Nursing Open最新文献

{"title":"Patient Safety Attitudes of Hospital Nurses: An Ethnographic Study in Four European Countries.","authors":"Nina Granel, Carolina Eva Watson, Rebeca Gómez-Ibáñez, Maria Dolors Bernabeu-Tamayo","doi":"10.1002/nop2.70165","DOIUrl":"10.1002/nop2.70165","url":null,"abstract":"<p><strong>Aim: </strong>The hospital work environment among cultures and the different social contexts among countries may influence nurses' attitudes towards patient safety. The aim of this study was to compare the attitudes of nurses working in public hospitals in four European countries towards patient safety.</p><p><strong>Design: </strong>A qualitative study with an ethnographic approach was used to observe and interview nurses at work in four European Union countries: Croatia, Hungary, Sweden and Spain.</p><p><strong>Methods: </strong>Critical case sampling was used to select participants from two public hospitals in each country. Data were coded and thematically analysed using Atlas.ti software through iterative close reading and open code review.</p><p><strong>Results: </strong>This is the first multinational ethnographic study of nurses' attitudes towards patient safety. The analysis identified two main categories: structural influences on safety attitudes and safety attitudes in practice. The analysis from this study suggests that the structural influences of safety attitudes (resources) may not be directly correlated with the actual work pressures of nurses in public hospitals in different countries, but are subject to the level of maturity of the institutions.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70165"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517113","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":"Factors Contributing to Muscle Fatigue of Low Back Region in ICU Nurses: A Qualitative Study.","authors":"Yuting Yang, Jing Li, Honghong Wang, Yangyang Liu, Xuxin Wang, Su'e Yuan","doi":"10.1002/nop2.70146","DOIUrl":"10.1002/nop2.70146","url":null,"abstract":"<p><strong>Aims: </strong>To explore ICU nurses' experiences of back and waist fatigue and establish a basis for developing effective intervention strategies to reduce low back muscle fatigue in the future.</p><p><strong>Design: </strong>Qualitative study using focus group.</p><p><strong>Methods: </strong>Eighteen ICU nurses participated in focus group interviews. Data were analysed using Nvivo11.0 software with content analysis.</p><p><strong>Results: </strong>ICU nurses frequently suffer from lower back pain due to the severity of patient conditions and the use of numerous tubes and catheters, which often lead tounsafe postures. The absence of proper lifting systems exacerbates high-risk postures, contributing to acute lower back muscle injuries. Additionally, inadequate promotion of correct posture and prevention strategies, along with insufficent training on occupational hazards, futher exacerbates the issue.</p><p><strong>Conclusions: </strong>Human fator, machinery, environments, as well as their interactions significantly affect ICU nurses' experience of low back and waist muscle fatigue.</p><p><strong>Reporting method: </strong>Reported according to the SRQR (Standards for Reporting Qualitative Research) guideline.</p><p><strong>Impact: </strong>Offersnew insights into applying the human-machine-environment theory toto clinical nursing practice research. Highlightsthat the unconscious or passive adoption of poor postures by ICU nurses as a major factor contributing to muscles fatigue. Emphasizes the need for comprehensive intervention programsto prevent work-related low back muscle fatigue among ICU nurses.</p><p><strong>Patient or public contribution: </strong>Based on our findings, we have discussed the result with hospital management highlighting the urgent need for mesures to protect ICU nurses back and waist muscles. We believe this proactive approach is essentialfor ensuring the long-term well-being of healthcare professionals and maintaining the high standards of patient care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70146"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587735","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":"Treatment Adherence and Quality of Life of Adults Living With Hypertension in Rural Ghana.","authors":"Ayisha Blessing Amadu, Kennedy Dodam Konlan, Jamilatu Barbara Amadu, Gladys Dzansi","doi":"10.1002/nop2.70198","DOIUrl":"10.1002/nop2.70198","url":null,"abstract":"<p><strong>Aim: </strong>We determined treatment adherence and quality of life of adults living with hypertension in rural Ghana.</p><p><strong>Design: </strong>A quantitative cross-sectional survey was conducted.</p><p><strong>Method: </strong>We randomly sampled 351 persons diagnosed with hypertension at the Baptist Medical Centre in Nalerigu, Ghana. A shortened version of the World Health Organization's Quality of Life (WHOQOL-BREF) questionnaire was used, and information on treatment adherence was collected using a modified Morisky Medication Adherence Scale. Data analyses were conducted with the aid of SPSS 23.0 at a 95% confidence level.