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Characteristics of National Competency Standards of Hospital Nursing Departments: An Analytic Hierarchy Process and Multidimensional Scale Analysis. 医院护理部门国家胜任力标准的特征:层次分析法和多维尺度分析法。
IF 2 4区 医学
Nursing Open Pub Date : 2025-03-01 DOI: 10.1002/nop2.70144
Seon-Nyeo Kim, Sue-Kyung Sohn
{"title":"Characteristics of National Competency Standards of Hospital Nursing Departments: An Analytic Hierarchy Process and Multidimensional Scale Analysis.","authors":"Seon-Nyeo Kim, Sue-Kyung Sohn","doi":"10.1002/nop2.70144","DOIUrl":"10.1002/nop2.70144","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to analyse national competency indicators of nursing departments, understand each department's competency characteristics and utilise them to assign departments and impart required education for nurses.</p><p><strong>Design: </strong>This was a cross-section study.</p><p><strong>Methods: </strong>The national competency indicators were derived by analytic hierarchy process, based on 176 experienced nurses at general hospitals in Korea. These competency indicators were evaluated by multidimensional scale analysis to produce a perception map of nursing departments and understand their competency characteristics. The SQUIRE checklist was used to report the present study.</p><p><strong>Results: </strong>The competency indicators of the wards were similar to the overall average. Regarding operating rooms, the competency indicators related to self-management and the ability to understand documents were high. Regarding emergency rooms, the competency indicators related to problem-solving and technical ability were high. Regarding the perception map centering around the ward, the position of each nursing department was different.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70144"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11913722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651486","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}
引用次数: 0
The Nurses' Attitudes Towards Patients With Non-Suicidal Self-Injury: Development and Preliminary Validation. 护士对非自杀性自伤患者的态度:发展与初步验证。
IF 2 4区 医学
Nursing Open Pub Date : 2025-03-01 DOI: 10.1002/nop2.70188
Fatemeh Ghaedi-Heidari, Jahangir Maghsoudi, Masoud Bahrami, Gholamreza Kheirabadi, Bahar Noori-Rahmatabadi, Alaa Hamza Hermis, Kadhim Hussein Jaasim, Murtadha Abdulridha Ajel, Mohammad Ali Zakeri
{"title":"The Nurses' Attitudes Towards Patients With Non-Suicidal Self-Injury: Development and Preliminary Validation.","authors":"Fatemeh Ghaedi-Heidari, Jahangir Maghsoudi, Masoud Bahrami, Gholamreza Kheirabadi, Bahar Noori-Rahmatabadi, Alaa Hamza Hermis, Kadhim Hussein Jaasim, Murtadha Abdulridha Ajel, Mohammad Ali Zakeri","doi":"10.1002/nop2.70188","DOIUrl":"10.1002/nop2.70188","url":null,"abstract":"<p><strong>Aim: </strong>Non-suicidal self-injury (NSSI) is a public health problem throughout the world. Nurses are usually the first caregivers in the mental health team who deal with people with NSSI. Since the consequences of self-injury are associated with its care and treatment, nurses' attitudes towards these people are an important issue. This study aimed to develop and test a scale to measure nurses' attitudes towards patients with non-suicidal self-injury in the Farsi language.</p><p><strong>Design: </strong>A methodological survey.</p><p><strong>Methods: </strong>In this methodological study, to scale preparation, psychometric steps were performed on a questionnaire based on the results of a qualitative study and literature review. Exploratory Factor Analysis was conducted to identify the underlying structure of the scale.</p><p><strong>Results: </strong>The results of the psychometric evaluation showed that the scale included the 22-item NANSSI in four dimensions, including negativism about the consequences of caring, adopting a counselling approach, violating caring norms, and perceptions about self-injury. By Cronbach's alpha equal to 0.75, its reliability is estimated. This scale showed a good validity and reliability, which is applicable to evaluate quality of care for patients with non-suicidal self-injury.</p><p><strong>No patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70188"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677342","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}
引用次数: 0
Association Between Perceived Control and Acute Coronary Syndrome Symptom Severity: A Prospective Cohort Study. 感知控制与急性冠状动脉综合征症状严重程度之间的关系:一项前瞻性队列研究。
IF 2 4区 医学
Nursing Open Pub Date : 2025-03-01 DOI: 10.1002/nop2.70181
Fatma Refaat Ahmed, Fiona Timmins, Rawia Gamil, Nabeel Al-Yateem, Mary Ryder, Heba Mustafa, Mohannad Eid AbuRuz
