BMC Nursing最新文献

{"title":"Mediating effect of social support on the relationships between caregiver burden and quality of life in family caregivers of people with dementia: a cross-sectional study in Rural China.","authors":"Ying Hu, Xiajun Guo, Hui You, Li Liu, Yao Wang","doi":"10.1186/s12912-024-02671-9","DOIUrl":"https://doi.org/10.1186/s12912-024-02671-9","url":null,"abstract":"<p><strong>Background: </strong>China has the largest percentage of people with dementia (PwD) around the world. And most of them are cared for by their family members. The purpose of this study was to identify the quality of life (QoL) of family caregivers of PwD in rural China and to investigate the mediating role of social support between caregiver burden and QoL under the guidance of a stress process model.</p><p><strong>Methods: </strong>This cross-sectional design study in rural areas of Hunan province, China included 150 family caregivers of PwD. The participants completed questionnaires, including the demographic information questionnaire on caregivers and PwD, the caregiver version of QoL in Alzheimer's Disease, the Caregiver Burden Inventory, and the Multidimensional Scale of Perceived Social Support. The demographic factors associated with QoL were subjected to univariate analysis. Pearson's correlations were used to test the relationship among care burden, social support, and QoL. SPSS PROCESS Procedure was conducted to test the hypothesis of mediating effects.</p><p><strong>Results: </strong>The family caregivers of PwD exhibited a fair QoL, with a score of 29.01 ± 4.059. Pearson's correlations revealed the negative correlation of caregiver burden with social support and QoL and the positive correlation between social support and the QoL of family caregivers. The results suggest the mediating role of social support between caregiver burden and the QoL.</p><p><strong>Conclusion: </strong>The QoL of family caregivers of PwD in rural China is suboptimal and indirectly influenced by the caregiving burden through the mediating effect of social support. Strengthening social support networks, both formal and informal, is essential to reducing caregiver burden and improving the QoL of family caregivers of PwD.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"37"},"PeriodicalIF":3.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived stress and academic procrastination among higher vocational nursing students: the mediating roles of positive and negative emotions.","authors":"Congjie Cao, Dandan Chen, Yi Zhou","doi":"10.1186/s12912-024-02672-8","DOIUrl":"https://doi.org/10.1186/s12912-024-02672-8","url":null,"abstract":"<p><strong>Background: </strong>Academic procrastination is particularly prevalent among higher vocational nursing students, a key component of the nursing workforce, and is closely associated with poor academic performance and a decline in clinical practice quality. While perceived stress and emotions are known significant predictors, the mechanisms through which they influence academic procrastination remain unclear. Thus, this study aimed to explore the mediating roles of positive and negative emotions in the relationship between perceived stress and academic procrastination among higher vocational nursing students.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among 1308 higher vocational nursing students from June to July 2023 in Hebei Province, China. The participants were recruited by convenient sampling to complete a sociodemographic and academic related information questionnaire, Perceived Stress Scales, Positive and Negative Affect Schedule, and Academic Procrastination Questionnaire for College Students. Then, the data were analysed by SPSS 26.0 and a multiple mediation model was tested using Hayes' PROCESS macro (Model 4). A mediation effect was considered statistically significant if the 95% confidence interval did not contain zero.</p><p><strong>Results: </strong>The mean score of academic procrastination was 50.4 (12.6), with 82.0% of nursing students reporting academic procrastination. A significant positive correlation was observed between perceived stress, negative emotions and academic procrastination (r = 0.442, r = 0.376, all P < 0.001). Conversely, a significant positive correlation was found between positive emotions and academic procrastination (r=-0.299, P < 0.001). Subsequent mediation analysis demonstrated that positive emotions and negative emotions partially mediated the correlation of perceived stress with academic procrastination (total indirect effect: Standardized β = 0.193, 95% CI [0.142, 0.247]). The direct effect was 0.252, and the mediating effect accounts for 43.4% of the total effect.</p><p><strong>Conclusions: </strong>Positive and negative emotions act as partial mediators in the correlation between perceived stress and academic procrastination among higher vocational college nursing students. It is crucial for nurse educators to foster positive emotional experiences and alleviate negative emotions through strategies such as effective stress management and mindfulness practices, in order to mitigate academic procrastination.