SAGE Open Nursing最新文献

{"title":"Postacute Myocardial Infarction Differences in Physical Activity Behavior, Anxiety, and Depression Levels.","authors":"Abedalmajeed Methqal Shajrawi, Hekmat Yousef Al-Akash, Ahmed Mohammad Al-Smadi, Rami Masa'deh, Mohannad Eid Aburuz, Heba Khalil, Issa Moh'd Hweidi, Ahmad Rajeh Saifan","doi":"10.1177/23779608241304478","DOIUrl":"10.1177/23779608241304478","url":null,"abstract":"<p><strong>Background: </strong>There are limited studies regarding physical activity, anxiety, and depression levels among patients with postacute myocardial infarction (AMI). This is a need for more research on physical activity, anxiety, and depression levels based on the type of AMI following hospitalization to develop interventions to improve these outcomes.</p><p><strong>Objective: </strong>To compare physical activity behavior, anxiety, and depression levels among patients with post-ST-elevation myocardial infarction (STEMI) and post-non-ST-elevation myocardial infarction (NSTEMI) not involved in cardiac rehabilitation program following hospitalization.</p><p><strong>Methods: </strong>A descriptive cross-sectional study design was employed with a convenience sample of 254 patients with post-AMI, 4 weeks after hospitalization. Participants, recruited from three hospitals in Jordan.</p><p><strong>Results: </strong>The sample characteristics included the following: 140 males (54.3%), 120 married (47.2%), diagnosed with STEMI (n = 137, 53.1%) or NSTEMI (n = 117, 45.3%). And 41.3% of participants had moderate-to-severe anxiety level (General Anxiety Disorder-7 [GAD-7] > 10), while 22.0% had moderate to severe depression levels (Patient Health Questionnaire-9 [PHQ-9] > 10). Post-STEMI and post-NSTEMI participants had moderate levels of anxiety, with 14.39 (3.45) versus 13.37 (3.51); and depression levels of 12.66 (3.28) versus 12.22 (3.54), respectively. There was no significant difference in depression level between patients with post-STEMI and post-NSTEMI, but the former had statistically significant higher anxiety level than the latter. The mean self-reported exercise duration and exercise frequency of patients with post-STEMI were significantly higher than for their post-NSTEMI counterparts: 151.7 (76.33) versus 87.78 (37.62) minutes per week, and 2.92 (1.44) versus 1.97 (0.88) times per week (respectively). Furthermore, patients with post-STEMI had less mean sedentary time: 582.92 (128.92) and 641.54 (147. 27) minutes per day (<i>p</i> > .05) (respectively).</p><p><strong>Conclusions: </strong>Healthcare providers have to consider the differences in physical activity behavior, anxiety, depression levels based on types of AMI when developing interventions and establishing cardiac rehabilitation program to improve physical activity behavior and reducing sedentary time.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241304478"},"PeriodicalIF":2.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11672469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903758","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":"Sociodemographic Factors Associated with Improved Metabolic Syndrome in Slum Dwelling Adults in Kenya: A Randomized Controlled Trial.","authors":"Okubatsion Tekeste Okube, Samuel T Kimani","doi":"10.1177/23779608241299647","DOIUrl":"10.1177/23779608241299647","url":null,"abstract":"<p><strong>Background: </strong>Sociodemographic factors have been implicated in cardiovascular health with differential morbidity and mortality. It is essential to comprehend how sociodemographic factors contribute to the improvement of Metabolic Syndrome (MetS), the primary cardiovascular diseases indicator.</p><p><strong>Objective: </strong>Determine the role of sociodemographic factors in improving MetS among adults residing in the Slums of Nairobi, Kenya.</p><p><strong>Methods: </strong>Adults with MetS participated in this randomized controlled trial study for a period of 12-months. A random assignment was used to place eligible participants in the intervention or control groups. The intervention group received lifestyle intervention that entails not using tobacco products or alcohol, exercising, and adhering to recommended dietary guidelines, while the control group had standard medical care. Clinical, biochemistry, and lifestyle habits were measured before and a year after the intervention. The association between the sociodemographic factors and the improvement in MetS was examined using a multiple logistic regression model <i>with backward conditional</i>.</p><p><strong>Results: </strong>In the intervention group, lack of improvement in metabolic syndrome was significantly higher among aged (≥50 years) respondents [AOR = 9.097; <i>P</i> < .001]; Protestants [AOR = 7.292; <i>P</i> = .017] and Catholics [AOR = 5.270; <i>P</i> = .050]. Compared to unemployed, formally employed respondents had an 84.6% lower chance of having MetS [AOR = 0.154; <i>P</i> = .005]. Within the control group, lack of improvement in metabolic syndrome was significantly higher among aged (≥50 years) respondents [AOR = 5.013; <i>P</i> = .047]. Compared to respondents who had less than $100, individuals with monthly incomes between $100 and $500 had a roughly 10-fold [AOR = 10.499; <i>P</i> = .024] higher chance of having MetS.