BMC NursingPub Date : 2024-12-03DOI: 10.1186/s12912-024-02541-4
Simeon Oluwole Ogunlowo, Bayo Lawal Ajibade
{"title":"Investigating the differential efficacy of lecture and demonstration teaching methods in teaching medical-surgical nursing among nursing students.","authors":"Simeon Oluwole Ogunlowo, Bayo Lawal Ajibade","doi":"10.1186/s12912-024-02541-4","DOIUrl":"10.1186/s12912-024-02541-4","url":null,"abstract":"<p><p>Medical-surgical nursing is one of the core courses in general nursing, through which nursing students acquire skills for clinical practice. Medical-surgical nurses work in diverse clinical areas and specialisations to deliver the highest quality care with a view to preserving life, improving health status, and maintaining client health throughout their lifetimes by using an appropriate skill that is better acquired from school through appropriate teaching methods. Hence the need to choose a suitable teaching method to educate the would-be nurses. This study examined the differential efficacy of lecture and demonstration methods for teaching medical-surgical nursing courses in BUTH Ogbomoso with a view to improving the academic performance of nursing students in medical-surgical nursing courses. An experimental research method was used; stratified random sampling was employed to select seventy participants; a pretest was conducted, followed by intervention, and then a post-test. Frequency distribution table, pie chart, bar charts, means, two-tail ANOVA, and t-test were used to analyse the result. Findings revealed that there was a significant difference in the mean score between the two studied groups with a P value of 0.000 < 0.05. It is therefore recommended that medical-surgical nursing educators should not only use the lecture method but employ the demonstration method in teaching medical-surgical nursing. There is a need to equip skill laboratories in the nursing institution for learning.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"884"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773981","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}
BMC NursingPub Date : 2024-12-03DOI: 10.1186/s12912-024-02506-7
Nancy Sabry Ellethiey, Heba Mohamed Al-Anwer Ali Ashour, Nadia Hassan Ali Awad
{"title":"Talent management in volatility, uncertainty, complexity, and ambiguity (VUCA) health environment, nurses' psychological contract fulfillment, cordial relation and generation: moderation-mediation model.","authors":"Nancy Sabry Ellethiey, Heba Mohamed Al-Anwer Ali Ashour, Nadia Hassan Ali Awad","doi":"10.1186/s12912-024-02506-7","DOIUrl":"10.1186/s12912-024-02506-7","url":null,"abstract":"<p><strong>Background: </strong>The VUCA in the healthcare environment requires combating volatility, uncertainty, complexity, and ambiguity through highly talented employees and implementing a talent management strategy. This encompasses a range of operations designed to find, attract, nurture, and utilize competent workers that impact how well nurses fulfill their psychological contracts. However, as the researchers had anticipated, several factors, such as cordial relationships and generation differences, may mediate or influence this correlation.</p><p><strong>Methods: </strong>For a cross-sectional study, a non-probability convenience sampling technique was used to include n = 375 nurses from among the 600 total nurses at three private hospitals in Alexandria, Egypt. Three validated measures were used to measure the study variables and develop a mediation-moderation structural equation model.</p><p><strong>Results: </strong>The result of this study revealed that nurses perceived a moderate level of talent management with a mean score of (48.91 ± 18.15), a low mean score (8.89 ± 3.93) of psychological contract fulfillment, and a moderate mean score (185.11 ± 27.02) of cordial relation. Additionally, more than half of the participants were in the Gen Z. Also, this study concluded that there is a positive mediation role of cordial relation and a negative moderation role of Gen between talent management and psychological contract fulfillment.