BMC Nursing最新文献

{"title":"Relationship between job burnout and presenteeism in anesthesia nurses: mediating effect of psychological capital.","authors":"Jie Cheng, Xiaoli Xia, Mei Hong, Xue Lin, Daiying Zhang, Jianlan Ren","doi":"10.1186/s12912-024-02526-3","DOIUrl":"10.1186/s12912-024-02526-3","url":null,"abstract":"<p><strong>Background: </strong>Psychological capital can effectively alleviate job burnout and improve career autonomy and job satisfaction. However, there is a lack of research on the mediating role of psychological capital between job burnout and preseneeism in Chinese anesthesia nurses.</p><p><strong>Aims: </strong>The mediating role of psychological capital between job burnout and presenteeism based on constructing structural equation models in anesthesia nurses.</p><p><strong>Methods: </strong>This study was a cross-sectional study design. From June to July 2024, convenience sampling was used to conduct a questionnaire survey of 568 anesthesia registered nurses in different levels of hospitals in Sichuan Province. The self-designed general information questionnaire, Chinese version of Stanford Invisible Absence Scale (SPS-6), Psychological Capital Scale-Chinese Revised (PCQ) and Maslach Burnout Inventory-General Survey (MBI) were used to investigate the status through the form of questionnaire star. Pearson correlation analysis was used to explore the interaction among psychological capital, job burnout and presenteeism. AMOS 26.0 software was used to further verify the mediating effect of psychological capital between job burnout and preseneeism, and to construct the corresponding path relationship model.</p><p><strong>Results: </strong>The scores of psychological capital, job burnout and preseneeism were 93.31 ± 14.33, 56.35 ± 17.67 and 18.96 ± 4.97, respectively. Job burnout of anesthesia nurses was significantly negatively correlated with psychological capital (r=-0.558, P < 0.01), and was significantly positively correlated with presences (r = 0.465, P < 0.01). Psychological capital was significantly negatively correlated with presences (r=-0.495, P < 0.01). In addition, psychological capital was identified as a partial mediating effect between job burnout and preseneeism in the mediation model, and the mediating effect was 0.279, accounting for 48.18% of the total effect.</p><p><strong>Conclusion: </strong>The job burnout of anesthesia nurses has reached a moderate level, and job burnout can positively predict preseneeism. Psychological capital partially mediates the positive effect of job burnout on preseneeism, and the improvement of its level has a positive effect on reducing job burnout and preseneeism of anesthesia nurses. Therefore, enhancing psychological capital has become an important way to relieve the occupational stress and improve work efficiency of anesthesia nurses.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"853"},"PeriodicalIF":3.1,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11585931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142695956","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":"Using signal detection test to assess the correlation between daily sleep duration, mental workload, and attention sensitivity in nurses.","authors":"Mohammad Hassan Kazemi-Galougahi, Ehsan Feizabadi","doi":"10.1186/s12912-024-02515-6","DOIUrl":"10.1186/s12912-024-02515-6","url":null,"abstract":"<p><strong>Background: </strong>Increased attention among healthcare workers, particularly nurses, is crucial for preventing medical errors and patient harm. This study uses an objective approach that overcomes the limitations of the subjective self-report measures employed in prior research on nurses' attention.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from January to March 2023 among 108 nurses at Besat Hospital in Tehran, Iran. The data collected included demographic information, the NASA Task Load Index (NASA-TLX) for mental workload assessment, and the CogLab signal detection test for attention sensitivity measurement.</p><p><strong>Results: </strong>The participants exhibited a median mental workload of 68.5 (IQR = 14.9) and a median attention sensitivity of 52.5 (IQR = 39.2). Daily sleep duration was positively correlated with attention sensitivity (r = 0.644, p < 0.001), whereas mental workload was negatively correlated with attention sensitivity (r = -0.655, p < 0.001). Men demonstrated greater attention sensitivity (p = 0.040), and women reported greater mental workload (p = 0.043).</p><p><strong>Conclusion: </strong>Reducing daily sleep duration and increasing mental workload can diminish nurses' attention sensitivity. Prioritizing adequate sleep and implementing strategies to reduce mental workload are crucial for enhancing nurse performance and patient safety.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"851"},"PeriodicalIF":3.1,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and practice of pediatric pain management and associated factors among nurses in Ethiopia: a systematic review and meta-analysis.","authors":"Moges Tadesse Abebe, Kaleab Tesfaye Tegegne, Dessie Alemnew Shiferaw, Yosef Aragaw Gonete, Yideg Abinew Kebede, Jemberu Chane Fetene, Abebe Tadesse Tibebu, Muluken Chanie Agimas","doi":"10.1186/s12912-024-02507-6","DOIUrl":"10.1186/s12912-024-02507-6","url":null,"abstract":"<p><strong>Background: </strong>The knowledge and practices of nurses are determinant factors of pediatric pain management, but there are no pooled results concerning prevalence and associated factors. Therefore, this systematic review and meta-analysis aimed to determine the pooled prevalence of good knowledge, good practices, and associated factors for pediatric pain management in Ethiopia.