BMC Nursing最新文献

{"title":"Correlation between ethical sensitivity and humanistic care ability among undergraduate nursing students: a cross-sectional study.","authors":"Yun Zhang, Sijia Li, Yanfang Huang, Congjing Song, Jiale Li, Weiqiang Chen, Yiling Yang","doi":"10.1186/s12912-024-02532-5","DOIUrl":"10.1186/s12912-024-02532-5","url":null,"abstract":"<p><strong>Background: </strong>In nursing practice, a high level of ethical sensitivity and humanistic care ability must always be maintained. A limited number of studies have investigated the correlation between the level of ethical sensitivity and humanistic care ability of nursing students.</p><p><strong>Methods: </strong>A survey study was conducted from November 2023 to January 2024 among 656 undergraduate nursing students using the General Information Questionnaire, Ethical Sensitivity Questionnaire For Nursing Students, and Humanistic Care Ability Inventory.</p><p><strong>Results: </strong>The total ethical sensitivity score of nursing students (36.01 ± 6.31) was positively correlated with the total humanistic care ability score (r = 0.426, P < 0.01), and the results of the multivariate linear regression analysis showed that grade, relationship with parents, liking of the nursing major, willingness to work in nursing, experiences in learning nursing ethics, experience of caring for patients, and humanistic care ability are the main influencing factors of nursing students' ethical sensitivity.</p><p><strong>Conclusion: </strong>The ethical sensitivity of undergraduate nursing students is at a moderate level, which shows a moderate and significant correlation with their humanistic care ability. College nursing educators and administrators should focus on integrating humanistic care ability education while increasing ethical education to cultivate excellent nursing students with comprehensive abilities.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"863"},"PeriodicalIF":3.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11603894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741028","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":"Indicators of clinical deterioration in adult general ward patients from nurses' perspectives: a mixed-methods systematic review.","authors":"Jeehae Chung, Hyesil Jung","doi":"10.1186/s12912-024-02531-6","DOIUrl":"10.1186/s12912-024-02531-6","url":null,"abstract":"<p><strong>Background: </strong>Early recognition and response to deteriorating patients in general wards are core competencies for nurses. Clinical deterioration is a worsening condition that increases the risk of morbidity and mortality. Although objective measures are commonly used, recent research suggests that subjective data and nurses' intuitions can serve as valuable indicators for early detection of deterioration in patients. This study aims to comprehensively identify and classify the indicators used to detect clinical deterioration in patients hospitalized in general wards from nurses' perspectives.</p><p><strong>Methods: </strong>This is a mixed-methods systematic review followed a Joanna Briggs Institute Methodology convergent integrated approach. Four electronic databases (PubMed, CINAHL, Embase, and Scopus) were searched. Studies were screened based on the population of interest (nurses), the phenomenon of interest (patient deterioration), the context (adult care in acute hospital settings), the study type (original studies), and publication in English peer-reviewed journals from January 2014 to December 2023. Two authors independently conducted all screening steps and assessed the methodological quality of the included studies. Any disagreements were resolved through discussion. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis.</p><p><strong>Results: </strong>Twenty-one studies met the eligibility criteria. Key indicators included vital signs, intake and output, laboratory data, and observational data. Nurses also relied on subjective data from patients' complaints and their own intuition to predict patient deterioration. The frequency and pattern of specific nursing interventions also play an important role.</p><p><strong>Conclusions: </strong>This review identified vital indicators from nurses' perspectives, underscoring the value of subjective observations, intuition, and specific nursing interventions in predicting patient deterioration. Integrating subjective factors with objective data can improve early recognition of and response to clinical deterioration, thereby enhancing patient safety and outcomes. This review provides a foundation for future research aimed at quantifying subjective elements, such as patient complaints and nurses' intuitions, to be included in nursing records as key indicators for predicting patient deterioration.</p><p><strong>Trials registration: </strong>This study was registered with PROSPERO under the registration number CRD42024552344.