BMC Nursing最新文献

{"title":"Psychometric evaluation of Persian version of the oral presentation evaluation scale in nursing students.","authors":"Tahmine Rahmatkhah, Rajab Dashti-Kalantar, Nazila Vosoghi, Alireza Mirzaei, Saeid Mehri","doi":"10.1186/s12912-024-02628-y","DOIUrl":"https://doi.org/10.1186/s12912-024-02628-y","url":null,"abstract":"<p><strong>Background: </strong>Nurses should possess the ability to deliver concise oral presentations. Strong oral presentation skills can improve the quality of nurse-client communication, enhance teamwork among healthcare professionals, and contribute to professional development, leadership, and promotion. This study aimed to determine psychometric evaluation of the Persian version of the oral presentation evaluation scale in nursing students.</p><p><strong>Methods: </strong>The study aimed to translate the oral presentation evaluation scale (OPES) into Persian using the standard translation and re-translation method. After the translation, the scale was distributed among 474 nursing students of various levels using the available sampling method. The scale's reliability was assessed using Cronbach's alpha coefficient and test-retest repeatability. The construct validity was determined using the confirmatory factor analysis.</p><p><strong>Results: </strong>The Persian questionnaire consists of 15 items and is divided into three categories: accuracy of content, effective communication, and speech clarity. The overall score for the content validity index (S-CVI) was 0.94. The three-factor questionnaire's fitness indices were RMSEA = 0.070, comparative fit index (CFI) = 0.96, goodness-of-fit index (GFI) = 0.91, and adjusted goodness-of-fit index (AGFI) = 0.88. The intra-cluster correlation index (ICC) was 0.965, and Cronbach's alpha was 0.875.</p><p><strong>Conclusion: </strong>The study found that the 15-item oral presentation evaluation scale Persian Survey is reliable for assessing nursing students' oral presentation skills.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"932"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865861","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":"Situational leadership theory in nursing management: a scoping review.","authors":"Xin Wang, Yachen Liu, Zhongyan Peng, Bowen Li, Qingqing Liang, Shuting Liao, Ming Liu","doi":"10.1186/s12912-024-02582-9","DOIUrl":"https://doi.org/10.1186/s12912-024-02582-9","url":null,"abstract":"<p><strong>Aim: </strong>To provide a comprehensive overview of situational leadership theory as applied to nursing management, outlining its relevant measurement tools, intervention modalities, and reporting gaps.</p><p><strong>Design: </strong>A scoping review of the literature was conducted according to the JBI guidelines.</p><p><strong>Data sources: </strong>Eight databases were used including PubMed, Embase, CINHAL, Web of Science, CNKI, WanFang, Cqvip, SinoMed. References of included studies were also searched. All literature published up to 9 September 2024 was included.</p><p><strong>Review methods: </strong>According to the PCC framework, the search formula was developed and a three-stage integrated search strategy was employed to search the literature. The titles, abstracts, and full texts were assessed by the reviewers followed by the data extraction and synthetization of results.</p><p><strong>Results: </strong>Nineteen articles were included in this study, including five cross-sectional studies, thirteen quasi-experimental studies, and one mixed study. The research identified that situational leadership theory has multiple applications in nursing management and plays an important role in the development of nurses' leadership and maturity. However, the studies were reported with low transparency and did not adhere to the relevant reporting guidelines. In addition, further validation of the relevant measuring instruments is needed.</p><p><strong>Conclusion: </strong>Situational leadership is a follower-centred leadership skill that enables leaders to adapt their leadership style to achieve optimal management results, facilitate the achievement of organizational goals, and increase follower satisfaction and growth. Further research is needed to develop standardized intervention protocols to apply this theory effectively and enhance the reporting quality of relevant studies.</p><p><strong>Impact: </strong>The situational leadership theory emphasizes the necessity for nursing managers to use different leadership styles depending on their nurses' maturity. However, the study suggests that it is necessary to further differentiate between different situational leadership models and to explore relevant research tools and interventions further. This could lead to a more standardized and effective clinical application of the theory.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"930"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865863","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":"Generational diversity in nursing practice environments - scoping review.","authors":"Diana Sanches, Soraia Pereira, Susana Castro, Mariana Mendes, Eduardo Santos, Olga Ribeiro","doi":"10.1186/s12912-024-02607-3","DOIUrl":"https://doi.org/10.1186/s12912-024-02607-3","url":null,"abstract":"<p><strong>Introduction: </strong>Generational diversity in nursing has introduced new challenges, for nurse managers and practice environments, in addressing both the nurses' and clients' needs and organizations' social and health policies. The organizational climate encourages professionals to preserve positive practice environments, which promotes a healthy coexistence between generations, respecting their distinctive characteristics and values, with the essential purpose of ensuring the team's effectiveness and the organization's success.