</p><p><strong>Conclusion: </strong>In the current study, the findings show that sociodemographic factors namely: advanced age, unemployment, being Protestants and Catholics as well as higher income were negatively associated with improvement in MetS. The findings indicate that social factors have impact in the management and intervention outcomes of CVDs. Programmers and policy makers should plan interventions for CVD prevention and response with these factors in mind.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241299647"},"PeriodicalIF":2.0,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883221","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":"Husband's Contributions to Stimulate Wife's Confidence Experiencing Role Transition: Cross-Sectional Study.","authors":"Sri Wahyuni, Yuni Sufyanti Arief, Mira Triharini, Nursalam Nursalam","doi":"10.1177/23779608241304716","DOIUrl":"10.1177/23779608241304716","url":null,"abstract":"<p><strong>Introduction: </strong>Pregnancy can cause various physical and physiological changes. It affects confidence, resulting in depression and disturbing health not only for a mother but also for her fetus. These will also determine the ability of the mother to take care of her baby after delivery.</p><p><strong>Objectives: </strong>To analyze the husband's contributions to stimulate the wife's confidence in experiencing role transition.</p><p><strong>Methods: </strong>This research used a quantitative method with a cross-sectional design. The research was conducted in Central Java. There were 150 respondents of pregnant mothers. The variables of this study were the husband's factors and the wife's self-confidence, which were collected by demographic questionnaire and spiritual well-being scale questionnaire (SWBS) with a total sampling technique. The data were analyzed using a multinominal regression Test.</p><p><strong>Results: </strong>Husbands were 58% at the age of early adult (26-35 years old), 76% graduating from secondary school level, 61.3% working as private employees, and 70% well supporting their wives. Most respondents (48.7%) had good self-confidence shown by the relationship of all husband's characteristics covering age, education, occupation, and support with the wife's self-confidence in facing role transition and had a value of <0.05.</p><p><strong>Conclusion: </strong>The husband's age in a productive period with a good husband's education and occupation level could make the husband have mature thoughts, and he can calm his wife based on correct knowledge so that the wife is not worried about facing them and feels confident. Nurses can motivate and educate husbands to always provide support to their wives in facing pregnancy.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241304716"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877978","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 Association Between Intensive Care Unit Nurses' Perception of Nursing Professional Autonomy and Nursing Professionalism: A Descriptive Correlational Design.","authors":"Alaa Mefleh Al-Sbehat, Nidal Fareed Eshah, Ahmad Hussien Rayan, Ahmad H Abu Raddaha, Omar Al Omari, Fadwa Alhalaiqa","doi":"10.1177/23779608241305720","DOIUrl":"10.1177/23779608241305720","url":null,"abstract":"<p><strong>Introduction: </strong>The evolving landscape of healthcare in Jordan presents unique challenges and opportunities for nursing professionals. With a focus on critical care nurses, understanding the dynamics of professional autonomy and professionalism within this context is crucial for advancing nursing practice and improving patient care.</p><p><strong>Objectives: </strong>This study aimed to investigate the relationships between perceived nursing professional autonomy and professionalism among critical care nurses in Jordan.</p><p><strong>Methods: </strong>A descriptive correlation design was used among critical care nurses from five major Jordanian governmental hospitals. A total of 227 questionnaires were distributed, with a final sample size of 200 participants. Data were collected between August and September 2023. Professional autonomy and professionalism were measured using the Dempster Practice Behaviors Scale and the Nurses' Professionalism Inventory, respectively. We used the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) guidelines in the current study.</p><p><strong>Results: </strong>The study revealed moderate levels of perceived professional autonomy (mean DPBS total score: 103.94) and professionalism (mean NPI total score: 119.12) among participants. A significant positive correlation (<i>r</i> = .49, <i>p</i> < .001) was observed between these two constructs. However, demographic and work-related factors showed minimal influence on these perceptions.