Nursing Open最新文献

{"title":"Sleep Disturbances in Health Professional Students During the COVID-19 Pandemic: A Concept Analysis.","authors":"Pei Chen, Yuhao Cao, Wirampa Tanglai, Bingqian Zhu, Anne M Fink, Bilgay Izci-Balserak","doi":"10.1002/nop2.70059","DOIUrl":"10.1002/nop2.70059","url":null,"abstract":"<p><strong>Aim: </strong>The aim is to delineate the concept of sleep disturbances in health professional students during the COVID-19 pandemic.</p><p><strong>Design: </strong>A concept analysis was conducted.</p><p><strong>Methods: </strong>A systematic search was conducted for relevant articles published and performed from inception to July 5, 2024. Electronic databases searched included PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase and Web of Science. Rodgers' method of evolutionary concept analysis was used.</p><p><strong>Results: </strong>A total of 50 pertinent articles were included in our analysis. Utilising inductive thematic analysis, this study identified attributes, antecedents and consequences of sleep disturbances. Important attributes included insomnia, disrupted sleep patterns, altered sleep duration/nocturnal sleep duration and poor sleep quality. Antecedents encompassed factors such as gender, age/grade levels, physical activity, screen time of digital production, mental health issues, COVID-19-related stressors, financial strain and academic stress. Consequences included both mental and physical health implications. By addressing sleep disturbances and promoting better sleep health among students, we can enhance their learning and performance, which could translate to improved patient care outcomes. Additionally, understanding and mitigating sleep disturbances can contribute to the development of a more resilient and effective health care workforce, capable of providing high-quality care even during crises like the COVID-19 pandemic.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 10","pages":"e70059"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478066","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 and Validation of a Nocturnal Hypoglycaemia Risk Model for Patients With Type 2 Diabetes Mellitus.","authors":"Chen Gong, Tingting Cai, Ying Wang, Xuelian Xiong, Yunfeng Zhou, Tingting Zhou, Qi Sun, Huiqun Huang","doi":"10.1002/nop2.70055","DOIUrl":"10.1002/nop2.70055","url":null,"abstract":"<p><strong>Aim: </strong>To develop and test different machine learning algorithms for predicting nocturnal hypoglycaemia in patients with type 2 diabetes mellitus.</p><p><strong>Design: </strong>A retrospective study.</p><p><strong>Methods: </strong>We collected data from dynamic blood glucose monitoring of patients with T2DM admitted to the Department of Endocrinology and Metabolism at a hospital in Shanghai, China, from November 2020 to January 2022. Patients undergone the continuous glucose monitoring (CGM) for ≥ 24 h were included in this study. Logistic regression, random forest and light gradient boosting machine algorithms were employed, and the models were validated and compared using AUC, accuracy, specificity, recall rate, precision, F1 score and the Kolmogorov-Smirnov test.</p><p><strong>Results: </strong>A total of 4015 continuous glucose-monitoring data points from 440 patients were included, and 28 variables were selected to build the risk prediction model. The 440 patients had an average age of 62.7 years. Approximately 48.2% of the patients were female and 51.8% were male. Nocturnal hypoglycaemia appeared in 573 (14.30%) of 4015 continuous glucose monitoring data. The light gradient boosting machine model demonstrated the highest predictive performances: AUC (0.869), specificity (0.802), accuracy (0.801), precision (0.409), recall rate (0.797), F1 score (0.255) and Kolmogorov (0.603). The selected predictive factors included time below the target glucose range, duration of diabetes, insulin use before bed and dynamic blood glucose monitoring parameters from the previous day.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 10","pages":"e70055"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373280","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":"Consequences of Workplace Bullying From Nurses' Perspectives: A Qualitative Descriptive Study in Iran.","authors":"Saeedeh Piri, Rostam Jalali, Alireza Khatony","doi":"10.1002/nop2.70060","DOIUrl":"https://doi.org/10.1002/nop2.70060","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study is to explore Iranian nurses' experiences regarding the consequences of bullying.