</p><p><strong>Objective: </strong>To map the available scientific evidence on the generational diversity of nurses in professional practice environments.</p><p><strong>Methods: </strong>Scoping review, according to the Joanna Briggs Institute proposed methodology. The search used the PCC (Population, Concept and Context) framework to locate both published and unpublished studies, with no time or language limitations.</p><p><strong>Results: </strong>Thirty-two studies analysed different aspects from a generational diversity perspective, such as job satisfaction, organizational commitment, engagement, stress and burnout, work-related values and attitudes, turnover and retention. Although the findings differ, it's undeniable that each generation has a unique and valuable role, and it's essential to promote an effective balance between generations to build a diverse workforce capable of adapting to different challenges in professional contexts.</p><p><strong>Conclusion: </strong>Organizations should acknowledge the importance of creating inclusive professional practice environments, where both current and future generations can contribute to providing quality care. This requires integrating strategies adapted to generational diversity and adopting a more flexible leadership style. Organizations should foster the challenges of an increasingly diverse society and reflect the generational diversity of nurses, providing truly inclusive and equitable care.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"928"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865855","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 lived experience of living liver donors: A meta-synthesis of qualitative studies.","authors":"Li Dong, Zhiru Li, Feicui Lv, Li Zheng, Fangyan Lu","doi":"10.1186/s12912-024-02611-7","DOIUrl":"https://doi.org/10.1186/s12912-024-02611-7","url":null,"abstract":"<p><strong>Background: </strong>Living liver donors are frequently used for liver transplantation, but they experience many physical changes and psychological challenges. A better understanding of the experiences of liver donors can provide them with comprehensive and individualized patient-centred support and health care. Thus, this study sought to identify and synthesize existing qualitative studies to develop an in-depth understanding of the lived experiences of living liver donors.</p><p><strong>Method: </strong>A meta-synthesis was conducted and reported in accordance with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement. Seven databases were systematically searched from inception to March, 2024, using a combination of Medical Subject Headings with keywords. The results were integrated using the three-step thematic synthesis method suggested by Thomas and Harden.</p><p><strong>Results: </strong>Nine studies met the inclusion criteria and were included in this meta-synthesis. Four themes emerged from the meta-synthesis: (1) facing a life-changing situation, (2) experiencing changes in interpersonal relationships, (3) coping with changes, and (4) achieving personal growth.</p><p><strong>Conclusions: </strong>Living liver donors experienced physical, psychological, and social changes after surgery, striving to manage these challenges, highlighting the importance of coping strategies and ultimately achieving personal growth. Future nursing research should focus on psychological interventions, supportive measures, and the positive aspects of living liver donors to help them achieve the optimal quality of life.</p><p><strong>Trial registration: </strong>PROSPERO CRD42022328947.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"925"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865870","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":"Tailoring nursing interventions to empower patients: personal coping strategies and self-management in type 2 diabetes care.","authors":"Ateya Megahed Ibrahim, Fatma Abd El Latief Gano, Hassanat Ramadan Abdel-Aziz, Nora H Elneblawi, Donia Elsaid Fathi Zaghamir, Lobna Mohamed Mohamed Abu Negm, Rasha Kamal Mohamed Sweelam, Safaa Ibrahim Ahmed, Heba Ahmed Osman Mohamed, Fathia Gamal Elsaid Hassabelnaby, Aziza Mohamed Kamel","doi":"10.1186/s12912-024-02573-w","DOIUrl":"https://doi.org/10.1186/s12912-024-02573-w","url":null,"abstract":"<p><strong>Background: </strong>Diabetes is one of the most common chronic diseases that severely reduce a patient's quality of life. Effective self-care and management are critical for maintaining blood glucose levels and preventing complications.</p><p><strong>Aim: </strong>This study evaluates the effectiveness of a structured diabetes self-management education program on patients' self-management behaviors, empowerment, and activation levels.