Nursing Research and Practice最新文献

{"title":"Clinical Competence of Nurses and the Associated Factors in Public Hospitals of Gamo Zone, Southern Ethiopia: A Cross-Sectional Study.","authors":"Shitaye Shibiru,&nbsp;Zeleke Aschalew,&nbsp;Mekidim Kassa,&nbsp;Agegnehu Bante,&nbsp;Abera Mersha","doi":"10.1155/2023/9656636","DOIUrl":"https://doi.org/10.1155/2023/9656636","url":null,"abstract":"<p><strong>Introduction: </strong>Nursing competency is an essential component for improving the quality of care in the healthcare system. However, assessing competency solely on the dimensions of skills and knowledge does not provide complete picture of a nurse ability to provide quality patient care. This is because it lacks focus on the nurse's attitudes and values, which are also important determinants of clinical competence. Therefore, this study aimed to assess the comprehensive clinical competence of nurses and its associated factors in public hospitals of Gamo Zone, Southern Ethiopia.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted using a census method to collect information from nurses through self-administered questionnaires. The data were entered into EpiData version 3.1 and exported to Stata version 15 for analysis. A linear regression model was used to identify factors associated with clinical competence.</p><p><strong>Results: </strong>In this study, the average clinical competence of nurses was 177.32, with a standard deviation of 19.19, and 31.2% of the respondents had a high level of clinical competence. Associated factors identified with clinical competence include gender, age, marital status, qualification, position, work experience, unit, interest in their profession, critical thinking disposition, clinical self-efficacy, and emotional intelligence.</p><p><strong>Conclusions: </strong>The overall level of clinical competence among nurses in this study was moderate. As such, nurses improve their clinical competence by receiving training and development opportunities that focus on critical thinking, clinical self-efficacy, and emotional intelligence; working in a supportive work environment that encourages them to take risks and learn from their mistakes; and being monitored and coached on a regular basis.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"9656636"},"PeriodicalIF":1.9,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10547574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151948","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":"Effectiveness of Psychoeducation on Burden among Family Caregivers of Adults with Schizophrenia: A Systematic Review and Meta-Analysis.","authors":"Akunna Jane Okafor,&nbsp;Mark Monahan","doi":"10.1155/2023/2167096","DOIUrl":"https://doi.org/10.1155/2023/2167096","url":null,"abstract":"<p><p>Caring for relatives living with schizophrenia could lead to caregivers' burden. It is believed that lack of information and understanding about schizophrenia and lack of skills to cope effectively while caring for their adult relatives largely contribute to the burden they experience. The burden is assessed using assessment scales. This review aims to assess the effectiveness of psychoeducation in alleviating the burden experienced by family caregivers of adults living with schizophrenia and to identify essential factors that facilitate positive outcomes. Five databases (ASSIA, CINAHL, Embase, MEDLINE EBSCO, and PsycINFO) were systematically searched using combinations of the following key terms: \"family caregivers,\" \"schizophrenia,\" \"burden,\" \"psychoeducation,\" and \"adults.\" Meta-analysis of included studies was conducted using RevMan 5.4. Five RCTs with 320 family caregivers were included in the review. Overall, none of the studies showed a low risk of bias. The evidence suggests that face-to-face group psychoeducation reduced family caregivers' burden when measured across different time points: one-week postintervention (mean difference -3.87 and Cl -6.06 to -1.70), six months (MD -8.76 and Cl -12.38 to -5.13), and twelve months (MD -7.38 and Cl -9.85 to -4.91). Measurements immediately after the intervention, one month, and three months postintervention when reported narratively also showed a reduction in family caregivers' burden. Face-to-face group psychoeducation provided for family caregivers effectively alleviates the burden they experience. Factors such as program content and teaching methods facilitated positive outcomes. It is recommended that psychoeducation should be integrated as a routine intervention for family caregivers.