Journal of Nursing Research最新文献

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Supportive Care Needs Trajectories in Patients With Advanced Non-Small-Cell Lung Cancer Receiving Chemotherapy: A Longitudinal Study. 接受化疗的晚期非小细胞肺癌患者的支持性护理需求轨迹:一项纵向研究
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1097/jnr.0000000000000556
Chun-Ju Yen, Hsin-Tien Hsu, Hsiu-Fen Hsieh, Ying-Ju Chen, Ming-Shyan Huang, Pei-Chao Lin
{"title":"Supportive Care Needs Trajectories in Patients With Advanced Non-Small-Cell Lung Cancer Receiving Chemotherapy: A Longitudinal Study.","authors":"Chun-Ju Yen,&nbsp;Hsin-Tien Hsu,&nbsp;Hsiu-Fen Hsieh,&nbsp;Ying-Ju Chen,&nbsp;Ming-Shyan Huang,&nbsp;Pei-Chao Lin","doi":"10.1097/jnr.0000000000000556","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000556","url":null,"abstract":"<p><strong>Background: </strong>The supportive care needs trajectories in patients with advanced non-small-cell lung cancer (NSCLC) during chemotherapy and the related factors have yet to be explored or addressed in the literature.</p><p><strong>Purpose: </strong>This study was designed to investigate supportive care needs trajectories in patients with advanced NSCLC receiving chemotherapy and the association between the sociodemographic and disease characteristics of these patients over the four cycles of chemotherapy.</p><p><strong>Methods: </strong>For this longitudinal study, 95 patients with advanced NSCLC were recruited using convenience sampling at a medical center in Taiwan. The supportive care needs of the participants were assessed in each of the four chemotherapy cycles using the Needs Evaluation Questionnaire-Chinese version (NEQ-C) with 23 dichotomous items on the day before and the seventh day after the end of each cycle. Group-based trajectory modeling was applied to identify the classes of supportive care needs trajectories, whereas chi-square tests were used to examine the factors related to these classes.</p><p><strong>Results: </strong>Seventy-one participants completed all eight questionnaire sessions across the four cycles. The mean NEQ-C scores for these participants ranged between 14.4 and 14.6. Three classes of supportive care needs trajectories (low, moderate, and high) were identified for the entire NEQ-C and for each domain. Marital status was found to be associated with the classes of trajectories related to supportive care and assistance/care needs, spouse as the primary caregiver was found to be associated with the classes of trajectories related to information needs, and educational level was found to be associated with the classes of trajectories related to psychoemotional support needs.</p><p><strong>Conclusions: </strong>The results of this study indicate that marital status and spouse as primary caregiver relate significantly to supportive care needs trajectories in patients with advanced NSCLC during chemotherapy. Healthcare professionals should provide continuous, tailored supportive care interventions that address the needs of patients and their spouses/partners.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 3","pages":"e275"},"PeriodicalIF":2.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10081503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consolidating an Integrative Healthcare Delivery Service. 巩固综合医疗保健服务。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1097/jnr.0000000000000564
Li-Chan Lin
{"title":"Consolidating an Integrative Healthcare Delivery Service.","authors":"Li-Chan Lin","doi":"10.1097/jnr.0000000000000564","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000564","url":null,"abstract":"","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 3","pages":"e271"},"PeriodicalIF":2.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10081514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Mental Health and Psychosocial Well-Being in Recovered Jordanian Individuals With COVID-19: A Phenomenological Study. 探索约旦COVID-19患者康复后的心理健康和社会心理健康:现象学研究
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1097/jnr.0000000000000559
Ayman M Hamdan Mansour, Anas H Khalifeh, Ahmad N Alshibi, Shaher H Hamaideh, Feda' M Abu Al-Khair, Omar Khraisat, Fadwa N Alhalaiqa
