BMC Nursing最新文献

{"title":"The effect of the challenges experienced by nurses during the pandemic on their intention to leave work: the mediating role of the performance.","authors":"Tuğba Öztürk Yıldırım, Hilal Kuşcu Karatepe","doi":"10.1186/s12912-024-02413-x","DOIUrl":"10.1186/s12912-024-02413-x","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, negative working conditions in the nursing profession have worsened, and nurses have experienced various challenges that have increased their intention to leave work. Findings on the role of nurse performance under such conditions are limited.</p><p><strong>Aims: </strong>This study aimed to investigate the role of performance in the effect of the challenges experienced by nurses during the pandemic on their intention to leave work.</p><p><strong>Methods: </strong>This descriptive and cross-sectional study was conducted between July 2022 and August 2023 in Turkey using an online survey. A total of 462 nurses participated in the study, which employed the non-probability random and snowball sampling methods.</p><p><strong>Results: </strong>The mediating factors in the effect of the challenges experienced by nurses during the pandemic on their intention to leave work were task performance (β = 0.07), contextual performance (β = 0.05), and counterproductive work behavior (β = 0.12), respectively.</p><p><strong>Conclusions: </strong>This study determined that task performance, contextual performance, and counterproductive work behavior played an important role in the effect of the challenges experienced by nurses during the pandemic on their intention to leave work. The present results may serve as a guide in determining effective strategies to be employed in possible pandemic situations.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"819"},"PeriodicalIF":3.1,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630347","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":"Boundary-blurred behaviors in academic teachers-students facebook interaction: are guidelines needed? A cross-sectional study.","authors":"Ronya Levy, Oren Asman, Sivia Barnoy","doi":"10.1186/s12912-024-02466-y","DOIUrl":"10.1186/s12912-024-02466-y","url":null,"abstract":"<p><strong>Background: </strong>Communication via social networks has different norms than in the \"offline\" world and broadens the sphere of student-teacher interactions. Facebook is mainly used for social interaction and information sharing. However, it also serves as an education and learning platform. This risks boundary-blurred behaviors between students and their academic teachers in the virtual space. The current study examines the differences in perceived subjective norms, attitudes, and reported behaviors of academic teachers and nursing students' boundary-blurred behaviors with each other on Facebook.</p><p><strong>Methods: </strong>A cross-sectional study was utilized, guided by the Theory of Reasoned Action (TRA), examining attitudes, subjective norms, and reported virtual behaviors that signify blurred student-teacher boundaries. Data were collected among 223 nursing students and 78 academic teachers. The university's ethics committee approved the research (#21.9.19).</p><p><strong>Results: </strong>Consistent with the TRA, a significant correlation was found between virtual boundary-blurred behaviors and attitudes (r = .55, P < .001), university subjective norms (r = .48, p < .001), and peers' subjective norms (r = .47, p < .001). Nursing students' attitudes were significantly (t = 5.81; p < .001) more favorable towards boundary-blurred behaviors (M = 2.40, SD = 0.91) than those of academic-teachers (M = 1.71, SD = 0.83), and so were the perceived subjective norms of their student peers (M = 2.72, SD = 1.15) compared to those of their teachers (M = 2.09, SD = 1.14). Interestingly, the difference in reports of boundary-blurred Facebook behaviors between teachers (M = 1.36, SD = 0.52) and students (M = 1.49, SD = 0.70) was not significant. Boundary-blurred behaviors for teachers were best predicted by attitudes and perceived subjective norms of the university [R² = 0.62; F(5,72) = 23.31], and for students by attitudes and perceived subjective norms of their peers [R² = 0.45; F)5,216) = 28.88].</p><p><strong>Conclusions: </strong>The differences demonstrated between students and teachers may emanate from the perception of the teacher's role and generational gaps. These may lead to miscommunication and the crossing of boundaries. The findings indicate the importance of setting more explicit guidelines for using social media in the context of student-teacher communication.