</p><p><strong>Design: </strong>A qualitative descriptive study is carried out using conventional content analysis and Granheim and Lundman's method.</p><p><strong>Methods: </strong>Data for this study were collected through 12 in-depth, semi-structured individual interviews with nurses employed at a teaching hospital in REDACTED, western Iran. Purposeful sampling was employed until data saturation was achieved. Data management was conducted using MAXQDA software.</p><p><strong>Results: </strong>The participants consisted of 12 nurses, with a mean age of 36.1 ± 8.6 years. Their experiences of workplace bullying were analysed and categorised into a main theme called 'Consequences of Workplace Bullying', with two categories identified as 'Organisational Consequences' and 'Individual Consequences'. The organisational consequences were further elaborated through two subcategories: 'work performance consequences' and 'patient care consequences'. The individual consequences category included subcategories including 'psychosomatic consequences', 'psychological consequences' and 'family consequences'.</p><p><strong>Conclusion: </strong>Workplace bullying among nurses can have negative impacts on patients, nurses and organisations. In order to mitigate these effects, nurse managers can take proactive measures by implementing management strategies and fostering a positive work culture. By addressing the underlying factors and promoting a supportive environment, the adverse consequences of workplace bullying can be reduced or prevented.</p><p><strong>Patient or public contribution: </strong>Yes.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 10","pages":"e70060"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11480810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478047","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":"Mutated Adenovirus Attacks in West Bengal, India: Risk Evaluation of Multi-Country Outbreaks and Mitigation Strategies.","authors":"Md Ashrafur Rahman, Sydney Cronmiller, Julianne Ernest, Jonah Nguyen, Donovan Zong, Rob Davis, Amanda Rawa, Marie Roke Thomas, Rana Al Mosharrafa, Yeasna Shanjana, Md Rabiul Islam","doi":"10.1002/nop2.70065","DOIUrl":"10.1002/nop2.70065","url":null,"abstract":"<p><strong>Aim: </strong>The human adenovirus (HAdV) is beginning to spread rapidly in children through human, surface and animal vectors. Around 12,000 cases were recognised in 2022 in West Bengal and a shocking number of cases arose throughout India and in other under-developed areas. This is going to be a big threat to public health since no vaccine, awareness or protocol policies were introduced. Early detection, immediate isolation and proper policy developments are the key factors in overcoming the situation. Therefore, we performed this rapid review and discussed probable mitigation strategies, updated research on vaccine development, and treatment strategies to control the outbreaks of mutated HAdV.</p><p><strong>Design: </strong>This is a narrative review of publicly available information.</p><p><strong>Methods: </strong>Here, we extracted updated information and data using the terms HAdV outbreaks, mutations, species, risks and prevention from Google Scholar and PubMed. We considered relevant articles that have discussed prevention strategies, ongoing research, and antiviral drugs for managing HAdV outbreaks.</p><p><strong>Results: </strong>Early detection from throat swabs, isolation and symptomatic treatments are required to minimise viral infections. A massive test needs to be performed to find the affected people. The cases should be immediately isolated. It is recommended to treat high-touch surfaces with heat- or bleach-containing cleaners to prevent the spread of infection. Oxygen support and many broad-spectrum antivirals have been used to treat HAdV. Several studies showed antibody neutralisation and interactions between the natural killer cell receptor KIR3DS1 and HLA-F in infected cells, indicating possible therapeutic options in the future. HAdV-4 and HAdV-7 vaccines have been limitedly approved for administration to military personnel.</p><p><strong>Conclusion: </strong>Isolation, certain safety measures, broad-spectrum antiviral drugs and further research on new vaccines could be useful to prevent this virus from producing a worldwide pandemic. Also, the authorities should ensure the proper therapeutic interventions and nursing care facilities for the infected children.</p><p><strong>Patient or public contribution: </strong>Patient or public contribution was not relevant to our work.