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"2167096"},"PeriodicalIF":1.9,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10522442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41104810","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":"Healthcare Workers' SARS-CoV-2 Infections in Four Hospital Outbreaks during Delta Variant Prevalence in Sydney, Australia.","authors":"Danielle Hutchinson,&nbsp;Mohana Kunasekaran,&nbsp;Haley Stone,&nbsp;Xin Chen,&nbsp;Ashley Quigley,&nbsp;Aye Moa,&nbsp;C Raina MacIntyre","doi":"10.1155/2023/1806909","DOIUrl":"https://doi.org/10.1155/2023/1806909","url":null,"abstract":"<p><strong>Background: </strong>Healthcare workers (HCWs) are at risk of SARS-CoV-2 infections due to occupational exposure. The use of airborne personal protective equipment (PPE) significantly reduces this risk. In June 2021, an epidemic of the Delta variant began in New South Wales (NSW), Australia. Concurrent PPE guidelines, set by the Clinical Excellence Commission (CEC), restricted the use of respirators.</p><p><strong>Objective: </strong>To understand the relationship of PPE guidelines with workplace-acquired HCW SARS-CoV-2 infections in different clinical settings and to examine the relationship between rates of community transmission and workplace-acquired HCW infections during the Delta outbreak in NSW.</p><p><strong>Methods: </strong>Total SARS-CoV-2 HCW infections between 13 June and 30 October 2021 (first four months of the Delta wave) were estimated from the government COVID-19 surveillance reports and compared with the surveillance reports of community transmission. In the absence of a detailed reporting of HCW infections, open-source data including news articles, media releases, and epidemiological surveillance reports were also collected. Data were extracted on HCW cases of SARS-CoV-2 from four hospitals, including the number of HCW cases (per NSW Health definition), clinical setting, PPE guidelines, and evidence of increasing local transmission.</p><p><strong>Results: </strong>SARS-CoV-2 infections in HCW identified as workplace-acquired infections (<i>n</i> = 177) and those without a known transmission source (<i>n</i> = 532) increased during the period of increasing community transmission (<i>n</i> = 75,014) in NSW. Four hospital COVID-19 clusters affecting 20 HCWs were identified between June and October 2021. HCW clusters occurred in general wards where staff were recommended to wear surgical masks. No workplace-acquired HCW infections were reported in these hospitals from critical care wards, where respirators were recommended during the same outbreak weeks.</p><p><strong>Conclusions: </strong>Differences in PPE policy across different wards may leave healthcare staff at risk of SARS-CoV-2 infection. During periods of high community transmission, respirators should be provided to protect hospital staff. Formal reporting of HCW infections should occur.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"1806909"},"PeriodicalIF":1.9,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153154","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":"Psychosocial Problems among Psychiatric Nurses for Caring Patients with Mental Disorders during the COVID-19 Pandemic.","authors":"Ibrahim Rahmat, Fajar Pawestri, Ragil Aji Saputro, Setiyati Widianingrum, Triana Hanifah","doi":"10.1155/2023/3689759","DOIUrl":"10.1155/2023/3689759","url":null,"abstract":"<p><p>COVID-19 has a negative effect on the psychological well-being of psychiatric nurses. Thus, examining the psychosocial response of nurses is important for preventing more serious mental health problems and disruption of the quality of nursing care. This study aimed to evaluate the psychosocial problems of nurses who provided nursing care to patients with mental health disorders during the COVID-19 pandemic. A quantitative study with a cross-sectional design was conducted. The 101 nurses at Central Mental Health Hospital who provide nursing care to patients with mental health disorders were recruited through consecutive sampling. The instruments used were the demographic questionnaire, the Expanded Nursing Stress Scale, Zung Self-Rating Anxiety Scale, and The Connor-Davidson Resilience Scale 25. Univariate and bivariate analyses were used to process the data. The mean score of 45.1 (±24.3) was obtained for the ENSS; around 97% of nurses have a work stress score below the average, 4.95% have mild-moderate anxiety, and 28.7% have a low level of resilience. Work stress and contact frequency, work stress and gender, anxiety and contact frequency, as well as resilience and contact frequency all correlated significantly (<i>p</i> value <i><</i>0.05). The Pearson test showed a significant positive correlation between work stress and anxiety (<i>p</i>: 0.002, <i>r</i>: 0.299). However, there was no significant correlation between anxiety and resilience (<i>p</i>: 0.643, <i>r</i>: 0.47), nor between work stress and resilience (<i>p</i>: 0.643; <i>r</i>: 0.47). Psychosocial disorders that psychiatric nurses face include occupational stress, mild-moderate anxiety, and low resilience. The government can create specific infection control guidelines for the mental health setting, and hospital management or ward leaders can also provide support to psychiatric nurses to increase resilience in reducing psychosocial problems.