</p><p><strong>Conclusions: </strong>Using Gen as a moderating variable and cordial relations as a mediating factor, a moderating mediating structural equation model is created and validates the important influence of talent management on nurses' psychological fulfillment, confirming the mediating effect of cordial relations and the moderating effect of genes in this relationship. GEN negatively predicted psychological contract fulfillment, meaning baby boomers predicted more psychological contract fulfillment than Z gen. Furthermore, talent management could positively predict cordial relations and psychological contract fulfillment, and cordial relations partially mediated the relationship between talent management and psychological contract fulfillment. Nurse mangers should be aware of and implement effective and talent management strategies with respecting gen difference, and apply tailored strategies for fostering nurses' cordial relation and psychological contract fulfillment to deal with the VUCA challenging healthcare environment.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"883"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773733","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}
BMC NursingPub Date : 2024-12-03DOI: 10.1186/s12912-024-02543-2
Hafidza Baharum, Aniza Ismail, Zainudin Awang, Lisa McKenna, Roszita Ibrahim, Zainah Mohamed, Nor Haty Hassan, Abdul Haniff Mohamad Yahaya
{"title":"The influencing factors of newly employed nurses' adaptation in Malaysia: a structural equation modelling assessment.","authors":"Hafidza Baharum, Aniza Ismail, Zainudin Awang, Lisa McKenna, Roszita Ibrahim, Zainah Mohamed, Nor Haty Hassan, Abdul Haniff Mohamad Yahaya","doi":"10.1186/s12912-024-02543-2","DOIUrl":"10.1186/s12912-024-02543-2","url":null,"abstract":"<p><strong>Background: </strong>Graduate nurses commonly experience the transition phase and are required to adapt quickly to their new workplace, as it is a prerequisite for a successful transition. However, workplace adaptation is extremely challenging and may affect nurses' future career prospects if not managed properly. Therefore, we aimed to determine the factors that facilitate newly employed nurses' adaptation and integration at Ministry of Health (MOH)-run state hospitals in Malaysia. The study framework was derived and adapted from the Roy adaptation model and organisational socialisation theories.</p><p><strong>Methods: </strong>This quantitative study was conducted from May 2021 to December 2021. The sample population was newly employed nurses working at state hospitals with 1-2 years of service experience. This study involved 496 newly hired nurses from MOH state hospitals. Questionnaires were distributed through Google Forms. The data were analysed using covariance-based structural equation modelling.</p><p><strong>Results: </strong>The participants perceived that workplace organisation (OC), academic institution contribution (AIC), and new nurse's personality traits (PT) contributed approximately 36% to newly employed nurses' adaptation (NENA). PT partially mediated the relationship between OC and NENA and between AIC and NENA.</p><p><strong>Conclusions: </strong>The results could be useful to nursing authorities. We also recommend that a nurse's personality be developed, emphasised, and enhanced through continuous programmes or training to ensure that they can easily adapt to their new working environment. Furthermore, academic institution and work organisation collaboration should be encouraged to develop improvement cycles that facilitate newly employed nurses' prompt and efficient adaptation at MOH hospitals during transition.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"879"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773766","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":"Development of an empathy scale in nurses.","authors":"Funda Karaman, Buse Saygin Şahin, Ayşe Nur Yerebakan Şen, Mahruk Rashidi, Melis Şen Yilmaz, Ayşegül Kocadereli, Aleyna Ustaoğlu","doi":"10.1186/s12912-024-02535-2","DOIUrl":"10.1186/s12912-024-02535-2","url":null,"abstract":"<p><strong>Objective: </strong>To develop an empathy scale to measure the empathy in nurses.</p><p><strong>Materials and methods: </strong>The sample of the study were collected between March and May in 2023 from 720 nurses working in private and state hospitals in İstanbul. Both exploratory factor analysis and confirmatory factor analysis were carried out. IBM SPSS and AMOS were utilized for statistical analyses.</p><p><strong>Results: </strong>KMO and Bartlett's test values of scale showed that the dataset was convenient for factor analyses (KMO = 0.94, Chi-Square = 9683.89, df = 595). In exploratory factor analysis, the 16 items comprising scale were distributed in three subscales. The confirmatory factor analysis revealed that the scale was in sufficient model fit. Cronbach's alpha of the total scale was 0.91.