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 10","pages":"e70065"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11491688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478050","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":"A comparison of work characteristics and health status between Korean and US hospital nurses","authors":"Kihye Han, Alison M. Trinkoff, Hyang Baek, Yeonhee Kim","doi":"10.1002/nop2.70040","DOIUrl":"https://doi.org/10.1002/nop2.70040","url":null,"abstract":"AimA rigorous examination of the occupational features across cultures helps draw policy recommendations for nurses' quality care practices and good health. This study aimed to explore the differences in work characteristics and health status between Korean and US hospital nurses.DesignFor this comparative secondary data analysis study, we constructed a dataset with 304 pairs of nurses from Korea and the United States, matched by age and gender.MethodsWe used the data from the 2020 Korean Hospital Nurses Health Behaviors and Health Status study, collected from May to July 2020, and the Nurse Worklife and Wellness Study (NWWS), conducted between November 2020 and February 2021.ResultsCompared to nurses in the United States, Korean nurses rated their job‐related conditions much lower, had lower intentions to stay in their current workplace and were less satisfied with their jobs. Korean nurses reported that organizational support and employee health resources were less prevalent and their levels of healthy behaviour practice and health status were lower than their US counterparts. Nurses in Korea require better practice environments and employee health support. Adequate workload and staffing levels are needed to improve job conditions for Korean nurses. Organizational support and employee health resources should always be accessible at nurses' workplaces.","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"84 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practicing nurses' and nursing students' perceptions of climate change: A scoping review","authors":"Anouk Bérubé, Thierno Diallo, Martin Roberge, Pierre‐Paul Audate, Nancy Leblanc, Édith Jobin, Nisrine Moubarak, Laurence Guillaumie, Sophie Dupéré, Anne Guichard, Isabelle Goupil‐Sormany","doi":"10.1002/nop2.70043","DOIUrl":"https://doi.org/10.1002/nop2.70043","url":null,"abstract":"BackgroundHuman activities have significantly contributed to a persistent climate change trend, posing substantial threats to human health. Nurses regularly interact with patients experiencing the consequences of climate change, making their engagement in addressing this issue crucial. Nonetheless, our understanding of nurses' viewpoints regarding climate change remains limited.AimThis scoping review aims to identify practicing nurses' and nursing students' perceptions of climate change.DesignTo fulfil this objective, a documentary search strategy was developed using an iterative process.MethodsThe search strategy was tested in four bibliographic databases, as well as in the grey literature. A 2‐stage selection process was conducted, and relevant data were extracted from selected articles for analysis.ResultsTwenty‐two scientific articles and 11 documents from nursing associations were selected. The findings suggest that while many nurses and nursing students are concerned about climate change and its effects on their patients' health, their role in addressing the climate crisis is not well understood. Many barriers such as having a heavy workload and the lack of support hindered their ability to adjust their practice in response to the changing climate. Furthermore, many expressed a need for trainings on climate change issues.ConclusionsThese results raise a great and urgent demand for these professionals to receive appropriate training to cope with climatic threats to health. Future research should focus on the development of nursing climate leadership, and healthcare organizations should support nursing initiatives and help raise nurses' awareness regarding climate change.","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"28 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mediating role of psychological resilience in the effect of strength of religious faith on coping with stress in people with type 2 diabetes: A SEM analysis","authors":"Zeynep Öztürk, Gülcan Bahcecioglu Turan, Orhun Dönmez","doi":"10.1002/nop2.70044","DOIUrl":"https://doi.org/10.1002/nop2.70044","url":null,"abstract":"AimThis