Nursing Research and Practice最新文献

{"title":"Nutritional Behaviors of Patients With Heart Failure.","authors":"Canan Demir Barutcu, Serap Gokce Eskin","doi":"10.1155/nrp/1519211","DOIUrl":"10.1155/nrp/1519211","url":null,"abstract":"<p><p>The study aimed to evaluate the nutritional behavior of patients with heart failure in accordance with nutrition guidelines. This was an analytical cross-sectional study and conducted at the cardiology unit of a university hospital. The study sample consisted of 104 patients. We concluded that middle-aged patients, who had Stage I heart failure, whose fat percentage was 40%-59%, and whose metabolic age was young were found to be nourished by nutrition guidelines. It is recommended that the nutritional behaviors of heart failure patients be monitored and nursing interventions planned according to the guidelines.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"1519211"},"PeriodicalIF":2.2,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11972133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796710","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":"Feasibility of Licensed Vocational Nurses Using a CDS App to Communicate Signs and Symptoms of a UTI.","authors":"Alyce S Ashcraft, Donna C Owen, Kyle Johnson, Huaxin Song","doi":"10.1155/nrp/8574727","DOIUrl":"https://doi.org/10.1155/nrp/8574727","url":null,"abstract":"<p><p>Urinary tract infections (UTIs) occurring in nursing home (NH) residents are poorly assessed and challenging to treat. The emergence of clinical decision support (CDS) technology provides an opportunity for improved diagnosis and treatment of UTIs in the NH. The purpose of this study was to report findings examining the feasibility of licensed vocational nurses (LVNs) using a CDS algorithm designed to directly guide assessment of a standardized NH resident experiencing symptoms of a potential UTI in a simulation setting at a university in the Southern United States. A structured observational design was used. A sample of ten practicing nurses used an algorithm developed by the authors from published UTI assessment and practice-driven criteria. Data collection was framed using (a) UTI-guided assessment tool, (b) analysis of LVN behavior and verbal interaction with the algorithm, and (c) postsimulation interviews about the algorithm and nurse-resident interactions. Results showed LVNs found the algorithm easy or very easy to use, their behaviors demonstrated high levels of engagement with the simulation while using the algorithm, and interviews supported the positive value LVNs placed on using an algorithmic approach for UTI assessment. The algorithm we developed fills a gap in the current approaches to diagnosing a UTI in the NH by focusing on the role of the LVN in data collection in relation to assessment of the resident.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"8574727"},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001801","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":"Newly Qualified Professional Nurses' Readiness for the Independent Practice Role.","authors":"Warriodene Hansen","doi":"10.1155/nrp/6876561","DOIUrl":"https://doi.org/10.1155/nrp/6876561","url":null,"abstract":"<p><p><b>Background:</b> Newly qualified professional nurses find the transition to their new role difficult and need support to connect theory to practice. The readiness to their new role is identified with stress, fear, lack of confidence, anxiety and lack in clinical ability. It was clear that newly qualified professional nurses need further academic and clinical support from the clinical institutions they are employed at. The challenges of their new role transition are assigned to various factors, amongst others, needing more preparation, finding it difficult to bridge the theory-practice gap and having no guidance or support. <b>Aim:</b> The aim of this study was to explore the professional transition experiences of newly qualified professional nurses to their new role. <b>Setting:</b> The research setting in this study was two hospitals in the Cape Winelands region of the Western Cape, South Africa. <b>Methods:</b> This study employed a descriptive phenomenological research design. The researcher collected data through interviews. The data were analysed by employing a thematic analysis method. <b>Results:</b> Three themes were discovered from the findings of this study, with subthemes supporting them. Inadequate support was found to be a cause for not being prepared. Consequently, newly qualified professional nurses blame peers for lack of support. <b>Conclusion</b>The participants of this study all described that newly qualified professional nurses' transition to nursing was challenging. The participants agreed that the transition to the professional role is a concern that needs to be addressed. This study found a need for professional support and guidance of newly qualified professional nurses within the clinical environment.