</p><p><strong>Conclusion: </strong>Empathy scale is a valid and reliable measurement tool to evaluate the empathy levels of nurses in three subscales: Emotional Empathy, Cognitive Empathy and Compassionate Empathy. The scale is a valuable tool for quality nursing care and contributes to the definition of strategies that advance the quality of nursing care.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"880"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773959","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}
BMC NursingPub Date : 2024-12-02DOI: 10.1186/s12912-024-02533-4
Ntombifikile Klaas, Ricki-Lee Serebro
{"title":"Intensive care nurses' knowledge of pressure injury prevention.","authors":"Ntombifikile Klaas, Ricki-Lee Serebro","doi":"10.1186/s12912-024-02533-4","DOIUrl":"10.1186/s12912-024-02533-4","url":null,"abstract":"<p><strong>Background: </strong>Pressure injuries (PIs) remain a significant public health concern due to their high prevalence among critically ill patients admitted to intensive care units (ICUs). Despite advancements in science and technology related to PI prevention, the prevalence continues to rise. A key factor contributing to this rise is inadequate knowledge and limited use of evidence-based practices by nurses, resulting in prolonged hospital stays and poor patient outcomes. This study aimed to determine the knowledge of intensive care nurses regarding pressure injury prevention.</p><p><strong>Methods: </strong>A descriptive cross-sectional design was used to collect data from 101 nurses working in four ICUs at an academic hospital in Gauteng Province, South Africa. The revised Pressure Ulcer Knowledge Assessment Tool (PUKAT 2.0) was utilized to gather data from a convenience sample of intensive care nurses. Descriptive and inferential statistics were employed to analyze the data, with statistical tests including the Shapiro-Wilk test, univariate and multivariate linear regression, and Cronbach's alpha coefficient tests. A p-value of less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The mean knowledge score of the nurses (N = 101) was 42.16% (SD 12.09), indicating poor knowledge of PI prevention. The lowest scores were observed in the areas of \"prevention of pressure injuries\" (25%) and \"classification and observation\" (39.5%). Higher levels of education (14.00; 95% CI 2.90-25.11; p = 0.014), seniority (15.58; 95% CI 2.92-28.24; p = 0.016), and years of experience (6.38; 95% CI 9.70-5.45; p = 0.039) were statistically significant predictors of better prevention and management of PI.</p><p><strong>Conclusion: </strong>The findings of this study demonstrate that intensive care nurses have poor knowledge of prevention measures, classification, and observation of stages. This may hinder their ability to effectively utilize risk assessment tools in clinical practice. Improving training and providing intensive care nurses with adequate information about evidence-based practices to prevent PI could strengthen their contribution to patient safety. These findings underscore the need for continuous, mandatory training programs for intensive care nurses to stay updated with the latest evidence and practices in PI prevention.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"876"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773978","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}
BMC NursingPub Date : 2024-12-02DOI: 10.1186/s12912-024-02544-1
Mengxue Li, Jie Zhang, Lei Jia, Liqing Su, Yumeng Zhang, Ziyi Zheng, Huili Shen, Jian Chang
{"title":"Supportive care needs and associated factors among caregivers of elderly patients with gastrointestinal cancer: an exploratory study.","authors":"Mengxue Li, Jie Zhang, Lei Jia, Liqing Su, Yumeng Zhang, Ziyi Zheng, Huili Shen, Jian Chang","doi":"10.1186/s12912-024-02544-1","DOIUrl":"10.1186/s12912-024-02544-1","url":null,"abstract":"<p><strong>Background: </strong>Gastrointestinal cancers, including gastric and colorectal cancers, are major contributors to cancer-related morbidity and mortality worldwide, placing significant burdens on patients and their informal caregivers. This study aims to evaluate the level of supportive needs among informal caregivers of patients with gastrointestinal cancer and to identify key factors influencing these needs.