{"title":"Association Between Perceived Control and Acute Coronary Syndrome Symptom Severity: A Prospective Cohort Study.","authors":"Fatma Refaat Ahmed, Fiona Timmins, Rawia Gamil, Nabeel Al-Yateem, Mary Ryder, Heba Mustafa, Mohannad Eid AbuRuz","doi":"10.1002/nop2.70181","DOIUrl":"10.1002/nop2.70181","url":null,"abstract":"<p><strong>Aim: </strong>To determine whether there are differences in patterns of symptom severity in three major ACS symptoms (i.e., chest pain, fatigue, and dyspnoea) over the days of CCU stay between patients with higher and lower levels of perceived control.</p><p><strong>Design: </strong>A prospective cohort study with 3 days of follow-up.</p><p><strong>Methods: </strong>Hundred and thirty-five patients were followed prospectively for 3 days, collecting data on (1) perceived control, using the Arabic version of the Controlled Attitude Scale (CAS-R); and (2) symptom severity, using a symptoms diary. A mixed repeated measure design ANOVA was used for data analysis.</p><p><strong>Results: </strong>Comparative analysis of the high- and low-perceived control groups revealed that there was a significant reduction in chest pain, fatigue, and dyspnoea symptom severity over the course of the 3 days for both groups. Compared to the low-perceived control group, the high-perceived control group had significantly lower chest pain on day 3, fatigue on days 2 and 3, and dyspnoea on all days.</p><p><strong>Conclusion: </strong>Patients with high levels of perceived control have lower levels of symptom severity than those with low perceived control. Interventions to improve perceived control among this population are highly recommended.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70181"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626291","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}
引用次数: 0
The Effectiveness of Nurse-Led Transition Care on Post-Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta-Analysis. 护士主导的过渡护理对成年脑卒中幸存者出院后预后的影响:系统回顾和荟萃分析。
IF 2 4区 医学
Nursing Open Pub Date : 2025-03-01 DOI: 10.1002/nop2.70140
Nyagwaswa Athanas Michael, Lilian Teddy Mselle, Edith Mroso Tarimo, Yingjuan Cao
{"title":"The Effectiveness of Nurse-Led Transition Care on Post-Discharge Outcomes of Adult Stroke Survivors: A Systematic Review and Meta-Analysis.","authors":"Nyagwaswa Athanas Michael, Lilian Teddy Mselle, Edith Mroso Tarimo, Yingjuan Cao","doi":"10.1002/nop2.70140","DOIUrl":"10.1002/nop2.70140","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effectiveness of nurse-led Transition Care (TC) on quality of life, mortality and readmission among adult stroke survivors.</p><p><strong>Design: </strong>Systematic review and meta-analysis using the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness.</p><p><strong>Methods: </strong>Databases were searched from 1st January 2000 to 31st December 2023. Search was done in Medline, Science Direct, Scopus, EBSCOhost, Web of Science and Cochrane Library and Central Registry of Clinical Trials. The randomised controlled trials that assessed the effectiveness of nurse-led TC for adult stroke survivors were included. The primary outcome was 1-year quality of life, whereas the secondary outcomes were mortality and readmission. Two independent reviewers performed data extraction and quality appraisal by using the JBI methodology. Random effect models and pre-specified subgroup analyses were performed using Review Manager Software Version 5.3. and STATA Version 17.</p><p><strong>Results: </strong>Of 1093 studies retrieved from database search, only 18 studies met the review inclusion criteria. The pooled results show that stroke survivors who were allocated to nurse-led TC programs had a 1-year better quality of life compared to those allocated to usual care (12 studies; SMD = 0.52; 95% CI = 0.20, 0.85; p = 0.002; I<sup>2</sup> = 94%). However, no significant differences in the odds of mortality and readmission were observed. No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70140"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531979","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}
引用次数: 0
A Dynamic Interaction: Supervisors' Reasoning About Nursing Students' Conditions for Learning and Development of Clinical Competence. A Focus Group Study. 动态互动:导师对护生临床能力学习与发展条件的推理。焦点小组研究。
IF 2 4区 医学
Nursing Open Pub Date : 2025-03-01 DOI: 10.1002/nop2.70176
Ulrika Löfgren, Birgitta Lindberg, Ulrica Strömbäck, Britt-Marie Wälivaara
