BMC Nursing最新文献

{"title":"Investigate the state of critical thinking and its impact on moral courage and moral sensitivity; evidence from nurses' perspective.","authors":"Shima Bordbar, Jamshid Bahmaei, Hamidreza Farhadi Rad, Ali Reza Yusefi","doi":"10.1186/s12912-024-02496-6","DOIUrl":"10.1186/s12912-024-02496-6","url":null,"abstract":"<p><strong>Background: </strong>Critical thinking, moral courage, and moral sensitivity are among the topics that are widely considered today in response to turbulent and complex environments in organizations. The purpose of this study was to investigate the state of critical thinking and its effect on moral courage and moral sensitivity in nurses working in hospitals under Jiroft University of Medical Sciences in southern Iran in 2024.</p><p><strong>Methods: </strong>This descriptive-analytical cross-sectional study was conducted on 385 nurses. The data collection tools were standard questionnaires of critical thinking, moral courage and moral sensitivity. Data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and multiple linear regression using SPSS23 software.</p><p><strong>Results: </strong>The average scores of critical thinking, moral courage, and moral sensitivity of the studied nurses were 188.16 ± 8.22 out of 450, 62.32 ± 7.45 out of 105, and 71.55 ± 6.39 out of 100, respectively, indicating the weak level of critical thinking and the average level of moral courage and moral sensitivity of nurses. Between moral courage (p < 0.001, r = 0.574) and moral sensitivity (p < 0.001, r = 0.611) with critical thinking, a statistically significant correlation was observed in the direct direction. Based on the results of multiple linear regression, the components of critical thinking, which include truth-seeking, inquisitiveness, analyticity, systematicity, self-confidence, cognitive maturity, and open-mindedness, respectively, were identified as predictors of moral sensitivity and moral courage (P < 0.001).</p><p><strong>Conclusion: </strong>The critical thinking of the examined nurses was estimated at a weak level, and moral courage and moral sensitivity were estimated at a moderate level. Based on the results, there is a possibility that by improving critical thinking, the state of moral courage and moral sensitivity of nurses will improve. Therefore, it is suggested that the hospital managers provide an opportunity to improve the critical thinking status of nurses by holding related courses and workshops, so that by this means, we can witness the growth and improvement of their courage and moral sensitivity.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"825"},"PeriodicalIF":3.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630941","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 impact of Benson's relaxation technique on the quality of life of operating room nurses in hospitals southwest Iran: a randomized controlled trial.","authors":"Zinat Mohebbi, Sina Ghanbarzadeh, Alireza Ejraei, Somayeh Gheysari, Fahimeh Alsadat Hosseini","doi":"10.1186/s12912-024-02495-7","DOIUrl":"10.1186/s12912-024-02495-7","url":null,"abstract":"<p><strong>Background: </strong>In clinical settings, continuous changes lead to increased professional stress, affecting the quality of life of nurses. Some complementary interventions may influence the improvement of the quality of life. This study aimed to determine the effect of Benson's relaxation technique on the operating room nurses' quality of life.</p><p><strong>Methods: </strong>In this clinical trial, 180 operating room nurses were randomly allocated to two groups: intervention (Benson's relaxation technique) and control (routine activity). The study was conducted from December 2021 to March 2022 in hospitals affiliated with Shiraz University of Medical Sciences. Benson's relaxation technique was performed twice daily by the intervention group for 8 weeks. Quality of life was measured before and after the intervention using the SF-36 questionnaire. Data were analyzed using SPSS version 21 software, with a significance level set at a P < 0.05.</p><p><strong>Results: </strong>After the intervention, the results showed that Benson's relaxation technique led to an increase in the quality of life in the intervention group (P < 0.0001). In terms of quality-of-life dimensions, significant improvements were observed in the intervention group in the domains of physical problems (P < 0.05), emotional problems (P < 0.05), general health (P < 0.05), pain (P < 0.0001), and social functioning (P < 0.05). However, no significant differences were found in the dimensions of physical functioning, energy, and emotional well-being.</p><p><strong>Conclusions: </strong>Benson's relaxation technique can serve as a complementary method to improve various dimensions of the operating room nurses' quality of life.</p><p><strong>Trial registration number: </strong>IRCT20211002052650N1 with the Clinical Trial Registry (26.10.2022).</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"826"},"PeriodicalIF":3.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630348","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":"Designing and evaluating ECG interpretation software for undergraduate nursing students in Iran: a non-equivalent control group pretest-posttest design.","authors":"Noushin Kohan, Nasrin Navabi, Maryam Karbasi Motlagh, Fatemeh Ahmadinia","doi":"10.1186/s12912-024-02472-0","DOIUrl":"10.1186/s12912-024-02472-0","url":null,"abstract":"<p><strong>Background: </strong>It is essential for nurses to interpret electrocardiograms accurately in cardiac care and emergency departments. Despite rigorous training, nursing students frequently encounter challenges in mastering electrocardiogram interpretation. The purpose of our study was to evaluate the effectiveness of an electrocardiogram interpretation software specifically designed for Iranian nursing students enrolled in undergraduate programs.