</p><p><strong>Methods: </strong>PubMed, Cochrane, Scopus, CINAHL, Google Scholar, and university repositories in Ethiopia were searched. It was reported based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and Newcastle-Ottawa Scale was used to assess the quality. Cross-sectional studies conducted any time were included. STATA 17 was used to analyze the data after extraction. Heterogeneity was assessed via I² statistics, Galbraith plot and meta-regression. A random effects model was used in the presence of heterogeneity. Funnel plots and Egger's regression were used to assess publication bias. Subgroup analyses were conducted by the study period and sample size. Sensitivity analysis was also performed.</p><p><strong>Results: </strong>Nine studies with a total of 2355 nurses were included. The pooled prevalence of good knowledge and practices for pediatric pain management among nurses was 60% and 42%, respectively. The percentages were higher from 2015-2021 than from 2022-2024. Education, training, pain management protocols, and tools were the main variables analyzed. Hence, pre-service training (OR: 3.1, CI: 2.21-4.36), in-service training (OR: 3.04, CI: 1.78-5.18), and pain management protocol (OR: 2.53, CI: 1.59-4.03) were associated with good knowledge. MSc degrees (OR: 7.45, CI: 2.74-20.21), pre-service training (OR: 2.26, CI: 1.53-3.34), in-service training (OR: 3.27, CI: 1.72-6.25), presence of protocol (OR: 2.68, CI: 1.79-3.99), presence of tool (OR: 2.74, CI: 1.96-3.83), presence of policy (OR: 6.2, CI: 2.98, 12.91), knowledge of nurses (OR: 4.47, CI: 3.24, 6.18) and child cooperativeness (OR: 1.98, CI: 1.46, 2.67) were associated with good practices of pediatric pain management.</p><p><strong>Conclusion: </strong>The pooled prevalence of good knowledge and good practices was low. Education, training, and the availability of pain management protocols were the most important factors. Therefore, education and training provisions should focus on nurses working in pediatric wards.</p><p><strong>Trial registration: </strong>PROSPERO registration number: CRD42024572462.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"848"},"PeriodicalIF":3.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683154","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":"Nurses' perspectives on old age and caring for adults aged 80 years and older: a cross-sectional study in long-term care.","authors":"Lena Maria Lampersberger, Christa Lohrmann, Franziska Großschädl","doi":"10.1186/s12912-024-02503-w","DOIUrl":"10.1186/s12912-024-02503-w","url":null,"abstract":"<p><strong>Background: </strong>Older care receivers of long-term care at home or in residential care are in sustained and close contact with nurses. Consequently, nurses' attitudes towards older adults and their care influences the quality of the delivered care. There is a dearth of research on long-term care nurses' attitudes towards older adults. We aimed to investigate Austrian long-term care (residential care and home care) nurses' attitudes towards adults 80 + and towards geriatric care, as well as possible influencing factors like personal and professional contact with older adults.</p><p><strong>Methods: </strong>An online survey using a cross-sectional design was carried out in fall 2023 with a convenience sample of 875 Austrian nurses (qualified nurses, specialised nurses, nurses without diploma). The questionnaire included three scales: (1) The Aging Semantic Differential which measures general attitudes towards older adults, (2) the Perspectives on Caring for Older People Scale, and (3) the Positive/Negative Contact Scales.</p><p><strong>Results: </strong>Nurses were found to hold neutral to positive attitudes towards adults 80 + and their care. Attitudes towards older adults and their care were positively influenced by positive contact experiences and few negative experiences in their work environment. Nurses in home care had significantly more positive contact with care receivers and held more positive attitudes towards adults 80 + than residential care nurses.</p><p><strong>Conclusion: </strong>These results suggest that intergenerational contact can positively impact attitudes of nurses towards older care receivers. In order to further facilitate positive attitudes, it is recommended to create positive contact opportunities between nurses and care receivers by, for example, implementing intergenerational educational interventions.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"850"},"PeriodicalIF":3.