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Interpersonal sensitivity and its associated factors among nursing students during the COVID-19 pandemic: a network analysis.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-25 DOI: 10.1186/s12912-025-02910-7
Xue Wang, Jie Yuan, Zirong Tian, Xinji Shi, Xu Liu, Yibo Wu, Shuang Zang
{"title":"Interpersonal sensitivity and its associated factors among nursing students during the COVID-19 pandemic: a network analysis.","authors":"Xue Wang, Jie Yuan, Zirong Tian, Xinji Shi, Xu Liu, Yibo Wu, Shuang Zang","doi":"10.1186/s12912-025-02910-7","DOIUrl":"10.1186/s12912-025-02910-7","url":null,"abstract":"<p><strong>Background: </strong>Interpersonal sensitivity is a crucial individual characteristic, particularly for young nursing students. However, limited research has specifically examined interpersonal sensitivity in nursing students. This study aimed to employ network analysis to investigate the interconnectedness of interpersonal sensitivity and its associated factors among nursing students during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Network analysis was employed to explore the network structure. The first network model was developed to evaluate interpersonal sensitivity. The second network model was constructed to investigate the associations between interpersonal sensitivity and variables that were found to be statistically significant in the multivariable linear regression model.</p><p><strong>Results: </strong>A total of 864 nursing students participated in the study. The strongest nodes in assessing interpersonal sensitivity among nursing students encompass three distinct aspects: compliments, genuine understanding, and criticism. The multivariate linear regression analysis revealed significant associations between interpersonal sensitivity and various factors, including openness (β = 0.67), anxiety symptoms (β = 0.45), well-being (β = -0.63), loneliness (β = 1.55), and perceived social support (β = 0.66).</p><p><strong>Conclusions: </strong>This study yields valuable insights into the phenomenon of interpersonal sensitivity among nursing students amid the COVID-19 pandemic. These findings emphasize the significance of incorporating targeted interventions addressing these factors into nursing education curricula.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"319"},"PeriodicalIF":3.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711673","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}
引用次数: 0
The effect of self-management program with tele-nursing based on the Roper-Logan-Tierney model on self-care of hypertensive patients: a randomized controlled trial.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-25 DOI: 10.1186/s12912-025-02854-y
Yasemin Erden, Güzel Nur Yıldız, Bahar Çiftçi, Gülçin Avşar, Sümeyra Özek, Emrah Özbek, Arzu Sarıalioğlu
{"title":"The effect of self-management program with tele-nursing based on the Roper-Logan-Tierney model on self-care of hypertensive patients: a randomized controlled trial.","authors":"Yasemin Erden, Güzel Nur Yıldız, Bahar Çiftçi, Gülçin Avşar, Sümeyra Özek, Emrah Özbek, Arzu Sarıalioğlu","doi":"10.1186/s12912-025-02854-y","DOIUrl":"10.1186/s12912-025-02854-y","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effect of tele-nursing and self-management programs based on the Roper-Logan-Tierney Model on the self-care of hypertension patients.</p><p><strong>Material and method: </strong>The population of this randomized controlled interventional study consisted of hypertension patients who applied to the cardiology outpatient clinics of Van Regional Training and Research Hospital between September and December 2022. The sample consisted of 60 hypertensive patients over 18 who met the study criteria and agreed to participate. Data were collected with the \"Patient Information Form\" and \"Self-Care Management in Chronic Diseases Scale\". Patients were randomized and divided into groups. Pre-test data for both groups were collected face-to-face. The intervention group received blood pressure measurement training with the \"Hypertension Education Booklet\" and self-management support with tele-nursing two times a week for 12 weeks. The control group did not receive any intervention. At the end of 6 weeks, interim tests were completed online, and after 12 weeks, post-tests were completed face-to-face. Data evaluation was performed with the blinding method.</p><p><strong>Results: </strong>It was determined that the differences between the mean scores of the intervention and control groups on the \"Self-Care Management Scale in Chronic Diseases\" midterm and posttest were statistically significant (p < 0.05).</p><p><strong>Conclusion: </strong>It was concluded that self-management support affects the self-care management of hypertension patients.</p><p><strong>Trial registration: </strong>This research is a randomized controlled study. Therefore, a registration number was applied for at ClinicalTrials.gov. The registration number was obtained with the number \"NCT05316454\". (First Posted 2022-04-07).</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"313"},"PeriodicalIF":3.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711675","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}