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"861"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733470","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":"Unveiling the experiences of operation room nurses on ethical issues: a phenomenological study in Adama Hospital Medical College, Ethiopia, 2022.","authors":"Yohannes Midekso Beriso, Wudma Alemu, Tefera Mulugeta","doi":"10.1186/s12912-024-02493-9","DOIUrl":"10.1186/s12912-024-02493-9","url":null,"abstract":"<p><strong>Background: </strong>Operating room nurses are critical in upholding high ethical standards in fast-paced and high-stakes environment to guarantee the safety and well-being of patients undergoing surgery to resolve life-threatening situations. A deeper understanding of ethical issues in the Operating Room helps tailor interventions and policies to address real-world challenges, enhance patient care, and assist healthcare professionals.</p><p><strong>Objective: </strong>This study explored the lived experiences of Operating Room nurses regarding ethical issues in Operating Room at Adama Hospital Medical College in Adama, Ethiopia, in 2022.</p><p><strong>Method: </strong>A qualitative study using the hermeneutic phenomenological method was conducted at Adama Hospital Medical College from March 15, 2022 to April 15, 2022. Eighteen nurses were selected as participants using maximum variation purposive sampling. The data was collected through semi-structured in-depth interviews. The data was then imported into Atlas Ti 8 software to be coded and categorized. To ensure trustworthiness, the basic principles such as credibility, confirmability, dependability, and transferability were applied. Data analysis was conducted based on the Van Manen (2016) method and the results were summarized using thematic analysis.</p><p><strong>Results: </strong>The study revealed two main themes and ten sub-themes regarding ethical issues faced by operating room nurses. The main themes were issues related with safeguarding patient dignity and issues of Staff Professionalism and Respectful Interaction.</p><p><strong>Conclusion: </strong>Upholding ethical principles and standards are critical for improving patient care and fostering positive relationships. Concepts such as Preoperative communication, ethical considerations in emergency surgeries, privacy, cultural and gender sensitivity, staff rapport, personal and professional competence, bearing responsibility, caring for patients with justice, and sterilization standards and aseptic techniques are crucial for participants. Addressing ethical concerns and ensuring compliance will enhance healthcare delivery in perioperative settings.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"860"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between reflective ability and professional identity: the mediating effect of self-directed learning and self-efficacy for junior clinical nurses.","authors":"Lijie Huang, Xiangsheng Zhang, Feijie Wang, Songbo Zhang, Xiaoxia Chang, Yinping Chu, Lu Wang, Wenwen Jia, Beibei Zhang","doi":"10.1186/s12912-024-02534-3","DOIUrl":"10.1186/s12912-024-02534-3","url":null,"abstract":"<p><strong>Background: </strong>Nursing is crucial for delivering healthcare services; however, nursing shortages pose a significant global challenge, which the high turnover rate of junior nurses is expected to exacerbate. Enhancing nurses' professional identities is likely to be an effective strategy for reducing turnover rates.</p><p><strong>Methods: </strong>We recruited 865 junior clinical nurses from three tertiary hospitals in Henan Province, China. The participants completed a demographic questionnaire along with the Reflective Ability Scale for Clinical Nurses, the Nursing Profession Self-efficacy Scale, the Nursing Staff Self-learning Ability Evaluation Scale, and the Professional Identity Scale for Nurses. The relationships between reflective ability, self-directed learning, self-efficacy, and professional identity were evaluated using SPSS26.0, with PROCESS version 3.5 used to construct a chain-mediation model.</p><p><strong>Results: </strong>Positive correlations were found between reflective ability, self-directed learning, self-efficacy, and professional identity. Chain mediation model analysis showed that reflective ability, self-directed learning, and self-efficacy directly and positively affected professional identity (β = 0.22, β = 0.30, β = 0.66, all p < 0.001). Self-directed learning and self-efficacy exerted a significant chain mediating effect between reflective ability and professional identity (95% confidence interval [CI]: 0.06-0.13). The total effect of reflective ability on the professional identity of clinical nurses was 0.51 (p < 0.001, 95%CI: 0.42-0.59), the direct effect was 0.22 (p < 0 0.001, 95%CI: 0.14-0.29), and the indirect effect was 0.29 (p < 0.001, 95%CI: 0.22-0.37).</p><p><strong>Conclusion: </strong>Self-directed learning and self-efficacy partially mediated the relationship between reflective ability and professional identity. Multifaceted strategies targeted at enhancing reflective ability, self-directed learning, and self-efficacy are recommended to improve junior clinical nurses' professional identities.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"858"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717503","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":"Navigating end-of-life care dilemmas: a qualitative inquiry of nurses' and midwives' knowledge of euthanasia and circumstantial factors influencing euthanasia in a resource-constraint setting.","authors":"Hadiru Iddris Mumuni, Merri Iddrisu, Luke Laari, Gladys Dzansi, Lydia Aziato","doi":"10.1186/s12912-024-02527-2","DOIUrl":"10.1186/s12912-024-02527-2","url":null,"abstract":"<p><strong>Background: </strong>Deaths can be caused by terminal illnesses, accidents, or natural disasters. However, medically, death can be hastened by healthcare providers, patients themselves, or their relatives. In advanced cancers where the patient's quality of life is compromised, Euthanasia can be used to hasten death. Inadequate medical resources and low socioeconomic status have been cited as factors influencing Euthanasia. This study sought to explore nurses' and midwives' knowledge and perspectives on Euthanasia in resource-constrained health facilities.