</p><p><strong>Results: </strong>The study revealed a high rate of treatment adherence, 226 (64%) with low quality of life among the participants. Adherence to treatment was more associated with the males compared to females. The social health dimension of the quality of life was significantly associated with treatment adherence. The role of social networks in enhancing adherence was a major finding in this study and could be harnessed by nurses and midwives to improve the lives of persons diagnosed with hypertension. It is recommended that measures that promote remembrance and reduce forgetfulness regarding hypertension medications, such as mobile health and digital technologies, be implemented by health workers to enhance treatment adherence. Further, measures aimed at improving resource allocation for women in rural communities, such as women-economic empowerment programmes, are encouraged to enhance health-seeking and treatment adherence.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70198"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693995","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":"Impact of Care Bundles Prevention of Hospital-Acquired Pressure Injuries: A Systematic Review and Meta-Analysis.","authors":"Ayse Silanur Demir, Ayise Karadag","doi":"10.1002/nop2.70173","DOIUrl":"10.1002/nop2.70173","url":null,"abstract":"<p><strong>Aim: </strong>To describe and synthesise current literature on care bundles in preventing hospital-acquired pressure injuries and to present a meta-analysis of experimental studies evaluating the effects of care bundles.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Methods: </strong>Pubmed, Cochrane Library, Scopus, Web of Science, CINAHL, Google Scholar and Medline (OVID), and relevant articles were identified from the inception of each database until June 5, 2024. This systematic review has been registered in PROSPERO (CRD42024554497). This study examined a multicomponent intervention care bundles consisting of three or more components that was implemented and compared with standard care. Outcomes were assessed using rates of hospital-acquired pressure injuries, length of hospital stay (days) and the number of pressure injuries. Study types included randomised controlled trials, nonrandomised studies, quasi-experimental studies, and cohort studies. After completion of the search, titles, abstracts and full texts were independently assessed by two researchers in consecutive rounds according to PICOS criteria; data were extracted and study quality was independently assessed by at least two researchers. A meta-analysis using random effects was conducted, where estimates were combined as odds ratios or risk differences, along with proportions and 95% confidence intervals were calculated.</p><p><strong>Results: </strong>A total of nine published studies, including 29.572 patients (Control group: 56.8%; Intervention group: 43.2%) were included in this review. The meta-analysis results showed a significant effect of care bundle intervention on hospital-acquired pressure injuries rates, length of hospital stay and number of pressure injuries. According to the results of the study, care bundle application reduces the rate of hospital-acquired pressure injuries, shortens the duration of hospitalisation, and reduces the number and severity of pressure injuries.</p><p><strong>No patient or public contribution: </strong>Although patients and the public were not directly involved in the study, the research addresses key concerns about preventing hospital-acquired pressure injuries. By focusing on care bundles to improve patient safety and reduce pressure injury rates, this study aims to enhance the quality of care, shorten hospital stays and improve patient outcomes, ultimately benefiting both patients and the healthcare system.</p><p><strong>Trial registration: </strong>CRD42024554497.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70173"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626372","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":"Pain in Hospital: A Real-Word Data Analysis.","authors":"Virginie Claivaz, Malik Benmachiche, Zeina Santoro, Fabienne Hadorn, Cédric Mabire","doi":"10.1002/nop2.70126","DOIUrl":"10.1002/nop2.70126","url":null,"abstract":"<p><strong>Aim: </strong>The study aim was to describe the prevalence of pain, its assessment, and its associated characteristics in a university hospital in the French-speaking part of Switzerland.</p><p><strong>Background: </strong>Despite many advances in its management, pain is still a common and persistent symptom in hospitals. Nurses have a central role in its management. Pain assessment is essential for optimal management; it is nonetheless made insufficiently and randomly.</p><p><strong>Design: </strong>The design was a monocentric correlational descriptive study.</p><p><strong>Methods: </strong>This study was based on the secondary analysis of routine data from 22,987 computerised health records of the medical and surgical wards between 1 November 2017 and 31 March 2019.