引用次数: 0
Adaptation of nurses' professional values scale into Turkish.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-25 DOI: 10.1186/s12912-025-02904-5
Gülcan Bahçecioğlu Turan, Güzel Nur Yıldız, Bahar Çiftçi
{"title":"Adaptation of nurses' professional values scale into Turkish.","authors":"Gülcan Bahçecioğlu Turan, Güzel Nur Yıldız, Bahar Çiftçi","doi":"10.1186/s12912-025-02904-5","DOIUrl":"10.1186/s12912-025-02904-5","url":null,"abstract":"<p><strong>Objective: </strong>The present study examined the validity and reliability of the Nurses' Professional Values Scale (Nurses' PVS) by adapting it to Turkish.</p><p><strong>Methods: </strong>This methodological study was conducted with 297 nurses who agreed to participate in the study by using the Snowball Sampling Method. The study data were collected using the Descriptive Data Form and Nurses' PVS. The data were evaluated using the Content Validity Index, Confirmatory Factor Analysis, Cronbach's Alpha, McDonald's Omega Reliability, and test-retest analysis.</p><p><strong>Results: </strong>Factor load values of the scale items were found to vary between 0.590 and 0.960. The fit index values were found to be X<sup>2</sup> = 102.87, df = 398 (p < 0.05), X<sup>2</sup>/df = 2.77, RMSEA = 0.077, CFI = 0.99, RMR = 0.045, SRMR = 0.051 and TLI = 0.97. It was also found that the Cronbach's Alpha Coefficients of the sub-dimensions of the scale varied between 0.896 and 0.977, and the total Cronbach's Alpha Coefficient was 0.958. The total McDonald's Omega Coefficient was .958, and the McDonald's Omega Coefficients of the sub-dimensions varied between .896-.977. The Turkish form of the 30-item and 4-subdimensional scale was confirmed without any changes in the original scale form.</p><p><strong>Conclusion: </strong>The Turkish version of the Nurses' PVS is a valid and reliable tool for measuring the values that nurses care about.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"316"},"PeriodicalIF":3.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710122","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}
引用次数: 0
Factors associated with burnout among Chinese operating room nurses: a meta-analysis.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-25 DOI: 10.1186/s12912-025-02914-3
Xiaoxia Dai, Caixia Xie, Yunlian Wu, Tian Chen, Fang Lu
{"title":"Factors associated with burnout among Chinese operating room nurses: a meta-analysis.","authors":"Xiaoxia Dai, Caixia Xie, Yunlian Wu, Tian Chen, Fang Lu","doi":"10.1186/s12912-025-02914-3","DOIUrl":"10.1186/s12912-025-02914-3","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Burnout is prevalent among nursing staff, especially in the operating room, which is a high-intensity, high-pressure and fast-paced work environment. As the prevalence of nurse burnout increases, reducing the burnout of operating room nurses helps to improve the physical and mental health of nurses. Thus, stabilising the nursing team can also guarantee the quality of medical care, which in turn improves patient satisfaction. In this study, we conducted a meta-analysis based on the Pearson correlation coefficient to quantitatively analyse the factors related to burnout among operating room nurses and to provide a reliable basis for preventing and intervening in burnout among operating room nurses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;CNKI, Wanfang Database, Wipro Database, China Biomedical Database, PubMed, Web of Science, Embase, CINAHL and Cochrane Library Database were searched, and the keywords 'operating room', 'nurses', 'burnout' and the corresponding English terms were used for the search. The time limit for the search was set from the creation of the databases to April 2024. Two researchers with evidence-based knowledge conducted the search, independently screened the literature according to the inclusion and exclusion criteria, extracted the information and assessed the quality of the included literature using the quality assessment criteria for observational studies recommended by the Agency for Healthcare Quality and Research, and performed a meta-analysis of the literature using the r value as an indicator of the outcome in RevMan 5.4 software.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 25 papers were included, with a sample size of 6,061 cases. The quality of the literature was moderate. The meta-analysis showed that job stress (r = 0.56, 95% confidence interval [CI]: 0.42-0.68, I&lt;sup&gt;2&lt;/sup&gt; = 86%), work-family conflict (r = 0.52, 95% CI: 0.36-0.64, I&lt;sup&gt;2&lt;/sup&gt; = 82%), willingness to leave (r = 0.42, 95% CI: 0.34-0.49, I&lt;sup&gt;2&lt;/sup&gt; = 0%) and hidden absenteeism (r = 0.49, 95% CI: 0.41-0.57, I&lt;sup&gt;2&lt;/sup&gt; = 55%) were positively correlated with burnout (p &lt; 0.01), job immersion (r = - 0.39, 95% CI: - 0.40 to - 0.32, I&lt;sup&gt;2&lt;/sup&gt; = 0%), social support (r = - 0.46, 95%: - 0.58 to - 0.33, I&lt;sup&gt;2&lt;/sup&gt; = 74%), psychological capital (r = - 0.53, 95% CI: - 0.60 to - 0.45, I&lt;sup&gt;2&lt;/sup&gt; = 72%) and well-being (r = - 0.54, 95% CI: - 0.73 to - 0.27, I&lt;sup&gt;2&lt;/sup&gt; = 88%) were negatively correlated (p &lt; 0.01).