{"title":"Exploring Mental Health and Psychosocial Well-Being in Recovered Jordanian Individuals With COVID-19: A Phenomenological Study.","authors":"Ayman M Hamdan Mansour,&nbsp;Anas H Khalifeh,&nbsp;Ahmad N Alshibi,&nbsp;Shaher H Hamaideh,&nbsp;Feda' M Abu Al-Khair,&nbsp;Omar Khraisat,&nbsp;Fadwa N Alhalaiqa","doi":"10.1097/jnr.0000000000000559","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000559","url":null,"abstract":"<p><strong>Background: </strong>COVID-19-related healthcare services focus primarily on medical and physical treatments. Related treatments for psychosocial and mental health needs have not been a priority for healthcare professionals. Understanding the process by which individuals who have recovered from COVID-19 adapt psychologically will allow better planning for mental healthcare and healthcare outcomes.</p><p><strong>Purpose: </strong>The purpose of this study was to explore how recovered individuals with COVID-19 adapted to related psychological and social stressors during the infection period.</p><p><strong>Methods: </strong>A descriptive phenomenological approach was used to investigate a purposive sample of 13 individuals in Jordan who had recovered from COVID-19. Data were collected using semistructured interviews.</p><p><strong>Results: </strong>Perceptions related to being diagnosed with COVID-19 were distinguished into four major themes: conscious awareness (acceptance, victimization, and normalizing), uncertainty (apprehension and poor communication), sources of psychosocial support (caring family, healthcare professionals' support, and self-grieving), and resilience (optimism, positive thinking, and spirituality).</p><p><strong>Conclusions: </strong>The findings of this study indicate the need to integrate psychosocial and mental healthcare services into healthcare plans provided to individuals with COVID-19 and similar pandemic infections.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 3","pages":"3272"},"PeriodicalIF":2.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10380471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Development of the Acute Care Nurse Practitioner Competencies Scale: An Exploratory and Confirmatory Factor Analysis. 急症护理护士执业能力量表的开发:探索性和验证性因素分析。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-06-01 DOI: 10.1097/jnr.0000000000000551
Shiow-Luan Tsay, Kevin Kau, Sheng-Shiung Huang, Shu-Chen Chang
{"title":"Development of the Acute Care Nurse Practitioner Competencies Scale: An Exploratory and Confirmatory Factor Analysis.","authors":"Shiow-Luan Tsay,&nbsp;Kevin Kau,&nbsp;Sheng-Shiung Huang,&nbsp;Shu-Chen Chang","doi":"10.1097/jnr.0000000000000551","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000551","url":null,"abstract":"<p><strong>Background: </strong>Nurse practitioners (NPs) play a vital role in healthcare, particularly in acute care settings in Taiwan. The professional competencies of NPs are essential for providing safe and effective care to patients. To date, no measurement tool is available for assessing the clinical competencies of NPs in acute care practices.</p><p><strong>Purpose: </strong>The aim of this study was to develop and investigate the psychometric properties of the Acute Care Nurse Practitioner Competencies Scale (ACNPCS).</p><p><strong>Methods: </strong>Mixed-method research was employed using samples of experienced NPs. First, we used a focus group of seven experienced NPs who worked for medical centers, community hospitals, and regional hospitals to identify clinical competencies content. Second, we implemented consensus validation using two rounds of the Delphi study and revised it to a 39-item ACNPCS. Third, we conducted content validity with nine NP experts and modified the competency content to 36 items. Finally, we conducted a national survey of 390 NPs from 125 hospitals to determine the extent to which the NP competency content relates to their clinical practice. To examine the reliability of the tool, we tested the internal consistency reliability and test-retest reliability. Exploratory factor analysis, confirmatory factor analysis, and known-group validity were used to test the construct validity of the ACNPCS.