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"3689759"},"PeriodicalIF":2.2,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10335755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817117","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":"Investigation of Caring Behavior and Caring Burden and Their Associated Factors among Nurses Who Cared for Patients with COVID-19 in East Guilan, the North of Iran.","authors":"Azar Darvishpour,&nbsp;Shiva Mahdavi Fashtami","doi":"10.1155/2023/8567870","DOIUrl":"https://doi.org/10.1155/2023/8567870","url":null,"abstract":"<p><strong>Background: </strong>Nurses experience caring burdens, which can affect their caring behaviors. Caring for highly infectious patients, in particular COVID-19, is a new phenomenon and little is known about it. Considering that caring behaviors can be influenced by various factors and cultural differences of the society, it is necessary to conduct studies about caring behaviors and caring burdens. Thus, this study aimed to determine caring behavior and caring burden and their relationship with some associated factors among nurses who cared for patients with COVID-19.</p><p><strong>Materials and methods: </strong>This cross-sectional, descriptive design study was conducted by census sampling on 134 nurses working in public health centers in East Guilan, the north of Iran, in 2021. The research instruments included the Caring Behavior Inventory (CBI-24) and the Caregiver Burden Inventory (CBI). Descriptive and inferential statistics were used to analyze the data using SPSS software version 20 with a significant level of 0.05.</p><p><strong>Results: </strong>The mean score of caring behavior and caring burden in nurses was 126.50 (SD = 13.63) and 43.65 (SD = 25.16), respectively. There was a significant relationship between caring behavior and some demographic characteristics (education, place of living, and history of COVID-19) and between caring burden and some demographic characteristics (housing status, job satisfaction, intention to change job, and history of COVID-19) (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Findings showed that despite the new emergence of COVID-19, the caring burden on nurses was moderate and they had good caring behavior. Despite these results, it is necessary for the relevant managers to pay special attention to protecting health workers during a national crisis such as COVID-19 so that they experience less caring burden and improve caring behavior.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"8567870"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9988378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9451158","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":"Psychometric Evaluation of the Postoperative Recovery Profile.","authors":"Jenny Jakobsson","doi":"10.1155/2023/3745570","DOIUrl":"https://doi.org/10.1155/2023/3745570","url":null,"abstract":"<p><strong>Aim: </strong>To further evaluate the postoperative recovery profile regarding its psychometric properties.</p><p><strong>Background: </strong>The postoperative recovery profile is an instrument for the self-assessment of general postoperative recovery that has received increased attention within nursing research. However, psychometric evaluation during development was sparse.</p><p><strong>Design: </strong>Psychometric evaluation was done using classical test theory.</p><p><strong>Method: </strong>Data quality, targeting, reliability, and scaling assumptions were measured. In addition, confirmatory factor analysis was used to evaluate construct validity. Data collection was made during 2011-2013.</p><p><strong>Result: </strong>Data derived from this study showed acceptable quality; however, item distribution was skewed, with ceiling effects in the majority of items. Cronbach's alpha showed high internal consistency. Item-total correlations indicated unidimensionality, whereas six items demonstrated high correlations pointing at redundancy. The confirmatory factor analysis confirmed problems related to dimensionality as the five proposed dimensions were highly correlated with each other. Furthermore, items were largely uncorrelated with the designated dimensions.</p><p><strong>Conclusion: </strong>This study shows that the postoperative recovery profile needs to be further developed to serve as a robust instrument within nursing as well as medical research. Arguably, values from the instrument should not be calculated at a dimensional level for the time being because of discriminant validity issues.