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An Outpatient-Based Training Program Improves Family Caregivers' Preparedness in Caring for Persons With Mild Cognitive Impairment: A Randomized Controlled Trial. 一项以门诊病人为基础的培训计划提高了家庭照顾者在照顾轻度认知障碍患者方面的准备:一项随机对照试验。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-02-01 DOI: 10.1097/jnr.0000000000000541
Yi-En Tung, Li-Min Kuo, Min-Chi Chen, Wen-Chuin Hsu, Yea-Ing Lotus Shyu
{"title":"An Outpatient-Based Training Program Improves Family Caregivers' Preparedness in Caring for Persons With Mild Cognitive Impairment: A Randomized Controlled Trial.","authors":"Yi-En Tung,&nbsp;Li-Min Kuo,&nbsp;Min-Chi Chen,&nbsp;Wen-Chuin Hsu,&nbsp;Yea-Ing Lotus Shyu","doi":"10.1097/jnr.0000000000000541","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000541","url":null,"abstract":"<p><strong>Background: </strong>Little is known regarding the effects of training programs on family caregivers of older persons with mild cognitive impairment because of the significant differences in outcome variables measured in the various studies in the literature.</p><p><strong>Purpose: </strong>This study was designed to examine the effects of an outpatient-based caregiver training program on the preparedness, health-related quality of life, and depressive symptoms of participants responsible for caring for older persons with mild cognitive impairment.</p><p><strong>Methods: </strong>A randomized clinical trial was implemented. Of the 54 family caregiver participants who provided complete and valid data, 28 and 26 were assigned to the experimental and control groups, respectively. The experimental group participated in a researcher-developed training program that provided information on mild cognitive impairment, strategies for maintaining and promoting cognitive function in persons with mild cognitive impairment, managing their own and their care recipients' healthcare, and managing their own emotional support and stress. Outcomes (caregiver preparedness, health-related quality of life, and depressive symptoms) were assessed before the start of the training program (baseline) and at 1, 3, and 6 months after completion of the program.</p><p><strong>Results: </strong>After controlling for baseline cognitive function of the care recipients and of caregiver preparedness, the experimental group was shown to be significantly less prepared than the control group at baseline (β = -1.41, p = .031) and better prepared than the control group at all three posttests (group differences: 1.3, 1.53, and 4.24, respectively), with the difference at the third posttest (6 months) reaching statistical significance (p = .008). No impact of the intervention on caregiver depressive symptoms or health-related quality of life was found at posttest.</p><p><strong>Conclusions: </strong>The training intervention in this study was found to increase the perceived preparedness of the family caregiver participants to handle various aspects of providing care to persons with mild cognitive impairment. However, no changes were found in depressive symptoms or health-related quality of life.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 1","pages":"e252"},"PeriodicalIF":2.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9176474","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
Factors Associated With Peripheral Nerve Injury After Pelvic Laparoscopy: The Importance of Surgical Positioning. 盆腔腹腔镜术后周围神经损伤的相关因素:手术定位的重要性。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-02-01 DOI: 10.1097/jnr.0000000000000530
Ainhoa Zarandona Del Campo, Nerea Herreros Marias, Alazne Torvisco Macias, Ana María Barandica Bilbao, Lorea Rodriguez Otazua, Urko Aguirre Larracoechea, Ane Villanueva Etxebarria, Vicente Portugal Porras
{"title":"Factors Associated With Peripheral Nerve Injury After Pelvic Laparoscopy: The Importance of Surgical Positioning.","authors":"Ainhoa Zarandona Del Campo,&nbsp;Nerea Herreros Marias,&nbsp;Alazne Torvisco Macias,&nbsp;Ana María Barandica Bilbao,&nbsp;Lorea Rodriguez Otazua,&nbsp;Urko Aguirre Larracoechea,&nbsp;Ane Villanueva Etxebarria,&nbsp;Vicente Portugal Porras","doi":"10.1097/jnr.0000000000000530","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000530","url":null,"abstract":"<p><strong>Background: </strong>Nerve damage after abdominal and pelvic surgery is rare but potentially serious. The incidence of peripheral nerve injury is difficult to assess, and rates of between 0.02% and 21% have been cited in the literature. Signs and symptoms of this type of injury may appear immediately after surgery or a few days later.</p><p><strong>Purpose: </strong>This study was developed to assess the rate of peripheral nerve injury after pelvic laparoscopy and to identify associated risk factors.