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When Leadership Drives Nurses Away: Empirical Research Qualitative on High Turnover Rates Reasons. 当领导驱使护士离开:高离职率原因的实证研究定性。
IF 2 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70271
Saleem Al-Rjoub
{"title":"When Leadership Drives Nurses Away: Empirical Research Qualitative on High Turnover Rates Reasons.","authors":"Saleem Al-Rjoub","doi":"10.1002/nop2.70271","DOIUrl":"10.1002/nop2.70271","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the reasons that affect nurses' decisions to leave their setting. Nurse turnover impacts organisational costs, organisational stability, and quality of care. The role of nurse leaders' practices in nurse turnover remains underexplored.</p><p><strong>Design: </strong>Descriptive phenomenological design was used in the current study.</p><p><strong>Method: </strong>Giorgi's phenomenological method was used to explore the staff nurses' lived experiences and perceptions of turnover. The data was collected from semi-structured interviews with nurses who had left their current positions, moved to another organisation, changed professions, or retired.</p><p><strong>Results: </strong>Five themes emerged from the analysis: (1) poor communication, (2) a lack of leader support, (3) workloads and staffing issues, (4) a lack of professional development opportunities, and (5) inconsistent policies and leadership.</p><p><strong>Conclusion: </strong>Nurse leaders and administration play a critical role in driving nurses to stay or to leave the healthcare organisation by providing different and important practices and behaviours. Reducing the nursing turnover rate can create a more stable environment and enhance nurse satisfaction, which leads to better patient care.</p><p><strong>Implications for nursing administration: </strong>Nursing administration must create supportive workplace environments by enhancing leadership practices to reduce the nursing turnover rates, especially among new graduate nurses.</p><p><strong>Impact: </strong>The current study addresses the nurse turnover issue, with a particular focus on the role of nurse leaders' practices in nurse turnover. High nursing turnover rates impact organisational costs, organisational stability, and quality of care. This study will have a significant impact on nursing leadership, healthcare administration and policymakers.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70271"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585346","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
Investigating Nurses' Competencies for Development of "Internet + Nursing Service": A Cross-Sectional Study. “互联网+护理服务”发展护士胜任力调查:横断面研究
IF 2.3 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70275
Jialing Chen, Qi Zhang, Pedro Fong, Lirong Meng
{"title":"Investigating Nurses' Competencies for Development of \"Internet + Nursing Service\": A Cross-Sectional Study.","authors":"Jialing Chen, Qi Zhang, Pedro Fong, Lirong Meng","doi":"10.1002/nop2.70275","DOIUrl":"10.1002/nop2.70275","url":null,"abstract":"<p><strong>Aim: </strong>To test whether nursing informatics competency (NIC) and innovation ability predict nurses' willingness for \"Internet + nursing service\" in China's Greater Bay Area, and examine the role of innovation ability in this relationship.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Review methods: </strong>Recruited registered nurses via quota sampling in China's Greater Bay Area. Participants completed validated scales assessing NIC, Innovation Behaviour, and Willingness for Internet + nursing service, testing a hypothesised mediation model where innovation ability links informatics competency to willingness.</p><p><strong>Data sources: </strong>Data were collected from 544 registered nurses between January and March 2024.</p><p><strong>Results: </strong>Nurses reported moderate levels of NIC, innovation ability, and willingness for Internet + nursing service. Higher informatics competency was associated with greater innovation ability and willingness. Furthermore, innovation ability appeared as a pathway linking informatics competency to willingness.</p><p><strong>Conclusion: </strong>Stronger NIC and innovation ability may boost nurses' readiness for Internet-enabled care in the Greater Bay Area.</p><p><strong>Implications for the profession and/or patient care: </strong>Targeted informatics and innovation training can enhance nurses' readiness for these digital services.</p><p><strong>Impact: </strong>Addressing the need for enhanced digital nursing ('Internet + nursing service') for the aging population in China's Greater Bay Area, this study found moderate nurse informatics competency, innovation ability, and willingness to engage in this service. Higher competency and innovation were linked to greater willingness, with informatics competency influencing willingness directly and through innovation ability. These findings impact nursing practice, education, and policy in the region, informing strategies to improve digital service readiness.</p><p><strong>Reporting method: </strong>This study adheres to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p><p><strong>Patient or public contribution: </strong>No patients or members of the public were involved in study design, conduct, reporting, or dissemination.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70275"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709496","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