</p><p><strong>Methods: </strong>A qualitative exploratory, descriptive design was used to recruit 24 nurses and midwives from three major referral hospitals, two regional hospitals, and one district hospital. Data was collected through individual in-depth face-to-face and telephone interviews. Braun and Clarke's (2006) thematic data analysis approach was used.</p><p><strong>Findings: </strong>Three main themes and eight subthemes were generated from the data: the main themes include Knowledge of Euthanasia, health system resource constraint-driven euthanasia and family resource constraint-motivated euthanasia. The findings indicate that nurses and midwives lack understanding of some terminologies related to the act. Strict policy decisions, inadequate resources, and misunderstanding of palliative care resulted in the practice of Euthanasia. Additionally, unbearable pains and financial constraints of families of critically ill patients made them request Euthanasia in the health facilities.</p><p><strong>Conclusion: </strong>The study highlights the challenges of end-of-life care in resource-constrained settings, emphasizing the need for provider training, increased healthcare capacity, and clearer national guidelines for ethical decision-making.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"859"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733471","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":"Ethical issues in palliative care: nursing and quality of life.","authors":"Ateya Megahed Ibrahim, Donia Elsaid Fathi Zaghamir, Hassanat Ramadan Abdel-Aziz, Omaima Mohamed Elalem, Taliaa Mohsen Al-Yafeai, Hosny Maher Sultan Sultan, Amina Mohamed Abdelfatah Sliman, Reham AbdElhamed AbdElmawla Elsaid, Taghreed Hussien Aboelola, Fathia Ahmed Mersal","doi":"10.1186/s12912-024-02530-7","DOIUrl":"10.1186/s12912-024-02530-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Nurses occupy a pivotal role in the provision of palliative care, acting as frontline providers who address the physical, emotional, social, and spiritual needs of patients. The complexities inherent in palliative care frequently give rise to ethical dilemmas that significantly impact nurses' decision-making and patient interactions. It is therefore essential to gain an understanding of nurses' perceptions of ethical issues, quality of life, and adherence to patient rights in order to enhance the care delivered in these settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aims to assess the ethical issues encountered by nurses in palliative care, evaluate their quality of life, and measure their understanding and adherence to patient rights.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A quantitative cross-sectional survey was conducted among a sample of 85 nurses working in palliative care settings, specifically within the Oncology Department and Pain Clinic at a Specialized Hospital in Egypt. A stratified random sampling technique was employed. The data were collected using standardised questionnaires, including the Ethical Issues Scale (EIS), the Nursing Quality of Life Scale (NQOLS), and the Patient Rights Questionnaire (PRQ). The validity and reliability of these instruments were established prior to the commencement of the study. The collected data were subjected to mean and standard deviation (SD) calculations. Statistical analyses, including the calculation of Pearson correlation coefficients, were conducted.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study sample comprised a diverse cohort of nurses, with a mean age of 40 years. The ethical issues were evaluated, yielding a mean score of 4.03 (SD = 0.74) on the EIS, with the highest score for \"Patient Care\" (M = 4.2, SD = 0.7). The overall quality of life mean score was 6.75, with the working dimension exhibiting the highest mean score at 7.1. The PRQ results indicated a high level of awareness regarding patient rights, with a total mean score of 49.5 (SD = 6.8). The results of the correlation analysis indicated a moderate positive correlation between ethical issues and patient rights (r = 0.52, p &lt; 0.01), and ethical issues and quality of life (r = 0.45, p &lt; 0.01). Conversely, a weaker correlation was found between quality of life and patient rights (r = 0.40, p &lt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The findings elucidate the ethical challenges confronted by nurses in palliative care and their ramifications for the quality of life and adherence to patient rights. It is imperative that nurses engaged in palliative care undergo continuous education and training in order to enhance their ethical decision-making abilities and thereby improve the quality of care they provide.