{"title":"A Dynamic Interaction: Supervisors' Reasoning About Nursing Students' Conditions for Learning and Development of Clinical Competence. A Focus Group Study.","authors":"Ulrika Löfgren, Birgitta Lindberg, Ulrica Strömbäck, Britt-Marie Wälivaara","doi":"10.1002/nop2.70176","DOIUrl":"10.1002/nop2.70176","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to describe supervisors' reasoning about conditions for nursing students' learning and development of clinical competence during their clinical education.</p><p><strong>Design: </strong>A qualitative design with an inductive approach.</p><p><strong>Methods: </strong>This study used a focus group methodology. A total of 21 supervisors from various hospital wards in northern Sweden participated in six focus groups. The data were analysed according to Krueger and Casey's description of focus groups.</p><p><strong>Results: </strong>The analysis resulted in one overarching theme with six subthemes that described the conditions during the final year of clinical education. Students' learning and development of clinical competence was seen as an 'interplay developed over time' between the supervisor and the student, a mutual give-and-take in the supervisory relationship where both parties were responsible for ensuring that it became a growth opportunity.</p><p><strong>Conclusion: </strong>The major finding was that the learning and development of clinical competence in students was a result of a dynamic interplay between the student and supervisor. This process is time-dependent, and both the student and supervisor share responsibility for this progression.</p><p><strong>Implications for the profession and patient care: </strong>Active and conscious reflection is a crucial component in achieving clinical competence. Students should be taught and encouraged to apply and develop reflective skills throughout their education.</p><p><strong>Reporting method: </strong>The study adhered to the COREQ checklist for qualitative studies.</p><p><strong>Patient or public contribution: </strong>Registered nurses contributed data for this study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70176"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11876085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544032","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}
引用次数: 0
Nurses' Performance as a Mediator Between Nurses' Fatigue and Patient Safety Culture: A Structural Equation Model Analysis. 护士工作表现在护士疲劳与患者安全文化之间的中介作用:结构方程模型分析。
IF 2 4区 医学
Nursing Open Pub Date : 2025-03-01 DOI: 10.1002/nop2.70168
Monireh Al-Sadat Mirahmadi Niri, Zahra Khademian, Mozhgan Rivaz
{"title":"Nurses' Performance as a Mediator Between Nurses' Fatigue and Patient Safety Culture: A Structural Equation Model Analysis.","authors":"Monireh Al-Sadat Mirahmadi Niri, Zahra Khademian, Mozhgan Rivaz","doi":"10.1002/nop2.70168","DOIUrl":"10.1002/nop2.70168","url":null,"abstract":"<p><strong>Aim: </strong>To determine the relationships among nurses' fatigue, nurses' performance and patient safety culture.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A multicentre study was conducted with 308 nurses working in 14 medical and surgical wards from four teaching hospitals in Iran. The sampling method was stratified with a proportional allocation. Data were collected via a demographic form, the Occupational Fatigue/Exhaustion Recovery (OFER-15), the Nurse Performance Instrument (NPI) and the Hospital Survey on Patient Safety Culture (HSOPSC). The data were analysed via structural equation modelling (SEM).</p><p><strong>Results: </strong>Nurse fatigue was significantly inversely related to performance and patient safety culture (p < 0.001). Path analysis revealed that each unit of reducing nurses' fatigue improved patients' safety culture by 0.286 units and that each unit of improved nurse performance improved patients' safety culture by 0.360 units. Additionally, each one-unit increase in a nurse's fatigue could decrease his or her performance by 0.860 units. SEM analysis confirmed the mediating effect of nurses' performance on the relationship between their level of fatigue and patient safety culture.</p><p><strong>Practice implications: </strong>The proposed model can assist nursing managers and healthcare policymakers in developing practical strategies to mitigate and reduce nurses' fatigue and, consequently, improve nurses' performance and patient safety.</p><p><strong>Patient or public contribution: </strong>All participants contributed to this research by completing self-reported scales.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70168"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598104","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}
引用次数: 0
Ethical Leadership of Head Nurses as Perceived by Nurses and Its Relationship With Nurses' Organisational Justice. 护士长的道德领导及其与护士组织公平感的关系
IF 2 4区 医学
Nursing Open Pub Date : 2025-03-01 DOI: 10.1002/nop2.70197
Jiachen She, Zongao Cai, Yanan Li, Ruixing Zhang, Yongxia Mei, Hongfeng Li