study was conducted to examine the mediating role of psychological resilience in the effect of strength of religious faith on coping with stress in people with type 2 diabetes.DesignThis study has a cross‐sectional descriptive‐analytical study.MethodsIt was conducted with 184 people with type 2 diabetes who were admitted to a family health centre in Erzurum, the east of Turkey. The data were collected by using the ‘Santa Clara Strength of Religious Faith Questionnaire’, ‘Brief Resilience Scale (BRS)’ and ‘Scale of Ways of Coping With Stress (SWCS)’. The study was reported by following the STROBE recommendations. Structural equation modelling and bootstrapping method were used to analyse the data. This study was reported following the STROBE recommendations.ResultsIn the study, according to the model, the direct effect of strength of religious faith on SWCS (<jats:italic>β</jats:italic> = 0.564; <jats:italic>p</jats:italic> &lt; 0.01) and BRS (<jats:italic>β</jats:italic> = 0.545; <jats:italic>p</jats:italic> &lt; 0.01) was moderate, positive and significant. In addition, the effect of resilience on coping with stress (<jats:italic>β</jats:italic> = 0.320; <jats:italic>p</jats:italic> &lt; 0.01) was also found to be moderate, positive and significant. The total effect of strength of religious faith on coping with stress mediated by resilience (<jats:italic>β</jats:italic> = 0.738; <jats:italic>p</jats:italic> &lt; 0.01) was found to be highly positive and significant. The model explains 61.7% of the variance in coping with stress. Fit index values according to the model were found as χ<jats:sup>2</jats:sup> = 2368.02, df: 980, χ<jats:sup>2</jats:sup>/df 2.368, RMSEA 0.088, CFI 0.773, TLI 0.760 and SRMR 0.083. It was found that strength of religious faith had a positive effect on coping with stress in people with type‐2 diabetes, and this effect was strengthened by the mediating role of psychological resilience.Patient or Public ContributionThis study shows the effect of religious belief and psychological resilience in increasing the coping skills of people with type‐2 diabetes. Therefore, taking religious beliefs and spirituality into consideration in nursing care may increase patients' coping skills.","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"103 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse experiences and perspectives with missed nursing care during COVID‐19: A qualitative study","authors":"Monica Rochman, Austin Mount‐Campbell, Catherine Shull Fernald","doi":"10.1002/nop2.70042","DOIUrl":"https://doi.org/10.1002/nop2.70042","url":null,"abstract":"AimThis study aimed to determine clinical nurse and nurse manager perspectives on missed nursing care (MNC) during the COVID‐19 pandemic.DesignThis study utilized a qualitative exploratory descriptive design.MethodsData were obtained through focus groups and virtual interviews. Purposive sampling was used to select nurse and nurse manager participants in COVID‐19 units and the Emergency Department in one large healthcare organization in the northeastern United States of America.ResultsA total of 15 nurses and nurse managers participated in the study. Results revealed five categories: medication delivery, turning patients, double checks, communication and rapport, and patient surveillance.ConclusionsA variety of factors contributed to the perceptions and experiences of MNC of COVID‐19 patients during the early stage of the pandemic. The COVID‐19 crisis put additional and unparalleled pressure on a strained nursing workforce. Hospital leaders are responsible for ensuring their frontline nurses have the resources they need to feel supported in their roles regardless of the presenting circumstances.Implications for the ProfessionNurse leaders should employ evidence‐based strategies such as promoting and championing teamwork to support staff and reduce incidences of MNC during crises. Our current work may serve as a basis for informing future revisions of pre‐pandemic measurement tools when applied in a pandemic‐specific context.Reporting MethodsThis manuscript adheres to the standards for reporting qualitative research (SRQR); a synthesis of recommendations.Public ContributionThere was not patient or public contribution for this study.","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"34 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health literacy and diabetes information preferences among Chinese immigrants: An Australian cross‐sectional study","authors":"Shanshan