</p><p><strong>Results: </strong>The Cronbach's alpha coefficient for the overall scale was .92, with subscale coefficients ranging from .71 to .89. Test-retest reliability showed the two scores of the ACNPCS on the two occasions tested to be highly correlated ( r = .85, p < .001). Exploratory factor analysis revealed that the scale had six factors: providing healthcare, evaluating care, collaboration, education, care quality/research, and leadership/professionalism. Factor loadings for each factor item ranged from .50 to .80 and explained 72.53% of the total variance in the NPs' competencies. Confirmatory factor analysis indicated that the six-factor model showed satisfactory model fit (χ 2 = 780.54, p < .01), and the fit indices met the standards for adequate fit (goodness-of-fit index = .90, comparative fit index = .98, Tucker-Lewis index = .97, root mean square error of approximation = .04, and standardized root mean residual = .04). Known-group validity revealed that the total scores for novice NPs differed significantly from those of expert NPs in terms of the competencies ( t = 3.26, p < .001). These results validated the psychometric soundness of the newly developed ACNPCS.</p><p><strong>Conclusions: </strong>The newly developed ACNPCS exhibited satisfactory reliability and validity, supporting the use of the ACNPCS as a tool to assess the clinical competencies of NPs in acute care settings.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 3","pages":"e276"},"PeriodicalIF":2.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10021978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of Abnormal Sleep Duration in Older Adults With Hip Fracture and Diabetes. 老年髋部骨折和糖尿病患者异常睡眠时间的预测因素。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-04-01 DOI: 10.1097/jnr.0000000000000550
Wen-Yu Kuo, Min-Chi Chen, Yea-Ing Lotus Shyu
{"title":"Predictors of Abnormal Sleep Duration in Older Adults With Hip Fracture and Diabetes.","authors":"Wen-Yu Kuo,&nbsp;Min-Chi Chen,&nbsp;Yea-Ing Lotus Shyu","doi":"10.1097/jnr.0000000000000550","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000550","url":null,"abstract":"<p><strong>Background: </strong>Abnormal sleep duration affects recovery in older adults with hip fracture and diabetes mellitus (DM) negatively. However, the predictors of abnormal sleep duration in this population remain unknown.</p><p><strong>Purpose: </strong>This study was designed to explore the predictors of abnormal sleep duration among older adults with hip fracture and DM within 6 months of hospital discharge.</p><p><strong>Methods: </strong>A longitudinal study using secondary data from a randomized controlled trial was implemented. Data on fracture-related factors (diagnosis, surgical methods) were collected from medical charts. Information on the duration of DM, methods of DM control, and diabetes-related peripheral vascular disease was collected by asking simple questions. Diabetic peripheral neuropathy was assessed using the Michigan Neuropathy Screening Instrument. Sleep duration outcomes were determined using data collected from a SenseWear armband.</p><p><strong>Results: </strong>Having more comorbidities (OR = 3.14, p = .04), having undergone open reduction (OR = 2.65, p = .005), having undergone closed reduction with internal fixation (OR = 1.39, p = .04), and having DM (OR = 1.18, p = .01), diabetic peripheral neuropathy (OR = 9.60, p = .02), or diabetic peripheral vascular disease for a longer duration (OR = 15.62, p = .006) were all associated with a higher risk of abnormal sleep duration.</p><p><strong>Conclusions: </strong>The findings indicate that patients with more comorbidities or who had undergone internal fixation, had a long DM history, or had complications are more likely to have abnormal sleep duration. Thus, greater attention should be focused on the sleep duration of diabetic older adults with hip fracture who are affected by these factors to achieve better postoperative recovery.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 2","pages":"e269"},"PeriodicalIF":2.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Satisfaction With Care of Patients With Schizophrenia in Taiwan: A Cross-Sectional Survey of Patient-Centered Care Domains. 台湾精神分裂症患者照护满意度:以患者为中心照护领域之横断面调查。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-04-01 DOI: 10.1097/jnr.0000000000000549
Tsung-Tai Chen, Ke-Hsin Chueh, Kao-Chen Chen, Chi-Ling Chou, Jing-Jung Yang