{"title":"Ethical Leadership of Head Nurses as Perceived by Nurses and Its Relationship With Nurses' Organisational Justice.","authors":"Jiachen She, Zongao Cai, Yanan Li, Ruixing Zhang, Yongxia Mei, Hongfeng Li","doi":"10.1002/nop2.70197","DOIUrl":"10.1002/nop2.70197","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the level of ethical leadership among head nurses and its relationship with nurses' perceived organisational justice.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with a convenience sample of 501 clinical nurses from four tertiary-level hospitals in Zhengzhou, Henan Province of China, in May 2023. The Ethical Leadership at Work Questionnaire and the Organisational Justice Scale were used as data collection instruments. Multiple stratified linear regression was used to analyse the relationships.</p><p><strong>Results: </strong>The mean score of ethical leadership of head nurses was 4.13 ± 0.46, which is at a high level. Marital status, department and monthly income were the influencing factors of nurses' perceived ethical leadership. Head nurses' ethical leadership was positively correlated with nurses' organisational justice (r = 0.513, p < 0.01). Stratified linear regression analysis showed that the people orientation, power sharing and sustainability dimensions explained 23.0% of the variance in nurses' organisational justice (p < 0.05). Head nurses' ethical leadership plays a critical role in helping nurses improve their sense of organisational justice. Nurse managers need to pay more attention to nurses' personal development and needs, give them more opportunities to participate in decision-making and strengthen their organisational justice.</p><p><strong>Patient or public contribution: </strong>We would like to thank the nurses who were recruited and the hospital administrators who supported the study in the research process. Our study utilised the online questionnaire star platform to conduct an online questionnaire survey. After obtaining the consent of the hospital administrators, a nurse in the selected department was contacted as a research investigator, and after clarifying the purpose, methodology, significance and precautions for completing the questionnaire, the investigator distributed the electronic questionnaire in the form of a web link using a uniform guideline to nurses in the department who met the inclusion criteria.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70197"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693941","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}
引用次数: 0
Nurse Clinical Reasoning Scale: Spanish Translation and Psychometric Properties. 护士临床推理量表:西班牙语翻译和心理测量特征。
IF 2 4区 医学
Nursing Open Pub Date : 2025-03-01 DOI: 10.1002/nop2.70196
Ana Pérez-Perdomo, Nuria Fabrellas, Adelaida Zabalegui
{"title":"Nurse Clinical Reasoning Scale: Spanish Translation and Psychometric Properties.","authors":"Ana Pérez-Perdomo, Nuria Fabrellas, Adelaida Zabalegui","doi":"10.1002/nop2.70196","DOIUrl":"10.1002/nop2.70196","url":null,"abstract":"<p><strong>Aim: </strong>To translate the Nurse Clinical Reasoning Scale into Spanish, examine their psychometric properties and to determine the clinical reasoning levels of Spanish nurses.</p><p><strong>Design: </strong>The original Nurse Clinical Reasoning Scale instrument was translated into Spanish, with the objective of analysing its contents, semantics, and technical and conceptual equivalence. A cross-sectional multicentre study with an online questionnaire survey of registered nurses working in Spain was used to identify the levels of clinical reasoning among respondents.</p><p><strong>Methods: </strong>The original scale was translated from the English language into the Spanish language through six steps following the guidelines of Sousa and Rojjanasrirat. Data was collected from April 2022 to June 2023 through an anonymous online questionnaire.</p><p><strong>Results: </strong>Five competitive and public Spanish hospitals participated in this study. The sample included 153 registered nurses. The validity for the entire scale indicated an excellent result. The general level of clinical reasoning among nurses in this study was good. Cronbach's alpha of the Spanish version was practically the same as the original version.</p><p><strong>Patient or public contribution: </strong>The Nurse Clinical Reasoning Scale is a valid and reliable instrument, and the Spanish version can be used to evaluate the clinical reasoning levels of nurses in a Spanish context. The tool will help to identify areas for improvement in clinical reasoning in nurses and may improve their patient care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70196"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693967","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}
引用次数: 0
A Personalised Caring Approach at Home-Patients, Relatives and Nurses' Experiences of Specialised Palliative Care: An Integrative Literature Review. 一种个性化的在家护理方法——病人、亲属和护士接受特殊姑息治疗的经验:综合文献综述。
IF 2 4区 医学
Nursing Open Pub Date : 2025-02-01 DOI: 10.1002/nop2.70155
Liselott Osberg Ferm, Margareta Karlsson, Anne Kasén, Sandra Pennbrant