</p><p><strong>Methods: </strong>This study employed a quasi-experimental design involving 100 participants aged 30-65 to improve diabetes self-management and empowerment. Over 16 weeks, the program included three phases: a two-week pre-test phase for recruitment and baseline assessments using the Diabetes Self-Management Questionnaire (DSMQ), Diabetes Empowerment Scale (DES), and Patient Activation Measure (PAM); a 12-week intervention phase featuring weekly 90-minute educational sessions on topics such as diet, exercise, medication adherence, stress management, and self-empowerment; and a two-week post-test phase for follow-up assessments using the same tools. Data were analyzed using descriptive statistics, chi-square tests for PAM levels, and paired t-tests for DSMQ and DES scores, with statistical significance set at p < 0.05.</p><p><strong>Results: </strong>The study demonstrated significant improvements in participants' self-management, empowerment, and activation levels after the intervention. DSMQ scores increased from 64.5 to 68.6 (p < 0.001), DES scores rose from 65.4 to 70.0 (p = 0.001), and the number of participants at the highest PAM activation level (Level 4) grew from 30 to 50 (p = 0.016). Positive correlations among DSMQ, DES, and PAM scores suggest these improvements are interrelated.</p><p><strong>Conclusion: </strong>The structured diabetes self-management education programme significantly impacted participants' self-management behaviors, empowerment, and activation levels. The findings underscore healthcare professionals' need to implement targeted interventions that facilitate patient engagement in diabetes care.</p><p><strong>Recommendation: </strong>Future interventions should be designed to address the specific needs of diverse populations, paying attention to those facing socio-economic challenges. It is vital to facilitate greater access to diabetes self-management education to enhance health outcomes for these demographic groups.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"926"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865866","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":"Community health assessment of needs and continuous empowerment (CHANCE): a quantitative cross-sectional survey targeting primary health care nurses in Lebanon.","authors":"Gladys Honein-AbouHaidar, Reem Hoteit, Sarah Chehayeb, Nuhad Dumit, Tamar Avedissian, Bahia Abdallah, Randa Hamadeh","doi":"10.1186/s12912-024-02627-z","DOIUrl":"https://doi.org/10.1186/s12912-024-02627-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Primary Health Care (PHC) is the cornerstone of any healthcare system, with nurses forming the largest workforce involved in care. This study aimed to assess the current use of core competencies among community-based nurses, identify their learning needs, and assess factors associated with training needs within PHC centers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A quantitative cross-sectional survey design was used, targeting community health nurses working within primary healthcare centers. Data were collected using a survey instrument adapted from the Canadian Community Health Nurses' Standards of Practice and informed by a validated tool, then piloted for clarity in the Lebanese context. Data were collected between September and November 2018. Mean, standard deviation (SD), frequency, and percentage data were computed for descriptive purposes. The generalized estimating equation (GEE) was used to identify the factors associated with nurses' training needs clustered within centers. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using logistic GEE regression models that accounted for cluster effects.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The total number of PHCs that agreed to participate was 206, of which 173 returned completed surveys. Given that we do not have an accurate number of the population of nurses working in those centers, we assumed that there would be two nurses in each PHC. Thus, for a total of 251 surveys completed by nurses, the response rate is estimated to be 61%. Of the 173 surveys, 139 were included in the final analysis after deleting those that were incomplete. Descriptive results showed that nurses were competent in providing continuous care (60.0%), electronic technology use (55.08%), and clinical nursing assessment (54.01%). They reported a need for more training on community health promotion (65.12%), patient-centered care (PCC) (58.30%), and patient self-management of chronic diseases (52.0%). In comparison to nurses working in accredited centers, nurses working in centers in the process of becoming accredited required three times more training to become competent in PCC (OR = 3.39, 95% CI: 1.26-9.31, p = 0.016). Registered nurses required three times less training in PCC than senior/head nurses (OR = 0.30, 95% CI: 0.11-0.80, p = 0.016). Education level was statistically significantly associated with most training needs. Nurses with Baccalaureate and Technique Superior degrees needed six times more training (OR = 6.07, 95% CI: 1.81-31.16, p = 0.031) than those with a bachelor's or master's degree in nursing.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study provided a baseline assessment for the competencies that nurses reported implementing and those that they requested more training on. Future steps would be to develop interventions to empower nurses with the competencies they requested as priorities and to conduct a post intervention assessment to test the effect of the training ","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"927"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865843","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":"Stigma of mental illness: a comparative study of demographic and cultural correlates among nursing students and registered nurses in Jordan.","authors":"Ahmad Rayan","doi":"10.1186/s12912-024-02616-2","DOIUrl":"https://doi.org/10.1186/s12912-024-02616-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to compare the stigma associated with mental illness between nursing students and registered nurses in Jordan and identify the influence of sociodemographic factors and cultural misconceptions on mental illness stigma.