Telenursing as an Effective Ally for Improving Patient Outcomes in Diabetes? An Umbrella Review. 远程护理是改善糖尿病患者预后的有效手段?雨伞评论。
IF 2 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70265
Marika Lo Monaco, Arianna Profeta, Salvatore Corrao
{"title":"Telenursing as an Effective Ally for Improving Patient Outcomes in Diabetes? An Umbrella Review.","authors":"Marika Lo Monaco, Arianna Profeta, Salvatore Corrao","doi":"10.1002/nop2.70265","DOIUrl":"10.1002/nop2.70265","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate telenursing interventions' effectiveness in managing patients with diabetes mellitus.</p><p><strong>Design: </strong>Overview of systematic reviews.</p><p><strong>Review methods: </strong>According to the PRISMA statement, we included studies published from 2005 to 2023 that evaluated telenursing interventions for adult diabetic patients and reported physiological, behavioural, and clinical outcomes. AMSTAR 2 was used to assess the quality of the included studies.</p><p><strong>Data sources: </strong>We conducted an umbrella review from July 2023 to May 2024, searching Cochrane Library, PubMed, SCOPUS, and PROSPERO for systematic reviews published from inception to May 10, 2024.</p><p><strong>Results: </strong>Thirty-one eligible systematic reviews were identified. Most (n = 23) reported positive effects of telenursing interventions (telephone calls, text messaging, mobile software applications, telecoaching) on reducing glycated haemoglobin (HbA1c). Findings on weight loss, hypoglycaemia, and quality of life were heterogeneous. Telenursing interventions promoted self-management behaviours like medication adherence and dietary improvements. While several studies suggested potential cost-effectiveness, further studies are needed to explore the long-term economic impact of telenursing on diabetes management.</p><p><strong>Conclusions: </strong>Telenursing appears to be a promising approach for improving diabetes management, particularly in self-management behaviours and HbA1c control. Further research is needed to explore the long-term sustainability, cost-effectiveness, and optimal telenursing protocols for diabetes care.</p><p><strong>Implication for the profession and/or patient care: </strong>This umbrella review highlights the significant role of telenursing in improving diabetes management and patient outcomes. Nurse-led telehealth interventions have demonstrated their ability to enhance patient self-management, adherence to treatment plans, and overall well-being. Additionally, by reducing hospitalisations and healthcare costs and increasing access to care for patients living in rural areas, nurse-led telehealth interventions represent an effective strategy for improving diabetes care despite initial costs. Given these findings, healthcare providers and policymakers should implement telenursing programs to enhance patient care and system efficiency.</p><p><strong>Reporting method: </strong>The authors adhered to the EQUATOR guidelines using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and \"the Preferred Reporting Items for Overviews of Reviews Statement\" (PRIOR) for the reporting.</p><p><strong>Patient or public contribution: </strong>There was no patient contribution. The European Union-ERDF or ESF, OP Research and Innovation 2014-2020-DM 1062/2021 co-financed the publication.</p><p><strong>Trial registration: </strong>International Prospective Register of Systematic Re","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70265"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555386","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
Healthcare Professionals' Job Satisfaction and Its Determinants in Ethiopia: A Systematic Review and Meta-Analysis. 埃塞俄比亚医疗保健专业人员的工作满意度及其决定因素:一项系统回顾和荟萃分析。
IF 2.3 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70259
Diriba Teshome, Metages Hunie, Moges Gelaw, Basazinew Chekol, Wubet Alebachew, Demeke Mesfin Belay, Bekalu Getnet, Dereje Zewdu, Seyoum Hailu, Simegnew Kibret, Efrem Fenta