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"3745570"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9592209","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":"Midwives' and Diabetes Nurses' Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study.","authors":"Sofia Köpsén,&nbsp;Mikael Lilja,&nbsp;Margareta Hellgren,&nbsp;Jonas Sandlund,&nbsp;Rita Sjöström","doi":"10.1155/2023/6386581","DOIUrl":"https://doi.org/10.1155/2023/6386581","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes mellitus (GDM) is increasing and is associated with adverse outcomes for both mother and child. The metabolic demands of pregnancy can reveal a predisposition for type 2 diabetes mellitus (T2DM), and women with a history of GDM are more likely to develop T2DM than women with normoglycemic pregnancies.</p><p><strong>Aim: </strong>The aim of this study was to explore midwives' and diabetes nurses' experience of their role in screening, care, and follow-up of women with gestational diabetes mellitus and, further, to explore their opinions and thoughts about existing routines and guidelines.</p><p><strong>Method: </strong>Individual interviews were performed with ten diabetes nurses and eight midwives working in primary and special care. Qualitative content analysis was done according to Graneheim and Lundman.</p><p><strong>Results: </strong>The analysis of the interviews resulted in the overall theme \"An act of balance between normalcy and illness, working for motivation with dilemmas throughout the chain of health care.\" Difficulties in carrying out the important task of handling GDM while at the same time keeping the pregnancy in focus were central. Women were described as highly motivated to maintain a healthy lifestyle during pregnancy with the baby in mind, but it seemed difficult to maintain this after delivery, and compliance with long-term follow-up with the aim of reducing the risk of T2DM was low. The women came to the first follow-up but did not continue with later contact. This was at a time when the women felt healthy and were focusing on the baby and not themselves. A lack of cooperation and easy access to a dietician and physiotherapist were pointed out as well as a wish for resources such as group activities and multiprofessional teams.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"6386581"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9953309","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":"Violence against Emergency Nurses in Kermanshah-Iran: Prevalence and Associated Factors.","authors":"Maryam Janatolmakan,&nbsp;Alireza Abdi,&nbsp;Shahab Rezaeian,&nbsp;Negin Framarzi Nasab,&nbsp;Alireza Khatony","doi":"10.1155/2023/9362977","DOIUrl":"https://doi.org/10.1155/2023/9362977","url":null,"abstract":"<p><strong>Background: </strong>Violence against emergency nurses is a global concern with undesirable physical and psychological consequences. This study was conducted to investigate the characteristics of physical and verbal violence against emergency nurses in Iran.</p><p><strong>Methods: </strong>In this cross-sectional study, 150 nurses working in seven hospitals affiliated to Kermanshah University of Medical Sciences were included in the study using the stratified random sampling method. The data collection tools included a personal information form and a researcher-made questionnaire. Violence-related characteristics were assessed using descriptive statistics. Logistic regression was used to identify factors related to physical and verbal violence.</p><p><strong>Results: </strong>The frequency rates of physical and verbal violence during the past 12 months were equal to 62% (<i>n</i> = 93) and 94.7% (<i>n</i> = 142), respectively. In both types of physical violence (49.5%, <i>n</i> = 46) and verbal violence (40.4%, <i>n</i> = 57), the nursing station was the most common place of violence. In both physical (<i>n</i> = 40, 43.0%) and verbal violence (<i>n</i> = 101, 71.1%), the most common perpetrator was the patient's family. Most physical violence (57.0%, <i>n</i> = 53) and verbal violence (35.2%, <i>n</i> = 50) occurred in the night shifts. No statistically significant relationship was found between physical and verbal violence and gender, age, marital status, type of employment, and work experience. <i>Discussion</i>. The results indicate the seriousness of workplace violence against nurses. It is necessary to adopt a global approach along with providing sufficient manpower and psychological empowerment of nurses. Further studies with a forward-looking approach are suggested.