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"816"},"PeriodicalIF":3.1,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630884","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 the long-term care (LTC) service needs of older adults based on time-driven activity-based costing (TDABC)-a cross-sectional survey in central China.","authors":"Fang Li, Li Li, Weihong Huang, Yuting Zeng, Yanfang Long, Jing Peng, Jianzhong Hu, Jing Li, Xi Chen","doi":"10.1186/s12912-024-02464-0","DOIUrl":"10.1186/s12912-024-02464-0","url":null,"abstract":"<p><strong>Background: </strong>The global population's aging has led to an increasing demand for long-term care (LTC), especially in developing countries like China. Comprehensive assessment of LTC service demands by including the time and cost analysis is crucial to inform the planning and financing of LTC resources, yet such research is lacking in China. Our research team has developed a quantitative index system of the medical and nursing services needs of older adults (QISMNSNE) based on the framework of Time-Driven Activity-Based Costing (TDABC), providing a valuable tool for measuring LTC service needs. This study aimed to assess the LTC service needs of older adults in China and the factors associated with such needs.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in Changsha City, Hunan Province, China, from June 2021 to December 2022. A stratified multistage cluster sampling method was used to recruit 1,270 older adults from five nursing homes and three communities/streets in three regions of Changsha City. The LTC service needs were assessed by calculating the service time required from caregivers, nurses, and doctors and the total service time (min/d) using the QISMNSNE. Participants' disability, activities of daily living (ADLs), mental status and social involvement (MSSI), and sensory and communication (SC) were assessed using standard scales. Generalized linear regression models were used to analyze factors associated with LTC service needs.</p><p><strong>Results: </strong>The participants had an average age of 76.41 ± 8.38 years, with 43.7% being female. The median service time required from caregivers, nurses, and doctors was 53.34 min/d, 3.66 min/d, and 0.33 min/d, respectively, and the total service time was 83.31 min/d. The generalized linear regression model identified the following factors that were associated with higher total service time: aged 75-84 years, living in nursing homes, income over 5000 per month, ADLs, MSSI (9 ~ 40), SC, and having 3 ~ 4 kinds of geriatric comorbidity (P < 0.05).</p><p><strong>Conclusions: </strong>Older adults have a high need for LTC services, especially those provided by caregivers, indicating an urgent need to expand and improve LTC systems. The LTC service time needed is associated with multilevel factors encompassing socio-demographic, functional, and psychological aspects. This study offers preliminary insights into the needs, demands, and costs of LTC services for older adults and provides essential guidance for future planning and financing of LTC resources.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"815"},"PeriodicalIF":3.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11545470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630880","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 centrality of nursing in realizing high quality palliative care: Exploring Canada's framework on palliative care priorities.","authors":"Barbara Pesut, Sally Thorne, David Kenneth Wright, Michael Banwell","doi":"10.1186/s12912-024-02488-6","DOIUrl":"10.1186/s12912-024-02488-6","url":null,"abstract":"<p><strong>Background: </strong>Following an earlier mixed-method survey in which we asked stakeholders to report on their perceptions of the progress made in relation to Canada's Framework on Palliative Care and Action Plan, the purpose of this study was to conduct an in-depth qualitative exploration of the factors influencing that progress, or lack thereof.</p><p><strong>Methods: </strong>This was a qualitative interview study conducted in Canada. Inclusion criteria included experience with palliative care in Canada in a professional or volunteer capacity. Interviews were conducted by telephone using an interview guide that asked specific questions in relation to the Framework on palliative care priorities (e.g., education, caregiver support, and equitable access). Data was analyzed using qualitative descriptive methods.</p><p><strong>Results: </strong>Thirty-five diverse stakeholders with extensive experience in palliative care were interviewed. In relation to palliative education, participants indicated that although there were excellent palliative care resources available across the country there was further need for embedding palliative care in undergraduate education and for mentored opportunities to engage in care across diverse contexts. The identification, development, and strategic positioning of champions was an important strategy for improving palliative care knowledge and capacity. The development of standard competencies was viewed as an important step forward; although, there was a need to include more members of the care-team and to create pathways for life-long learning. In relation to support for family caregivers, even as participants cited numerous community-based resources offered by not-for-profit organizations, they described significant barriers including a shortage of in-home support, lack of understanding of what caregivers do, and policy-based contractual and privacy issues. In relation to palliative care access, participants described a nurse-centered, consult-based, multi-site and multi-provider model of care that was facilitated by technology. Barriers to this model were systemic healthcare issues of siloed, fragmented, and for-profit care.