</p><p><strong>Conclusion: </strong>The study highlights the importance of professional autonomy and professionalism in improving nursing care in Jordan. It recommends targeted approaches like ongoing education and supportive workplace policies to bolster these aspects. These findings have significant implications for nursing policy and education across various healthcare settings.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241305720"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878067","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 Impact of Humble Leadership on Knowledge-Sharing and Creativity in Nursing Setting: A Cross-Sectional Study.","authors":"Saleem Al-Rjoub, Majd T Mrayyan","doi":"10.1177/23779608241306999","DOIUrl":"10.1177/23779608241306999","url":null,"abstract":"<p><strong>Introduction: </strong>Leadership styles are pivotal in encouraging employee engagement, influencing team dynamics, and enhancing patient outcomes. Humble leadership is characterized by self-awareness, openness, and appreciation for others. This leadership style is underexplored in healthcare.</p><p><strong>Objective: </strong>This study investigated whether humble leadership impacts knowledge-sharing and employees' creativity.</p><p><strong>Methods: </strong>A descriptive cross-sectional design was used. Data were collected from nursing educators, nurses, and nursing leaders from various universities and hospitals in Jordan. Descriptive analysis was applied to display the general characteristics of the study participants. The general linear model was conducted to analyze the impact of humble leadership on knowledge-sharing and employees' creativity.</p><p><strong>Results: </strong>This study revealed that humble leadership significantly impacted knowledge-sharing and employees' creativity. These findings highlight the critical role of humble leadership in promoting and fostering knowledge-sharing and creativity within educational institutions and healthcare settings.</p><p><strong>Conclusion: </strong>Leaders' humble leadership impacted knowledge-sharing among employees and the creativity of nursing educators, nurses, and nursing leaders. Training programs are needed to develop humble nurses' and leaders' leadership because they contribute to nursing educators', nurses', and nursing leaders' creativity while maintaining employee knowledge-sharing.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241306999"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878070","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":"Evaluating the Effectiveness of an Evidence-Based Practice in Neonatal Resuscitation among Birth Asphyxiated Newborns in a Developing Country.","authors":"Lydia Boampong Owusu, Joseph Shahadu Issifu, Emmanuel Odame Owiredu, Sandra Addai-Henne, Stella Kofie Aniewu, Joyce Boatemaa Manu, Perpetual Ntiamoah, Catherine Kroamah Dwumfour, Abigael Emikpe, Abdul-Fatawu Suglo Zakaria","doi":"10.1177/23779608241302098","DOIUrl":"10.1177/23779608241302098","url":null,"abstract":"<p><strong>Introduction: </strong>The World Health Organization emphasizes that neonatal resuscitation performed in the first \"golden minute\" following birth can influence both immediate and long-term outcomes of newborns, especially asphyxiated ones. The modes of resuscitation, which is an evidenced-based practice, require evaluation to identify their effectiveness.</p><p><strong>Objectives: </strong>This study evaluated neonatal resuscitation techniques and their effectiveness in the management of asphyxiated neonates during the perinatal period.</p><p><strong>Design: </strong>Cross-sectional design with observation of delivery and immediate care of 254 newborns in five hospitals from April to June 2022.</p><p><strong>Methods: </strong>Neonatal resuscitation and demographic characteristics were noted. Data were analyzed descriptively using STATA 17 and Cramer's <i>V</i> test of association between APGAR scores and resuscitation modes was done with statistical significance established at <i>p</i> ≤ .05.</p><p><strong>Results: </strong>Neonatal resuscitation was primarily performed by midwives (98.4%), with 48.8% of the infants resuscitated after birth. The most common modalities of resuscitation were drying, keeping warm, rubbing the back, and flicking the feet, with 46.0% started on bag and mask ventilation. The success rate of resuscitation was impressive (58.1%), satisfactory (38.7%), and poor (3.2%). There was a strong association of the first minute APGAR score with drying the neonate (<i>p</i> = .0001, φc = 0.619), keeping the neonate warm, and rubbing the back of the neonate (<i>p</i> = .0001, φc = 0.613). However, their association with the fifth minute APGAR score was weak (<i>p</i> = .002, φc = 0.222). Feet flicking has no significant association with the fifth minute APGAR score.</p><p><strong>Conclusion: </strong>Neonatal resuscitation, which is an evidence-based practice, is more effective in the first minute than in the fifth minute. Regular training of midwives to update their resuscitation skills is important to promote timely and efficient resuscitation of newborns. Further studies into the advancements in resuscitation modes and the use of technology to improve resuscitation beyond the first minute are recommended.