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Recommendations: &lt;/strong&gt;It is imperative that strategies be developed to support nurses in addressing ethical dilemmas, to promote awareness of patient rights, and to enhance their overall","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"854"},"PeriodicalIF":3.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711374","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 the ethical behavior scale in nursing.","authors":"Şükriye Şahin, Şule Alpar","doi":"10.1186/s12912-024-02529-0","DOIUrl":"10.1186/s12912-024-02529-0","url":null,"abstract":"<p><strong>Background: </strong>Studies about the evaluation of nursing care from the patient's perspective are becoming more important. Ethic is an essential element in nursing care. Every person deserves to receive nursing care according to ethical principles, regardless of language, religion, race, or gender. In this study aimed to develop an instrument to evaluate the ethical behavior of nurses.</p><p><strong>Methods: </strong>The methodological study used a mixed research method designed in accordance with the GRAMMS criteria. Qualitative data was obtained through in-depth interviews. Quantitative data were collected using the Ethical Behavior Scale in Nursing (EBSN). This study was conducted in 4 hospitals (nurses) and 3 health faculty (intern nurses/nursing students) in 2022. There are a total of 714 participants. The construct validity of the scale was evaluated with exploratory factor analyses (EFA) and confirmatory factor analyses (CFA). Cronbach's alpha and item total analysis established the internal consistency. Pearson correlation was used for the relationship between the total scale and sub-dimensions.</p><p><strong>Results: </strong>Cronbach's alpha coefficient of the EBSN was 0.94. EBSN had 20 items and a five-factor structure which explained 70.45% of the total variance. Principal component analysis and CFA supported the theoretical construct EBSN. Fit measurements (x²/df) was 3.33. Pearson's correlation coefficient in this data was 0.97.</p><p><strong>Conclusion: </strong>The results of the analysis show the items constituting the scale have validity and reliability criteria that can measure the ethical behavior in nursing profession. It is thought that including activities that will enable nurses to gain positive individual and professional values ​​on ethical issues such as patient rights and patient privacy during the education process will also positively affect their ethical sensitivities. Additionally, in order to increase nurses' ethical awareness, nursing ethics issues should be included in post-graduation continuing education programs.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"857"},"PeriodicalIF":3.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717490","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":"Assessment of eye care practices and health belief model factors among adult intensive care unit nurses in public hospitals of Amhara Region, Ethiopia.","authors":"Abebe Dilie Afenigus, Helen Asmamaw Asres","doi":"10.1186/s12912-024-02525-4","DOIUrl":"10.1186/s12912-024-02525-4","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Eye care is a vital aspect of overall patient health, especially in intensive care units (ICUs) where patients face a heightened risk of ocular complications. Approximately 60% of patients with tracheal tubes and lagophthalmos develop severe ocular surface diseases, such as corneal abrasions, conjunctivitis, and exposure keratopathy, due to insufficient eye protection and lubrication. These complications can adversely affect patient outcomes, including increased mortality rates, extended hospital stays, and reduced satisfaction with care. Despite the importance of effective eye care, practices among intensive care unit nurses can be inconsistent, often influenced by their beliefs and perceptions. The Health Belief Model (HBM) offers a framework to understand these influences, highlighting how nurses' attitudes toward eye care are shaped by their perceptions of patient severity, susceptibility to complications, perceived benefits and barriers to care, cues to action, and self-efficacy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to assess eye care practices among adult intensive care unit nurses in public hospitals in the Amhara Region of Ethiopia and to identify factors influencing these practices based on the Health Belief Model.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A facility-based cross-sectional study was conducted among 213 nurses working in adult ICUs using simple random sampling. Data were collected through a structured, self-administered questionnaire and an observation checklist utilizing Kobo Collect. The data were analyzed using SPSS. Bivariable and multivariable logistic regression models were employed to identify relationships between the constructs of the Health Belief Model and eye care practices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In this study, 213 of the 222 respondents participated, resulting in a 96% response rate. Among the participants, 113 nurses (53.1%; 95% CI: 46.5-59.6) demonstrated a high likelihood of providing eye care, while 100 nurses (46.9%; 95% CI: 40.4-53.5) exhibited a lower likelihood based on constructs of the Health Belief Model. Additionally, 125 nurses (58.7%; 95% CI: 52.1-65.3) had inadequate eye care practices, while 133 (62.4%; 95% CI: 55.4-69) possessed adequate knowledge about eye care. Furthermore, 113 participants (53.1%; 95% CI: 46-60.1) held a favorable attitude toward eye care. The multivariable analysis identified several factors associated with eye care practices: monthly salary (AOR = 2.4, 95% CI: 1.1-5.7), educational level (AOR = 0.2, 95% CI: 0.06-0.8), knowledge of eye care (AOR = 2, 95% CI: 1.1-3.4), and availability of eye care equipment (AOR = 0.3, 95% CI: 0.1-0.5).