</p><p><strong>Methods: </strong>We conducted a descriptive survey involving 335 informal caregivers of patients with gastrointestinal cancer at a large hospital in Shanghai, China, from September 2023 to April 2024. Multivariate linear regression analysis was employed to examine potential factors affecting supportive needs, including demographic information, caregiver burden, and self-efficacy.</p><p><strong>Results: </strong>The average supportive needs score among the 335 caregivers was 113.59 ± 52.97. This score was positively correlated with caregiver burden (r = 0.363, P < 0.001), self-efficacy (r = 0.224, P < 0.001), and patients' Karnofsky Performance Status (KPS) score (r = 0.119, P < 0.05). Multivariate regression analysis revealed that the care experience, duration of caregiving, relationship (sibling), self-efficacy, caregiver burden, KPS score of patients, treatment duration of patients, and cancer type of patients were significant factors influencing the supportive care needs of caregivers for elderly gastrointestinal cancer patients (P < 0.05).</p><p><strong>Conclusion: </strong>Informal caregivers of elderly patients with gastrointestinal cancer often have increased levels of supportive needs. Clinical practice should include comprehensive assessments of these needs and the development of targeted interventions to improve caregiving skills and reduce caregiver burden, thereby enhancing the quality of life for both caregivers and patients.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"877"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773684","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}
BMC NursingPub Date : 2024-12-02DOI: 10.1186/s12912-024-02504-9
Viviane Cristina de Lima Gusmão, Lígia Maria Abraão, Adriana Maria da Silva Felix, Caroline Lopes Ciofi-Silva, Molly Courtenay, Valerie Ness, Enrique Castro-Sanchez, Rosely Moralez de Figueiredo, Maria Clara Padoveze
{"title":"Research priorities for antimicrobial stewardship nurses in a middle-income country: a nominal group technique study.","authors":"Viviane Cristina de Lima Gusmão, Lígia Maria Abraão, Adriana Maria da Silva Felix, Caroline Lopes Ciofi-Silva, Molly Courtenay, Valerie Ness, Enrique Castro-Sanchez, Rosely Moralez de Figueiredo, Maria Clara Padoveze","doi":"10.1186/s12912-024-02504-9","DOIUrl":"10.1186/s12912-024-02504-9","url":null,"abstract":"<p><strong>Background: </strong>Antimicrobial stewardship programs (ASPs) have become important strategies for addressing antimicrobial resistance (AMR). Despite the increasing number of international publications identifying the important roles played by nurses as part of ASPs in low- and middle-income countries, this topic is yet poorly researched. This study aimed to identify priority research gaps in the Brazilian context concerning nurses' performance in ASPs from the perspective of nursing professionals and explore the main themes among the ideas generated by these nurses.</p><p><strong>Methods: </strong>This qualitative study used the modified Nominal Group Technique (mNGT) during a three-day online workshop. Content analysis was performed on the basis of the ideas proposed by the participants after the clarification stage.</p><p><strong>Results: </strong>The participants suggested 68 ideas in the first phase. After the idea's clarification phase, 45 ideas were included in the voting rounds. The ideas prioritized by participants voting addressed (i) attributions and competencies of nurses in the ASP; (ii) planning and implementation of ASP nurses' activities; and (iii) use of information and communication technologies to assist nurses. The content analysis highlighted nine main themes in the initial ideas.</p><p><strong>Conclusions: </strong>The study identified significant gaps in research related to nurses' roles in ASPs in the Brazilian context. These findings suggest that further investigation into nurses' competences, the implementation of their roles, and the application of digital tools are priority subjects of future research to improve nurses' participation in ASPs. These themes should be further studied in the Brazilian context but may be applicable to other similar socioeconomic contexts.