</p><p><strong>Design: </strong>This research employed a comparative, cross-sectional design. Data were gathered through an online self-administered questionnaire. The survey included information about demographic characteristics, mental illness stigma, and cultural misconceptions about mental illness.</p><p><strong>Settings: </strong>Government mental health facilities and private universities in Jordan.</p><p><strong>Participants: </strong>The study was completed by 233 nursing students and 157 registered nurses.</p><p><strong>Results: </strong>Nursing students exhibited significantly higher mean stigma scores (M = 47.84, SD = 7.67) than registered nurses (M = 40.70, SD = 11.82), P < 0.001. This stigma varies significantly based on gender (P = 0.018), history of psychiatric treatment (P < 0.001), and educational progression among nursing students (P < 0.001). Additionally, registered nurses with advanced academic qualifications, such as a master's degree, reported lower levels of stigma (P = 0.013). The results also indicated that participants who hold stigmatizing cultural beliefs, such as seeing mental illness as a divine punishment or attributing it to supernatural forces, tend to exhibit significantly higher stigma scores in both groups.</p><p><strong>Conclusion: </strong>Nursing curricula should address stigma and cultural misunderstandings about mental illness. In-service training for registered nurses is essential to correct misconceptions and promote culturally competent mental healthcare.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"924"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865865","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":"Examining patient safety protocols amidst the rise of digital health and telemedicine: nurses' perspectives.","authors":"Ateya Megahed Ibrahim, Ibrahim Naif Alenezi, Asmaa Kamal Hassan Mahfouz, Ishraga A Mohamed, Marwa A Shahin, Elsayeda Hamdy Nasr Abdelhalim, Laila Zeidan Ghazy Mohammed, Takwa Rashwan Mohamed Abd-Elhady, Rehab Saad Salama, Aziza Mohamed Kamel, Rania Abdel Khalik Gouda, Noura Elgharib Mohamed Moustafa Eldiasty","doi":"10.1186/s12912-024-02591-8","DOIUrl":"https://doi.org/10.1186/s12912-024-02591-8","url":null,"abstract":"<p><strong>Background: </strong>Integrating digital health and telemedicine technologies is transforming healthcare delivery. In light of this transition, it is critical to ascertain the efficacy of patient safety protocols and evaluate the awareness of healthcare professionals, particularly nurses, regarding the integration of digital health technologies.</p><p><strong>Aim: </strong>This study examines the factors influencing the successful adoption of digital health and telemedicine technologies from the nurses' perspective, focusing on ensuring patient safety and enhancing organizational readiness for digital health integration.</p><p><strong>Methods: </strong>A cross-sectional study included 246 nurses from outpatient healthcare centers in Egypt. The data collected included demographic information and responses to a series of questionnaires, namely the Patient Safety Culture Survey (PSCS), the Telemedicine Risk Assessment and Mitigation Matrix (TRAMM), the Digital Health Adoption Readiness Assessment (DHARA), and the Digital Health Impact Assessment Tool (DHIA). The descriptive statistical analyses were conducted using the IBM SPSS Statistics software, version 26.</p><p><strong>Results: </strong>The sample was predominantly composed of nurses aged 18-35 (40.65%) and 36-55 (44.72%), with a near-equal gender distribution (48.78% male, 51.22% female). Most nurses held college degrees (73.17%) and were familiar with telemedicine (73.17%). The PSCS indicated positive scores for Communication Openness (4.5), Leadership Support (4.2), Teamwork (4.3), and Organizational Learning (4.1), with an overall mean score of 4.275. The TRAMM scores were notably high (total mean score 4.9), indicating effective risk management. The DHARA demonstrated considerable preparedness, as evidenced by a Total Mean Score of 7.85. The DHIA further substantiated this readiness, indicating a robust anticipated impact, particularly in Patient Engagement (9.0) and Usability (8.2).</p><p><strong>Conclusion: </strong>The favorable assessment scores indicate a strong awareness of integrating digital health and telemedicine, suggesting the potential for enhanced patient care and healthcare delivery. It is recommended that healthcare organizations prioritize providing ongoing training and support for nurses, enabling them to utilize digital health tools and thereby enhance patient safety effectively.