Lin, Danielle Muscat, Julie Ayre","doi":"10.1002/nop2.70029","DOIUrl":"https://doi.org/10.1002/nop2.70029","url":null,"abstract":"AimExplore Australian‐Chinese immigrants' health literacy and preferences and engagement with translated diabetes self‐management patient education materials.DesignThe cross‐sectional survey was conducted with Australian‐Chinese immigrants at risk or with type 2 diabetes recruited via health services, and diabetes and community organisations.MethodsThe survey had three parts: (1) diabetes screening; (2) sociodemographic information, clinical characteristics and preferences for translated materials; and (3) Functional, Communicative and Critical Health Literacy (FCCHL) Scale.ResultsOf 381 participants, 54.3% reported diabetes (<jats:italic>n</jats:italic> = 207), the remainder pre‐diabetes or at risk (45.7%, <jats:italic>n</jats:italic> = 174); 34.1% male; mean age 64.1 years. Average total health literacy (FCCHL) scores were 35.3/56 (SD = 8.7). Participants with greater English proficiency reported higher health literacy (<jats:italic>p</jats:italic> &lt; 0.001). This pattern also existed for functional (<jats:italic>p</jats:italic> &lt; 0.001), communicative (<jats:italic>p</jats:italic> = 0.007) and critical (<jats:italic>p</jats:italic> = 0.041) health literacy subdomains. Health literacy scores did not differ significantly based on years of residence in Australia (all <jats:italic>p</jats:italic> &gt; 0.05). Although the majority of participants (75.6%, <jats:italic>N</jats:italic> = 288) were willing to receive translated diabetes information, only a small proportion (19.7%, <jats:italic>N</jats:italic> = 75) reporting receiving such materials.ConclusionThere is a clear need for co‐designed diabetes patient education materials that meet the needs and adequately reach Australian‐Chinese immigrants. In particular, these materials must support people with limited English‐language proficiency.Implications for Nursing PracticeThis study highlights important considerations for nurses seeking to improve diabetes care for Chinese immigrants when incorporating patient education materials as part of their nursing education.","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"49 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationships between quality of life with health literacy, social support and resilience in older stroke survivors: A structural equation model","authors":"Mei Chen, Jinghong Li, Chunyan Chen, Qinghua Zhao, Huanhuan Huang","doi":"10.1002/nop2.70020","DOIUrl":"https://doi.org/10.1002/nop2.70020","url":null,"abstract":"AimTo the determinants and the underlying mechanism of health literacy, social support, and resilience on the health‐related quality of life (HRQoL) among older stroke survivors.DesignA cross‐sectional design was applied at four comprehensive hospitals in Chongqing via convenience sampling from January 2020 to June 2021.MethodsHealth literacy, social support, and resilience were designed as independent variables, and HRQoL was measured as a dependent variable. Structural equation modelling with the bootstrap method was used to test the hypotheses.ResultsThe theoretically derived model exhibited a good fit (<jats:italic>χ</jats:italic><jats:sup>2</jats:sup>/df ratio = 2.830, GFI = 0.987, CFI = 0.978, RMSEA = 0.066). Health literacy (<jats:italic>β</jats:italic> = 0.12, <jats:italic>p</jats:italic> &lt; 0.05) and social support (<jats:italic>β</jats:italic> = 0.14, <jats:italic>p</jats:italic> &lt; 0.05) directly affect HRQoL. Resilience (<jats:italic>β</jats:italic> = 0.40, <jats:italic>p</jats:italic> &lt; 0.01) also mediated the relationship between health literacy, social support, and HRQoL. The three variables explaining 29.0% of HRQoL variance.Patient or Public ContributionThere was no direct patient or public involvement in the design, conduct, or reporting of this study. Participants were recruited through convenience sampling from four comprehensive hospitals in Chongqing, and their perspectives or contributions were not explicitly sought. The study focused on examining the determinants and underlying mechanism of health literacy, social support, and resilience on the health‐related quality of life among older stroke survivors. Nonetheless, the findings of this research may inform the development of interventions aimed at improving the health‐related quality of life in post‐stroke older patients.","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"9 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}