{"title":"A Personalised Caring Approach at Home-Patients, Relatives and Nurses' Experiences of Specialised Palliative Care: An Integrative Literature Review.","authors":"Liselott Osberg Ferm, Margareta Karlsson, Anne Kasén, Sandra Pennbrant","doi":"10.1002/nop2.70155","DOIUrl":"10.1002/nop2.70155","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to describe patients, relatives and nurses' experiences of specialised palliative home care.</p><p><strong>Design: </strong>Integrated literature review.</p><p><strong>Methods: </strong>The review was performed using the PRISMA 2020 Statement. The searches were conducted in Cinahl, PubMed and Scopus.</p><p><strong>Results: </strong>Eighteen articles were selected. An overall theme 'co-creation for personalised home care' emerged, based on three categories: 'Safe and secure care', 'Care based on wishes and needs' and 'Relatives' caring role'. Patients, relatives and nurses' experiences showed that co-creation was an important strategy for achieving goals and enabling patients to remain at home despite illness and limited life expectancy.</p><p><strong>Conclusion: </strong>Co-creation becomes a prerequisite for personalised home care and enabled through collaboration and learning between patients, relatives and nurses.</p><p><strong>Patient or public contribution: </strong>This article is an overview of how patients, relatives and nurses experience care at home, supported by a specialised palliative care unit, and the result showed that co-creation enables personalised care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70155"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068867","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}
引用次数: 0
Patients' Perception of Missed Nursing Care in a Tertiary Hospital: A Cross-Sectional Study. 一家三级医院患者对护理服务缺失的看法:一项横断面研究
IF 2 4区 医学
Nursing Open Pub Date : 2025-02-01 DOI: 10.1002/nop2.70157
Afia Achiaa Sarpong, Amanda Towell-Barnard, Lucy Gent, Ebenezer Afrifa-Yamoah, Diana Arabiat
{"title":"Patients' Perception of Missed Nursing Care in a Tertiary Hospital: A Cross-Sectional Study.","authors":"Afia Achiaa Sarpong, Amanda Towell-Barnard, Lucy Gent, Ebenezer Afrifa-Yamoah, Diana Arabiat","doi":"10.1002/nop2.70157","DOIUrl":"10.1002/nop2.70157","url":null,"abstract":"<p><strong>Aims: </strong>To identify types of patient-reported missed nursing care and adverse events and identify the factor associated with missed care in a Western Australian tertiary hospital.</p><p><strong>Background: </strong>Research in the domain of missed nursing care has established the association between missed nursing care and unsafe patient outcomes. However, there is a paucity of evidence on patient perception of missed nursing care and associated factors.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Method: </strong>A study of inpatients in a tertiary teaching hospital in Western Australia was carried out. Ninety-eight patients admitted in 16 medical and surgical wards were sampled. The patient MISSCARE survey was used to capture patient-reported types of missed care, prevalence of adverse events and the association between missed care, unit type, demographic characteristics and patient health problems. Descriptive and logistic analysis were performed using SPSS.</p><p><strong>Findings: </strong>The most frequently reported missed nursing care activities included mouth care (63%), ambulation (35%), helping patient out of bed into a chair (31%), informing patient about tests or procedures (29%) and considering patient opinion (27%). The majority of reported missed care activities were from basic care domain followed by communication. The most common adverse events reported were intravenous infusion leaking into skin, intravenous fluid running dry, falls and development of pressure ulcer. Significant association was observed between missed nursing care and patient age.</p><p><strong>Discussion: </strong>The findings of this study showed significant level of patient-reported missed nursing care particularly in the domain of basic care. Although this study's limitations, including its small sample size and potential response bias, warrant caution in generalising the findings, the insights gained provide a valuable foundation for future research aimed at improving patient care.</p><p><strong>Conclusion: </strong>Findings provide valuable insight about patient's perception of missed care and inform the need for effective interventions to reduce unsafe outcomes related to missed nursing care.</p><p><strong>Relevance to clinical practice: </strong>Healthcare systems need to make necessary efforts to ensure that patients receive the right amount of care needed to maintain and promote safe hospitalisation outcomes.</p><p><strong>Reporting method: </strong>The study was reported according to the STROBE guidelines.</p><p><strong>Patient or public contribution: </strong>The development of this study protocol, data collection, analysis and interpretation of results were carried out through a collaborative effort between patients, families and the research team.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70157"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143417117","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}
引用次数: 0
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