{"title":"Healthcare Professionals' Job Satisfaction and Its Determinants in Ethiopia: A Systematic Review and Meta-Analysis.","authors":"Diriba Teshome, Metages Hunie, Moges Gelaw, Basazinew Chekol, Wubet Alebachew, Demeke Mesfin Belay, Bekalu Getnet, Dereje Zewdu, Seyoum Hailu, Simegnew Kibret, Efrem Fenta","doi":"10.1002/nop2.70259","DOIUrl":"10.1002/nop2.70259","url":null,"abstract":"<p><strong>Aim: </strong>This study targeted to determine the aggregated prevalence and determinants of job satisfaction of healthcare professionals in Ethiopia.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Methods: </strong>Literature has been systematically searched from databases like PubMed, Hinari, Science Direct, Google Scholar, Scopus and Web of Science. Data were collected using Microsoft Excel and STATA 16 version was used for analysis. The I<sup>2</sup> statistic was used to determine the significance of homogeneity. A 95% confidence interval with adjusted odds ratios (AOR) was used to show association.</p><p><strong>Results: </strong>The aggregated prevalence of job satisfaction of healthcare professionals in Ethiopia was found to be 43.42%. Being married, having good recognition, having good remuneration, having adequate supervision and having good work security were positively associated with job satisfaction.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Conclusion: </strong>This study showed poor job satisfaction among healthcare professionals in Ethiopia. Therefore, strategies have to be designed to increase the level of satisfaction by all stakeholders.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70259"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12223543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555384","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
Cross-Cultural Adaptation and Validation of the MISSCARE Survey OR for Chinese Operating Room Nurses: A Methodological and Cross-Sectional Study. 中国手术室护士MISSCARE调查OR的跨文化适应和验证:一项方法学和横断面研究。
IF 2 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70274
Guangying Liu, Xiaofu Ji, Liyun Xiao, Min Teng, Xuetong Zhou, Zaixia Si
{"title":"Cross-Cultural Adaptation and Validation of the MISSCARE Survey OR for Chinese Operating Room Nurses: A Methodological and Cross-Sectional Study.","authors":"Guangying Liu, Xiaofu Ji, Liyun Xiao, Min Teng, Xuetong Zhou, Zaixia Si","doi":"10.1002/nop2.70274","DOIUrl":"10.1002/nop2.70274","url":null,"abstract":"<p><strong>Aims: </strong>To adapt the MISSCARE Survey OR to the Chinese cultural context and evaluate its psychometric properties.</p><p><strong>Design: </strong>A cross-sectional design.</p><p><strong>Methods: </strong>A total of 700 operating room nurses from six tertiary hospitals within a geographically defined urban area in China participated in this study. The MISSCARE Survey OR was translated into Chinese utilising the Brislin two-way translation method. The reliability was assessed through the internal consistency coefficient and split-half reliability and test-retest reliability. The validity was determined through the Delphi expert consultation method and factor analysis.</p><p><strong>Results: </strong>The average S-CVI of the Chinese version was 0.99. Exploratory factor analysis and confirmatory factor analysis revealed that Part A of the scale extracted 5 common factors and 43 items, with a cumulative variance contribution rate of 70.15%. Part B of the scale extracted 4 common factors and 18 items, with a cumulative variance contribution rate of 75.89%. Furthermore, Cronbach's α coefficients were 0.96 and 0.94, Guttman's split-half coefficients were 0.97 and 0.95, and the test-retest reliability coefficient over a 30-day interval is 0.83 and 0.88 for Part A and Part B respectively.</p><p><strong>Patient or public contribution: </strong>The Chinese MISSCARE Survey OR evaluates missed nursing care, identifies factors affecting surgical care quality, supports cross-cultural research, and informs strategies to optimise management, improve nursing quality, ensure patient safety, and guide future research and policy development.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70274"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585332","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 Stress Mindset, Work-Related Stress and Burnout in Nursing Professionals: Empirical Research Quantitative. 护理人员压力心态、工作压力与职业倦怠的关系:实证研究与定量分析。
IF 2 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70268
Fernanda Carini Da Silva, Juliana Nery Souza-Talarico, Talita Pavarini Borges, Gisele Kuba, Ruth Natalia Teresa Turrini
{"title":"Association Between Stress Mindset, Work-Related Stress and Burnout in Nursing Professionals: Empirical Research Quantitative.","authors":"Fernanda Carini Da Silva, Juliana Nery Souza-Talarico, Talita Pavarini Borges, Gisele Kuba, Ruth Natalia Teresa Turrini","doi":"10.1002/nop2.70268","DOIUrl":"10.1002/nop2.70268","url":null,"abstract":"<p><strong>Aim: </strong>To determine the relationship between stress mindset, work-related stress and burnout in nursing professionals. We hypothesised that a stress-is-debilitating mindset is associated with higher work-related stress and burnout levels.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Data from 119 nursing professionals recruited from oncology hospitals were evaluated. We used the Stress Mindset Scale for general and specific stressor conditions, the Work-Stress Scale and the Maslach Burnout Inventory. Regression analysis adjusted for covariates was applied to assess the association between stress mindset, work stress and burnout.</p><p><strong>Results: </strong>A stress-is-debilitating mindset in general and specific stressful contexts was linked to higher levels of work-related stress. However, no significant associations were found with burnout outcomes such as emotional exhaustion, depersonalisation or personal accomplishment.