</p><p><strong>Methods: </strong>A nonequivalent control group pretest-posttest design was conducted at Ramsar University of Medical Sciences in 2020. Using the census sampling method, 75 nursing students from the two educational hospitals were recruited. Participants were divided into two intervention groups and a control group according to their rotations at their respective hospitals. The software contains evidence-based guidelines, interactive learning modules, practice exercises, and real-life examples. Statistical analyses, including chi-square tests and t tests, were conducted using descriptive and inferential statistics.</p><p><strong>Results: </strong>A comparison of the two groups according to demographic characteristics, such as sex, age, was not statistically significant (p > 0.05). The knowledge and skills of the individuals in the control group significantly improved in comparison to those before the intervention. The use of software enhanced students' ability to interpret electrocardiograms. Moreover, there was no statistically significant difference between the intervention and control groups in terms of knowledge and skills of electrocardiogram interpretation. Nursing students reported higher levels of satisfaction after using the software.</p><p><strong>Conclusion: </strong>Moreover, undergraduate nursing students were able to learn more using electrocardiogram interpretation software combined with traditional teaching methods. Combining these two methods in a blended learning approach can improve learning. This software can be integrated into nursing curricula to assist nursing students in interpreting electrocardiograms.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"827"},"PeriodicalIF":3.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630888","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":"Parental stress and nurse-parent support in the neonatal intensive care unit: a cross-sectional study.","authors":"Dilek Konukbay, Mürşide Vural, Dilek Yildiz","doi":"10.1186/s12912-024-02458-y","DOIUrl":"10.1186/s12912-024-02458-y","url":null,"abstract":"<p><strong>Background: </strong>Admission of a preterm infant to the Neonatal Intensive Care Unit (NICU) is highly stressful for parents. NICU nurses play a crucial role in providing support, positively impacting health and aiding effective stress management during this challenging period. This study assesses stress and nurse-parent support for parents with preterm infants in the NICU, exploring connections between stress, support, and various parental and infant variables.</p><p><strong>Methods: </strong>This descriptive cross-sectional study was conducted between January and July 2019 on a total of 150 parents (75 mothers and 75 fathers) with preterm infants in a private hospital's NICU in Ankara, Turkey. Data were collected using the Parent and Infant Information Form, Parental Stressor Scale: NICU (PSS: NICU), and Nurse-Parent Support Tool (NPST).</p><p><strong>Results: </strong>There was no significant correlation between PSS: NICU and NPST scores (p > 0.05). However, a significant difference was observed in the overall NPST score (p = 0.036) and its emotional support subscale (p = 0.013). Mothers' PSS: NICU was influenced by infant information (p = 0.027) and marital duration ((p = 0.002), while fathers' was influenced by number of children (p = 0.040) and infant care participation (p = 0.001). NPST was affected by number of children (p = 0.004) and infant respiratory status (p = 0.011) for mothers and number of children for fathers (p = 0.038). Since parents require informational, emotional, and care-related support, nurses should continuously enhance their professional and communication skills to establish effective communication with parents and provide targeted support.</p><p><strong>Conclusion: </strong>This study found mothers received greater nurse support than fathers. Mothers with one child had higher nurse support, while mechanical ventilation for mothers and having more than one child for fathers were linked to reduced support. Lower stress levels were noted in mothers married for 6-10 years, those informed about the infant, and fathers actively participating in infant care with more than one child.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"820"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629885","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":"Knowledge, attitudes, and practices toward bioterrorism preparedness among nurses: a cross-sectional study.","authors":"Tiantian Li, Chao Zhao, Yongzhong Zhang, Song Bai, Zichen Zhou, Nan Li, Lulu Yao, Shaotong Ren, Rui Zhong","doi":"10.1186/s12912-024-02485-9","DOIUrl":"10.1186/s12912-024-02485-9","url":null,"abstract":"<p><strong>Background: </strong>Bioterrorism is an important topic in the field of biosecurity. Nurses, the largest group of healthcare workers, play a critical role in addressing the threat of bioterrorism. This study aimed to examine the present level of bioterrorism knowledge, attitudes, and practices among nurses. It also explored the relationships among bioterrorism knowledge, attitudes, and practices, as well as demographic variables that influence the scores of each dimension.