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and recommendation: &lt;/strong&gt;This study shows that burnout of operating room nurses is related to various factors, such as job stress, social support, work-family conflict, psychological capital and well-being. Therefore, it is suggested that hospital management should alleviate the burnout of operating room nurses from the multi-dimensional aspects of improving the work environment, enhancing social support and improving personal psychological capital and well-being to effectively all","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"312"},"PeriodicalIF":3.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711618","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}
引用次数: 0
Examining knowledge, attitudes, and implementation of evidence-based practice among nursing students: a multicenter cross-sectional study.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-24 DOI: 10.1186/s12912-025-02963-8
Abeer N Alruwaili, Fuad H Abuadas, Majed M Alruwaili, Nourah A Alsadaan, Nadiah A Baghdadi
{"title":"Examining knowledge, attitudes, and implementation of evidence-based practice among nursing students: a multicenter cross-sectional study.","authors":"Abeer N Alruwaili, Fuad H Abuadas, Majed M Alruwaili, Nourah A Alsadaan, Nadiah A Baghdadi","doi":"10.1186/s12912-025-02963-8","DOIUrl":"10.1186/s12912-025-02963-8","url":null,"abstract":"<p><strong>Background: </strong>In the realm of healthcare, the adoption of Evidence-Based Practice (EBP) is paramount to ensure the delivery of optimal patient care. Despite its critical significance, disparities persist in the knowledge and skills pertaining to EBP among students.</p><p><strong>Objectives: </strong>This study aims to assess Saudi nursing students' perceived knowledge, attitudes, and application of EBP, alongside their perceptions of organizational culture and readiness that support EBP implementation.</p><p><strong>Methods: </strong>The study employed a cross-sectional descriptive correlational design. A convenience sample of 183 undergraduate nursing students was selected from three governmental Saudi universities from June to August 2023. A self-reported, three-part online survey was utilized and included: a demographic questionnaire, the Student Evidence-Based Practice Questionnaire (S-EBPQ), and the short version of Organizational Culture and Readiness for School-wide Integration of Evidence-based Practice (OCRSIEP-E). Participants were recruited based on specific inclusion criteria, including senior nursing students, recent graduates, and those with research or EBP training.</p><p><strong>Findings: </strong>Most participants demonstrated satisfactory (54.6%) or high (31.7%) knowledge of EBP, while 13.7% reported poor knowledge. In EBP retrieving and reviewing, 48.1% found their skills satisfactory, 32.2% high, and 19.7% poor. For EBP sharing and application, 41% rated their skills as high, 36.1% satisfactory, and 23% poor. Attitudes toward EBP were 64.5% positive and 35.5% negative. Female students had higher knowledge (M = 4.61) than males (M = 3.90; p < 0.01) and higher EBP sharing scores (M = 4.42 vs. M = 3.90; p < 0.05). Research involvement also influenced knowledge (M = 4.54 vs. M = 4.08; p < 0.05) and EBP sharing (M = 4.43 vs. M = 3.88; p < 0.05). Students' perceptions of organizational support varied, with mean scores of 3.49 for culture-supporting culture, 3.59 for resources availability, and 3.47 for mentorship support.</p><p><strong>Conclusion: </strong>The study reveals generally positive EBP knowledge and attitudes among nursing students but highlights significant gaps in critical skills such as retrieving, reviewing, and applying evidence, as well as inconsistencies in organizational support. Institutions can address these gaps by integrating structured EBP training, mentorship programs, research engagement opportunities, and enhanced faculty support to foster a stronger evidence-based practice culture.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"309"},"PeriodicalIF":3.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701889","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}
引用次数: 0
Latent profile analysis of operating room nurses' occupational fatigue and its relationship with attentional control.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-24 DOI: 10.1186/s12912-025-02931-2
Jiao Zhai, Shuangying Gong, Feng Chen, Ping Zheng, Wanlin Liu, Xiaoxia Dai, Caixia Xie