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"6876561"},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020142","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":"Strategies Employed by Nursing Managers Within a Transformational Approach: A Qualitative Study.","authors":"Gholamhossein Mahmoudirad, Ayob Akbari","doi":"10.1155/nrp/9309685","DOIUrl":"https://doi.org/10.1155/nrp/9309685","url":null,"abstract":"<p><p><b>Background:</b> The roles of nursing managers are diverse and demand high proficiency, with transformational approach recognized as a key competency for achieving organizational goals. A transformational approach is identified as essential in addressing the unique challenges of healthcare management, particularly in nursing, by enhancing self-efficacy and fostering trust among team members. <b>Design:</b> This study employed a conventional qualitative content analysis design. <b>Methods:</b> Purposive sampling was used to recruit 23 nurse managers from hospital settings between April 2022 and August 2023. Data were collected through semistructured interviews, which were audiorecorded with participants' consent, transcribed verbatim into Word documents, and imported into MAXQDA software (Version 2020) for systematic organization and analysis. The data were analyzed using Graneheim and Lundman's (2020) qualitative content analysis method, while trustworthiness was ensured based on the criteria proposed by Kyngas, Kaariainen, and Elo (2020). <b>Results:</b> Eight subcategories and three final categories were identified as key strategies used by nursing managers in a transformational approach. The findings revealed that nursing managers employ strategies such as drawing the path of transformation, fostering a transformation-based culture, and facilitating transformational change within their practices. <b>Conclusion:</b> This study emphasizes the transformational strategies employed by nursing managers, which involve establishing clear pathways for transformation, fostering a culture of change, and acting as facilitators of the transformation process. It is recommended that nursing managers consistently implement and refine these strategies to promote innovation, adaptability, and a culture centered around change and transformation. Through these efforts, nursing managers can significantly enhance organizational effectiveness, improve patient outcomes, and drive substantial advancements in nursing practice.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"9309685"},"PeriodicalIF":2.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064942","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":"Occupational Role Stress and Associated Factors Among Nurses in Southeast Iran.","authors":"Raheleh Hashemi Habybabady, Hassan Okati-Aliabad, Mahdi Mohammadi","doi":"10.1155/nrp/6651221","DOIUrl":"https://doi.org/10.1155/nrp/6651221","url":null,"abstract":"<p><p>Occupational role stress is one of the important factors affecting nurses' occupational stress and quality of life (QOL). This study aimed to explore occupational role stress and associated factors among nurses in Zahedan, Southeast Iran. This cross-sectional study was conducted from April to June 2023. The study sample consisted of 260 nurses from hospitals affiliated with Zahedan University of Medical Sciences selected through a multistage sampling method. Data on nurses' occupational role stress, sociodemographic characteristics, lifestyle, sleep quality, and work-related factors were collected. A general linear regression model was applied to determine the factors associated with occupational role stress. The findings revealed that the mean total occupational role stress score was 141.41. Among the occupational role stress subscales, nurses had higher mean scores in role overload, role inadequacy, and responsibility. Total occupational role stress score was significantly higher in university graduate nurses than in those holding a high school diploma (<i>p</i>=0.005). Moreover, occupational role stress was significantly higher in nurses who slept for 4-6 h (<i>p</i>=0.011) and more than 8 h (<i>p</i>=0.017) compared to those who slept for 7-8 h a day. In addition, occupational role stress was also significantly higher in nurses with poor sleep quality (<i>p</i>=0.03). In addition, nurses who worked more than 8 h a day reported significantly higher occupational role stress (<i>p</i>=0.008). There was no statistically significant association between occupational role stress with age, gender, marital status, BMI, exercise, having a second job, shift work, ward assignment, and work experience. The findings emphasize the necessity of tailored interventions for managing occupational role stress in nurses with higher education and longer work hours. Improving work conditions, along with promoting healthy sleep habits, is a crucial step in reducing occupational role stress.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"6651221"},"PeriodicalIF":2.