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion and recommendation: &lt;/strong&gt;The study reveals that fewer than half of the nurses working in adult intensive care units in public hospitals in the Amhara region provide adequate eye care, despite a strong intention to do so. Key factors influencing eye care practices inclu","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"856"},"PeriodicalIF":3.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717488","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 associated factors of disaster literacy among nurses in China: a structure equation modelling study.","authors":"Yan Yang, Yuping Zhang, Yuanfei Liu, Qian Li, Lizhu Wang, Yong Du, Meijuan Lan, Jingfen Jin","doi":"10.1186/s12912-024-02486-8","DOIUrl":"10.1186/s12912-024-02486-8","url":null,"abstract":"<p><strong>Aims: </strong>To examine the association of disaster literacy with collectivism, social support, psychological resilience and self-efficacy among nurses and analyze the influencing mechanisms among these factors.</p><p><strong>Background: </strong>Nurses' disaster literacy is important for future preparation. However, there is a paucity of research in this field.</p><p><strong>Methods: </strong>From January to August 2023, we recruited 1573 nurses in 15 hospitals in Zhejiang province, China using convenient sampling. Based on Social-Ecological Model, questionnaires regarding collectivism, social support, psychological resilience, self-efficacy and disaster literacy were distributed via online platform. Data were analyzed using structural equation model to examine the relationships between the study variables.</p><p><strong>Results: </strong>Nurses had a medium level of disaster literacy with the lowest score in critical literacy. Nurses' collectivism not only had positive direct effect on disaster literacy, but also had indirect pathways from social support, psychological resilience and self-efficacy to influence the level of disaster literacy.</p><p><strong>Conclusions: </strong>Multilevel factors including collectivism, social support, psychological resilience and self-efficacy were associated with disaster literacy. Understanding the influencing mechanism would inform effective interventions.</p><p><strong>Implications for nursing management: </strong>Our findings illustrate the importance for nurse managers, administrators and authorities to work together to develop and implement effective nursing curriculum and training programs to improve nurses' disaster literacy for future preparation.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"855"},"PeriodicalIF":3.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717500","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":"Gender-related differences in the scope of nursing practice: evidence from a cross-sectional study in geriatric healthcare settings.","authors":"Anat Romem, Violetta Rozani","doi":"10.1186/s12912-024-02516-5","DOIUrl":"10.1186/s12912-024-02516-5","url":null,"abstract":"<p><strong>Aim: </strong>To investigate potential gender-related differences in the utilization of scope of practice (range of duties and responsibilities) across acute, community and long-term geriatric-care settings, by considering activities authorized for all registered nurses and those restricted to advanced post-basic certification graduates.</p><p><strong>Design: </strong>A cross-sectional approach, using a convenience sample.</p><p><strong>Methods: </strong>A total of 286 registered nurses [207 females (72.4%) and 79 males (27.6%)] with advanced geriatric training, completed a self-administered questionnaire addressing socio-demographic and occupational characteristics, utilization of the scope of practice, and professional satisfaction. Chi square, two-sample t-test, and a multiple regression model were used to analyze the data.</p><p><strong>Results: </strong>Male nurses reported implementation of a statistically significantly broader scope of practice than female nurses, outperforming them in 8 out of 16 activities for all registered nurses and in 5 out of 9 activities for advanced nurses with post-basic certification.</p><p><strong>Conclusion: </strong>Our findings suggest that gender-related differences in the utilization of nursing scope of practice exist, with implications for professional satisfaction and potentially for patient care outcomes. Our results highlight the need to address these differences at multiple levels, ranging from healthcare organizations, and educational institutions, to policy-making bodies. Future research should use longitudinal studies with diverse samples from various settings and include factors like organizational culture, time since certification, and patient demographics in order to better understand any influences on nursing practice.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"852"},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695955","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}