</p><p><strong>Conclusion: </strong>Participants in this study had clear insights into the factors that would support or impede progress to the development of palliative care in Canada. Some of those factors were achievable within current health and educational systems. Other factors were going to require longer term and more comprehensive solutions.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"814"},"PeriodicalIF":3.1,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630244","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":"Job satisfaction among nurses in Eastern Mediterranean Region hospitals: a systematic review and meta-analysis.","authors":"Parvaneh Isfahani, Mahdieh Poodineh Moghadam, Mohammad Sarani, Aliyeh Bazi, Fatemeh Boulagh, Mahnaz Afshari, Somayeh Samani, Shahrzad Alvani","doi":"10.1186/s12912-024-02480-0","DOIUrl":"10.1186/s12912-024-02480-0","url":null,"abstract":"<p><strong>Background: </strong>Job satisfaction is the extent to which an employee feels positively or negatively toward their job. Hospitals with high job satisfaction among nurses provide higher-quality nursing care, resulting in higher patient satisfaction.</p><p><strong>Aims: </strong>This study was conducted to determine job satisfaction among nurses in Eastern Mediterranean Region (EMR) hospitals.</p><p><strong>Methods: </strong>This research was a meta-analysis of research on job satisfaction among nurses in EMR hospitals. All studies published in three databases (PubMed, Scopus, Web of Science) and Google Scholar search engine were searched, collected, and assessed for quality. The STROBE checklist was used to determine the quality of the studies. Finally, 13 articles were analyzed using the CMA software.</p><p><strong>Results: </strong>Based on the random effects model, the overall job satisfaction among nurses in EMR hospitals was 17.9% (95% CI (11.9-26.0)). The highest job satisfaction was in hospitals in Palestine. Job satisfaction among nurses was higher in high-income countries than in others. The level of job satisfaction was also higher in private hospitals. Moreover, the results showed that average age and sample size caused heterogeneity between the reviewed studies (p < 0.05).</p><p><strong>Conclusion: </strong>According to the results of this study, about 18% of nurses in EMR hospitals felt satisfied with their job. Therefore, healthcare managers and policymakers in the EMR region must identify and eliminate the causes of dissatisfaction.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"812"},"PeriodicalIF":4.3,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11542198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606900","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":"Evaluating the effectiveness of a new curriculum for transcultural nursing education: a mixed-method study.","authors":"Betül Tosun, Emel Bahadır Yılmaz, Ezgi Dirgar, Eda Başustaoğlu Şahin, Kadiriye Pehlivan Hatipoğlu, Ayla Yava","doi":"10.1186/s12912-024-02450-6","DOIUrl":"10.1186/s12912-024-02450-6","url":null,"abstract":"<p><strong>Background: </strong>In recent years, limited studies have evaluated the development of cultural awareness, sensitivity, skills, communication and competence among nursing students using different models and curricula.</p><p><strong>Objectives: </strong>This study aimed to evaluate the effectiveness of a new internationally developed curriculum for transcultural nursing education.</p><p><strong>Methods: </strong>This mixed methods study was conducted on nursing students (n = 83) who attended a transcultural nursing course from 2021 to 2022 during the fall semester. A paired samples test was used to compare total scores, and the related-samples Wilcoxon signed-rank test was used to compare subscale scores.</p><p><strong>Results: </strong>The vast majority (94.0%) of the participants mentioned Islam as their religion. Turkish was the mother tongue of 91.6% of them, while 10.8% were able to speak English and 6.0% were able to speak Kurdish fluently. The mean score for the achievement of cultural competence subdimension posttest was significantly greater (p < 0.001). Posttest mean scores for challenges and barriers in providing culturally competent care subdimensions were significantly lower (p = 0.003). The mean score on the culturally sensitive communication subdimension pretest was 21.00 ± 4.76, and the mean score on the posttest increased to 23.02 ± 6.05, which was a statistically significantly greater difference (p = 0.024). According to the qualitative results of our study, five main themes were analyzed: transcultural nursing as an opportunity, transcultural nursing as a didactic process, transcultural nursing as a professional field, transcultural care as a safe environment, and transcultural care as an obligation.