{"title":"Latent profile analysis of operating room nurses' occupational fatigue and its relationship with attentional control.","authors":"Jiao Zhai, Shuangying Gong, Feng Chen, Ping Zheng, Wanlin Liu, Xiaoxia Dai, Caixia Xie","doi":"10.1186/s12912-025-02931-2","DOIUrl":"10.1186/s12912-025-02931-2","url":null,"abstract":"<p><strong>Background: </strong>Occupational fatigue in operating room nurses may influence their attentional control. However, few previous studies have explored the correlation between occupational fatigue and attentional control in operating room nurses. To better understand operating room nurses' occupational fatigue and its relationship with attentional control, this study aimed to identify the latent profiles and their factors that influence operating room nurses' occupational fatigue as well as differences in attentional control across each latent profile.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from May 2024 to July 2024, and a total of 386 operating room nurses were recruited from 6 hospitals in Chengdu. The participants completed the Occupational Fatigue Scale and the Attentional Control Scale. Latent profile analysis (LPA) was employed to identify latent profiles of occupational fatigue among operating room nurses. The predictors of occupational fatigue in different latent profiles were assessed via multinomial logistic regression analysis. One-way ANOVA and the Kruskal-Wallis test were used to compare the scores on the attentional control scale for each latent profile of nurses' occupational fatigue.</p><p><strong>Results: </strong>This study identified three latent profiles of operating room nurses'. occupational fatigue: the \"low-fatigue/high-recovery group\" (n = 80, 21.2%), the \"high-fatigue/low-recovery group\" (n = 113,29.3%) and the \"moderate-fatigue/mod-erate-recovery group\" (n = 193, 49.4%). The results of the multinomial logistic regression analysis suggested that age, work experience, educational level and monthly income were predictors of operating room nurses' occupational fatigue. There were significant differences in attentional control among the different pr-ofiles of occupational fatigue (P < 0.001). The scores for attentional focus were. Significantly different across each profile (P < 0.001), whereas the scores for at-tentional shift were not different across profiles (P = 0.342).</p><p><strong>Conclusions: </strong>Operating room nurses' occupational fatigue can be divided into three latent profiles. Reducing chronic and acute fatigue while enhancing intershift recovery can improve nurses' attentional control and improve the overall service quality of the hospital. Nursing managers should identify operating room nurses who are at risk and implement targeted interventions to reduce occupational fatigue.</p><p><strong>Trial registration: </strong>This study does not involve clinical trials or interventional procedures and therefore does not meet the criteria for clinical trial registration.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"310"},"PeriodicalIF":3.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701900","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}
引用次数: 0
Critical factors shaping vicarious posttraumatic growth in nurses: a cross-sectional study.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-24 DOI: 10.1186/s12912-025-02939-8
Yitong Cai, Jie Zhang, Yifei Li, Juan Li, Weixiang Luo, Jingping Zhang, Chaoran Qu
{"title":"Critical factors shaping vicarious posttraumatic growth in nurses: a cross-sectional study.","authors":"Yitong Cai, Jie Zhang, Yifei Li, Juan Li, Weixiang Luo, Jingping Zhang, Chaoran Qu","doi":"10.1186/s12912-025-02939-8","DOIUrl":"10.1186/s12912-025-02939-8","url":null,"abstract":"<p><strong>Background: </strong>Nurses face high levels of occupational stress due to direct and indirect trauma exposure, resulting in psychological challenges such as anxiety, depression, and secondary traumatic stress. However, vicarious posttraumatic growth (VPTG), a positive outcome of trauma exposure, can improve resilience and professional satisfaction. Understanding the factors affecting VPTG is key to developing strategies that enhance nurse well-being. This study sought to explore the various factors that affect VPTG among clinical nurses, using a cross-sectional design.</p><p><strong>Methods: </strong>A cross-sectional survey was performed during the period from September to November 2023, involving 1,025 nurses from 13 tertiary and secondary hospitals across China. The study utilized various validated scales, including the Chinese adaptation of the Vicarious Posttraumatic Growth Inventory, the Coping Style Questionnaire, the Perceived Social Support Scale, the Event Related Rumination Inventory, the Interpersonal Reactivity Index, and the Core Beliefs Inventory. Statistical analysis, including Pearson correlation and stepwise multiple regression, was performed using SPSS 27.0 to identify key factors influencing VPTG.</p><p><strong>Results: </strong>The average VPTG score was 105.02 (SD = 15.75), with 70.1% of nurses exhibiting low to moderate levels of VPTG. Positive coping (β = 0.358), social support (β = 0.266), core beliefs (β = 0.186), age (β = 0.083), and empathy (β = 0.066) were significant positive predictors of VPTG, while intrusive rumination (β =-0.078) negatively impacted VPTG. Receiving psychological trauma training also contributed positively (β = 0.046). These factors explained 49.8% of the variance in VPTG.</p><p><strong>Conclusions: </strong>Positive coping strategies, social support, core beliefs, and empathy play pivotal roles in enhancing VPTG among nurses. Tailored interventions focusing on these areas could significantly promote VPTG, thereby improving nurse resilience and patient care quality.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"302"},"PeriodicalIF":3.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701887","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}