</p><p><strong>Conclusion: </strong>These findings suggest that while stress mindsets are related to work-related stress, their connection to burnout outcomes requires further exploration. Future studies should consider a longitudinal design with a diverse sample of nursing professionals at various career stages.</p><p><strong>Implications for the profession: </strong>The findings highlight the potential value of stress management training tailored to nurses' individual stress mindsets and workplace challenges. Future longitudinal studies and clinical trials are needed to assess whether enhancing stress mindset can reduce work-related stress and burnout, guiding the development of more effective and personalised interventions to support nurses' mental health and job satisfaction.</p><p><strong>Impact: </strong>This study addressed the problem of work-related stress and burnout among nursing professionals, focusing on how stress mindsets are associated with these outcomes. The main findings revealed that a stress-is-debilitating mindset is linked to higher levels of work-related stress but does not significantly correlate with burnout. By highlighting the importance of stress mindsets, the study suggests that tailored stress management training and clinical trials to enhance stress mindsets could improve mental health and job satisfaction among nurses, ultimately contributing to healthier work environments and better patient care.</p><p><strong>Reporting method: </strong>This article adheres to the STROBE Statement guidelines for reporting cross-sectional studies, ensuring clarity, transparency and reproducibility of the research findings.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70268"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12209711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530488","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
Self-Efficacy in People With Chronic Disease: An Evolutionary Concept Analysis. 慢性病患者的自我效能感:一个进化概念分析。
IF 2 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70276
Diana Achury-Saldaña, María Mercedes Duran De-Villalobos, Alejandra Fuentes-Ramirez
{"title":"Self-Efficacy in People With Chronic Disease: An Evolutionary Concept Analysis.","authors":"Diana Achury-Saldaña, María Mercedes Duran De-Villalobos, Alejandra Fuentes-Ramirez","doi":"10.1002/nop2.70276","DOIUrl":"10.1002/nop2.70276","url":null,"abstract":"<p><strong>Aim: </strong>To clarify the meaning of the concept of self-efficacy for people with chronic disease, I will use the existing literature.</p><p><strong>Design: </strong>Concept analysis.</p><p><strong>Methods: </strong>Systematic search in Pubmed, Scopus, and OVID databases (January 2018 to November 2023). 30 peer-reviewed articles were included in the study and analysed using Rodgers' Evolutionary Method of Concept Analysis.</p><p><strong>Results: </strong>Five attributes were identified: motivation, individual perception, judgement, direct experience, and self-regulation. The most relevant antecedents were: educational level, social modelling, verbal persuasion, physiological and emotional states, coping styles, and health literacy. The consequences found corresponded to the influence on quality of life by enabling people to face life's challenges with confidence in their ability to handle stressful situations and overcome obstacles. Self-efficacy is thus a consistent predictor of self-care and treatment adherence.</p><p><strong>Conclusion: </strong>Nurses will be enabled to recognise attributes and antecedents to be enhanced in educational interventions to guide the target population in decision-making and problem-solving. Theoretical basis has been provided for future research on intervention approaches to enhance self-efficacy, and to develop a scale that reflects all of the defining attributes.</p><p><strong>Implications: </strong>Nurses using this knowledge to design educational interventions focused on identified attributes and antecedents of self-efficacy may improve treatment adherence and self-care in patients with chronic diseases, leading to improved quality of life. The development of a scale based on these attributes would provide a more accurate assessment and personalised interventions.</p><p><strong>Impact: </strong>The need for a clarified concept of self-efficacy was addressed. Five attributes of the concept were identified. This research will have an impact on: First, researchers intending to dig deeper into this; second, healthcare measurement scale developers as the need for a scale based on the attributes of the concept has been identified; third, healthcare professionals who assist chronic patients; and finally, chronic patients who will benefit from improved interventions.</p><p><strong>Reporting method: </strong>N/A.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70276"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676227","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