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"931"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865846","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":"Experiences of burden and needs in caregivers with pediatric noninfectious uveitis: a qualitative study.","authors":"Jiali Huang, Xi Huang, Ruru Liu, Jingyao Dai, Yijie Chen, Xiaoxian Zhang, Yanyan Chen, Yuqin Wang","doi":"10.1186/s12912-024-02602-8","DOIUrl":"https://doi.org/10.1186/s12912-024-02602-8","url":null,"abstract":"<p><strong>Background: </strong>Long-term, potentially lifelong therapy is needed to treat noninfectious uveitis (NIU) in children. Previous research has focused primarily on treatment approaches, but few studies have investigated the effect of children's chronic illness on other family members. The aim of this study is to explore the experiences of burden and needs in caregivers of children with NIU, and to provide a reference for formulating targeted intervention strategies.</p><p><strong>Methods: </strong>A total of 11 caregivers of children with NIU were recruited from a tertiary-level eye hospital in Wenzhou Province, China. For data collection, semi-structured interviews were conducted. Data analysis was conducted using Colaizzi's seven-step analysis method. Themes were encoded and created with NVivo 14.0 for Mac software.</p><p><strong>Results: </strong>Based on the Social Ecosystem Theory, three major themes and ten subthemes emerged from the analysis: (1) Micro system - Caregiver distress and growth coexist (subthemes: Affected physical health, difficulties in the child's health management, emotional well-being, psychological Adjustment and Growth); (2) Mezzo system - Changes in family lifestyle (subthemes: Family financial challenges, family management dilemmas, weakened family socialization); (3) Macro system - Weak support system (subthemes: Insufficient information support, limited medical support conditions, lack of social understanding and support).</p><p><strong>Conclusions: </strong>The social-ecological systems of caregivers for children with NIU present numerous difficulties impacting their caregiving experiences. It is imperative for healthcare providers to address the psychosocial issues faced by caregivers and to develop family-centered intervention strategies and support systems, enabling them to cope effectively and overcome challenges.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"929"},"PeriodicalIF":3.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865849","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 interactivity and independence of Recovery challenges and coping strategies for ICU survivors and their caregivers: a systematic review and Meta-synthesis.","authors":"Zeyi Zhang, Longshan Yang, Heng Cao","doi":"10.1186/s12912-024-02542-3","DOIUrl":"https://doi.org/10.1186/s12912-024-02542-3","url":null,"abstract":"<p><strong>Background: </strong>The post-ICU home recovery period requires patients and caregivers to confront recovery challenges and adopt coping strategies as a family dyad, necessitating effective dyadic interaction patterns. Existing qualitative research shows that the dyads face interactive or independent challenges and employs varying coping strategies, which may include strong communication or, conversely, avoidance. However, a single qualitative study alone might offer limited generalizability, and there is a lack of broader, more nuanced understanding about the recovery challenge and copings among ICU survivors and caregivers. This meta-synthesis aims to figure out the interactivity and independence of challenges and coping strategies during the recovery process for ICU survivors and caregivers.</p><p><strong>Methods: </strong>This is a meta-synthesis of qualitative studies, which was guided by the Stress and Coping Framework. We systematically reviewed six electronic databases, including PubMed, Medline, the Cochrane Library, CINAHL, PsycArticles, and PsycInfo, for relevant qualitative studies published from inception to January, 2024. We utilized a content analysis approach for data analysis. Presentation of this synthesis adhered to the PRISMA guideline and the ENTREQ guideline.</p><p><strong>Results: </strong>After full-text screening, 49 studies were included. Four themes with 16 sub-themes emerged from this synthesis including, interactivity of recovery challenges for ICU survivors and caregivers (subthemes: Life was turned upside down, Situational overstrain, Isolation without compassion, Empowerment conflicts, Marginalized support), independence of recovery challenges for ICU survivors and caregivers (subthemes: Recovery means silent suffering, Gap in memory, Sacrificing to caregiving), interactivity of recovery coping strategies for ICU survivors and caregivers (subthemes: Reorientation of mindset, Cultivating inner power, Sharing burden with an open-ear, Going through thick and thin together, Negotiating care level), and independence of recovery coping strategies for ICU survivors and caregivers (subthemes: Wearing a faked smile, Developing daily routine, Seeking respite).</p><p><strong>Conclusions: </strong>The findings suggest that ICU survivors and caregivers experience overlapping yet distinct challenges during recovery, often involving shared coping strategies, alongside a need for individual space. These results support the presence of both interactivity and independence in recovery challenges and coping strategies for ICU survivors and their caregivers. Therefore, we call for future dyadic or family interventions to target both ICU survivors and caregivers, taking advantage of their interactivity and desire for gradual independence, so that fostered individualized coping strategies adapted to flexible contexts.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"895"},"PeriodicalIF":3.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855992","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}