引用次数: 0
Management of care for hospitalized older persons - comfort as an essential outcome: a qualitative study.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-24 DOI: 10.1186/s12912-025-02819-1
Esther Mourão Nicoli, Frances Valéria Costa E Silva, Célia Pereira Caldas, Luciana Guimarães Assad, Claudia Feio da Maia Lima, Miriam Marinho Chrizostimo
{"title":"Management of care for hospitalized older persons - comfort as an essential outcome: a qualitative study.","authors":"Esther Mourão Nicoli, Frances Valéria Costa E Silva, Célia Pereira Caldas, Luciana Guimarães Assad, Claudia Feio da Maia Lima, Miriam Marinho Chrizostimo","doi":"10.1186/s12912-025-02819-1","DOIUrl":"10.1186/s12912-025-02819-1","url":null,"abstract":"<p><strong>Background: </strong>The global aging population highlights the need for accurate care management, tailored to their specific needs. This study investigated the production of comfort as a therapeutic outcome of nursing care management for hospitalized older persons.</p><p><strong>Methods: </strong>This exploratory descriptive research was conducted in 9 medical wards and 4 surgical wards of a university hospital in the state of Rio de Janeiro, Brazil, via a qualitative approach. Between May and June, 2022, the researchs collected data from 19 nurses in management positions. Semistructured interviews were conducted, and the researchers investigated the data thus collected via thematic-categorical content analysis on the basis of the approach developed by Bardin. The theoretical framework was based on Kolcaba's Comfort Theory.</p><p><strong>Results: </strong>Inadequate staffing was the main challenge among the forces (barriers) that were observed to obstruct the care management of hospitalized older persons, what lead to task prioritization that favored techinical over comfort-focued care. Additionally, the overload and stress faced by nurses created discomfort for the team, which was reflected in the care that they provided. The results also revealed that a lack of knowledge represented a significant challenge because professional insecurity led nurses to choose restrictive interventions; however, this approach ultimately sacrified comfort. Alongside with leadership, experience emerged as a primary facilitating force. The main risks faced by hospitalized older persons that were identified by nurses included falls, pressure injuries, delirium, pneumonia, and bronchoaspiration. The main nursing interventions used to ensure comfort and safety of hospitalized older persons pertained to the environment as well as to the need to encourage the presence of family members. However, intervening variables, beyond the professional's control, such as inapproprieted hospital infrastructure and the unavailability of family members, were not considered. As a result, the interventions proved to be ineffective since they did not address these factors that impacted patient's levels of comfort.</p><p><strong>Conclusions: </strong>Analysis of the findings of this research revealed that although care management focused on promoting comfort, safety and autonomy among patients, nursing practices prioritized patient safety while sacrificing comfort and autonomy.</p><p><strong>Trial registration: </strong>This work was approved by the Ethics Committee - no. 57513722.0.0000.5282.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"301"},"PeriodicalIF":3.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701903","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}
引用次数: 0
A transactional analysis training program on cognitive flexibility and emotion regulation in undergraduate nursing students: an experimental study.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-24 DOI: 10.1186/s12912-025-02961-w
Atena Abbasszade, Jamileh Farokhzadian, Mahya Torkaman, Sakineh Miri
