfaction than non-Saudis (<i>p</i> = .001). The top-scored nursing aspects were friendliness/courtesy (70.2% \"very good\") and nurses' skill level (65.8% \"very good\"). Lower ratings occurred for nurses who introduced themselves (54.0% \"very good\") and for prompt response to call buttons (58.5% \"very good\"). Targeted improvements in communication and responsiveness could help address these gaps in patient experience scores between nursing care domains.</p><p><strong>Conclusions: </strong>Most of the patients indicated overall positive nursing care experiences, which include opportunities for improvement in nurse introductions and responsiveness to patient needs. Boosting communication through nurses consistently introducing themselves and managing heavy workloads to allow faster call button response times could enhance patients' perceptions of their nursing care quality.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241278531"},"PeriodicalIF":2.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297996","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":"Post-COVID job Stressors and Their Predictive Role on Mental Health: A Cross-Sectional Analysis Between Physicians and Nurses.","authors":"Selene Fernández-Martínez, Carilene Armas-Landaeta, Adrián Pérez-Aranda, José Guzmán-Parra, Alicia Monreal-Bartolomé, Vera Carbonell-Aranda, Javier García-Campayo, Yolanda López-Del-Hoyo","doi":"10.1177/23779608241278861","DOIUrl":"https://doi.org/10.1177/23779608241278861","url":null,"abstract":"<p><strong>Introduction: </strong>Health care providers face heightened stress and increased rates of anxiety and depression post-COVID-19. The pandemic, officially declared over in May 2023, continues to impact their wellbeing significantly, with ongoing mental health monitoring and tailored interventions crucial for support.</p><p><strong>Objectives: </strong>The aim of this study was to describe the frequency of job stressors in a sample of Spanish health care providers post-COVID and to explore potential differences between physicians and nurses, hypothesizing that while both professional categories could experience similar job stressors, some of them could have a differential impact on the mental health of each subgroup.</p><p><strong>Methods: </strong>This cross-sectional substudy is part of the MINDxYOU project. The data were collected from 191 health care providers from two regions in Spain. Participants completed the UNIPSICO test battery, used to assess job stressors, and questionnaires to evaluate perceived stress, depressive symptomatology, anxiety, and resilience. Descriptive analyses, bivariate correlations, and linear regression models were performed to compare the two professions that were the most representative of our sample: physicians (n = 82) and nurses (n = 54).</p><p><strong>Results: </strong>The most frequent job stressors were workload, lack of positive feedback, and inequity in social interactions. Physicians reported worse outcomes in terms of workload, autonomy, role conflicts, inequity in social interactions, and work-family balance compared to nurses. Mobbing, despite not being very frequent, significantly predicted different mental health outcomes for both physicians and nurses. Inequity in social interactions and job satisfaction were significant predictors of physicians' mental health, while role ambiguity, interpersonal conflicts, and career turnover intentions predicted nurses' mental health.</p><p><strong>Conclusion: </strong>As hypothesized, our findings highlight that certain job stressors (i.e., inequity in social interactions, conflicts in the workplace) might be affecting physicians' and nurses' mental health differently. Therefore, effective strategies addressing each subgroup's specific stressors would be necessary to prevent the development of burnout syndrome and other serious mental health conditions associated with occupational stress. These strategies would imply organizational changes in most cases.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241278861"},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297982","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":"Cultural Adaptation and Psychometric Evaluation of the Nursing Decision-Making Instrument Into European Portuguese.","authors":"Ivo Cristiano Soares Paiva, Teresa Margarida Almeida Neves, Filipa Isabel Quaresma Santos Ventura, António Carlos Lopes Vilela, Isabel Maria Pinheiro Borges Moreira","doi":"10.1177/23779608241278611","DOIUrl":"https://doi.org/10.1177/23779608241278611","url":null,"abstract":"<p><strong>Introduction: </strong>Nurses are continually faced with multiple demands to make decisions in their clinical practice. The Nursing Decision-Making Instrument (NDMI) assesses nurses' decision-making styles during the several stages of this process.</p><p><strong>Objectives: </strong>To adapt the NDMI into European Portuguese and evaluate the psychometric properties of the Portuguese version in a population of Portuguese nurses.