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241302098"},"PeriodicalIF":2.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877880","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":"Identification of Core Interprofessional Preceptor Competencies and Development of a Preceptor Self-Assessment Tool.","authors":"Hilaire J Thompson, Megan Moore, Marni Levy, Tzu Hsien Lee, Leigh Ann Mike, Joelle Fathi, Phyllis Christianson, Nathan Dreesmann","doi":"10.1177/23779608241292741","DOIUrl":"10.1177/23779608241292741","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to determine what activities and skills interprofessional health science preceptors (IHSPs) perform and value as a part of their pedagogical practice in order to support the development of a preceptor self-assessment tool and assist in preceptor training.</p><p><strong>Methods: </strong>We administered an online survey to identify core preceptor activities across health sciences disciplines that interact with nursing. The initial survey items were developed based on the Interprofessional Education Collaborative (IPEC) core competencies as well as a search of literature on expected preceptor competencies and activities across individual health sciences professions. Items were refined and then finalized using a modified Delphi technique and the final survey instrument reflected the four IPEC core competencies: (a) roles and responsibilities, (b) values and ethics, (c) communication, and (d) teams and teamwork. The survey asked professionals to separately rate the frequency and importance of performing each item to support learners in the clinical setting.</p><p><strong>Results: </strong>Survey respondents (<i>N</i> = 260) indicated that 41% of activities across all domains were both of high priority and performed frequently. Activities were categorized into a six category IHSP self-assessment and reflection tool: (a) Prepare Learner for Clinical Environment and Rotation; (b) Prepare Learner for Clinical Day and Encounters; (c) Promote Engagement, Critical Thinking and Self-Reflection; (d) Coaching and Feedback; (e) Foster Growth and Independence and (f) Knowledge, Skills and Attitudes to intentionally Role Model.</p><p><strong>Conclusion: </strong>Core competencies for IHSPs have been identified, resulting in the development of a preceptor self-assessment tool. The tool can assist nursing and other health sciences training programs to develop preceptor orientation materials and training to optimize the learner experience and promote standardization in the development of clinical practice competencies.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241292741"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877991","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":"Nurses Engagement on Continuing Professional Development Programs and its Barriers in Selected Hospitals in Addis Ababa, Ethiopia.","authors":"Meaza Wehabe, Tigistu Gebreyohannis Gebretensaye, Ketema Bizuwork","doi":"10.1177/23779608241307447","DOIUrl":"10.1177/23779608241307447","url":null,"abstract":"<p><strong>Background: </strong>Continuous Professional Development (CPD) programs are crucial for enhancing the quality of healthcare delivery. The presence of incompetent and unskilled healthcare professionals is not satisfactory. This study aimed to evaluate nurses' engagement in CPD programs and identify the barriers affecting this engagement.</p><p><strong>Methods: </strong>A mixed-methods approach, combining quantitative and qualitative cross-sectional studies, was employed from April 1 to 30, 2022. The quantitative component involved 271 randomly selected nurses, while nine key informants were purposively chosen for qualitative analysis. Data were collected using a structured self-administered questionnaire with a content validity index of 0.91 and an interview guide. Ethical guidelines were strictly followed. Quantitative data were entered into Epi-data version 3.1 and analyzed with SPSS version 25.0. Descriptive statistics described participant characteristics, while chi-square tests and logistic regression analyses assessed the relationships between independent and outcome variables, with significance set at <i>p</i> < 0.05 and goodness-of-fit evaluated by the Hosmer-Lemeshow test (>0.05). Qualitative data were analyzed using manual exploratory descriptive methods and thematic analysis.</p><p><strong>Results: </strong>Of the 271 nurses, 262 (96.7%) participated, with a median age of 28 years. The overall CPD engagement rate was 34.4%. Factors influencing CPD engagement included financial constraints (adjusted odds ratio [AOR] = 3.1, 95% CI: 1.28-7.52), lack of access to CPD information (AOR = 0.3, 95% CI: 0.12-0.76), time constraints due to family commitments (AOR = 3.35, 95% CI: 1.08-10.34), and insufficient CPD resources (AOR = 0.15, 95% CI: 0.03-0.742). Qualitative findings revealed low CPD engagement levels, insufficient financial support, reluctance to self-finance training, the positive impact of diverse training mediums, and barriers related to nurses' attitudes and the availability of training.