Nursing Open最新文献

{"title":"Assessing the Nursing Workload in the Cardiothoracic Intensive Care Unit: Comparative Study.","authors":"Natasa Stojakovic, Aleksandra Matic, Andrej Preveden, Milenko Rosic, Milena Mikic, Vesna Rosic, Visnja Mihajlovic","doi":"10.1002/nop2.70072","DOIUrl":"10.1002/nop2.70072","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to assess nursing workload in Cardiac Intensive Care Unit (CICU) after three cardiothoracic surgery procedures during first four postoperative days using Nursing Activities Score (NAS) and Nine Equivalents of Nursing Manpower Use Score (NEMS) systems, to compare their performance for that purpose and to investigate association between nursing workload and type of surgery.</p><p><strong>Design: </strong>A comparative study.</p><p><strong>Methods: </strong>The research environment includes CICU of the University Hospital for Cardiovascular Diseases in Serbia. A total of 808 patients who underwent coronary, valvular, or combined surgery, resulting in 2282 filled NAS and NEMS pairs chart. Statistical analysis was performed using SPSS-19. The correlation between NAS and NEMS was tested by Spearman's correlation coefficient. Differences were considered statistically significant at p < 0.05.</p><p><strong>Results: </strong>The lowest median of cumulative NAS 176 (175-257) and NEMS 76 (64-91) had coronary surgery patients, the highest NAS 224.5 (178-334.5) and NEMS 83 (69-121) had those with combined surgery; this difference was statistically significant (p < 0.001). The median of both scores decreased after surgery, with the following values from the first to the fourth postoperative day: NAS from 104 (102-105) to 81 (74-85) and NEMS from 46 (42-46) to 30 (30-37). The difference in mean values of both scores between the first and the fourth postoperative day was statistically significant (p < 0.001). NAS and NEMS were in a positive, strong correlation (r = 0.913; p < 0.005).</p><p><strong>Conclusion: </strong>Both scores can be used to measure nursing workload, identify the required number of nurses in CICU, and support task allocation. NAS may have an advantage because it better describes extensive postoperative monitoring and care needed for cardiac surgery patients. Nursing workload is associated with type of surgery, with the highest workload measured in patients who underwent combined surgery procedure and on the first postoperative day.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70072"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Public Perceptions of Telenursing: A Q Methodology Study.","authors":"Ick-Jee Kim","doi":"10.1002/nop2.70087","DOIUrl":"10.1002/nop2.70087","url":null,"abstract":"<p><strong>Aims: </strong>To investigate public perceptions of telenursing in South Korea, an Asian country that is transitioning to the introduction of telenursing and possesses a high level of information and communication technology. This study sought to uncover strategies for the successful introduction and extension of telenursing by identifying the characteristics of existing perceptions.</p><p><strong>Design: </strong>Q methodology was applied.</p><p><strong>Methods: </strong>A total of 188 Q populations were selected from the literature, Internet sources, newspaper articles and in-depth interviews about telenursing, from which the final 37 Q statements were derived. Forty-nine people who were expected to have diverse perspectives about telenursing were selected purposively and participated in Q-sorting. The data were obtained from November 2022 to December 2022 and analysed with principal component analysis and varimax rotations using PQMethod version 2.11.</p><p><strong>Results: </strong>Five types of perceptions regarding telenursing in South Korea were identified: 'Factor I: Preference for convenience and efficiency of telenursing, Active acceptance', 'Factor II: Complete support for telenursing, Total acceptance', 'Factor III: Complete skepticism for telenursing, Total nonacceptance', 'Factor IV: Expectance of the supplementary roles of telenursing, Immediate acceptance' and 'Factor V: Expectance of the supplementary roles of telenursing, Prolonged acceptance'.</p><p><strong>Patient or public contribution: </strong>Patients and the public were not involved in this study's design, recruitment and implementation.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70087"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Frailty Prediction Model Among Older Adults in China: A Cross-Sectional Analysis Using the Chinese Longitudinal Healthy Longevity Survey.","authors":"Xianping Tang, Dongdong Shen, Tian Zhou, Song Ge, Xiang Wu, Aming Wang, Mei Li, Youbing Xia","doi":"10.1002/nop2.70070","DOIUrl":"10.1002/nop2.70070","url":null,"abstract":"<p><strong>Aims: </strong>To identify the risk factors associated with frailty among older adults in China and develop a predictive model for assessing their frailty risk.