</p><p><strong>Methods: </strong>A descriptive correlational research design was conducted using a convenience sample of 429 nurses in five tertiary general hospitals in Tianjin. Registered nurses with six months or more of work experience, currently still working in hospitals, and volunteering to participate in the study are included; otherwise, they are excluded. A structured questionnaire with four components was used: sociodemographic characteristics, knowledge of bioterrorism, attitudes toward bioterrorism, and practices related to bioterrorism. The acquired data were analyzed using the Mann‒Whitney test, Kruskal‒Wallis test, Spearman correlation analysis, and multiple linear regression. This study followed the STROBE guidelines.</p><p><strong>Results: </strong>The study ultimately included 429 valid surveys. The mean score for bioterrorism knowledge was satisfactory (33.06 ± 4.87), the mean score for bioterrorism attitudes was good (23.83 ± 5.23), and the mean score for bioterrorism practices was poor (10.94 ± 6.51). There was a significant negative correlation between bioterrorism knowledge and attitudes (r=-0.38, p < 0.01), knowledge and practices (r=-0.42, p < 0.01). Bioterrorism practices were significantly positively correlated with attitudes (r = 0.21, p < 0.01). Educational level (β = 0.17, p < 0.001), years of experience (β = 0.26, p < 0.001), and previous bioterrorism education (β = 0.19, p < 0.001) influenced the bioterrorism knowledge score. Gender (β=-0.21, p < 0.001), educational level (β = 0.10, p < 0.05), and previous bioterrorism education (β = 0.22, p < 0.001) affected the bioterrorism attitude score. Years of experience (β=-0.28, p < 0.001) and previous bioterrorism education (β = 0.13, p < 0.01) had an impact on the practice score.</p><p><strong>Conclusions: </strong>Knowledge of bioterrorism was significantly negatively correlated with attitudes and practices, which could be attributed to the specificity of bioterrorism itself. To improve nurses' bioterrorism preparedness, continuing medical education efforts must be strengthened, as well as regular delivery of bioterrorism-specific training and drills.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"823"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629737","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":"Head nurse ethical competence and transformational leadership: a cross-sectional study.","authors":"Qiang Yu, Ling Liu, Yusheng Tian, Xuting Li, Jiaxin Yang, Qiaomei Liu, Zengyu Chen, Meng Ning, Fan Wang, Yamin Li, Chongmei Huang","doi":"10.1186/s12912-024-02484-w","DOIUrl":"10.1186/s12912-024-02484-w","url":null,"abstract":"<p><strong>Background: </strong>Ethical competency is important to head nurses' transformational leadership, however, few researches have explored their correlation, Additionally, most studies used variable-oriented approach to examine ethical competence, without considering it as a multidimensional concept. This study aimed to identify the latent profiles of head nurses' ethical competence and examine differences in transformational leadership across latent profiles.</p><p><strong>Methods: </strong>Convenience sampling was used to recruit 329 head nurses from four tertiary hospitals in Changsha, Hunan province, China. This study collected data by using social-demographic survey, Ethical Competence Questionnaire, and Head Nurse's Transformational Leadership Self-rating Scale between July and August 2023. Latent profile analysis (LPA) was employed to identify latent profiles of ethical competency. One-way ANOVA test and the Kruskal-Wallis test were used to compare the transformational leadership scores across latent profiles of ethical competency.</p><p><strong>Results: </strong>The mean scores of ethical competence and transformational leadership were 4.045 ± 0.394 and 4.555 ± 0.419, respectively. This study identified three latent profiles of head nurses' ethical competence, and those profiles labelled \"low ethical competence\" (n = 60, 18.2%), \"moderate ethical competence\" (n = 217, 66.0%) and \"high ethical competence\" (n = 52, 15.8%). The average score of transformational leadership was also statistically different (F = 26.446, p = 0.000) across the three profiles.</p><p><strong>Conclusion: </strong>Our findings underscore the importance of tailoring interventions to address the varying profiles of ethical competence among head nurses. Enhancing ethical competence can strengthen transformational leadership, ultimately leading to improved patient outcomes and overall healthcare quality.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"821"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630920","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":"A neurosurgical nursing training system based on 3D printing models: practice and exploration of precision medicine.","authors":"Keqiong Lv, Zigang Yuan, Qiong Chen, Zhaojun Wang, Jianli Wang, Jinli Miao, Wenmin Wang, Bing Xu","doi":"10.1186/s12912-024-02482-y","DOIUrl":"10.1186/s12912-024-02482-y","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the concept of precision medicine has gradually permeated the field of nursing, presenting new challenges for neurosurgical nursing staff. Traditional teaching methods often struggle to adequately convey complex anatomical knowledge and nursing skills, thereby affecting the learning outcomes and clinical decision-making abilities of nurses. As an innovative educational tool, three-dimensional (3D) printing technology has demonstrated significant potential in medical education in recent years. Therefore, this project aims to explore the advantages and feasibility of using 3D printed models as a novel teaching tool in neurosurgical nursing.