</p><p><strong>Conclusion: </strong>Nurses' engagement in CPD is notably low. Financial and time constraints, along with limited access to information and resources, significantly hinder participation in CPD activities.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241307447"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878060","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":"Exploring the Feasibility of a Caregiver Burden-Mastery Hybrid Assessment Tool With Decision Matrix in a Memory Clinic: A Multimethod Study.","authors":"Ee Yuee Chan, Zhi Lei Ong, George Frederick Glass, Siew Ling Ang, Jun Pei Lim, Noorhazlina Binte Ali, Wee Shiong Lim","doi":"10.1177/23779608241307002","DOIUrl":"10.1177/23779608241307002","url":null,"abstract":"<p><strong>Introduction: </strong>Family members caring for a person living with dementia (PWD) can experience caregiver burden, leading to psychological distress if unmanaged. It's essential for healthcare professionals, especially nurses to identify caregivers at risk of stress and depression, triggering prompt management during their contact with caregivers of PWD. The study team developed an evidence-based caregiver burden-mastery hybrid assessment and intervention decision matrix (CHAT-MI) for caregivers of PWD and examined its feasibility of use.</p><p><strong>Objective: </strong>To determine the feasibility and usability of implementing the CHAT-MI assessment-decision matrix tool in an outpatient setting in Singapore.</p><p><strong>Methods: </strong>CHAT-MI was developed through earlier research, research evidence, clinical guidelines, and expert opinion. A multimethod study was conducted in a Singapore outpatient memory clinic from November 2020 to January 2021. Caregivers of PWD who attended the clinic self-administered the assessment tool to determine their burden and personal mastery levels. Clinicians used a decision matrix to guide interventions based on the assessments. Feedback was gathered from both caregivers and clinicians through surveys and semistructured interviews.</p><p><strong>Results: </strong>Thirty-four caregivers and six clinicians participated in the study. Caregivers found the burden-mastery assessment tool relatively easy to use and understand and helpful. Clinicians found the assessment-decision matrix tool acceptable, feasible, and useful, enhancing standard care by providing insights into caregivers' current coping capabilities. Clinicians shared that junior clinicians could benefit from CHAT-MI to better detect caregiving stress and deliver interventions. Nevertheless, more can be done to train clinicians in the understanding of the concept of mastery (i.e., perceived control over life events) to help clinicians better engage and support caregivers.</p><p><strong>Conclusion: </strong>CHAT-MI was found to be relatively brief and can aid the outpatient clinic setting. This suggests that such an evidence-based assessment cum intervention can be considered for use in a real-world clinical setting to aid both caregivers and clinicians.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241307002"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877976","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":"Intrauterine Device Use and Perceptions Among Women in Tanzania-A Mixed Methods Study.","authors":"Catherine Safari Massay, Sara Rivenes Lafontan, Jane Januarius Rogathi, Upendo S Safari, Geofrey Nimrod Sigalla","doi":"10.1177/23779608241305782","DOIUrl":"10.1177/23779608241305782","url":null,"abstract":"<p><strong>Introduction: </strong>The intrauterine device (IUD) represents the most cost-effective, long-acting reversible form of contraception, but accounts for only 1% of all contraception methods used in Tanzania.</p><p><strong>Objective: </strong>This study aims to determine the uptake of IUD use and investigate the perceptions, challenges, and recommendations surrounding the use of intrauterine devices among women of reproductive age in Tanzania.</p><p><strong>Method: </strong>A cross-sectional study was conducted including 347 women, as well as qualitative semi-structured interviews with 11 women. Quantitative data were entered into SPSS, and descriptive statistics were employed to summarize the data. Content analysis was used to analyse the qualitative data.</p><p><strong>Results: </strong>The prevalence of IUD use was 5%. The majority of the women interviewed were aware of myths and misconceptions concerning IUDs but wanted to use it after receiving information from healthcare providers.</p><p><strong>Conclusion: </strong>The study found that the use of intrauterine devices was low in the study area and that there is a need to strengthen community engagement to reduce misconceptions about the use of IUDs.</p>","PeriodicalId":43312,"journal":{"name":"SAGE Open Nursing","volume":"10 ","pages":"23779608241305782"},"PeriodicalIF":2.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878054","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}