</p><p><strong>Design: </strong>Secondary cross-sectional analysis.</p><p><strong>Methods: </strong>The 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS) provided data for this study. A total of 9006 participants were included in the analysis. Their general demographic, socioeconomic status and health behaviour risk factors were collected in the CLHLS. Frailty was assessed using the Frailty Index. A visual nomogram model was constructed based on independent predictors identified using multivariate analysis. The nomogram's discrimination and calibration capabilities were evaluated using the C-statistics and calibration curves. A 1000-times resampling enhanced bootstrap method was performed for internal validation of the nomogram.</p><p><strong>Results: </strong>The results showed that living in rural settings, having a primary education level, having a spouse, having basic living security, smoking, drinking, exercising and social activities were protective factors against frailty. Increasing age, being underweight or obese, adverse self-assessed economic status and poor sleep quality were risk factors of frailty. The AUC values of the internal validation set were 0.830. The calibration curve was close to ideal. The Brier score was 0.122. The above results showed that the nomogram model had a good predictive performance.</p><p><strong>Conclusions: </strong>A simple and fast frailty risk prediction model was developed in this study to help healthcare professionals screen older adults at high risk of frailty in China.</p><p><strong>Impact: </strong>The frailty risk prediction model will assist healthcare professionals in risk management and decision-making and provide targeted frailty prevention interventions. Screening high-risk older adults and early intervention can reduce the risk of adverse outcomes and save medical expenses for older adults and society, thereby realising cost-effective planning of health resources and healthy ageing.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution. This study was a cross-sectional, secondary analysis of the CLHLS data.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70070"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11551788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Superficial Heat-Cold Application on the Sleep Quality of Patients With Restless Leg Syndrome: A Systematic Review and Meta-Analysis.","authors":"Mohammad Mehdi Mohammadi, Maryam Ahmadi, Ali Akbar Vaisi Raygani","doi":"10.1002/nop2.70080","DOIUrl":"10.1002/nop2.70080","url":null,"abstract":"<p><strong>Aim: </strong>The present study was conducted to determine the effect of the superficial heat-cold application on the sleep quality of patients with restless leg syndrome.</p><p><strong>Design: </strong>This study was a systematic review and meta-analysis.</p><p><strong>Methods: </strong>In the present study, the electronic databases Scopus, ProQuest, Web of Science, PubMed, SID and Google Scholar were searched from their inception to September 2023. The quality of included studies was evaluated through the Cochrane Collaboration's Risk of Bias Tool, and finally, a meta-analysis was conducted by calculating standardised mean differences (SMDs).</p><p><strong>Results: </strong>The meta-analysis results revealed that superficial heat-cold application improved sleep quality in patients with RLS (SMD = 0.685, 95% CI: 0.421-0.950). The meta-regression results showed that as the temperature increased, the intervention was more effective in improving sleep quality (β = 0.0182, 95% CI: 0.0096-0.0268, p < 0.05). Moreover, the effectiveness of the intervention in improving the sleep quality of patients with RLS reduced significantly as the duration of intervention in each session (β = -0.031, 95% CI: -0.059 to -0.001, p < 0.05) as well as participants' age increased (β = -0.013, 95% CI: -0.024 to -0.001, p = 0.0259).</p><p><strong>Patient or public contribution: </strong>This research showed that superficial heat-cold application had the capability to improve the sleep quality of patients with restless leg syndrome. In addition, in this study, settings were suggested according to which the maximum effectiveness of the intervention could be achieved.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70080"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Setting national nursing research priorities in Qatar: A Delphi survey.","authors":"Albara Mohammad Ali Alomari, Kamaruddeen Mannethodi, Kalpana Singh, Jibin Kunjavara, George Vellaramcheril Joy, Ederlie Encarnacion Pitiquen, Badriya A L Lenjawi","doi":"10.1002/nop2.70010","DOIUrl":"10.1002/nop2.70010","url":null,"abstract":"<p><strong>Aim: </strong>To establish consensus on the priorities of nursing research in Qatar regarding nursing administration, nursing practice and nursing education for the years 2023-2033.