</p><p><strong>Limitations: </strong>As a cross-sectional study, it cannot establish causal relationships between perceived stress, positive and negative emotions, and academic procrastination.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"36"},"PeriodicalIF":3.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between empathy and burnout as well as potential affecting and mediating factors from the perspective of clinical nurses: a systematic review.","authors":"Hongyan Zhou","doi":"10.1186/s12912-025-02701-0","DOIUrl":"https://doi.org/10.1186/s12912-025-02701-0","url":null,"abstract":"<p><strong>Background: </strong>Burnout is prevalent in healthcare professionals, especially among nurses. This review aims to examine the correlation between empathy and burnout as well as the variables that influence and mediate them.</p><p><strong>Methods: </strong>This review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline, to present a systematic evaluation of literature. A literature search of four electronic databases including CINAHL (EBSCO), EMBASE, PubMed, and Google Scholar was conducted from 2014 to 2024. A total of 1081 articles were identified in the initial search. After screening the title, abstract, and context of these articles, 16 eligible articles were finally included in this review.</p><p><strong>Results: </strong>This review identified a number of factors related to empathy and burnout levels. The included studies showed consistent results that empathy and burnout were generally negatively related. When considering the different components of empathy or burnout independently, as well as the mediating factors involved, relations between empathy and burnout may alter.</p><p><strong>Conclusions: </strong>This study provided an excellent summary of some important research on the mediating and affecting factors associated with burnout and empathy. These results can facilitate further development of interventions and policies to better manage and prevent burnout in nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"38"},"PeriodicalIF":3.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing work environments and reducing turnover intention: a multicenter longitudinal cohort study on differentiated nursing practices in Dutch hospitals.","authors":"Julia van Kraaij, Neeltje de Vries, Hanna Wessel, Hester Vermeulen, Catharina van Oostveen","doi":"10.1186/s12912-024-02681-7","DOIUrl":"https://doi.org/10.1186/s12912-024-02681-7","url":null,"abstract":"<p><strong>Background: </strong>Addressing the growing challenge of nurse retention requires coordinated actions at national and global levels to improve recruitment, retention policies, and investments in the nursing work environment. The nursing work environment, defined as the \"organizational characteristics of a work setting that facilitate or constrain professional nursing practice\", is critical in influencing whether nurses decide to leave their jobs. This study investigates the impact of differentiated nursing practices - which involved tailoring roles and responsibilities based on nurses' training, skills, and experience in Dutch hospitals - and investigated their impact on the nursing work environment and turnover intention (i.e., nurses' intentions to leave their organization). We also explored whether the work environment mediates this relationship.</p><p><strong>Methods: </strong>A multicenter longitudinal cohort study was conducted across 19 Dutch hospitals between 2019 and 2023. Nursing professionals participated via digital surveys administered before (T0) and after (T1) differentiated nursing practices were introduced. The nursing work environment was assessed using the Practice Environment Scale of the Nursing Work Index. A multilevel analysis with a random intercept and fixed slope was used to evaluate the impact of differentiated nursing practices on the work environment and on nurses' turnover intentions.</p><p><strong>Results: </strong>We received 5411 responses to our questionnaire - 4259 at T0 and 1152 at T1. Results showed that, while the overall work environment improved, particularly in the dimensions of staffing and resource adequacy, collegial nurse-physician relationships, and participation in hospital affairs, there were no significant improvements in nursing foundation for quality of care or nurse managers' ability, leadership, and support of nurses. Additionally, differentiated nursing practices did not significantly impact turnover intention, nor did the work environment mediate this relationship.</p><p><strong>Conclusions: </strong>This study is the first to explore the unique effects of practice differentiation on turnover intention mediated by the work environment. The findings suggest that, while differentiated practices can enhance certain aspects of the work environment, a more systemic and integrated approach is required for sustained improvements. Future research should include longer term studies to fully understand the complex relationship and accompanying mechanisms between differentiated nursing practices, the nursing work environment, and turnover intention.