Nursing Open最新文献

{"title":"Experiences of healthcare providers and caregivers regarding health system bottlenecks affecting child healthcare service delivery in a rural district: Empirical qualitative study.","authors":"Felix Kwasi Nyande, Esmeralda Ricks, Margaret Williams, Sihaam Jardien-Baboo","doi":"10.1002/nop2.2228","DOIUrl":"10.1002/nop2.2228","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of nurses and caregivers about the health system bottlenecks to the delivery of child healthcare services in a rural district in Ghana.</p><p><strong>Design: </strong>The study employed a qualitative approach using an exploratory, descriptive design.</p><p><strong>Methods: </strong>Collection of data was through semi-structured, face-to-face interviews with 26 participants in the Nkwanta South Municipality, Ghana. Audio recordings of interviews were transcribed verbatim and analysed qualitatively. Inductive codes generated were organised into themes and sub-themes.</p><p><strong>Results: </strong>The main health system bottlenecks that emerged were the poor state of in-patient facilities, inadequate basic logistics and persistent shortage of essential medicines needed for child healthcare delivery.</p><p><strong>Conclusions: </strong>Health system bottlenecks have the tendency to affect the treatment and hospitalisation outcomes of sick children and eventually impact the state of child healthcare negatively. Concerted efforts by government and local authorities to remove these barriers will help to improve child health and child health outcomes.</p><p><strong>Public contribution: </strong>A total of 26 participants comprising nurses and caregivers, agreed and participated in this study. Interviews with these participants were conducts either in the health facilities or in the communities where they live. Their responses contributed significantly to the content of this article.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of clinical internship experience on nursing students' attitudes towards death and choices of end-of-life care: A self-control study.","authors":"Jingyuan Jiang, Jing Zhou, Xiaoli Chen, Xiaolin Zhu, Hao Zhang, Qin Zhang, Jianna Zhang","doi":"10.1002/nop2.2214","DOIUrl":"10.1002/nop2.2214","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to explore the impact of emergency department internships on the attitudes towards death among undergraduate nursing students and their preferences for end-of-life care settings. Additionally, the study analyzes the reasons behind nursing students' choices of end-of-life care settings and provides insights for improving undergraduate education on attitudes towards death and end-of-life care, and provide reference for the development of emergency hospice care.</p><p><strong>Design: </strong>This study adopts an observational design with a self-controlled before-and-after approach.</p><p><strong>Methods: </strong>A questionnaire survey was conducted with 96 nursing interns between July 2021 to June 2022. Demographic information and data on attitudes towards death, and preferences for end-oflife care location were collected by online questionnaire. Paired test were conducted to compare differences between groups.</p><p><strong>Results: </strong>The study included a total of 96 nursing students with an average age of 21.11 years. The scores for the avoidance-acceptance dimension of death attitudes before and after the internship were 2.40 (1.80, 3.00) and 2.20 (1.60, 3.00), respectively, showing a significant difference (Z = -2.084, p = 0.037). Factors such as gender, experience in caring for critically ill or dying patients, knowledge of death education, and discussions about death at home were found to influence nursing students' attitudes towards death. Nursing students expressed a preference for receiving end-of-life care and treatment in their homes or in hospice/palliative care wards, while the intensive care unit, emergency department, and nursing homes were the least preferred settings. There were significant differences in nursing students' preferences for end-of-life care settings before and after the internship (p = 0.000). Importantly, the number of nursing students expressing a desire to receive end-of-life care in the emergency department increased from 2 to 7 after the internship, while the number of students not wanting end-of-life care in the emergency department decreased by 5.