{"title":"The Satisfaction With Care of Patients With Schizophrenia in Taiwan: A Cross-Sectional Survey of Patient-Centered Care Domains.","authors":"Tsung-Tai Chen,&nbsp;Ke-Hsin Chueh,&nbsp;Kao-Chen Chen,&nbsp;Chi-Ling Chou,&nbsp;Jing-Jung Yang","doi":"10.1097/jnr.0000000000000549","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000549","url":null,"abstract":"<p><strong>Background: </strong>Pharmacological interventions combined with nonpharmacological treatments such as patient-centered care (PCC)-related activities are widely used to enhance outcomes in patients with schizophrenia. However, few studies have examined and identified the PCC factors essential to achieving better outcomes in patients with schizophrenia.</p><p><strong>Purpose: </strong>This study was designed to identify the Picker-Institute-identified PCC domains associated with satisfaction and to determine which of these domains are most important in the context of schizophrenia care.</p><p><strong>Methods: </strong>Data were collected using patient surveys in outpatient settings and record reviews at two hospitals in northern Taiwan between November and December 2016. PCC data were collected in five domains: (a) support of patient autonomy; (b) goal setting; (c) collaboration and integration of healthcare services; (d) information, education, and communication; and (e) emotional support. The outcome measure was patient satisfaction. The study controlled for demographic factors, including age, gender, education, occupation, marriage, and urbanization level in the respondent's area of residence. Clinical characteristics included the Clinical Global Impressions severity and improvement index scores, previous admission, previous emergency department visit, and readmission within 1 year. Methods were adopted to prevent common method variance bias. Multivariable linear regression with stepwise selection and the generalized estimating equation were used to analyze the data.</p><p><strong>Results: </strong>After controlling for confounding factors, the generalized estimating equation model found only three PCC factors significantly associated with patient satisfaction, which differed slightly from the results of the multivariable linear regression. These three factors are as follows, in order of importance: information, education, and communication (parameter = 0.65 [0.37, 0.92], p < .001); emotional support (parameter = 0.52 [0.22, 0.81], p < .001); and goal setting (parameter = 0.31 [0.10, 0.51], p = .004).</p><p><strong>Conclusions: </strong>The three critical PCC-related factors were evaluated in terms of enhancing patient satisfaction in patients with schizophrenia. Practicable strategies related to these three factors should also be developed for implementation in clinical settings.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 2","pages":"e268"},"PeriodicalIF":2.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Predictors of Self-Management Behaviors After Discharge Among Unplanned Dialysis Patients. 非计划透析患者出院后自我管理行为的预测因素。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-04-01 DOI: 10.1097/jnr.0000000000000523
Yu-Yin Kao, Chien-Te Lee, Ruey-Hsia Wang
{"title":"Predictors of Self-Management Behaviors After Discharge Among Unplanned Dialysis Patients.","authors":"Yu-Yin Kao,&nbsp;Chien-Te Lee,&nbsp;Ruey-Hsia Wang","doi":"10.1097/jnr.0000000000000523","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000523","url":null,"abstract":"<p><strong>Background: </strong>Patients with unplanned dialysis must perform self-management behaviors to maintain their health in the community after discharge. Understanding the factors that predict the postdischarge self-management behaviors of patients with unplanned dialysis can assist nurses to implement appropriate discharge plans for this population.</p><p><strong>Purpose: </strong>This study was designed to predict the effects of uncertainty in illness, self-care knowledge, and social-support-related needs during hospitalization on the self-management behaviors of patients with unplanned dialysis during their first 3 months after discharge from the hospital.</p><p><strong>Methods: </strong>One hundred sixty-nine patients with unplanned dialysis from the nephrology department of a medical center in Taiwan were enrolled in this prospective study using convenience sampling. At hospital admission, demographic, uncertainty in illness, self-care knowledge, and social support information was collected using a structured questionnaire. Information on self-management behavior was collected at 3 months postdischarge when the patients visited outpatient clinics.</p><p><strong>Results: </strong>Hierarchical multiple regression analyses showed that self-care knowledge, uncertainty in illness, and social support were important predictors of self-management behaviors at 3 months postdischarge, explaining 65.6% of the total variance in self-management behaviors. Social support increased the variance in self-management behaviors by 27.9%.