</p><p><strong>Design: </strong>Classic Delphi format over three phases.</p><p><strong>Methods: </strong>The first phase involved a qualitative round where participants identified 10 research priorities. In phase two, the collected sentences were analysed and grouped into themes. Participants were then requested to rate these sentences based on their perceived importance. During phase three, participants received their individual responses, the consolidated group response from the second round, and were given the opportunity to agree or disagree with the group ranking. The panel of experts consisted of 32 participants who agreed to participate in all three rounds. They included a mixture of nursing academics, clinical managers and nursing directors from public sectors and nursing schools in Qatar.</p><p><strong>Results: </strong>The experts reached a consensus on the research priorities for Qatar. These prioritized topics focused on improving patient care outcomes, enhancing workforce development, strengthening nursing leadership, integrating technology to improve nursing and nursing education and promoting evidence-based practice.</p><p><strong>Conclusion: </strong>This research emphasizes the importance of progress in nursing to meet healthcare demands. Findings showed the need of future research to focus on improving nursing workforce and well-being, leadership styles and technology, and evidence-based practice and technology in nursing education.</p><p><strong>Impact: </strong>The impact of identifying nursing research priorities in Qatar will improve healthcare practices, fostering a culture of evidence-based care. These advancements will motivate nurses to engage more actively in research, thereby enhancing overall healthcare outcomes.</p><p><strong>Public contribution: </strong>Not applicable.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70010"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gratitude and Subjective Well-Being in Older Chinese Adults in Nursing Homes: The Mediating Roles of Self-Efficacy and Social Support.","authors":"Chunqin Liu, Qing Luo, Liqin Song, Dongyi Luo, Huifang Chen, Xinyang Hu, Ying Zhou","doi":"10.1002/nop2.70086","DOIUrl":"10.1002/nop2.70086","url":null,"abstract":"<p><strong>Aim: </strong>With an aging global population, there has been a growing interest in the subjective well-being (SWB) of older people. As a positive emotion, gratitude has been found to be significantly and positively associated with SWB. However, the mechanisms underlying the relationship between gratitude and SWB remain poorly understood. This study aimed to examine the mediating effects of social support and self-efficacy in the relationship between gratitude and SWB among older Chinese adults in nursing homes.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>A sample of 354 older adults in nursing homes aged 60 years and above was recruited across three nursing homes in Guangzhou, China. Participants completed the Gratitude Questionnaire-Six-Item Form, the World Health Organization's well-being index, the General Self-efficacy questionnaire and the Multidimensional Scale of Perceived Social Support. Structural equation modelling was used to evaluate the relationships between gratitude, self-efficacy, social support and SWB. A bootstrap test was performed to test mediating roles of self-efficacy and social support.</p><p><strong>Results: </strong>Gratitude was found to be significantly and positively associated with SWB (β = 0.294, p < 0.001). Self-efficacy and social support independently mediated the relationship between gratitude and SWB (indirect effect of self-efficacy: Standardised β = 0.105, 95% CI [0.061, 0.157]; indirect effect of social support: Standardised β = 0.116, 95% CI [0.444, 0.191], all p < 0.001). Additionally, the results indicated that the mediating effect of self-efficacy was not significantly different from that of social support in the link between gratitude with SWB.</p><p><strong>Conclusion: </strong>These findings presented strong evidence that self-efficacy and social support provided the underlying mechanisms through which gratitude was associated with SWB in Chinese nursing home residents. This highlighted the need to develop interventions aiming at increasing gratitude, self-efficacy and social support to promote SWB among elderly people.