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11986934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040794","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":"Bridging Gaps in Pain Management: The Effectiveness of Educational Intervention for Nurses in a Teaching Hospital of Low- and Middle-Income Countries.","authors":"Ali Sarfraz Siddiqui, Tabassum Zehra, Gauhar Afshan, Sara Shakil, Aliya Ahmed","doi":"10.1155/nrp/8874509","DOIUrl":"10.1155/nrp/8874509","url":null,"abstract":"<p><p><b>Background:</b> Regular on-the-job training and educational courses may improve nurses' knowledge and practice regarding pain assessment and initial treatment. <b>Objectives:</b> To assess the impact of a newly developed educational course in terms of improvement in knowledge regarding pain assessment and initial treatment by using pretest and posttest multiple-choice question scores and to determine the retention of knowledge 3 months after the educational course and perceived change in clinical practices among nurses working in adult surgical and medical wards at the Aga Khan University Hospital. <b>Methods:</b> After getting approval from the institutional review committee, an education course was developed and conducted. A total of 86 participants attended both online and physical components. Teaching methodologies included online lectures, small group tutorials and hands-on workshops using demonstrations of locally developed videos. Pretests and posttests were conducted to assess the knowledge. All participants were requested to complete an online questionnaire to know the impact of the course on their clinical practice. <b>Results:</b> Eighty-six participants completed the course, of which 52 (60.5%) were female and 34 (39.5%) were male. The mean difference between the pretest and posttest scores of participants was 4.72 (39.66%), which was statistically significant (<i>p</i> ≤ 0.001). The mean posttest multiple-choice question score of participants was 16.70 ± 3.56, and the mean posttest multiple-choice question score of participants after 3 months was 15.60 ± 4.09 with a mean difference of 1.10 (6.59%), which was not statistically significant (<i>p</i>=0.121). <b>Conclusion:</b> The hybrid educational course had a significant learning impact on the knowledge of participants and their clinical practice.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"8874509"},"PeriodicalIF":2.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460036","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":"Assessing Nurses' Knowledge Regarding the Application of Artificial Intelligence Among Nursing Practice.","authors":"Mai M Yaseen, Fatmah H Alsharif, Reem A Altaf, Taif W Asiri, Rifan M Bagies, Salwa B Alharbi, Bothinah A Altaf","doi":"10.1155/nrp/9371969","DOIUrl":"10.1155/nrp/9371969","url":null,"abstract":"<p><p>Artificial intelligence (AI) is constantly improving the quality of medical procedures. Despite the application of AI in the healthcare industry, there are conflicting opinions among professionals, and limited research on its practical application in Saudi Arabia was conducted.</p><p><strong>Aim: </strong>To assess the nurses' knowledge regarding the application of AI in practice at one of the Ministry of Health hospitals in Saudi Arabia.</p><p><strong>Methods: </strong>Descriptive cross-sectional research using convenience sampling in January 2023 involving 307 staff nurses, using a single 11-item questionnaire. In addition, 6 closed-ended questions were used to assess the knowledge, possible risks, and advantages of AI.</p><p><strong>Results: </strong>All 307 participants completed the survey and used it for data analysis using SPSS V.25. Kruskal-Wallis and Whitney tests and descriptive statistics were used to identify the significant differences among groups. The study results reveal significant differences between age groups and working locations regarding familiarity with AI and future use of AI. In contrast, a considerable difference exists between licensed years groups regarding familiarity with AI. Surprisingly, education level does not affect AI knowledge. Additionally, the future use of AI is significantly affected by the nurse's gender.</p><p><strong>Limitation: </strong>Nurses were not included in previous studies on AI, and most nursing participants need more interest in AI.</p><p><strong>Conclusion: </strong>The study's results showed that nurses have positive opinions of AI in the healthcare industry, which will help them speed up procedures and reduce medical errors. AI applications can expand in healthcare by increasing the use of AI in the healthcare industry to improve care quality and encourage academic institutions to develop best practices for deploying AI applications in the healthcare industry.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"9371969"},"PeriodicalIF":2.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11759569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048070","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":"Independent Association Between Frailty and Fear of Falling in Older Adults After Hip Fracture Surgery: A Cross-Sectional Study Using a Secondary Analysis.","authors":"YoungJi Ko, JungAh Park, Seung-Hoon Baek","doi":"10.1155/nrp/2175740","DOIUrl":"10.1155/nrp/2175740","url":null,"abstract":"<p><p><b>Purpose:</b> This study aimed to investigate the independent association between the fear of falling (FOF) and frailty in Korean older adults after hip fracture surgery. <b>Methods:</b> The study included 149 participants. Participants were asked to provide general characteristics and complete walking speed, grip strength, frailty, and Short Falls Efficacy Scale-International assessments. A binary logistic regression model was used to investigate the independent association of the FOF with frailty. <b>Results:</b> Among the participants, 49% were found to be prefrail and 24.8% were frail. Additionally, 86.5% reported a moderate to severe FOF. Participants with a FOF were 1.23 times more likely to be frail, and those aged 85 years and older were 13.25 times more likely to be frail. <b>Conclusion:</b> This study's findings serve as a basis for developing and applying interventions to reduce frailty in older adults after hip fracture surgery. These interventions should consider the oldest-old (≥ 85 years) age group when they are designed.