</p><p><strong>Methods: </strong>A pilot prospective cohort study was conducted between March 2018 and April 2019 on 101 patients with a 1-month follow-up using two semistructured clinical interviews. We carried out a descriptive analysis followed by univariable and multivariable logistic regression analyses.</p><p><strong>Results: </strong>Thirteen patients were found to have peripheral nerve injuries, representing a rate of 12.9%. Overall, 14 injuries (five severe and nine mild) were detected. One patient had two mild injuries. In this study, the risk of injury was found to increase 1.77-fold (OR = 1.77, 95% CI [1.13, 2.76], p = .007) for each hour the patient was in the Trendelenburg position.</p><p><strong>Conclusions/implications for practice: </strong>The longer the patient is in the Trendelenburg position, the greater the risk of peripheral nerve damage. Patients aged 60 years or less also face a higher risk of nerve injury.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 1","pages":"e259"},"PeriodicalIF":2.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9176477","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
Retraction: Effect of a Breathing Exercise on Respiratory Function and 6-Minute Walking Distance in Patients Under Hemodialysis: A Randomized Controlled Trial. 撤回:呼吸运动对血液透析患者呼吸功能和 6 分钟步行距离的影响:随机对照试验。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-02-01 DOI: 10.1097/jnr.0000000000000542
{"title":"Retraction: Effect of a Breathing Exercise on Respiratory Function and 6-Minute Walking Distance in Patients Under Hemodialysis: A Randomized Controlled Trial.","authors":"","doi":"10.1097/jnr.0000000000000542","DOIUrl":"10.1097/jnr.0000000000000542","url":null,"abstract":"","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 1","pages":"e261"},"PeriodicalIF":2.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10600083","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
Self-Compassion for Burnout and Compassion Fatigue in Caregivers. 自我同情对照顾者倦怠和同情疲劳的影响。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2023-02-01 DOI: 10.1097/jnr.0000000000000544
Fei-Hsiu Hsiao
{"title":"Self-Compassion for Burnout and Compassion Fatigue in Caregivers.","authors":"Fei-Hsiu Hsiao","doi":"10.1097/jnr.0000000000000544","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000544","url":null,"abstract":"","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"31 1","pages":"e251"},"PeriodicalIF":2.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10606014","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
Effect of 0.12% Chlorhexidine Oral Rinse on Preventing Hospital-Acquired Pneumonia in Nonventilator Inpatients. 0.12%氯己定口腔冲洗液预防非呼吸机住院患者医院获得性肺炎的效果。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2022-12-01 DOI: 10.1097/jnr.0000000000000527
Yen-Chin Chen, En-Ni Ku, Pei-Fang Tsai, Cheng-Man Ng, Jiun-Ling Wang, Che-Wei Lin, Nai-Ying Ko, Ying-Ju Chang
{"title":"Effect of 0.12% Chlorhexidine Oral Rinse on Preventing Hospital-Acquired Pneumonia in Nonventilator Inpatients.","authors":"Yen-Chin Chen,&nbsp;En-Ni Ku,&nbsp;Pei-Fang Tsai,&nbsp;Cheng-Man Ng,&nbsp;Jiun-Ling Wang,&nbsp;Che-Wei Lin,&nbsp;Nai-Ying Ko,&nbsp;Ying-Ju Chang","doi":"10.1097/jnr.0000000000000527","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000527","url":null,"abstract":"<p><strong>Background: </strong>Nonventilator hospital-associated pneumonia (NV-HAP) is a nosocomial infection with a multifactorial etiology that is particularly prevalent in individuals with poor oral health.</p><p><strong>Purpose: </strong>This study was designed to determine the effect of a 0.12% chlorhexidine gluconate oral rinse intervention on oral health and on reducing NV-HAP in inpatients.</p><p><strong>Methods: </strong>A randomized, double-blind, and triple-arm clinical trial was conducted on a sample of 103 patients aged ≥ 50 years. Using the blocking sample method, patients were randomly assigned into three groups. These included Group A, using an oral rinse solution of 0.12% chlorhexidine; Group B, using Listerine; and Group C, using a standard saline oral rinse. In addition to routine hospital-associated pneumonia preventative nursing care, the participants used the oral rinse solutions twice a day with a period of at least 9 hours between each use. Oral health, the degree of bacterial exposure, and the clinical pneumonia index scale were evaluated in each of the groups at baseline (first day), on Intervention Days 3 and 7, and at discharge. The clearance rate was calculated by dividing the number of bacteria cleared by the total frequency of oral bacteria in the collected culture × 100%.