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"870"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773665","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":"Identification of predictors and construction of a prediction model for the quality of life in laryngeal carcinoma patients in China using revised core nursing outcomes.","authors":"Yongxia Ding, Yanzhi Tian, Ruirui Duan, Jing Xu, Huixian Yang, Jinxia Xu, Liyun Tang","doi":"10.1186/s12912-024-02539-y","DOIUrl":"10.1186/s12912-024-02539-y","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to identify potential predictors and construct a predictive model for the quality of life (QoL) in patients with laryngeal carcinoma (LC) using the revised core nursing outcomes.</p><p><strong>Methods: </strong>We recruited 331 LC patients underwent laryngectomy between March 2018 and March 2022 from three hospitals. The revised core nursing outcomes contained 14 items in the \"Physiologic Health,\" \"Psychosocial Health,\" \"Health Knowledge & Behavior,\" and \"Perceived Health\", while the QoL was assessed using the Chinese version of the Functional Assessment of Cancer Therapy-Head and Neck. Potential predictors of QoL were explored using logistic regression analysis, and odds ratio (OR) with 95% confidence interval (CI) was applied as effect estimates. A prediction model was constructed to predict QoL using the receiver operating characteristic (ROC) curve, and the predictive value was assessed using the area under the ROC curve (AUC).</p><p><strong>Results: </strong>Of the 331 included patients, 137 had a poor QoL. After adjusting for potential confounding factors, we noted female sex (OR: 10.91; 95%CI: 1.24-96.14; P = 0.031), and alcohol consumption (OR: 4.55; 95%CI: 1.32-14.29; P = 0.017) were associated with an elevated incidence of poor QoL, while age 50.0-65.0 years (OR: 0.02; 95%CI: 0.00-0.15; P < 0.001), junior high school as the highest level of schooling (OR: 0.10; 95%CI: 0.03-0.33; P < 0.001), living in cities and towns (OR: 0.07; 95%CI: 0.02-0.37; P = 0.002), and partial laryngectomy (OR: 0.10; 95%CI: 0.03-0.41; P = 0.001) were associated with a lower incidence of poor QoL. Moreover, Physiologic Health score (OR: 1.16; 95%CI: 1.06-1.27; P = 0.001), Psychosocial Health score (OR: 0.48; 95%CI: 0.39-0.58; P < 0.001), Health Knowledge & Behavior score (OR: 0.92; 95%CI: 0.86-0.97; P = 0.006), and Perceived Health score (OR: 0.36; 95%CI: 0.25-0.52; P < 0.001) were associated with the incidence of QoL in LC patients. The constructed prediction model based on these factors had an AUC for predicting QoL of 0.96 (95% CI: 0.94-0.98).</p><p><strong>Conclusions: </strong>This study found age, sex, educational status, residential location, alcohol consumption, surgical approach, and the revised core nursing outcomes are significantly associated with QoL in LC patients. The predictive value of the constructed model was high, which suggesting the clinical nurses should pay attention to the evaluation of postoperative care outcomes in order to enhance QoL.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"875"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773972","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}
BMC NursingPub Date : 2024-12-02DOI: 10.1186/s12912-024-02519-2
Nnamdi Ikechukwu Nwosu, Juliet Ijeoma Mmerem, Jideofor Jacob Ozougwu, Paul Ikechukwu Nlewedim, Onyekachi Michael Ugwa, Nwachukwu Chinedu Ugwunna, Ezinne Olive Nwosu, Anne Chigedu Ndu
{"title":"Knowledge of hand hygiene and evaluation of hand washing technique among nurses at the University of Nigeria Teaching Hospital.","authors":"Nnamdi Ikechukwu Nwosu, Juliet Ijeoma Mmerem, Jideofor Jacob Ozougwu, Paul Ikechukwu Nlewedim, Onyekachi Michael Ugwa, Nwachukwu Chinedu Ugwunna, Ezinne Olive Nwosu, Anne Chigedu Ndu","doi":"10.1186/s12912-024-02519-2","DOIUrl":"10.1186/s12912-024-02519-2","url":null,"abstract":"<p><strong>Background: </strong>Healthcare worker's hands are route for cross-transmission of potentially harmful germs between patients in a healthcare facility. As hand washing is an established cost-effective measure for infection control, hand hygiene knowledge and compliance with the recommended steps are essential to control healthcare-associated infections (HCAI). We assessed the knowledge and practice of hand hygiene among nurses at the University of Nigeria Teaching Hospital (UNTH), Enugu.