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"9362977"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9859709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178731","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":"Professional Values of Undergraduate Students at a Nursing School in South Africa.","authors":"Portia Bimray,&nbsp;Jennifer Chipps,&nbsp;Victoire Ticha","doi":"10.1155/2023/9635033","DOIUrl":"https://doi.org/10.1155/2023/9635033","url":null,"abstract":"<p><strong>Background: </strong>Nursing schools play an important role in instilling nursing professional values in undergraduate nursing students and ensuring that they produce professional nurse graduates. Several studies in various countries have been conducted to describe the professional values held by nursing students, but this has not been explored in detail in South Africa.</p><p><strong>Aim: </strong>The purpose of this study was to describe the professional values held by undergraduate degree students at a nursing school in South Africa.</p><p><strong>Methods: </strong>A cross-sectional survey using a self-administered questionnaire was conducted. With a population of 1,233 undergraduate nursing students across four years in the degree programme at the nursing school, a sample of 294 was calculated as the representative (95% CI, 5% error, and 50% response distribution). The 26-item nurses professional values scale revision (NPVS-R) with five value dimensions was used to collect the data. Means, frequencies, and confidence intervals were used to describe the values and Mann-Whitney <i>U</i> tests and Kruskal-Wallis independent sample tests were used to compare the findings with the demographic characteristics.</p><p><strong>Results: </strong>A total number of 245 respondents completed the questionnaire (response rate of 83.3%). Overall, the nurse professional value score was high (113.1 ± 13.1). The values of trust (4.46 ± 0.61), justice (4.39 ± 0.57), and caring (4.38 ± 0.55) were rated significantly higher than those of professionalism (4.23 ± 0.64) and activism (4.22 ± 0.57). First- and final-year students had significantly higher professional value scores.</p><p><strong>Conclusion: </strong>The study results describe the professional values of undergraduate nursing students in the school and confirmed the importance of trust, justice, and caring as the key professional values in the South African setting. <i>Clinical Relevance</i>. Nursing education should embed and monitor nursing professional values in the curriculum. Instilling nursing professional values in undergraduate nurses during formal training programmes improves quality patient care and service delivery for clinical practice.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"9635033"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241132","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 Effects of Education Based on the Nursing Process on Ostomy Self-Care Knowledge and Performance of Elderly Patients with Surgical Stoma.","authors":"Roya Momeni Pour,&nbsp;Azar Darvishpour,&nbsp;Roya Mansour-Ghanaei,&nbsp;Ehsan Kazemnezhad Leyli","doi":"10.1155/2023/2800796","DOIUrl":"https://doi.org/10.1155/2023/2800796","url":null,"abstract":"<p><strong>Background: </strong>Patients with surgical stoma experience problems, which can lead to their impaired adaptation and self-efficacy. The nursing process provides a framework for planning and implementing nursing care. This study aimed to investigate the effect of education based on the nursing process on ostomy self-care knowledge and performance of elderly patients with intestinal stoma<i>. Materials and Methods.</i> In this quasi experimental study, 52 elderly patients with intestinal ostomy who were referred to Razi Hospital in Rasht and met the inclusion criteria were invited to participate in research. Sampling was done by a simple random method. The intervention group received an educational programme based on the nursing process, whereas the control group received traditional training. The research instruments included a questionnaire to assess the level of ostomy self-care knowledge and ostomy self-care performance. Data were analyzed by SPSS software version 21 using descriptive and inferential statistics at a significant level of <i>p</i> < 0.05.</p><p><strong>Results: </strong>The mean scores of ostomy self-care knowledge and performance in both groups (intervention and control) were increased. However, the improvement in self-care knowledge and performance of the intervention group was significantly greater than that in the control group (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The educational programme based on the nursing process compared to the routine patients training caused more improvement in ostomy self-care knowledge and performance of older adult patients with surgical stoma. Therefore, an educational programme based on the nursing process can be used as an educational model for these patients.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"2800796"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10535616","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}