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11213817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471713","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":"Evaluating the use of the mobile electrocardiogram technology KardiaMobile™ in community settings: An online survey","authors":"Aimee Emmett, Bridie Kent, Alison James, Jane March‐McDonald","doi":"10.1002/nop2.2225","DOIUrl":"https://doi.org/10.1002/nop2.2225","url":null,"abstract":"BackgroundIn response to issues identified by community healthcare professionals (HCPs), including difficulty in routinely recording electrocardiograms (ECGs) at the time of their assessments with the population of patients referred to as ‘housebound’, one National Health Service (NHS) Trust adopted the mobile ECG technology; KardiaMobile™, supported by the Academic Health and Science Network (AHSN), in 2017–2018. The use and uptake of this technology were evaluated and are reported in this paper.MethodsA cross‐sectional, mixed‐methods online survey was conducted from August 2021 to October 2021. The respondents were a convenience sample of HCPs using KardiaMobile™ to detect atrial fibrillation (AF) with their patients; all were employed by one, predominantly rural NHS trust. Descriptive methods were used to analyse the quantitative data, whilst a reflexive approach to thematic analysis was chosen to analyse the qualitative data (Braun &amp; Clarke, 2019, <jats:italic>Qualitative Research in Sport, Exercise and Health</jats:italic>, 11, 589).ResultsA total of 33 surveys were completed, with a response rate of 8.8%. All respondents recognised the potential value of KardiaMobile™ for their work. Nineteen respondents (57.6%) reported having a shared understanding of the purpose of KardiaMobile™. Nineteen respondents (57.6%) agreed sufficient training and resources are provided to enable staff to implement KardiaMobile™. Qualitative data analysis found four overarching themes, with six sub‐themes.ConclusionKardiaMobile™ is a feasible means to detect AF in higher‐risk patients, particularly those living remotely or classed as ‘housebound’. Respondents in this survey indicated a desire for further training and input on the appropriate use of digital and mobile devices for AF care in a community setting. Incomplete integration of device‐collected heart rhythm data into the patient electronic health record was identified as a barrier to greater adoption of digital health devices for community HCPs.No Patient or Public ContributionNot required as it is a service evaluation from the perspective of HCPs using KardiaMobile™ technology.","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141519028","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":"Effects of mother–infant skin‐to‐skin contact on mother–infant relationship and maternal psychology feelings: A qualitative study","authors":"Xiaoyan Feng, Yuqing Zhang","doi":"10.1002/nop2.2181","DOIUrl":"https://doi.org/10.1002/nop2.2181","url":null,"abstract":"AimsTo explore the effects of mother‐infant skin‐to‐skin contact on mother‐infant relationship and maternal psychology feelings.DesignAn exploratory qualitative research design using semi‐structured interviews.MethodsA total of 64 mother‐infant pairs who met the inclusion criteria were selected as the experimental subjects to receive early and continuous intervention of mother‐infant skin‐to‐skin contact (SSC). On this basis, the qualitative research method of procedural grounded theory was used to conduct semi‐structured interviews with 18 puerperas before discharge from the hospital; the three‐level coding method of procedural grounded theory and Graneheim &amp; Lundman qualitative content analysis method were combined to conductinterview content analysis in Nvivo 12 software, so as to extractcore categories and condense the theme.Results(1) The data were coded to extract five core categories, namely, birth experience, role transition, contact perception, mother‐infant connection and parental efficacy; (2) there were statistically significant differences in the number of coding reference points in five nodes before and after SSC, that is, mothers' positive feelings, newborns' physical characteristics noticed by their mothers, mother‐infant connection, role transition and birth experience. The number of coding reference points after SSC was statistically significant greater than before SSC; (3) The coding interview results showed that SSC could promote the sense of happiness in nurturing.","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141532639","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":"Psychometric validation of the Persian version of the ethical awareness scale for nurses working in Iranian intensive care units.","authors":"Shohreh Kolagari, Reza Moradi, Aimee Milliken, Homeira Khoddam","doi":"10.1002/nop2.2168","DOIUrl":"10.1002/nop2.2168","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this study was to translate and validate the ethical awareness scale for nurses working in Iranian intensive care units.</p><p><strong>Design: </strong>A cross-sectional psychometric study.</p><p><strong>Methods: </strong>The study was conducted in Oct 2020 to Sep 2021, involving the participation of 200 ICU nurses. The process included translation of the original version of the ethical awareness scale into Persian, following the World Health Organization guideline, for use in Iran. The translated version was then evaluated for reliability, face validity, content validity ratio, content validity index, convergent validity and construct validity.