</p><p><strong>Results: </strong>Each arm of the study was composed of 34-35 participants, with an average hospitalization duration of 7.5 days. There was no incidence of NV-HAP or any changes in clinical pulmonary infection score among the three groups. Group A achieved a more significant improvement in oral health assessment tool scores between baseline and discharge than either Group B or C ( p = .03), particularly in the tongue, gums, and tissues; saliva; and oral cleanliness subscales. In addition, Group A reported higher clearance rates for Staphylococcus (100.00% vs. 66.67% vs. 66.67%, respectively), Escherichia coli (100.00% vs. 60.00% vs. 66.67%, respectively), and Pseudomonas aeruginosa (75.00% vs. 46.30% vs. 25.00%, respectively) than Groups B and C.</p><p><strong>Conclusions/implications for practice: </strong>Although the results do not provide evidence supporting the use of a 0.12% chlorhexidine oral rinse as better in terms of preventing NV-HAP in middle-aged and elderly inpatients, nursing supervision was found to have an overall positive effect on oral health. The use of oral rinse with 0.12% chlorhexidine for nonventilated patients with poor oral health may be recommended.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"30 6","pages":"e248"},"PeriodicalIF":2.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10021434","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
Lived Experience of Breast Cancer Survivors: A Phenomenological Study. 乳腺癌幸存者的生活经验:现象学研究。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2022-12-01 DOI: 10.1097/jnr.0000000000000518
Chantira Chiaranai, Saranya Chularee, Jeranut Somchock White
{"title":"Lived Experience of Breast Cancer Survivors: A Phenomenological Study.","authors":"Chantira Chiaranai,&nbsp;Saranya Chularee,&nbsp;Jeranut Somchock White","doi":"10.1097/jnr.0000000000000518","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000518","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer (BrCa) is the most common cancer worldwide. Five-year survival rates among individuals with BrCa are the highest of all types of cancer, yet there is a paucity of knowledge about the experiences of survivors regarding living through their diagnosis and treatment. In-depth interviews and the systematic analysis of self-reported experiences may provide in-depth information about the BrCa survivorship experience.</p><p><strong>Purpose: </strong>This qualitative study was designed to identify and elucidate the lived experiences of Thai women with BrCa who successfully completed their treatment program for BrCa and/or treatment with chemotherapy for over 5 years and are currently cancer-free.</p><p><strong>Methods: </strong>A phenomenological method was employed. Survivors of BrCa who met the inclusion criteria were purposively selected and invited to take part in the study. Study data were collected between January and March 2019. An open-ended, in-depth interview guide was used to direct the conversation concerning the participants' experiences and perceptions. Thematic analysis was used for data analysis.</p><p><strong>Results: </strong>Data saturation was reached after 12 interviews. The five themes derived from the data include (a) being distressed, (b) accepting treatments and seeking alternative treatments, (c) going through difficult times, (d) becoming a stronger person, and (e) becoming thankful.</p><p><strong>Conclusions/implications for practice: </strong>The experiences and themes identified enhance scholarly understanding regarding the experience of survivors of BrCa. A true understanding of this experience enables healthcare providers to craft and deliver appropriate interventions that provide quality care and improve women's health, thereby enhancing their quality of life. The results of this study may contribute to the development of new theories by using different qualitative approaches such as grounded theory.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"30 6","pages":"e247"},"PeriodicalIF":2.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10398862","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
Nurse-Led Motor Function Rehabilitation Program for Acute Ischemic Stroke: A Randomized Pilot Study. 护士主导的急性缺血性卒中运动功能康复计划:一项随机试点研究。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2022-12-01 DOI: 10.1097/jnr.0000000000000529
Jianmiao Wang, Yuping Zhang, Yuanyuan Chen, Mei Li, Jingfen Jin