</p><p><strong>Conclusions: </strong>In this study, after a semester of continuing education, nursing students developed respect for cultural diversity, cultural competence, and culturally sensitive communication.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"813"},"PeriodicalIF":4.3,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11546532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606798","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":"Caregiver burden, perceived stress, and social support among parents of chronically Ill children in Saudi Arabia.","authors":"Hebah Almulla, Ohoud Aljaloud, Halah Almulla, Seema Nasser","doi":"10.1186/s12912-024-02494-8","DOIUrl":"10.1186/s12912-024-02494-8","url":null,"abstract":"<p><strong>Background: </strong>Children with chronic illnesses pose a significant burden on parents who are directly involved in caregiving. Despite the high prevalence of chronic illnesses among children in Saudi Arabia, no study has examined caregiver burden and other related factors in the Saudi Population. Thus, this study determined the levels of caregiver burden, perceived social support, and perceived stress and their association among parents who provide care to their child with a chronic illness.</p><p><strong>Methods: </strong>A cross-sectional design was used for this study. Data were collected through an online survey using standardized scales from parents who had at least one child suffering from a chronic illness or disability for more than 12 months and requiring continuous medical treatment.</p><p><strong>Results: </strong>A total of 206 parents reported mild-to-moderate levels of caregiver burden, moderate levels of perceived stress, and high levels of perceived social support. Furthermore, perceived social support was significantly correlated with caregiver burden (rho = - 0.36, p < 0.01) and perceived stress (rho = - 0.45, p < 0.01), and caregiver burden was significantly associated with perceived stress (rho = 0.65, p < 0.01).</p><p><strong>Conclusions: </strong>Study findings suggest that social support could play a pivotal role in designing intervention programs to mitigate the stress caused by the caregiver burden. This insight underscores the urgent need for policymakers to develop psychosocial interventions and targeted programs for caregivers of children with chronic illnesses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"811"},"PeriodicalIF":4.3,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11542463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606886","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 nurses' Machiavellian and deontic justice personality on the tendency to make medical errors and other factors: a cross-sectional study.","authors":"Neşe Çelik","doi":"10.1186/s12912-024-02476-w","DOIUrl":"10.1186/s12912-024-02476-w","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to investigate the effect of nurses' Machiavellian and deontic justice personality on the tendency to make medical errors. Additionally, conducted to investigate the other factors associated with nurses' tendency to make medical errors.</p><p><strong>Methods: </strong>This cross-sectional study consisted of 345 nurses working in a state university medical faculty health application and research hospital, and data were collected using the Medical Error Tendency in Nursing Scale, the Machiavellian Personality Scale, and the Deontic Justice Scale.</p><p><strong>Results: </strong>Machiavellian and deontic justice personality of nurses effect in low level their tendency to make medical errors (R = 0.284, p = 0.001). As the nurses' Machiavellian tendencies increased, their propensity toward making medical errors also increased. The increase in Nurses' deontic justice reduced their tendency toward medical errors (p < 0.05). A significant difference was found between nurses' mean tendency to medical errors scores and their age, working life/years, the number of night shifts, the daily number of patients provided with care, the status of working in the COVID-19 service, and the status of having received education on medical errors (p < 0.05).</p><p><strong>Conclusions: </strong>Nurses' Machiavellian tendencies and deontic justice approach affect their propensity to make medical errors. Nurses who have a Machiavellian tendency and poor deontic justice have a high tendency to make medical errors. Nurses' age, working life/years, the number of night shifts, the daily number of patients they provide care for, working in the COVID-19 service, and having received education on medical errors were the other factors affecting their tendency to make medical errors. This study demonstrated that nurses' personality traits can cause medical errors. Generations are changing in the world and personality are also changing. Therefore, including personal development in nursing education could be a positive approach for medical errors.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"807"},"PeriodicalIF":3.