</p><p><strong>Results: </strong>The initial reliability of the scale was established. In qualitative face validity, a few items changed slightly and all items were retained in the quantitative face validity assessment. Based on Lawshe's values, three items were removed from the scale during CVR assessment. All items exhibited acceptable CVI scores. Convergent validity was established with an average variance extracted greater than 0.5. The fit indices, such as CFI = 0.94, GFI = 0.94, RMSEA = 0.01, AGFI = 0.97 and CMIN/DF = 2.99, supported the structural model of the scale. The fit indices for the structural model of the scale were all within acceptable ranges, suggesting that the model fit the data well. Its reliability was confirmed through the test-retest method, with Cronbach's alpha = 0.84 and McDonald's omega coefficient >0.8.</p><p><strong>Conclusion: </strong>The findings of this study indicate the Persian version of the ethical awareness scale for Iran (EAS-IR) is comparable in content to the original version, demonstrating its validity and reliability for assessing ethical awareness among Iranian nurses in ICUs. The scale can be a valuable resource for measuring ethical awareness in the Iranian healthcare context and may contribute to improving ethical practices and decision-making in ICU settings.</p><p><strong>Patient or public contribution: </strong>In this project, no patient or public contribution was necessary, because it was not applied to our work.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11163024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297090","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":"Reading the signs in health visits-Perspectives of adolescents with migration experiences on encounters with school nurses.","authors":"Emmie Wahlström, Maria Harder, Inger K Holmström, Peter Larm, Marie Golsäter","doi":"10.1002/nop2.2217","DOIUrl":"10.1002/nop2.2217","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of health visits within the school health services from the perspective of adolescents with migration experiences.</p><p><strong>Design: </strong>A descriptive qualitative study.</p><p><strong>Methods: </strong>Data were collected using focus groups and semi-structured individual interviews with adolescents with migration experiences aged 13-17 years old. Analysis was conducted using reflexive thematic analysis.</p><p><strong>Results: </strong>The results described adolescents reading the signs in the guided interaction between them and the school nurses. Reading the signs illustrated the adolescents' continuous interpretation of the interaction with the school nurse, and their decisions on how to respond throughout the health visit. These interpretations influenced the adolescents' shifting willingness to talk about their health and how they adapted to the space of participation provided by the school nurse. The interpretation also influenced their experiences of health visits as focusing on their health without making them feel singled out.</p><p><strong>Conclusion: </strong>Although individual considerations might be warranted in health visits with adolescents with migration experiences, the results indicate that similarities in intrapersonal communication in various encounters between adolescents and health professionals might be greater than any differences. Healthcare encounters with adolescents with migration experiences might thus need to be conducted with an awareness that adolescents read the signs in the guided interaction and that similarities in this interaction are greater than any differences.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11187908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421490","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":"Risk factor evaluation of cuff pressure of >30 cmH₂O to stop air leakage during mechanical ventilation: A prospective observational study.","authors":"Hong-Lei Wu, Yue-Hong Wu, Wang-Qin Shen, Jia-Hai Shi, Yan-Ping Zhu, Yang-Hui Xu, Hong-Wu Shen, Lei Ding","doi":"10.1002/nop2.2187","DOIUrl":"10.1002/nop2.2187","url":null,"abstract":"<p><strong>Aim: </strong>The commonly recommended endotracheal tube cuff pressure is 20-30 cmH₂O. However, some patients require a cuff pressure of >30 cmH₂O to prevent air leakage. The study aims to determine the risk factors that contribute to the endotracheal tube cuff pressure of >30 cmH₂O to prevent air leakage.</p><p><strong>Design: </strong>A multi-centre prospective observational study.