</p><p><strong>Methods: </strong>The study involved 80 nursing personnel who participated in the neurosurgical rotation training at Shaoxing People's Hospital from 2022 to 2023. The control group (40 individuals) used only traditional teaching tools such as textbooks, multimedia courseware, and laboratory equipment for theoretical and practical training based on the curriculum. The experimental group (40 individuals) incorporated a 3D printing model database as an innovative teaching tool on the basis of traditional teaching methods, and used patient-specific 3D printed models for precise nursing training. After the training, both groups were assessed for theoretical and practical abilities, professional values, job satisfaction, and the prognosis of intracranial aneurysm patients they cared for.</p><p><strong>Results: </strong>The experimental group demonstrated superior scores in theoretical and practical abilities, professional values, and job satisfaction compared to the control group. During the training period, patients with intracranial aneurysms receiving precision nursing care from the experimental group showed better quality of life and neurological functional outcomes compared to the control group.</p><p><strong>Conclusions: </strong>The nursing training system based on 3D printing models can enhance the learning efficiency and nursing work satisfaction of nursing personnel. It may have a positive impact on the professional values of nursing personnel, thereby laying a solid foundation for providing high-quality, precise nursing services in the field of neurosurgery in the future.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"824"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630861","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":"Perspective on patient-centered communication: a focus group study investigating the experiences and needs of nursing professionals.","authors":"Kendra Mielke, Wiebke Frerichs, Katja Cöllen, Anja Lindig, Martin Härter, Isabelle Scholl","doi":"10.1186/s12912-024-02487-7","DOIUrl":"10.1186/s12912-024-02487-7","url":null,"abstract":"<p><strong>Background: </strong>Delivering high quality care tailored to patients' needs necessitate patient-centered communication. High physical and mental workload, as well as organizational barriers, contribute to challenges nurses face in patient-centered communication. Participation in a communication skills training can help nurses to improve their patient-centered communication skills. Thus, the aim of this study was to investigate the experiences of nursing professionals in patient-centered communication and delineate the requisite content for a communication skills training.</p><p><strong>Methods: </strong>We conducted focus group interviews with nursing professionals working at an academic medical center in Germany. The focus group interviews were audio-recorded and transcribed verbatim. Data analysis was performed using Kuckartz's qualitative content analysis.</p><p><strong>Results: </strong>31 nursing professionals from diverse medical disciplines (e.g., pediatrics, obstetrics, cardiology, neurology, oncology) participated in the study, unveiling a spectrum of communication experiences, including organizational and system-related challenges, constraints induced by the COVID-19 pandemic, management of personal emotions, and communication challenges with patients and relatives. They also identified aspects they experienced as beneficial for patient-centered communication (e.g., allocating sufficient time, being authentic, providing clear information). Furthermore, participants identified specific aspects, which should be included in a patient-centered communication skills training.</p><p><strong>Conclusion: </strong>The findings suggests that not only nurses from oncology and intensive care, but also from other medical disciplines, experience significant communication challenges with patients and relatives. Applying patient-centered aspects of communication was considered beneficial for effective communication. The needs identified through participants' experiences (e.g., core communication skills and strategies, handling escalating situations, and discussing serious illness, death and dying) informed the development of a patient-centered communication skills training specifically tailored for nursing professionals across diverse medical disinclines in Germany.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"822"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11558982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630242","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":"A comprehensive nurse-led aftercare programme addressing post-burn sexual well-being of adult burn survivors: a randomised controlled trial.","authors":"Jonathan Bayuo, Frances Kam Yuet Wong, Arkers Kwan Ching Wong, Prince Kyei Baffour, Loretta Yuet Foon Chung","doi":"10.1186/s12912-024-02461-3","DOIUrl":"10.1186/s12912-024-02461-3","url":null,"abstract":"<p><strong>Background: </strong>Sexual well-being is a key part of being human yet often remains shrouded in secrecy and poorly addressed in the clinical setting. The impact of burns and its long-term sequelae often lead to concerns regarding body image disturbance, self-esteem issues, and interpersonal challenges which can impact on an individual's sexual well-being. However, existing post-burn rehabilitation programmes usually lack components addressing concerns regarding sexual well-being. As a part of a larger project, we developed a nurse-led aftercare programme, and this study sought to examine the effects of the programme in addressing the post-burn sexual well-being of adult burn survivors.