</p><p><strong>Results: </strong>The results showed that the prevalence of pain was high in medical and surgical wards. Almost one-fifth of the participants suffered from severe pain at least once during their hospital stay. There was no association between the presence of pain and hospital ward, but the likelihood of having severe pain increased if the participant was hospitalised in a medical ward. Close personalised pain monitoring should be promoted to prevent the onset of severe pain. No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70126"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524921","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 the Utilisation of Internationally Qualified Nurses' Specialty Skills: Analysis of Recruiting Managers' View Points.","authors":"Chanchal Kurup, Adam Scott Burston, Vasiliki Betihavas, Elisabeth Ruth Jacob","doi":"10.1002/nop2.70184","DOIUrl":"10.1002/nop2.70184","url":null,"abstract":"<p><strong>Aim: </strong>This study examines the factors influencing the use of specialty skills among internationally qualified nurses in Australia from the recruitment managers' perspective. It specifically addresses the research question: How can the specialty skills of IQNs be effectively transferred to the healthcare systems of developed countries following immigration?</p><p><strong>Research design: </strong>A semi-structured interview.</p><p><strong>Method: </strong>Eight nurse managers directly involved in internationally qualified nurse recruitment participated in semi-structured interviews. The interview questions were formulated based on the outcomes of a preceding mixed-methods study.</p><p><strong>Data sources: </strong>Between January and March 2023, eight recruiting managers responsible for internationally qualified nurse recruitment were interviewed. The collected data was analysed using thematic analysis.</p><p><strong>Results: </strong>Recruitment managers identified three key themes regarding transferring internationally qualified nurses' specialty skills to the Australian health system. 'Right Person, Right Opportunity' stresses the importance of matching nurses with appropriate roles. 'Barriers to Skill Alignment' highlights challenges such as credential recognition and integration issues. 'Advancing Opportunities' outlines strategies like workforce planning and tailored training to overcome these obstacles.</p><p><strong>Conclusion: </strong>The findings emphasise the importance of strategic workforce planning, robust centralised assessment mechanisms and tailored training programmes for recruiting managers to support internationally qualified nurses' specialty skill utilisation.</p><p><strong>Impact: </strong>This study extends to policymakers, healthcare organisations and nurses, guiding the development of strategies for safe nursing service delivery and optimising patient care. The emphasis on managerial needs highlights a pathway for creating a more efficient and supportive environment for internationally qualified nurses in the healthcare sector.</p><p><strong>Patient or public contribution: </strong>This paper benefited from the insights shared by eight recruiting managers involved in hiring internationally qualified nurses, who contributed their valuable experiences and opinions.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70184"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659221","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":"Validity and Reliability of the Korean Version of the Florida Patient Acceptance Survey.","authors":"Chohee Bang, Jae-Jin Kwak","doi":"10.1002/nop2.70177","DOIUrl":"10.1002/nop2.70177","url":null,"abstract":"<p><strong>Aim: </strong>To validate the Korean version of the Florida Patient Acceptance Survey (K-FPAS) and assess its reliability in evaluating the acceptance of implantable cardioverter defibrillators (ICDs) among Korean patients.</p><p><strong>Design: </strong>A methodological research study was conducted to develop and validate the K-FPAS as a valuable tool for assessing ICD acceptance and its related factors in the Korean patient population.</p><p><strong>Methods: </strong>A total of 243 participants, aged 18 years and older, who had received ICDs within the past year and were regularly monitored by cardiac specialists, were included in the study. The K-FPAS was meticulously translated and underwent expert validation, exploratory factor analysis, and confirmatory factor analysis to establish its construct validity. Content validity was confirmed by seven experts, and concurrent validity was examined using the Short Form-36 Health Survey. The reliability of the K-FPAS was assessed for internal consistency.</p><p><strong>Results: </strong>The K-FPAS demonstrated robust content and construct validity, consisting of 15 items organised into four subdomains: \"Return to Life,\" \"Device-Related Distress,\" \"Positive Appraisal,\" and \"Body Image Concerns.\"</p><p><strong>Conclusion: </strong>The K-FPAS is a valid and reliable instrument for evaluating ICD acceptance among Korean patients. It provides a robust methodological framework for exploring the multidimensional facets of ICD acceptance, particularly highlighting the significance of psychological and emotional well-being. This tool demonstrates considerable potential for advancing nursing research and guiding evidence-based interventions to enhance ICD acceptance and improve the overall quality of life for ICD recipients.