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2025 ","pages":"2175740"},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972566","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":"Social Representation, Stereotypes and Social Identity Pertaining to Nursing Through Children's Drawings: A Qualitative Study.","authors":"E Begoña García-Navarro, María José Cáceres Titos, Iván Rodríguez Pascual","doi":"10.1155/nrp/2417051","DOIUrl":"https://doi.org/10.1155/nrp/2417051","url":null,"abstract":"<p><p><b>Aim:</b> The aim of this study is to explore children's depictions of nursing professionals, identifying shared and differential visual and symbolic elements as a function of gender, the period during which the drawing was made (pre-/postpandemic) and whether or not one has a relative who works in the same profession. <b>Background:</b> Drawing circumnavigates the limits imposed by literacy and gives a voice to children who are able to express their personal feelings and subconscious through the drawn object. Theories of social representations and identity strive to explore the way in which children perceive and value the role of nurses in society. <b>Methods:</b> With the question, 'what is nursing to you?' providing the foundation, qualitative visual analysis was performed based on bottom-up inductive logic, analysing 105 drawings through the software CAQDAS Atlas-ti. <b>Results:</b> Nine categories emerged that corresponded to uniform, typically used tools, represented functions, decorative elements, associated individuals, work setting and facial expression. Differences were identified as a function of the gender of the child respondent, familiarity with the profession and the period during which the drawing was made (pre-/postpandemic). <b>Conclusion:</b> The present research strives to contribute towards understanding of perceptions of nursing figures in the symbolic world of children, taking a more complete look at the view children have of nursing and the way in which they conceive and value healthcare and caring for health.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"2417051"},"PeriodicalIF":2.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956614","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":"Development and Healing Process of Severe Radiodermatitis in Patients With Head and Neck Cancer Undergoing Radiotherapy: A Scoping Review.","authors":"Nao Miyamae, Yuko Imakata, Mao Kunimitsu, Makoto Oe","doi":"10.1155/nrp/1940552","DOIUrl":"10.1155/nrp/1940552","url":null,"abstract":"<p><p><b>Aims:</b> To summarize the morphological characteristics and development and healing processes of severe radiodermatitis for examining the factors contributing to the development of severe radiodermatitis in patients with head and neck cancer. <b>Methods:</b> This scoping review was conducted in accordance with PRISMA extension for Scoping Reviews. Data were extracted from selected references describing detailed conditions of severe radiodermatitis in patients with head and neck cancer. The data were organized separately for radiotherapy, chemoradiotherapy, and bioradiotherapy. <b>Data Sources:</b> Medline, PubMed, CINAHL, and Cochrane Central Register of Controlled Trials databases were used to search for papers from 2000 to December 2023. <b>Results:</b> 11 out of 658 references met the criteria for this review. The morphological characteristics of severe radiodermatitis were categorized by symptoms, site, and shape, and a condition in which moist desquamations and associated crusts spreading to the anterior and lateral neck areas were extracted. In bioradiotherapy, the process of keratinocyte degeneration and formation of blisters under the epidermis leading to moist desquamations was extracted. In chemoradiotherapy, the process of epithelization was extracted 1 week following the occurrence of moist desquamations. <b>Conclusions:</b> Moist desquamations are more likely to occur in severe radiodermatitis in patients with head and neck cancer. Since they can fuse and spread, preventative measures to mitigate spreading are important. However, there is insufficient information to examine the causes of widespread moist desquamations. For preventing moist desquamations and establishing care methods to heal moist desquamations, it may be necessary to identify the symptoms, site, and shape, including the color tone and depth, and healing process during their occurrence.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2024 ","pages":"1940552"},"PeriodicalIF":2.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956609","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}