</p><p><strong>Methods: </strong>Eligible patients undergoing mechanical ventilation in the intensive care unit of three hospitals between March 2020 and July 2022 were included. The endotracheal tube cuff pressure to prevent air leakage was determined using the minimal occlusive volume technique. The patient demographics and clinical information were collected.</p><p><strong>Results: </strong>A total of 284 patients were included. Among these patients, 55 (19.37%) patients required a cuff pressure of >30 cmH₂O to prevent air leakage. The multivariate logistic regression results revealed that the surgical operation (odds ratio [OR]: 8.485, 95% confidence interval [CI]: 1.066-67.525, p = 0.043) was inversely associated with the endotracheal tube cuff pressure of >30 cmH₂O, while the oral intubation route (OR: 0.127, 95% CI: 0.022-0.750, p = 0.023) and cuff inner diameter minus tracheal area (OR: 0.949, 95% CI: 0.933-0.966, p < 0.001) were negatively associated with the endotracheal tube cuff pressure of >30 cmH₂O. Therefore, a significant number of patients require an endotracheal tube cuff pressure of ＞30 cmH₂O to prevent air leakage. Several factors, including the surgical operation, intubation route, and difference between the cuff inner diameter and tracheal area at the T3 vertebra, should be considered when determining the appropriate cuff pressure during mechanical ventilation.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11150861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263294","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":"Correction to \"Midwives' approach to the prevention and repair of obstetric perineal trauma in Spain\".","authors":"","doi":"10.1002/nop2.2209","DOIUrl":"10.1002/nop2.2209","url":null,"abstract":"","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301884","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":"Home care for patients with opioid use disorders: A qualitative study of registered nurses' experiences of pain management.","authors":"Mari Asalie Skrenes Jakobsen, Tone Løvås Tørmoen, Anna Klarare, Simen A Steindal","doi":"10.1002/nop2.2212","DOIUrl":"10.1002/nop2.2212","url":null,"abstract":"<p><strong>Aim: </strong>To explore registered nurses' experiences with pain management in patients with opioid use disorder (OUD) in home care.</p><p><strong>Design: </strong>Qualitative explorative-descriptive design.</p><p><strong>Methods: </strong>Data were collected via nine individual semi-structured interviews with registered nurses working in home care meeting patients with OUD. Data were analysed using systematic text condensation.</p><p><strong>Results: </strong>Three categories were identified: Reciprocity in relationships and a professional approach enhance pain management; Discrepancies between guidelines, patient-reported pain and RNs' observations challenge pain management; and Interprofessional collaboration makes or breaks pain management.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11168962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311984","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":"Mothers' experience of infant massage in child health care: A qualitative interview study.","authors":"Marlene Danielsson, Hanna Hansson Lustig, Pernilla Garmy, Eva-Lena Einberg","doi":"10.1002/nop2.2206","DOIUrl":"10.1002/nop2.2206","url":null,"abstract":"<p><strong>Aim: </strong>To investigate mothers' experience of infant massage.</p><p><strong>Design: </strong>This was an exploratory-descriptive qualitative study based on individual interviews.</p><p><strong>Methods: </strong>A qualitative interview study with an inductive approach was used according to the COREQ guidelines. The participants in the study were mothers (n = 11) residing in Sweden who received training in infant massage from the child health care nurse in the child health care services. The transcribed interviews were analysed using a qualitative content analysis.</p><p><strong>Results: </strong>The collected material resulted in two categories and eight subcategories. The categories were learning infant massage and using infant massage as a tool. The eight subcategories were massaging in a parent group, massaging at home, massage movements and the child health care nurse's supporting hand, reading the child's signals, creating time and relaxation together, interaction and connection between the child and the parent, relief from stomach problems and anxiety and continuing to massage the older child. The study showed that mothers experienced that the relationship created through infant massage brought more joy, tenderness and security to the child. The child health care nurse had an important role in supporting the mothers, especially when it came to different views on doing infant massage at home and in groups.</p><p><strong>Patient or public contribution: </strong>Mothers with experience of infant massage were interviewed.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321773","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}