</p><p><strong>Methods: </strong>Descriptive study design was used to examine psychometric properties of NDMI. Nonprobability convenience sample of 339 Portuguese direct-care nurses. Data were collected using a questionnaire comprising sociodemographic and professional data and the NDMI-Portuguese version (NDMI-PT). An exploratory factor analysis (EFA; <i>n </i>= 125) and a confirmatory factor analysis (CFA; <i>n </i>= 214) were carried out using IBM SPSS (v. 24) and AMOS (v. 22).</p><p><strong>Results: </strong>The EFA revealed a structure of four latent factors, which represent the reorganized stages of the decision-making process. The CFA found a good overall fit of the model (χ²/df = 2.13; comparative fit index [CFI] = 0.91; goodness of fit index [GFI] = 0.82; Tucker-Lewis Index [TLI] = 0.90; root mean square error of approximation [RMSEA] = 0.07; maximum-likelihood expected cross-validation index [MECVI] = 3.13). The psychometric analysis of the theoretical structure revealed that the four factors reflect the decision-making stages and have a better overall fit than the empirical structure (χ²/df = 1.82; CFI = 0.94; GFI = 0.86; TLI = 0.93; RMSEA = 0.06; MECVI = 2.55). The analysis of the construct reliability of the NDMI-PT revealed that the overall internal consistency was excellent (<i>α</i>=0.96).</p><p><strong>Conclusions: </strong>This study revealed that the empirical and theoretical structures were appropriate and valid for the sample under analysis. The NDMI-PT is a reliable and valid tool for assessing nurses' decision-making styles. Studies should be conducted to gain further insight into the robustness of this validated tool.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241278611"},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11406578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297991","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":"Postgraduate Operating Room Nursing Students' Experiences with Blended Learning Combining Digital Learning Paths and Basic Skills Training as Preparation for Internship: A Qualitative Study.","authors":"Lena Rengård Kolstad, Vibeke Tjugum, Irene Rød, Karoline Skedsmo, Hege Vistven Stenseth, Marit Hegg Reime","doi":"10.1177/23779608241278541","DOIUrl":"https://doi.org/10.1177/23779608241278541","url":null,"abstract":"<p><strong>Introduction: </strong>Numerous pedagogical practices ought to be contemplated for the acquisition of practical aptitudes imperative to postgraduate operating room nursing education. The employment of digital technologies has emerged as a strategic focus in higher education and learning paths exhibit potential as a digital approach in nursing education.</p><p><strong>Objective: </strong>This study aimed to investigate the experiences of postgraduate OR nursing students who underwent a blended learning approach, which combines digital learning paths with skills training, and to explore how this approach prepares students to attain specific learning outcomes during their internship period.</p><p><strong>Methods: </strong>This qualitative study employed a descriptive, exploratory design and utilized focus group interviews facilitated by an interview guide to gather qualitative data. A purposive sampling strategy was employed, and the collected data were analyzed using a systematic text condensation approach.</p><p><strong>Results: </strong>The analysis of the data revealed two main categories and five subgroups. The first category, \"Blended learning serves as adequate preparation for internship,\" includes subgroups that highlight the advantages of diverse learning activities that aid in the development of a strong foundation in practical skills. The positive influence of peer collaboration fosters improved learning through social interaction, while the organization of the curriculum has a significant impact on students' learning experiences. The second category, \"The importance of skills training and behaving in an operating theater context,\" consists of subgroups that emphasize the necessity of progressing from basic technical skills training to simulation pedagogy to ensure appropriate behavior in the operating room. Small group sizes, close monitoring, and assessment by educators contribute to effective learning.</p><p><strong>Conclusion: </strong>The integration of digital learning paths with skills training fosters a problem-solving approach and encourages active and collaborative learning. Skills training in small groups, timely feedback, and coordination among subject managers to handle the students' workload can create an optimal learning environment.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241278541"},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297983","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":"Differences in Emotional Intelligence Between Male and Female Nursing Students From a Population With a Low Percentage of Male Nurses.","authors":"Karol Laskowski, Justyna Paszkiewicz, Adam Szepeluk, Kamil K Hozyasz","doi":"10.1177/23779608241274207","DOIUrl":"https://doi.org/10.1177/23779608241274207","url":null,"abstract":"<p><strong>Introduction: </strong>Poland has the largest shortage of nurses in Europe, as well as a low percentage of male nurses. Information relating to emotional intelligence has been explored to determine whether it predicts the characteristics and outcomes of qualified health professionals during their academic training and practice.