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11580359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683178","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":"Lived experiences of older adults within an integrated hospital-at-home service: an interpretive phenomenological analysis.","authors":"Xiyi Wang, Harriet Slade, Geraldine Lee","doi":"10.1186/s12912-024-02511-w","DOIUrl":"10.1186/s12912-024-02511-w","url":null,"abstract":"<p><strong>Background: </strong>The Hospital at Home (HaH) service has developed and evolved over the past few years with the Covid-19 pandemic and improved the integration of care in the community from acute hospital settings. Despite these advancements, there remains a limited understanding of patients' lived experiences with the HaH service. This study aims to explore the experiences and perceptions of older adults who have received HaH services to inform future quality improvement initiatives.</p><p><strong>Methods: </strong>A qualitative approach utilizing semi-structured interviews was employed to comprehensively understand how patients and family caregivers individually interpreted and made sense of their interactions with the HaH service in the context of an urban setting in the United Kingdom. Purposive sampling was used to select key informants (n = 7) who had previously utilized the HaH service in early 2023. Using an interpretive phenomenological analysis, approaches of interpretive interviews, initial data review, segmentation of data into coherent units, and condensation into cohesive themes were involved. Reporting of findings adhered to the Standards for Reporting Qualitative Research (SRQR) Guidelines.</p><p><strong>Results: </strong>Four distinct themes, each accompanied by its own set of interpretive practices and subordinate themes, emerged: [1] positive experiences of using HaH service [2], supporting family-centred care within HaH service [3], perceived challenges faced by individuals and caregivers in HaH [4], messages for quality improvement of HaH service.</p><p><strong>Conclusions: </strong>The study's findings provide insight into the experiences and interpretations of users within an integrated HaH service. The positive aspects of the service, its encouragement of family-centred care, identified challenges, and suggested improvements collectively contribute to advancing the quality enhancement of future HaH endeavours.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"849"},"PeriodicalIF":3.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683163","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":"Harnessing the power of social media: transforming nursing education for unmatched academic success.","authors":"Yasemin Erden, Handan Aydın Kahraman, Bahar Çiftçi","doi":"10.1186/s12912-024-02513-8","DOIUrl":"10.1186/s12912-024-02513-8","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to determine the effect of social media-supported learning on the academic achievement of nursing students and their social media usage levels in nursing education.</p><p><strong>Background: </strong>Using social media in nursing education enables students to experience interactive learning, strengthening learning outcomes and creating an enriched learning environment with up-to-date information.</p><p><strong>Method: </strong>The study was conducted as a randomized controlled study. CONSORTchecklist was completed. The subject of parenteral drug administration was explained interactively to all students by the same instructors for a total of 12 h for weeks. After the theoretical course, each skill was demonstrated by the instructor in the laboratory setting in a 24-h laboratory course with the demonstration method in line with the checklists. After the training was completed, the students filled out the necessary forms. Videos and informative images about parenteral drug applications were shared with the intervention group for 4 weeks through an Instagram page created for social media-supported learning. Questions and answers were shared on the subject every day in the story section. The answer to the question was shared in the story section the next day with explanations. At the end of the 4th training week, the students were asked to complete the necessary forms as a post-test. Changes in academic achievement and social media usage after the intervention were measured using achievement tests and the Social Media Scale in Nursing Education. Data were analyzed with SPSS 23.0. Normality was tested using the Shapiro-Wilk test. Independent t-tests and the Chi-Square test for categorical variables were used for normally distributed continuous variables. Pre-test and post-test comparisons within groups were evaluated with the Paired t-test if normality was met, or the Wilcoxon test. The effect size was calculated using Cohen's d.</p><p><strong>Results: </strong>After social media-supported learning, it was found that the difference between the post-test mean scores of the nursing students in the intervention and control group was statistically significant(p < 0.001). It was also found that the average of the exam results after the training increased compared to the average before the training, and the difference between the two scores was statistically significant(p < 0.001).</p><p><strong>Conclusion: </strong>Social media-supported education positively affected the academic achievements of nursing students and the level of social media use in nursing education.