</p><p><strong>Methods: </strong>A cross-sectional study was carried out from 14th September to 24th December 2023 on all consenting nurses in UNTH. A modified World Health Organization (WHO) knowledge questionnaire structured to collect demographics and assess hand hygiene knowledge expressed as good(> 75%), moderately good(50-74%) and poor(< 50%) knowledge. Duration to completion of hand washing was timed while Glo germ gel with ultraviolet lamp were used to assess effectiveness of hand washing. Ineffective hand washing was graded as fair, poor, or very poor. The WHO checklist was used to assess steps in hand washing technique performed.</p><p><strong>Result: </strong>A total of 395 nurses participated in the study (mean age and standard deviation, 41.40 ± 8.82 years). Most were females (93.2%), married (80.8%), and functioned in the surgery department (38.5%). Moderately good knowledge of hand hygiene was demonstrated by 58.2% while effective hand washing occurred in 29.2% of them. Steps of hand washing technique most frequently missed were the use of towel to turn off faucet (94.3%), rubbing backs of fingers to opposing palms with fingers interlocked (89.8%), and wetting hands with water before applying soap(55.9%). Zones of hands not adequately washed were mainly the fingernails and perimeter of fingernails (38.4%), the palm (28.6%), and the dorsum of hand (22.9%). There was no significant difference in hand hygiene knowledge and effective hand washing across the different age groups, sex, nursing cadre, educational qualifications, and departments.</p><p><strong>Conclusion: </strong>Nurses at the UNTH had fair hand hygiene knowledge with the majority demonstrating ineffective hand washing; a finding suggesting sub-optimal infection prevention and control. Periodic hand hygiene training targeting nurses and other health personnel engaged in patient care while emphasizing frequently missed areas is paramount to improving hand hygiene knowledge and effectiveness.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"872"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773984","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}
BMC NursingPub Date : 2024-12-02DOI: 10.1186/s12912-024-02545-0
Tian-Tian Wang, Bo Yang, Yun-Rong Li, Liu-Liu Zhang, Xiao-Xu Zhi, Bing Wu, Yi Zhang, Yun Zhao, Mei-Xiang Wang
{"title":"The mediating role of professional identity between work environment and caring behavior: a cross-sectional survey among hospice nurses in China.","authors":"Tian-Tian Wang, Bo Yang, Yun-Rong Li, Liu-Liu Zhang, Xiao-Xu Zhi, Bing Wu, Yi Zhang, Yun Zhao, Mei-Xiang Wang","doi":"10.1186/s12912-024-02545-0","DOIUrl":"10.1186/s12912-024-02545-0","url":null,"abstract":"<p><strong>Background: </strong>As core members of hospice care team, the hospice nurses' ability to care for patients not only directly affects the standard of patient care, but also significantly impacts patient quality of life. It can be seen that it is very meaningful for patients to improve the caring behavior of hospice nurses. Therefore, it is necessary to deeply explore the influencing factors of nurses' caring behavior and further clarify the mechanism between them.</p><p><strong>Methods: </strong>The STROBE guideline was performed to report this study. We conducted a cross-sectional survey from December 2023 to February 2024. In this study, 392 hospice nurses were recruited from tertiary public hospitals in East China by convenient sampling method. Participants were investigated using the Practice Environment Scale, Professional Identity Scale, and Caring Behaviors Inventory. Structural equation modelling was utilized to verify the research hypotheses.</p><p><strong>Results: </strong>The results revealed that there were significant and positive correlations between work environment, professional identity and caring behavior. Furthermore, professional identity partially mediated the relationship between work environment and caring behavior.</p><p><strong>Conclusion: </strong>Work environment is critical to improving hospice nurses' caring behavior. Professional identity plays an intermediary role impacting how work environment promotes caring behavior among Chinese hospice nurses. Nursing managers should have a correct understanding of the relationship between them. Targeted measures and coping strategies need to be actively taken to create a better working environment for hospice nurses. This would enhance professional identity, and thereby promote caring behavior.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"874"},"PeriodicalIF":3.1,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773788","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}