</p><p><strong>Objective: </strong>This study aimed to measure differences in emotional intelligence between male and female nursing students.</p><p><strong>Participants and methods: </strong>In this cross-sectional study, emotional intelligence was measured using the Schutte Self-Report Emotional Intelligence Test (SSEIT) in 21 male and 127 female nursing students from John Paul II University in Biała Podlaska, Poland.</p><p><strong>Results: </strong>The raw overall scores of emotional intelligence in male and female students were similar. Differences were observed after the conversion of raw scores into normalized (sten) scores. High normalized scores (sten 8-10) of emotional intelligence had every third of male students and only 14.2% of female students. The lowest sten values of emotional intelligence in male and female students were 3 and 1, respectively. Less than 10% of male students and over 20% of female students had low normalized scores (sten ≤3) for emotional intelligence and an isolated ability to recognize emotions (factor II).</p><p><strong>Conclusions: </strong>The emotional intelligence expressed in normalized scores was higher in male nursing students than in female nursing students. This evidence may suggest that, at the stage of choosing a field of study, Polish male nursing students self-select for the nursing profession, at least in terms of emotional intelligence. The influx of men into the profession should be considered as a positive trend.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241274207"},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11402095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297993","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":"Nursing Undergraduate Students' Experiences and Perceptions of Blended Learning in Pediatric Nursing: A Mixed Methods Study.","authors":"Yuanyuan Yang, Hua Chen, Hongyu Sun","doi":"10.1177/23779608241274214","DOIUrl":"https://doi.org/10.1177/23779608241274214","url":null,"abstract":"<p><strong>Introduction: </strong>Blended learning is a teaching approach that integrates online self-learning and classroom teaching. It emphasizes students' self-directed learning, actively engaging, as well as communication and collaboration. Blended learning develops the qualities in nursing undergraduate students with problem-solving ability, clinical thinking, and communication skills as nurses have. Currently, learners' experience has become an important factor in determining the success of blended learning.</p><p><strong>Aim: </strong>To learn about the experiences and perceptions of undergraduate nursing students regarding blending learning in pediatric nursing.</p><p><strong>Methods: </strong>A mixed methods design beginning with a quantitative data collection and analysis phase to inform the subsequent qualitative phase was utilized. This study was conducted among undergraduate nursing students at one university in China. In the quantitative study phase, a convenience sample of 59 students completed the online survey while the qualitative study phase included nine students recruited by purposive sampling. The qualitative data were collected using individual semistructured in-depth interviews. Audio data were transcribed and subjected to thematic analysis. The findings from those two phases were integrated into the final analysis.</p><p><strong>Results: </strong>The majority (89.8%) of students reported satisfaction with blended learning. Among various teaching methods, case-based learning (CBL) was the most preferred (98.3%). Regarding the qualitative data, students reported positive experiences with blended learning including well-organized course structure, resourceful course content, and high teacher quality. They stated that blended learning improved the learning outcomes such as improving problem-solving ability and developing clinical thinking. They also provided suggestions for achieving better learning outcomes, including providing stressful learning activities, optimizing online course design, and improving the quality of group learning.</p><p><strong>Conclusions: </strong>The blended learning model of pediatric nursing based on the Community of Inquiry framework provides a positive learning experience for nursing undergraduate students. However, ongoing assessment and improvement of the blended learning process are also needed.