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70086"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Renewing the Role of the Nursing Coordinator: Towards Modern and Effective Leadership in Healthcare.","authors":"Gianluca Azzellino, Massimo De Martinis","doi":"10.1002/nop2.70091","DOIUrl":"10.1002/nop2.70091","url":null,"abstract":"","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70091"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11568362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Service Users' Perspectives on Communicating Compassion in Mental Health Practice.","authors":"Ellie Wildbore, Carmel Bond, Stephen Timmons, Ada Hui, Shane Sinclair","doi":"10.1002/nop2.70081","DOIUrl":"10.1002/nop2.70081","url":null,"abstract":"<p><p>When people talk about their healthcare experience, compassion is often a common ingredient in the stories they share. After a decade of healthcare reforms and research on compassion, the experience of receiving compassionate care has been shown to be important to patients and their families. Yet, there is little guidance to inform compassionate practice in the context of providing mental health care. In this article, the authors suggest three things that mental health nurses can use in their practice to demonstrate compassion.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70081"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Distress in Patients With Recurrent Ectopic Pregnancies: A Cross-Sectional Study.","authors":"Na-Na Ren, Minerva B De Ala, Ling Chang, Yuan Gao, Ming-Xia Li, Ke-Li Li","doi":"10.1002/nop2.70069","DOIUrl":"10.1002/nop2.70069","url":null,"abstract":"<p><strong>Aim: </strong>Most patients with ectopic pregnancies experience a high level of psychological distress for various reasons. The psychological state and needs of patients with recurrent ectopic pregnancies need to be seriously addressed. However, psychological distress in patients with recurrent ectopic pregnancy has not been widely studied. The purpose of this study is to investigate and understand the prevalence and factors influencing psychological distress in patients with recurrent ectopic pregnancies.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>This study follows the STROBE guidelines. The Kessler Psychological Distress Scale (K10) was utilised to assess the level of psychological stress in patients. The Kruskal-Wallis test or Mann-Whitney U test was used to compare the factors influencing psychological stress in patients with different conditions.</p><p><strong>Results: </strong>A total of 134 patients with recurrent ectopic pregnancies completed the survey, and most patients experienced moderate-to-severe psychological distress. The psychological distress experienced by patients with recurrent ectopic pregnancies is complex and dynamic, influenced by various factors. Among them, the main factors affecting the psychological distress of patients were age, education level, number of children, number of abortions, medical insurance and economic pressure (p < 0.05).</p><p><strong>Conclusion: </strong>This study suggests that the psychological distress experienced by patients with recurrent ectopic pregnancies is universal and cannot be ignored. It is necessary to pay attention to the psychological needs of patients with recurrent ectopic pregnancies and carry out scientific and effective psychological care management.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 11","pages":"e70069"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Performance on Intravenous Medication Administration to Patients: A Cross-Sectional Observational Study Among Nurses of Nepal.","authors":"Jaya Dhungana, Subina Bajracharya, Nancy R Reynolds","doi":"10.1002/nop2.70056","DOIUrl":"10.1002/nop2.70056","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate knowledge and performance levels regarding intravenous (IV) medication administration to patients among nurses working in paediatric centers of Nepal.</p><p><strong>Design: </strong>A cross-sectional descriptive observational study.</p><p><strong>Methods: </strong>Enumerative sampling method was used for participant selection from the four hospitals having paediatric units. Data were collected using knowledge survey and observational checklist on four phases of IV medication administration.</p><p><strong>Results: </strong>Of 115 nurses, 14 (12.2%) had adequate knowledge about IV medication administration whereas none had good level and only 20 nurses (17.4%) had fair level of performance. There was a weak negative correlation between knowledge and practice scores. Nurses working 8-h shifts had better performance than those working 6-h shifts; however, the recommended nurse-patient ratio was not maintained in 80% of observed shifts. The findings highlight the importance of upgrading nurses' knowledge and professional competencies on medication administration to improve the quality of patient care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 10","pages":"e70056"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11466289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}