</p><p><strong>Conclusions/implications for practice: </strong>Comprehensive discharge planning to improve the postdischarge self-management behaviors of patients with unplanned dialysis should involve interventions to improve self-care knowledge, reduce uncertainty in illness, and increase social support. Building social support should be given priority attention.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 2","pages":"e267"},"PeriodicalIF":2.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9634254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and Psychometric Testing of the Clinical Reasoning Scale Among Nursing Students Enrolled in Three Types of Programs in Taiwan. 台湾三种护生临床推理量表之编制与心理测验。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-04-01 DOI: 10.1097/jnr.0000000000000547
Hui-Man Huang, Chu-Yu Huang, Kuan-Chia Lin, Chia-Hui Yu, Su-Fen Cheng
{"title":"Development and Psychometric Testing of the Clinical Reasoning Scale Among Nursing Students Enrolled in Three Types of Programs in Taiwan.","authors":"Hui-Man Huang,&nbsp;Chu-Yu Huang,&nbsp;Kuan-Chia Lin,&nbsp;Chia-Hui Yu,&nbsp;Su-Fen Cheng","doi":"10.1097/jnr.0000000000000547","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000547","url":null,"abstract":"<p><strong>Background: </strong>There is no instrument currently available to assess the essential nursing competency of clinical reasoning (CR).</p><p><strong>Purpose: </strong>The purpose of this study was to develop and test the psychometric properties of CR assessment instrument appropriate for use with nursing students across different types of programs.</p><p><strong>Methods: </strong>H. M. Huang et al.'s (2018) Framework of Competencies of Clinical Reasoning for Nursing Students was used to guide this study. Two rounds of Delphi study and confirmatory factor analysis (CFA) were conducted to test content and construct validity. Internal consistency was tested for reliability.</p><p><strong>Results: </strong>The four-domain, 16-item Likert-scale Clinical Reasoning Scale (CRS) was developed. One thousand five hundred four nursing students currently enrolled in three different types of nursing programs completed the CRS. The content validity index was .85-1.0, the CFA indicated goodness of fit, and the Cronbach's α score range was .78-.89.</p><p><strong>Conclusion: </strong>The CRS is a valid and reliable tool for assessing CR in nursing students in different types of nursing program.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 2","pages":"e263"},"PeriodicalIF":2.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9335651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Feasibility Evaluation of the Need-Centered Watch-Assess-Need Intervention-Think Education and Training Program for Behavioral and Psychological Symptoms of Dementia. 以需求为中心的观察-评估-需求干预-思考教育与训练方案对痴呆行为与心理症状的可行性评估
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-04-01 DOI: 10.1097/jnr.0000000000000548
Yueh-Ying Yang, Ya-Ping Yang, Kuei-Min Chen, Chi-Jane Wang, Su-Hsien Chang, Jing-Jy Wang
{"title":"A Feasibility Evaluation of the Need-Centered Watch-Assess-Need Intervention-Think Education and Training Program for Behavioral and Psychological Symptoms of Dementia.","authors":"Yueh-Ying Yang,&nbsp;Ya-Ping Yang,&nbsp;Kuei-Min Chen,&nbsp;Chi-Jane Wang,&nbsp;Su-Hsien Chang,&nbsp;Jing-Jy Wang","doi":"10.1097/jnr.0000000000000548","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000548","url":null,"abstract":"<p><strong>Background: </strong>Despite the high prevalence of dementia among residents living in long-term care facilities in Taiwan, most care providers in these facilities have not received adequate training to deal with the behavioral and psychological symptoms of dementia (BPSD). An original care and management model for BPSD has been developed, and model-based recommendations for an education and training program have been made. However, empirical testing has not yet been conducted to determine the efficacy of this program.</p><p><strong>Purpose: </strong>This study was designed to evaluate the feasibility of using the Watch-Assess-Need intervention-Think (WANT) education and training program for BPSD in long-term care settings.