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241274214"},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297981","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":"Dietary Practices and Associated Factors Among Adult Diabetic Patients at Academic Tertiary-Level Hospitals in Central Ethiopia: Convergent Mixed Study.","authors":"Sentayehu Admasu Saliya, Taye Mezgebu Ashine, Asnakech Zekiwos Heliso, Getachew Ossabo Babore, Bethelhem Birhanu, Awoke Girma Hailu, Sisay Foga Sebro, Elias Ezo, Selamawit Wondale Begizew","doi":"10.1177/23779608241279151","DOIUrl":"https://doi.org/10.1177/23779608241279151","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus (DM) is one of the most common chronic diseases globally. Despite the presence of national strategies to prevent potential sequelae DM has been associated with increased morbidities and mortality in Ethiopia, and the prevalence appears to be on the rise. Although studies have been conducted among DM patients in the country, there is a lack of information that could allow an in-depth understanding of the situation.</p><p><strong>Objective: </strong>To assess dietary practices and associated factors among adult DM patients at academic tertiary-level hospitals in central Ethiopia.</p><p><strong>Methods: </strong>The institution-based concurrent mixed-methods study was conducted from January 01 to 30 2024 involving 420 adult DM patients. Participants were selected using a simple random sampling technique for quantitative study. A purposive sampling technique was used to select 16 participants for qualitative analysis. For the quantitative study, a self-administered structured questionnaire was used to collect data, and an in-depth interview for the qualitative part. Multivariate binary logistic regressions were used to assess the explanatory variables associated with dietary practice. A thematic analysis was performed for qualitative data.</p><p><strong>Result: </strong>Of 420 eligible participants, 406 (96.7%) participated in the study. The overall proportion of good dietary practices among participants was 172 (44.2%). The being female, urban residence a family history of DM, and good dietary were significantly associated with the dietary practice. From qualitative analysis, two themes have emerged; Living as before and not adhering to diabetic dietary recommendations and barriers to adherence to effective eating practice.</p><p><strong>Conclusions and recommendations: </strong>Less than half of adult DM patients had good dietary practices. Sex, geographic location, family history of DM, and level of knowledge of diabetic diet were associated with dietary practice. Intervention programs on awareness creation and training to improve the dietary practice by stakeholders were recommended.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241279151"},"PeriodicalIF":2.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297992","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":"Strabismic Adults' Experiences of Psychosocial Influence of Strabismus-A Qualitative Study.","authors":"Anna Mason, Katja Joronen, Laura Lindberg, Marika Kajander, Nina Fagerholm, Anja Rantanen","doi":"10.1177/23779608241278456","DOIUrl":"10.1177/23779608241278456","url":null,"abstract":"<p><strong>Introduction: </strong>Strabismus influences health-related quality of life. Individuals may have functional and psychosocial consequences of strabismus that impact their well-being. As strabismus is prevalent in all age groups, patients are seen in varied specialties in healthcare organizations. Therefore, healthcare professionals need to be aware of the psychosocial consequences when caring for strabismic individuals.</p><p><strong>Objective: </strong>To describe strabismic adults' experiences of the psychosocial influence of strabismus.</p><p><strong>Methods: </strong>Twelve strabismic adults participated in face-to-face or online semistructured individual interviews to share their experiences of the psychosocial influence of strabismus. The participants were selected purposefully. The data were analyzed using inductive content analysis.</p><p><strong>Results: </strong>The participating adults described challenges with social environments, which showed stress in social situations and pressure in interactions. Strabismic adults had experienced staring from others, avoided social situations, and were uncomfortable with photography. They hid their strabismus, avoided eye contact, and struggled with intimate relationships. They also expressed struggles with mental well-being, which were emotional and psychological burdens. The adults described feeling negative emotions, worry, and irritation due to their condition. Struggles with self-confidence, difficulties with acceptance, negative thoughts about their appearance, experiences of bullying, and dealing with being different were described.</p><p><strong>Conclusion: </strong>Strabismic adults experience psychosocial consequences of strabismus, influencing their psychosocial health-related quality of life. Further studies should focus on how healthcare professionals could support strabismic individuals' psychosocial well-being.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241278456"},"PeriodicalIF":2.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156258","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}