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"847"},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677125","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":"Factors influencing job performance of nurses in COVID-19 care: a study in Egypt.","authors":"Ayman Muhammad Kamel Senosy","doi":"10.1186/s12912-024-02479-7","DOIUrl":"10.1186/s12912-024-02479-7","url":null,"abstract":"<p><p>Coronavirus disease (COVID-19) is an illness that has critical effects on public health and overall circumstances across the world. The performance of nurses represents the vital actions in providing care for COVID-19 patients. The aim of this study was to assess job performance and associated nurses, patients, and environmental-related factors among nurses providing care to COVID-19 patients in Egypt through the following: assessing the nurses' knowledge regarding care of COVID-19 patients; assessing the nurses' practice regarding care of COVID-19 patients; assessing different factors that affect different types of nurses' job performance; and assessing the factors associated with the job performance of nurses providing care to COVID-19 patients.Design A descriptive exploratory study was used to meet the aim of the study.Setting The study was conducted at Ain Shams University COVID-19 Hospital.Study subjects A convenient sample of all 52 available nurses working at Ain Shams University COVID-19 Hospital. Data collection tools: The data was collected using a self-administered questionnaire. It consisted of the following: A. Self-administered nurses' questionnaire: Part I: Demographic characteristics of nurses. Part II: Nurses knowledge assessment. Part III: Factors associated with nurses' job performance. B. Narses's practice observational checklist. Results: The mean age (mean ± SD) of the study population was 40.59 ± 6.90. As regards their years of experience working as nurses, only 32.7% of them have more than ten years of experience. In relation to the total satisfactory level of knowledge about coronavirus, the study reveals that 55.8% of the nurses have unsatisfactory knowledge regarding coronavirus, There is a highly significant relationship between level of practice and years of experience (p-value < 0.001**), while there is a significant relationship between level of practice and educational level and attending the training courses about caring for COVID-19 patients (P-value 0.033*, P-value 0.025*), respectively.Conclusion The study concluded that most of the studied nurses had unsatisfactory knowledge, and more than half had incompetent practice scores about nursing care practices for patients with COVID-19. There was a positive linear correlation between the nurses' knowledge and practice. The factors affecting their performance in caring for patients with COVID-19, lack of cooperation between nurses and patients, lack of supplies and equipment during care were the most frequently reported factors, as were an unequal nurse-patient ratio, many nursing tasks, and a lack of patients' knowledge.Recommendation The study recommends the importance of promoting the nursing care guidelines as a standard procedure in ICUs, and the nursing care guideline educational program for patients with COVID-19 should be scheduled regularly for nurses. Providing the hospitals with supplies to avoid the shortage's effect on nurses' performance.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"846"},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677159","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":"Validation of the scale compassion fatigue inventory in health professional Spanish-speaking: a cross-sectional study.","authors":"Antonio Kobayashi-Gutiérrez, Blanca Miriam Torres-Mendoza, Bernardo Moreno-Jiménez, Rodrigo Vargas-Salomón, Jazmin Marquez-Pedroza, Rosa Martha Meda-Lara","doi":"10.1186/s12912-024-02509-4","DOIUrl":"10.1186/s12912-024-02509-4","url":null,"abstract":"<p><strong>Objectives: </strong>To validate the Compassion Fatigue Inventory in Spanish-speaking health personnel, its psychometric properties were tested, and the influencing factors were investigated.</p><p><strong>Method: </strong>This was a cross-sectional validation study. Information was collected through a survey of 733 nurses, physician and medical residents using the Compassion fatigue Inventory (CFI), Secondary Traumatic Stress Questionnaire (CETS), The physician burnout syndrome scale (PhBS), the quality-of-life index (SQL -sp) and the reduced Moral Stress Scale (MMDHPr). The psychometric properties of the CFI were tested via exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and internal consistency analysis. The final version of the translated CFI was correlated with other scales.</p><p><strong>Results: </strong>An EFA was performed to evaluate the translated CFI, resulting in 15 items in three dimensions, as reported in the literature: reduced compassion, social life, and workplace. The CFA showed good fit indices and psychometric values (Cronbach´s alpha = 0.87, Omega = 0.87, Comparative Fit Index = 0.99, Tucker Lewis = 0.99, root mean square error of approximation = 0.045, Standardized Root Mean Square Residual = 0.05). The CFI had a negative correlation with the SQL-sp and a positive correlation with the other subscales. Work experience is predictive of a small reduction in CFI scores.