</p><p><strong>Methods: </strong>A mixed-method design was used. Twenty care providers and 20 corresponding care receivers (residents with dementia) from a nursing home in southern Taiwan were enrolled. Data were collected using a variety of measurement tools, including the Cohen-Mansfield Agitation Inventory, Cornell Scale for Depression in Dementia, Attitude towards Dementia Care Scale, and Dementia Behavior Disturbance Self-efficacy Scale. Qualitative data, including care-provider perspectives on the efficacy of the WANT education and training program, were also collected. Repeated measures were conducted on the results of quantitative data analysis, whereas content analysis was performed on the results of qualitative data analysis.</p><p><strong>Results: </strong>Findings indicate that the program relieves agitated behavior (p = .01), alleviates depression in those with dementia (p < .001), and enhances care-provider attitudes toward dementia care (p = .01). However, no significant improvement was found in self-efficacy among the care providers (p = .11). In terms of qualitative outcomes, care providers indicated they perceived improved self-efficacy in managing BPSD, improved ability to view problems from a more need-centered perspective, improved attitudes toward dementia and patients' BPSD, and decreased care burden and stress.</p><p><strong>Conclusions/implications for practice: </strong>The study found the WANT education and training program to be feasible in clinical practice. Because of this program's simple and easy-to-remember characteristics, it is recommended that it be vigorously promoted to care providers in both long-term institutional and home care settings to help them effectively address the BPSD.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 2","pages":"e266"},"PeriodicalIF":2.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Information Needs of Patients With Breast Cancer Undergoing Treatment in Vietnam and Related Determinants. 越南乳腺癌患者接受治疗的信息需求及相关决定因素
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-04-01 DOI: 10.1097/jnr.0000000000000546
Nguyen Thi Son, Hsin-Tien Hsu, Pham Thi Thu Huong, Truong Quang Trung
{"title":"Information Needs of Patients With Breast Cancer Undergoing Treatment in Vietnam and Related Determinants.","authors":"Nguyen Thi Son,&nbsp;Hsin-Tien Hsu,&nbsp;Pham Thi Thu Huong,&nbsp;Truong Quang Trung","doi":"10.1097/jnr.0000000000000546","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000546","url":null,"abstract":"<p><strong>Background: </strong>Patients with cancer who are not well informed often experience dissatisfaction with care, difficulty coping with their disease, and feelings of helplessness.</p><p><strong>Purpose: </strong>This study was designed to investigate the information needs of women with breast cancer undergoing treatment in Vietnam and the determinants of these needs.</p><p><strong>Methods: </strong>One hundred thirty women undergoing chemotherapy for breast cancer in the National Cancer Hospital in Vietnam enrolled as volunteers in this cross-sectional descriptive correlational study. Self-perceived information needs, body functions, and disease symptoms were surveyed using the Toronto Informational Needs Questionnaire and the 23-item Breast Cancer Module of the European Organization for Research and Treatment of Cancer questionnaire, which consists of two (functional and symptom) subscales. Descriptive statistical analyses included t test, analysis of variance, Pearson correlation, and multiple linear regression.</p><p><strong>Results: </strong>The results revealed participants had high information needs and a negative future perspective. The highest information needs related to potential for recurrence, interpretation of blood test results, treatment side effects, and diet. Future perspective, income level, and educational level were identified as determinants of information needs, explaining 28.2% of the variance in the need for breast cancer information.</p><p><strong>Conclusions/implications for practice: </strong>This study was the first to use a validated questionnaire to assess information needs in women with breast cancer in Vietnam. Healthcare professionals may refer to the findings of this study when designing and delivering health education programs designed to meet the self-perceived information needs of women with breast cancer in Vietnam.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 2","pages":"e265"},"PeriodicalIF":2.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9649600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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