On Patient Quality of Life: Impacts of Knee Osteoarthritis on Pain, Anxiety, Depression, Fatigue and Sleep Disorders. 患者生活质量:膝关节骨性关节炎对疼痛、焦虑、抑郁、疲劳和睡眠障碍的影响
IF 2 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70264
Guang-Zhao Li, Rong-Jian Ji, Cui Ping Xu, Li-Juan Yang, Paulo Moreira
{"title":"On Patient Quality of Life: Impacts of Knee Osteoarthritis on Pain, Anxiety, Depression, Fatigue and Sleep Disorders.","authors":"Guang-Zhao Li, Rong-Jian Ji, Cui Ping Xu, Li-Juan Yang, Paulo Moreira","doi":"10.1002/nop2.70264","DOIUrl":"10.1002/nop2.70264","url":null,"abstract":"<p><strong>Aim: </strong>Patients repeatedly experiencing a sustained disease course, recurrent chronic pain, and serious sleep disorder will weaken their physical resistance and self-care ability. Further evidence on patients with knee osteoarthritis (KOA) and related latent classes (LCs) of symptom clusters is needed in order to clarify its significance for symptom management and quality of life (QoL) enhancement.</p><p><strong>Design: </strong>This study aimed to generate evidence on differences in symptoms experienced by patients with knee osteoarthritis, identify related LCs, and explore the differences of each LC by demographic, disease, individual characteristics, and QoL.</p><p><strong>Methods: </strong>A convenience sample of 230 participants with knee osteoarthritis was surveyed. Sociodemographic and symptom questionnaires were collected. The analysis focused on the influencing factors that are associated with LC, intergroup differences, and associated QoL impacts.</p><p><strong>Results: </strong>A total of 230 participants with knee osteoarthritis completed the survey, average age was 64.54 ± 7.59. Three LCs were associated with knee osteoarthritis: LC1 (low symptom class), LC2 (high psychological disorder class) and LC3 (high fatigue with sleep disorder class), accounting for 56%, 24% and 20% respectively. Compared to LC1, LC2 was related to poor economic status, higher imaging grade and lower self-efficacy. Notably, being older, being less educated, higher occurrence of chronic diseases, experiencing negative life events and having lower self-efficacy rose in LC3.</p><p><strong>Patient or public contribution: </strong>The study identified LCs according to pain, anxiety, depression, fatigue and sleep disorder symptoms among patients with KOA, providing a foundation for further determining whether the clusters vary over time or along disease and treatment trajectory and what their possible synergistic effects are on KOA and associated QoL.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70264"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561616","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
Acute Events in Primary Health Care Settings: An Analysis of Advanced Practice Competencies in Nursing Consultations in Brazil. 急性事件在初级卫生保健设置:在巴西护理咨询高级实践能力的分析。
IF 2 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70247
Marília Orlandelli Carrer, Letícia Yamawaka de Almeida, Andrea Liliana Vesga-Varela, Daiana Bonfim, Patrícia Aline de Almeida, Carla Pereira Barreto, Nayara Vilela de Farias Serranegra, Keila Gisele Lima Reis, Claudia Santos Martiniano, Manoel Vieira Miranda Neto
{"title":"Acute Events in Primary Health Care Settings: An Analysis of Advanced Practice Competencies in Nursing Consultations in Brazil.","authors":"Marília Orlandelli Carrer, Letícia Yamawaka de Almeida, Andrea Liliana Vesga-Varela, Daiana Bonfim, Patrícia Aline de Almeida, Carla Pereira Barreto, Nayara Vilela de Farias Serranegra, Keila Gisele Lima Reis, Claudia Santos Martiniano, Manoel Vieira Miranda Neto","doi":"10.1002/nop2.70247","DOIUrl":"10.1002/nop2.70247","url":null,"abstract":"<p><strong>Aims: </strong>To describe nurse practices during acute event nursing consultations in Primary Health Care settings and analyse whether these professionals demonstrate the competencies proposed for Advanced Practice Nurses within a care management scope.</p><p><strong>Design: </strong>A multicenter, exploratory, cross-sectional study employing both quantitative and qualitative analysis.</p><p><strong>Methods: </strong>Data were collected through direct non-participatory observations (film footage of nursing consultations) and medical record analysis. The study included 28 nurses and 203 patients from 17 primary care units across four municipalities in Brazil. Descriptive statistical analysis was applied to quantitative data, while qualitative data underwent content analysis.</p><p><strong>Results: </strong>Challenges were observed in performing the nursing process and clinical communication during nursing consultations. Some of the proposed competencies for Advanced Practice Nurses were partially applied within a care management framework in Primary Health Care settings. The competencies related to the focus on care (61.11%), care provision (41.20%) and assessment and diagnosis (40.50%) were notable, with an overall average of 47.60% competency identification across all three dimensions. Although some general advanced practice nurse competencies were observed, their application was often limited or inconsistent.