</p><p><strong>Methods: </strong>A randomised controlled trial approach was used. Sixty burn survivors aged ≥ 18 years with burn size ≥ 10% total burn surface area were assigned to intervention and control groups. Participants in the intervention group underwent the nurse-led aftercare programme which involved pre-discharge support and proactive follow-up support over 8 weeks. The sexuality subscale of the Burn Specific Health Scale-Brief was used to evaluate the outcome of interest. Data were collected at three timepoints: baseline (T0), post-intervention (T1), and follow-up (T2).</p><p><strong>Results: </strong>Using a corrected p value of 0.017, the study observed only statistically significant time effect at both T1 and T2. Both group and interaction effects were statistically insignificant for this outcome.</p><p><strong>Conclusion: </strong>Issues regarding sexual well-being are often considered sacred and may be challenging to discuss. Thus, a longer duration of the intervention may be considered with ongoing training of practitioners to identify and resolve emerging challenges. Despite the non-significant interaction and group effects, including sexual well-being support in post-burns rehabilitation programmes will facilitate access to and utilisation of the service among burn survivors who may need it.</p><p><strong>Trial registration: </strong>Prospectively registered on 14th August 2020.</p><p><strong>Clinicaltrials: </strong>govNCT04517721.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"818"},"PeriodicalIF":3.1,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630813","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 effect of perceived organizational support and ego-resilience on the relationship between occupational stressors and compassion fatigue in COVID-19 frontline nurses: a cross-sectional study in Sichuan, China.","authors":"Danju Liu, Sijia Xie, Jie Jing, Eksiri Niyomsilp, Linli Xie, Xinyue Nie, Yanran Liang","doi":"10.1186/s12912-024-02473-z","DOIUrl":"10.1186/s12912-024-02473-z","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the level of compassion fatigue among frontline nurses during the COVID-19 pandemic and to explore the relationship between occupational stressors and compassion fatigue among frontline nurses based on structural equation modelling.</p><p><strong>Background: </strong>Three years into the COVID-19 pandemic, nurses on the frontlines of the battle were overwhelmed by affective and emotional inputs while caring for patients, and they generally experienced varying degrees of psychological problems. High levels of compassion fatigue can affect nursing quality and patient safety and therefore should be taken seriously by nursing managers.</p><p><strong>Methods: </strong>A cross-sectional survey of 1432 frontline nurses in Sichuan Province, China, was conducted from January to March 2023 via convenience sampling methods. The General Information Questionnaire, the Nurses' Occupational Stressors Scale, the Ego-Resilience Scale, the Chinese version of the Compassion Fatigue Brief Scale, and the Perceived Organizational Support Scale were used to collect the data. Hypotheses were tested using structural equation models and bootstrapping methods.</p><p><strong>Results: </strong>Nurse occupational stressors had a significant direct effect on compassion fatigue (B = 2.429, p < 0.001). Perceived organizational support exerted a mediating effect of 11.36% between occupational stressors and compassion fatigue. In addition, ego-resilience had a moderating role in the relationship between nurses' occupational stressors and compassion fatigue, between nurses' occupational stressors and perceived organizational support, and between perceived organizational support and compassion fatigue. Multiple linear regression analysis revealed that the most influential dimension of occupational stressors on compassion fatigue was work-family conflict (β = 0.253, p < 0.001), followed by organizational issues (β = 0.153, p < 0.001), work demands (β = 0.103, p < 0.001) and difficulty taking leave (β = 0.102, p < 0.001).</p><p><strong>Conclusion: </strong>Nurse occupational stressors are positively associated with compassion fatigue and influence nurse compassion fatigue through the mediating effect of perceived organizational support and the moderating mechanism of ego-resilience. Managers can reduce nurses' compassion fatigue levels by reducing occupational stressors, promoting nurses' perceived organizational support, and fostering ego-resilience.</p><p><strong>Implications for nursing management: </strong>This study further integrated the external and internal factors affecting compassion fatigue and constructed a structural equation model of the mechanism of compassion fatigue in frontline nurses, which has implications for the early identification and intervention of compassion fatigue in nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"817"},"PeriodicalIF":3.1,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630245","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}