</p><p><strong>Trial registration: </strong>Clinical trial number not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"39"},"PeriodicalIF":3.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring nursing students' learning experiences within tripartite meetings in nursing home clinical placements: a qualitative study using video-stimulated recall interviews.","authors":"Ingrid Espegren Dalsmo, Kristin Alstveit Laugaland, Stephen Billett, Else Mari Ruberg Ekra","doi":"10.1186/s12912-025-02686-w","DOIUrl":"https://doi.org/10.1186/s12912-025-02686-w","url":null,"abstract":"<p><strong>Background: </strong>Nursing students' clinical learning is premised on experiences in clinical placements in nurse education, with the processes and outcomes of tripartite meetings among the student, nurse preceptor and teacher being central components. The tripartite meetings form the basis and framework for stakeholders' dialogue and collaboration and have the central purpose of facilitating student learning and development and assessing the students' achievement against predetermined learning outcomes for the placement period. Students' experiences with tripartite meetings seems to be an underexplored field, and therefor this study aimed to explore first-year nursing students' learning experiences within tripartite clinical placement meetings in nursing homes.</p><p><strong>Design and methods: </strong>A qualitative explorative and participatory approach was adopted in this study, using the video-stimulated interview method \"stimulated recall- dialog and reflection\". This method is based on video recordings with subsequent interviews, where video excerpts were used to support reflection and dialogue. Twenty-one video-stimulated recall interviews were conducted with first-year nursing students (n = 7) to explore their learning experiences within the tripartite meetings.</p><p><strong>Findings: </strong>Data was analysed using reflexive thematic analysis as described by Braun and Clarke. Four themes were identified: (1) the importance of structure and preparedness; (2) supportive relations and dialogue essential for learning; (3) a possibility to create a common learning focus; and (4) assessment needs to be comprehensive and performance focused.</p><p><strong>Conclusions: </strong>This study highlights that tripartite meetings can be an excellent forum to support the nursing students' learning process in their clinical placements. Still, consistent and systematic approaches to clinical placement supervision and assessment need to be developed continuously. Therefore, the study's findings suggest that targeted efforts are warranted to optimise and enhance the learning potential offered in tripartite meetings in clinical education, such as paying a greater attention to the start-up conversation and facilitating comprehensive supervisory and assessment content in the meetings.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"40"},"PeriodicalIF":3.1,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The experiences of organizational silence among nurses: a qualitative meta-synthesis.","authors":"Jingyi Zou, Xiaoxia Zhu, Xue Fu, Xiaojia Zong, Jing Tang, Chunwei Chi, Jinxia Jiang","doi":"10.1186/s12912-024-02636-y","DOIUrl":"10.1186/s12912-024-02636-y","url":null,"abstract":"<p><strong>Objective: </strong>A growing body of research shows that the organizational silence among nurses not only affects their job satisfaction and performance but also exacerbates their intention to leave their jobs, posing a threat to the long-term stability of the nursing team. Therefore, the aim of this study was to synthesize existing qualitative research to explore the real experiences of nurses' organizational silence behavior and gain insight into the motivations and feelings behind it.</p><p><strong>Design: </strong>A qualitative review.</p><p><strong>Data sources: </strong>A comprehensive search of the following international databases was performed: PubMed, Embase, CINAHL, Psyinfo, Web of Science, Cochrane Library, Medline, and Ovid, as well as Chinese databases such as the China Biomedical Database (CBM), Wanfang Database (CECDB), Chinese National Knowledge Infrastructure (CNKI) and VIP Database.</p><p><strong>Review methods: </strong>All articles concerning the experiences of organizational silence among nurses were included after thoroughly searching 12 databases. The meta-synthesis method was employed to integrate and assess the included qualitative research literature, utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to report the review. Two researchers selected and evaluated the relevant literature, which was then analyzed using meta-integration.</p><p><strong>Results: </strong>From a total of 12 articles included in the final analysis, 48 primary findings were extracted, forming 3 main themes and following 8 sub-themes: Individual character, Seniority and experience, Defensive silence, Disregardful silence, Acquiescent silence, Prosocial silence, Causing negative effects, and Causing positive effects were the eight sub-themes under these three main themes.