</p><p><strong>Conclusion: </strong>This study identified limitations in nursing consultations for acute events in Primary Health Care, particularly regarding the nursing process and the application of Advanced Practice Nurse competencies. Notable gaps were observed in areas such as cultural diversity and advanced assessment skills. Future efforts should focus on developing educational programmes, providing resources and creating clinical guidelines to enhance current nursing practices and facilitate the implementation of Advanced Practice Nursing in Brazil.</p><p><strong>Impact: </strong>The results provide empirical evidence to inform policy decisions, educational programmes, nursing practices and planning for advanced practice nursing implementation in Brazil. These findings are particularly relevant for healthcare educators, researchers, regulatory institutions and managers aiming to enhance the effectiveness of nursing consultations for acute events.</p><p><strong>Reporting method: </strong>This paper adheres to the COREQ and STROBE checklist.</p><p><strong>Patient or public contribution: </strong>No patient or public contributions.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70247"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676226","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
Patient Transfer Process From Pre-Hospital to the Hospital Emergency Department: A Grounded Theory Study. 病人从院前转到医院急诊科的过程:一个有根据的理论研究。
IF 2 4区 医学
Nursing Open Pub Date : 2025-07-01 DOI: 10.1002/nop2.70190
Maryam Jamsahar, Fazlollah Ahmadi, Mitra Khoobi, Mojtaba Vaismoradi
{"title":"Patient Transfer Process From Pre-Hospital to the Hospital Emergency Department: A Grounded Theory Study.","authors":"Maryam Jamsahar, Fazlollah Ahmadi, Mitra Khoobi, Mojtaba Vaismoradi","doi":"10.1002/nop2.70190","DOIUrl":"10.1002/nop2.70190","url":null,"abstract":"<p><strong>Background: </strong>The transfer of patients from a pre-hospital emergency environment to a qualified healthcare centre is a critical aspect of emergency care. Due to the unpredictable and uncontrolled nature of pre-hospital environments, emergency care providers often encounter multiple challenges during the patient transfer process.</p><p><strong>Aim/objective: </strong>This study aimed to explore the patient transfer process from pre-hospital to the hospital emergency department, identify the areas of main concern, strategies that emergency care providers used to address these concerns and generate a coherent underlying theory.</p><p><strong>Methods: </strong>A qualitative research method using a grounded theory approach was carried out to develop a comprehensive theoretical framework based on the experiences of emergency care providers, patients and their relatives in pre-hospital settings and hospital emergency departments. This study, conducted from September 2022 to January 2024, involved 24 participants: 18 emergency care providers, four patients' relatives and two patients with transfer experience. Sampling began purposefully and transitioned to theoretical sampling to ensure diversity and enrich the emerging theory. Data were collected through in-depth, individual, semi-structured interviews, along with note-taking, observation and document review. The Corbin-Strauss 5-step analysis approach was used to develop a coherent theory capturing the essence of the study phenomenon. The steps included open coding to identify concepts, developing concepts based on their features and dimensions, analysing data for context, incorporating processes into the analysis and integrating categories.</p><p><strong>Results: </strong>The main category as the main concern of the participants was 'the tension of delay in safe transfer and patient survival threat'. The central variable was 'diligent avoidance of tense confrontation', which was used as a conscious, deliberate and purposeful effort to prevent the escalation of tensions in various situations and included a set of different strategies such as situational resourcefulness, persuasive communication and forbearance. Ultimately, the emergency care providers' efforts caused different outcomes, from successful persuasion and safe transfer of the patient to unsuccessful persuasion, surrendering, escaping from responsibility and long-lasting hidden tensions.</p><p><strong>Conclusions: </strong>Emergency care providers use different strategies to manage the tension of delay in safe transfer and patient survival threat as their main concern. While successful strategies can inform practical guidelines, negative consequences highlight the need for more efficient and effective approaches. A prescriptive model based on the contextual theory from this study can be designed. This model should take a comprehensive, multifaceted view of the underlying causes of tension, support emergency care providers a","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70190"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555385","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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