</p><p><strong>Patient or public contribution: </strong>Patients contributed to this study by providing responses on the study questionnaires, and five hospitals supported the data collection process by providing suitable facilities for interviews and questionnaires. This research aims to benefit patients and improve their well-being through better ICD acceptance assessment and support.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70177"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598111","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":"Effective Health Communication to Reduce Avoidable Readmission: Enhancing Understanding for Patients and Families.","authors":"Elisabeth Coyne, Karin B Dieperink","doi":"10.1002/nop2.70187","DOIUrl":"10.1002/nop2.70187","url":null,"abstract":"","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70187"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626293","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":"Promoting Mealtime Independence and Mealtime Experience for Individuals With Dementia: A Study Protocol.","authors":"Zhoumei Yan, Victoria Traynor, Ibrahim Alananzeh, Peta Drury","doi":"10.1002/nop2.70156","DOIUrl":"10.1002/nop2.70156","url":null,"abstract":"<p><strong>Background: </strong>Difficulties in eating can profoundly influence the well-being of those living with dementia. Previous research has shown that Spaced Retrieval and Montessori-based interventions can enhance eating independence during meals and optimise nutritional health in people living with dementia in nursing homes. However, few studies examine the effects of these interventions on those living with dementia who follow western-style eating etiquette.</p><p><strong>Aim: </strong>This pilot study aims to evaluate the effectiveness of the SPREMON (Spaced Retrieval and Montessori-based activities) mealtime intervention on mealtime independence, mealtime engagement and affect (mood), and nutritional status among people living with dementia in a nursing home.</p><p><strong>Method: </strong>This quasi-experimental study will involve people with dementia living in nursing homes. The intervention consists of Spaced Retrieval and Montessori-based activities designed to enhance eating procedural memory and eating motor skills over 7 weeks. Data will be collected pre-intervention and post-intervention and at 3-month follow-up. Depending on the distribution of the data, an ANOVA or Friedman test will be used to examine the differences in the means for mealtime independence, engagement and affect, and nutritional status over time.</p><p><strong>Discussion: </strong>There is limited evidence of the impact of Spaced Retrieval and Montessori-based activities in people living with dementia using western dining etiquette. This study bridges this knowledge gap and provides new knowledge about the effectiveness of such interventions to enhance mealtime independence and engagement and affect for people with dementia living in nursing homes.</p><p><strong>Trial registration: </strong>ANZCTR identifier: ACTRN12623001031651p.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70156"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701863","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":"Adoption of McKinsey 7s Model in Development of Strategies to Enhance the Utilisation of Digital Health in Early Detection and Treatment of Pre-Eclampsia by Gravid Women at the Rural Context: Mixed-Method Study.","authors":"Mxolisi Welcome Ngwenya, Livhuwani Muthelo, Tebogo Maria Mothiba","doi":"10.1002/nop2.70162","DOIUrl":"10.1002/nop2.70162","url":null,"abstract":"<p><strong>Aim: </strong>To develop evidence-based strategies to enhance digital health use in the early detection and treatment of pre-eclampsia by pregnant women in primary healthcare facilities in a South African context.</p><p><strong>Design: </strong>The mixed convergent parallel design was used for the main study. The quantitative and qualitative data analysed served as the basis for this study.</p><p><strong>Methods: </strong>The McKinsey 7s model was used to guide the development of evidence-based strategies to enhance the utilisation of digital health in early detection and treatment of pre-eclampsia by gravid women within a mixed convergent parallel research design.</p><p><strong>Results: </strong>Six evidence-based strategies were developed. The strategies focused on improving knowledge, training and professional development, awareness and validation of digital health.</p><p><strong>Public contribution: </strong>Although the study focused in the primary healthcare facilities in Mpumalanga province, the evidence-based strategies developed promote the breaking of the status quo in current practice. Integration of traditional clinical practice and digital health practice could possibly improve the quality of care received by gravid women and most likely, improve the knowledge of the gravid women with regard to their conditions. Furthermore, their implementation could possibly improve the proper practicing and implementation of digital health in clinical practice.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70162"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587721","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}