</p><p><strong>Conclusion: </strong>The adaptation of the CFI in a sample of Latino health professionals shows satisfactory psychometric indices in the evaluation of compassion fatigue and can be proposed as a specific inventory to differentiate compassion fatigue from other occupational syndromes.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"842"},"PeriodicalIF":3.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669529","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":"Cross-cultural adaptation and validation of the Spanish version of the Cardiopulmonary Resuscitation Motivation Scale (s-CPRMS): a cross sectional study.","authors":"Mª Carmen Rodríguez-García, Esteban Montoya-Giménez, Helena Martínez-Puertas, José Miguel Garrido-Molina, Alba García-Viola, Verónica V Márquez-Hernández","doi":"10.1186/s12912-024-02445-3","DOIUrl":"10.1186/s12912-024-02445-3","url":null,"abstract":"<p><strong>Background: </strong>Cardiac arrest remains a serious global health issue worldwide which claims for review and improvement. High motivation among resuscitators could lead to high-quality resuscitation and better outcomes. This study aimed to translate and cross-culturally adapt the Cardiopulmonary Resuscitation Motivation Scale into Spanish and assess the psychometric properties of the Spanish version (s-CPRMS).</p><p><strong>Methods: </strong>A sample of critical care and acuity-emergency physicians and nurses (N = 352) participated in an observational cross-sectional study structured in 3 phases.</p><p><strong>Results: </strong>Face and content validity was confirmed for the s-CPRMS (s-CVI = 0.88). The ordinal alpha was 0.847, ranging from 0.796 to 0.92 for the factors, indicating good reliability and temporal stability (mean ICC = 0.701; p < 0.001). The Exploratory Factor Analysis (EFA) results showed the s-CPRMS was distributed into four factors that explained 58% of the variance with values of the goodness of fit indices indicating an adequate fit for the model extracted in the Confirmatory Factor Analysis (CFA): χ2 (246) = 402.240; p < 0.001, SRMR = 0.086, RMSEA = 0.059, TLI = 0.965, CFI = 0.969, GFI = 0.990.</p><p><strong>Conclusions: </strong>The s-CPRMS is a valid and reliable instrument to assess the motivation of resuscitation teams, which might lead to potential effective strategies to resuscitation quality improvement and outcomes.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"845"},"PeriodicalIF":3.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11572373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669525","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 heterogeneous depression trajectory and its predictors in coronary heart disease patients undergoing home-based cardiac rehabilitation: a cohort study.","authors":"Zhen Yang, Xutong Zheng, Liyu Xu, Yu Gao, Chunqi Zhang, Aiping Wang","doi":"10.1186/s12912-024-02508-5","DOIUrl":"10.1186/s12912-024-02508-5","url":null,"abstract":"<p><strong>Background: </strong>Psychological management, particularly addressing depression, is crucial for the effectiveness of home-based cardiac rehabilitation. This study aimed to explore the depression trajectories of coronary heart disease patients during home-based cardiac rehabilitation, identify trajectories associated with cardiovascular readmission, and integrate them into a heterogeneous depression trajectory while examining its predictors.</p><p><strong>Methods: </strong>A prospective cohort study was conducted at a large cardiac rehabilitation center in mainland China. Participants completed the Patient Health Questionnaire-9 to assess depression levels during the 6-month home-based cardiac rehabilitation, with monthly follow-ups. Using latent class growth models to explore depression trajectories. The relationship between different trajectories and cardiovascular readmission was determined using Cox proportional hazards regression, identifying heterogeneous depression trajectory. Logistic regression analysis was employed to explore the influencing factors of heterogeneous depression trajectory.</p><p><strong>Results: </strong>A total of 346 eligible patients with coronary heart disease participated in the study. Four distinct depression trajectories were identified: sustained no depression (48.0%), delayed onset (15.9%), low U-shaped depression (25.1%), and sustained depression (11.0%). Depression trajectories significantly impacted cardiovascular readmission rates, with higher risks observed in the delayed onset (HR: 4.707, 95% CI: 1.766-12.544) and sustained depression (HR: 8.832, 95% CI: 3.281-23.773) groups. These two groups were combined and termed heterogeneous depression trajectory. Importantly, education level, number of chronic diseases, resilience, social support, and anxiety were independent predictors of heterogeneous depression trajectory.</p><p><strong>Conclusions: </strong>Depression trajectories during home-based cardiac rehabilitation are significantly heterogeneous and influence cardiovascular outcomes. Early identification and management of high-risk factors can enhance psychological health and reduce readmission rates.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"841"},"PeriodicalIF":3.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669527","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}