{"title":"A transactional analysis training program on cognitive flexibility and emotion regulation in undergraduate nursing students: an experimental study.","authors":"Atena Abbasszade, Jamileh Farokhzadian, Mahya Torkaman, Sakineh Miri","doi":"10.1186/s12912-025-02961-w","DOIUrl":"10.1186/s12912-025-02961-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;One factor influencing mental health is cognitive flexibility and emotion regulation. Employing adaptive strategies positively impacts the development of appropriate responses to emotional situations. Nursing students, particularly during initial patient and family interactions, may experience high stress and anxiety, often accompanied by reduced cognitive flexibility and emotion regulation. Therefore, incorporating strategies to enhance these skills, such as transactional analysis (TA) training, into nursing curricula is essential. TA is one of the theories that has provided practical solutions in the field of interpersonal relationships, increasing self-concept, and adapting to existing conditions in the field of interpersonal issues. This study aimed to evaluate the effect of TA training on cognitive flexibility and emotion regulation in nursing students.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This experimental study was conducted with a pre-test and post-test design with intervention and control groups among employed 80 sixth-semester nursing students from Razi School of Nursing and Midwifery affiliated with Kerman University of Medical Sciencesin southeastern Iran. The participants were included in the study via a census method and were randomly assigned to either an intervention group (n = 40) or a control group (n = 40). The intervention group received four weeks of TA training, consisting of two 90-minute sessions per week. The control group received no intervention during this period. Both groups completed the Cognitive Flexibility Inventory and the Affective Style Questionnaire before and one month after the intervention.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Results indicated no significant difference in pre-test cognitive flexibility scores between the intervention (100.4 ± 17.38) and control groups (102.07 ± 15.53; p = 0.065). However, post-test scores revealed a significant increase in cognitive flexibility in the intervention group (113.72 ± 10.73) compared to the control group (61 ± 16.85/101; p = 0.001). Additionally, the intervention group exhibited a significant increase in post-test emotion regulation score (67.85 ± 7.42) compared to pre-test scores (64.58 ± 10.55; p = 0.003). However, no significant difference in post-test emotion regulation scores was observed between the intervention and control groups (65.6 ± 10.64; p = 0.27).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The results of this study demonstrated the efficacy of TA programs in enhancing cognitive flexibility and emotion regulation among nursing students. It is recommended that this intervention be implemented in medical education, particularly for nursing students who frequently interact with patients and may experience increased stress, anxiety, and reduced cognitive flexibility and emotion regulation during initial patient encounters. TA as an educational method, can enhance self-awareness, interpersonal relationship, and emotional regulation among ","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"306"},"PeriodicalIF":3.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701884","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}
引用次数: 0
Action research on implementing the BOPPPS model in teaching mechanical prophylaxis techniques for deep vein thrombosis.
IF 3.1 2区 医学
BMC Nursing Pub Date : 2025-03-24 DOI: 10.1186/s12912-025-02983-4
Mingyan Shen, Pengxia Wan, Zhixian Feng
{"title":"Action research on implementing the BOPPPS model in teaching mechanical prophylaxis techniques for deep vein thrombosis.","authors":"Mingyan Shen, Pengxia Wan, Zhixian Feng","doi":"10.1186/s12912-025-02983-4","DOIUrl":"10.1186/s12912-025-02983-4","url":null,"abstract":"<p><strong>Objective: </strong>To explore the application effects of the BOPPPS model in teaching mechanical prophylaxis techniques for deep vein thrombosis (DVT).</p><p><strong>Methods: </strong>Following the \"Plan-Act-Observe-Reflect\" four-step process of action research, continuous improvements were made to the teaching process of DVT mechanical prophylaxis techniques based on the BOPPPS model. Data were collected by designated personnel and the teaching effectiveness was evaluated.</p><p><strong>Results: </strong>Through three rounds of action research, the overall practical training scores for DVT mechanical prophylaxis techniques among students from the 2019-2021 cohorts were 84.45 ± 4.75, 88.43 ± 3.92, and 91.15 ± 4.58, respectively. The self-evaluation scores for DVT prophylaxis awareness were 95.93 ± 2.78, 97.39 ± 2.54, and 98.47 ± 2.47, all of which were statistically significant (P < 0.01). Cohen's d effect sizes further confirmed substantial improvements.</p><p><strong>Conclusion: </strong>Implementing the BOPPPS model in teaching DVT mechanical prophylaxis techniques helps improve students' knowledge, skills, and prevention awareness. The action research method contributes to the standardization and scientific design of the curriculum.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"311"},"PeriodicalIF":3.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701886","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}
引用次数: 0
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