</p><p><strong>Conclusion: </strong>Nurses' organizational silence manifests in different ways, and the motivations and experiences behind each form are different. Therefore, when managers observe nurses' silent behaviors in the organization, they should identify and assess the motivation and degree of silence and then specifically intervene to reduce the silent behaviors to the greatest possible extent.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"31"},"PeriodicalIF":3.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between professional quality of life and sleep quality among nurses working in intensive care units: a cross-sectional study.","authors":"Parisa Mansouri, Mozhgan Rivaz, Razie Soltani, Parsa Tabei","doi":"10.1186/s12912-025-02693-x","DOIUrl":"10.1186/s12912-025-02693-x","url":null,"abstract":"<p><strong>Background: </strong>Intensive care unit (ICU) nurses work under heavy workloads, which can lead to serious consequences for nurses' outcomes and patient safety. This study aimed to examine the relationship between professional quality of life (Pro QOL), and sleep quality among ICU nurses during the COVID-19 outbreak.</p><p><strong>Methods: </strong>A cross-sectional and multicentre study was conducted on 253 nurses in 20 COVID-19 ICUs in four major teaching hospitals from July 2021 to June 2022. Data were collected via a demographic information form, the Professional Quality of Life Scale, and the Pittsburgh Sleep Quality Index (PSQI).</p><p><strong>Results: </strong>Nurses in COVID-19 ICUs experienced moderate levels of compassion satisfaction, compassion fatigue, and poor sleep quality. The mean scores of the Pro QOL dimensions were 33.49 ± 6.77, 32.28 ± 8.83, and 29.58 ± 11.67 for compassion satisfaction, burnout, and secondary traumatic stress, respectively. The results revealed that 220 (87%) of the nurses experienced poor sleep quality. A significant relationship was shown between the Pro QOL dimensions and the mean total score of sleep quality, which can predict 0.45% of the variance (F = 7.11, p < 0.001, adjusted R² = 0.45).</p><p><strong>Conclusion: </strong>Our results confirmed the link between the Pro QOL and sleep quality among ICU nurses. It is suggested that nurse managers implement practical interventions to improve the QWL of nurses in the ICU_S. This will subsequently lead to improved outcomes for nurses and ensure patient safety.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"34"},"PeriodicalIF":3.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction of a nursing management program for early fluid resuscitation in patients with acute pancreatitis: a Delphi study in China.","authors":"Fang He, Xiaohong Zhang, Jiao Liu, Shaojian Mo, Lei Zhang, Xifeng Fu, Yanzhang Tian, Fei Gao, Yan Liu","doi":"10.1186/s12912-025-02689-7","DOIUrl":"10.1186/s12912-025-02689-7","url":null,"abstract":"<p><strong>Aim and objectives: </strong>To construct a set of scientific and feasible nursing management protocols for early fluid resuscitation in acute pancreatitis (AP) patients that can be used to guide clinical practice and enhance the treatment efficacy in these patients.</p><p><strong>Background: </strong>Fluid resuscitation is a key means of early treatment for AP patients and has become a clinical consensus. Nurses are important practitioners of fluid resuscitation, and there is a lack of specific enforceable nursing management programs.</p><p><strong>Methods: </strong>Through literature research, on-site research, semi-structured interviews, and other preliminary preparations of the first draft of the nursing management program for early fluid resuscitation in acute pancreatitis, the Delphi method was used to conduct two rounds of correspondence with medical and nursing experts, and then statistically analyzed.</p><p><strong>Results: </strong>Fifteen and 14 questionnaires were distributed in two rounds, respectively, and 15 and 14 questionnaires were recovered, respectively. The positive coefficient of experts was 100%, the authority coefficient was 0.970 and 0.975, respectively; the coefficient of variation coefficient was 0.05-0.21 and 0.00-0.20, respectively; the expert coordination coefficients of all levels of indices in this study are 0.166-0.335 and 0.189-0.364, respectively. The P values of the first, second, and third level indices are < 0.05 according to the test of Kendall's harmony coefficient. A total of 5 primary indicators, 11 secondary indicators, and 36 tertiary indicators were used to construct the Nursing Management Program for Early Fluid Resuscitation in Acute Pancreatitis.</p><p><strong>Conclusions: </strong>The constructed nursing management plan for early fluid resuscitation in acute pancreatitis patients puts forward clear requirements and standards for nursing care in the early stage of AP treatment. This plan is scientific, represent good clinical practice, are feasible for nurses to follow, and construct a standardized protocol for the management of early fluid resuscitation in patients with acute pancreatitis.