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589954","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":"Self-reported pain assessment, core competence and practice ability for palliative care among Chinese oncology nurses: a multicenter cross-sectional study.","authors":"Jia Jia, Fan Fan Lv, Zhen Hua Cai, Long Ti Li, Xiao Fei Nie","doi":"10.1186/s12912-024-02471-1","DOIUrl":"10.1186/s12912-024-02471-1","url":null,"abstract":"<p><strong>Objective: </strong>The study was to survey the current situation and explore the relationship between pain assessment ability, palliative care core competence and palliative care practice ability among oncology nurses in mainland China.</p><p><strong>Methods: </strong>A multicenter cross-sectional study design was employed. Study data were collected in 26 tertiary hospitals among 1198 registered oncology nurses in the oncology department in Hubei province, China. A web-based survey was conducted using a stratified random integral sampling method to obtain data. All variables were measured using standardized instruments. Data was analyzed using SPSS 26.0 and AMOS 26.0 statistical software. All statistical tests were two-sided, with the significance level set at P < 0.05. The structural equation model was utilized to test the mediation effect of pain assessment ability on the pathway from palliative care core competence to palliative care practice ability.</p><p><strong>Results: </strong>The mean scores for pain assessment, core competence and practice ability were 125.68 (SD = 31.16), 76.67 (SD = 19.59) and 67.17(SD = 12.57), respectively. Pearson correlation analysis revealed significant positive correlations among the PCPS, EPCS, and Self-PAC scores of the oncology nurses (P < 0.01). The association between core competence and palliative care practice ability was mediated by pain assessment ability (ES = 0.125, 95%CI: 0.090-0.168).</p><p><strong>Conclusions: </strong>To enhance the effectiveness of palliative care practice, managers need to strengthen the core competencies of palliative care nurses and their ability to assess patients' pain, as these two factors will promote the practical abilities of oncology nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"806"},"PeriodicalIF":3.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589670","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":"'Technology in end-of-life care is very important': the view of nurses regarding technology and end-of-life care.","authors":"Priyanka Vandersman, Jennifer Tieman","doi":"10.1186/s12912-024-02475-x","DOIUrl":"10.1186/s12912-024-02475-x","url":null,"abstract":"<p><strong>Background: </strong>Globally, digital transformation has been sweeping through healthcare in recent years. Reflecting this global change, Australia's health and social care sector is also undergoing rapid digitalisation. Digital approaches can enhance care planning and coordination activities, as well as improve efficiencies in documentation and coordination of care. As the aged care environment continues to become digitalised into the future, there is an expectation that nurses practise the delicate art and science of compassionate caregiving in a technology-proliferated environment where care planning, provisioning, and documenting require digital knowledge and skills.</p><p><strong>Aim: </strong>To explore the perspectives and expectations of nurses working in residential aged care setting regarding the utilisation of technology to enhance care at the end-of-life.</p><p><strong>Methods: </strong>A qualitative descriptive research study design based on the secondary analysis of data collected as part of a larger study. Data collection was conducted using six semi-structured interviews and 11 focus group discussions with care workers, nurses, and nursing managers working in Australian residential aged care setting.</p><p><strong>Results: </strong>A total of 64 participants took part in this study. Overall, four themes were generated from the data as following: engagement with various digital systems and platforms; 2) ambivalence toward technology; 3) challenges and concerns in technology use; and 4) anticipated technology roles in end-of-life care. This study found that, nurses in Australian RAC are open to engage with technologies for end-of-life provision, despite some ambivalence and challenges encountered in the process.</p><p><strong>Conclusion: </strong>Nurses in residential aged care have an important role in end-of-life care of many older Australians. Digital approaches offer care and coordination opportunities however require the aged care sector and nurses to take up these opportunities. While nurses demonstrate openness to technology, focus needs to be placed on technology use support. This presents an opportunity for nurses to actively shape the future of digital innovations in aged care, ensuring high-quality, compassionate care for residents in their final stages of life.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"809"},"PeriodicalIF":3.1,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11542272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589830","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}