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"28"},"PeriodicalIF":3.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11716186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the determinants of resilience and mental stress in emergency department nurses.","authors":"Zahra Kamari, Ali Akbar Vaisi Raygani, Nader Salari, Behnam Khaledi-Paveh, Mohammad Mehdi Mohammadi","doi":"10.1186/s12912-025-02691-z","DOIUrl":"10.1186/s12912-025-02691-z","url":null,"abstract":"<p><strong>Background: </strong>Emergency departments (ED) are characterized by highly dynamic environments. This study aimed to identify determinants of resilience and mental stress among ED nurses.</p><p><strong>Methods: </strong>A cross-sectional, analytical design was employed to assess 316 emergency nurses in Kermanshah hospitals using a convenience sampling method. The Connor-Davidson Resilience Scale and the Perceived Stress Scale measured resilience and mental stress, respectively. Data were analyzed using independent t-tests, ANOVA, chi-square tests, and Pearson's correlation in SPSS version 25.</p><p><strong>Results: </strong>The average mental stress score was 26.9, and the average resilience score was 64, indicating moderate levels. Significant relationships were found between employment status, emergency responsibility, economic status, and resilience (P < 0.01). Additionally, place of residence, number of children, education, shift work, social network presence, employment status, emergency responsibility, and economic status were significantly related to psychological stress (P < 0.01). Pearson's correlation showed an inverse relationship between resilience and mental stress (r = -0.123, P = 0.029). Age was inversely related to mental stress (r = -0.408, P < 0.001), while overtime hours per month were directly related to resilience (r = 0.135, P = 0.016) and inversely related to mental stress (r = -0.482, P = 0.029).</p><p><strong>Conclusion: </strong>The research highlights the importance of considering demographic variables in managing nurses' resilience and mental pressure, emphasizing the need for hospital officials to focus on work shifts, employment status, and economic conditions.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"35"},"PeriodicalIF":3.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11720518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing neonatal nurses: transitioning preterm infants to oral feeding - a multicenter cross-sectional study.","authors":"Abdelaziz Hendy, Yasmine M Osman, Hanan F Alharbi, Maha Suwailem Shuaib Alshammari, Mohammed Musaed Ahmed Al-Jabri, Naif S Alzahrani, Ahmed Hendy, Abdulaziz Mofdy Almarwani","doi":"10.1186/s12912-024-02647-9","DOIUrl":"10.1186/s12912-024-02647-9","url":null,"abstract":"<p><strong>Background: </strong>In Egypt, approximately 10% of preterm deliveries occur between 32 and fewer than 37 weeks, leading to high neonatal intensive care unit (NICU) admissions. Preterm infants often face oral feeding difficulties due to immature development, which can lead to extended hospital stays and increased health risks.</p><p><strong>Aim: </strong>To assess neonatal nurses' performance in terms of the transition to oral feeding in preterm infants, focusing on knowledge, practices, and attitudes.</p><p><strong>Methods: </strong>A descriptive, quantitative, multicenter, cross-sectional study was conducted across 16 hospitals in five governorates in Egypt from November 2023 to March 2024 involving 553 neonatal nurses. The data were collected through a self-administered questionnaire assessing knowledge and attitudes and through an observed checklist for nurses' practices. The study used statistical methods, including binary logistic regression, to analyze the data.</p><p><strong>Results: </strong>The findings revealed significant knowledge gaps among nurses, particularly in terms of oro-motor function, suck-swallow-breathe patterns, and nonnutritive sucking. A total of 64.6% of the nurses had unsatisfactory knowledge, 58.6% had unsatisfactory practices, and 45% had a negative attitude toward the oral feeding transition. Key predictors of satisfactory practices included higher education levels, full-time employment, and positive attitudes.</p><p><strong>Conclusion: </strong>This study highlights critical gaps in neonatal nurses' knowledge and practices regarding the transition to oral feeding in preterm infants. Addressing these gaps through targeted educational interventions and ongoing support is essential for improving care quality and outcomes for infants. The findings revealed that a substantial proportion of nurses lacked adequate knowledge of critical areas, such as oro-motor function, the suck-swallow-breathe pattern, and nonnutritive sucking. These knowledge deficits could hinder the ability of nurses to provide optimal care during this crucial transition.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"32"},"PeriodicalIF":3.1,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}