{"title":"Nurse-Led Motor Function Rehabilitation Program for Acute Ischemic Stroke: A Randomized Pilot Study.","authors":"Jianmiao Wang,&nbsp;Yuping Zhang,&nbsp;Yuanyuan Chen,&nbsp;Mei Li,&nbsp;Jingfen Jin","doi":"10.1097/jnr.0000000000000529","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000529","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation care for patients with stroke in the acute stage must be strengthened. However, the evidence on how to strengthen this care is insufficient.</p><p><strong>Purpose: </strong>This article was designed to evaluate the feasibility and effectiveness of implementing a nurse-led motor function rehabilitation program on patients with acute ischemic stroke.</p><p><strong>Methods: </strong>From January to October 2018, patients with initial acute ischemic stroke were assigned to one of two groups using a pilot randomized controlled trial design, with one group receiving a nurse-led motor function intervention program developed based on Orem's theory (7 consecutive days, twice daily for 30 minutes, experimental group) and the other receiving usual care (control group). The effectiveness measures included changes in the Motor Assessment Scale, the modified Barthel Index, and the National Institutes of Health Stroke Scale. The feasibility measures included patient retention rate, incidence of adverse events, and acceptance of nurses and patients.</p><p><strong>Results: </strong>We assigned 104 patients (male: 55.7%; age: 62.8 ± 13.2 years) to receive either a nurse-led motor function rehabilitation program or usual care. Eighty-eight patients were evaluated after 7 days (87% retention rate), including 43 (83% retention rate) in the experimental group. Patients accepted the intervention well, and no severe adverse events were reported. Nurses had good fidelity and showed high acceptance. The experimental group showed significantly higher postintervention Motor Assessment Scale and modified Barthel Index scores than the control group (p < .001), whereas postintervention National Institutes of Health Stroke Scale scores did not differ significantly between the two groups.</p><p><strong>Conclusions/implications for practice: </strong>The nurse-led rehabilitation program used in this study was shown to be feasible and effective in improving motor function in patients with acute ischemic stroke. Further study is recommended to determine related clinical recommendations.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"30 6","pages":"e249"},"PeriodicalIF":2.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014910","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
Association Between Role Overload and Sleep Quality Among Chinese First-Line Nurses During the COVID-19 Outbreak: The Moderating Effect of Mindfulness. 新冠肺炎疫情期间中国一线护士角色超载与睡眠质量的关系:正念的调节作用
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2022-12-01 DOI: 10.1097/jnr.0000000000000531
Na Li, Pengli Zhu, Hong Li, Xiaohuan Chen, Lili Chen, Meirong Chen
{"title":"Association Between Role Overload and Sleep Quality Among Chinese First-Line Nurses During the COVID-19 Outbreak: The Moderating Effect of Mindfulness.","authors":"Na Li,&nbsp;Pengli Zhu,&nbsp;Hong Li,&nbsp;Xiaohuan Chen,&nbsp;Lili Chen,&nbsp;Meirong Chen","doi":"10.1097/jnr.0000000000000531","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000531","url":null,"abstract":"<p><strong>Background: </strong>Nurses working during the coronavirus disease 2019 (COVID-19) pandemic have experienced a high incidence of insomnia because of exposure to life-threatening occupational risks. Good sleep is essential for nurses to maintain their ability to care for patients with infectious diseases.</p><p><strong>Purpose: </strong>The aim of this study was to assess the influence of role overload on sleep quality and the moderating role of mindfulness.</p><p><strong>Methods: </strong>A cross-sectional survey design was used in this study, which was conducted between March 20 and April 5, 2020. The survey was completed by 357 nurses who had relocated from Fujian Province to the epicenter of the outbreak in China to treat patients with COVID-19. Role overload, sleep quality, and mindfulness in these nurses were evaluated using the Role Overload Scale, Pittsburgh Sleep Quality Index, and Five-Facet Mindfulness Questionnaire, respectively.</p><p><strong>Results: </strong>Hierarchical regression and other statistical methods were used to analyze the data. Role overload was shown to be positively related to poor sleep quality, and mindfulness was found to be effective in alleviating sleep disorders associated with role overload.</p><p><strong>Conclusions: </strong>The high risk of sleep disturbance among frontline nurses may be alleviated by reducing their perceived role overload. The identification of mindfulness as a moderating mechanism in the relationship between role overload and sleep quality provides new insights to improve sleep quality in nurses.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"30 6","pages":"e242"},"PeriodicalIF":2.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014909","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
Factors Associated With Follow-Up Visits in Parents With Myopic Children Wearing Orthokeratology Lens. 近视儿童配戴角膜塑形镜家长随访的相关因素。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2022-12-01 DOI: 10.1097/jnr.0000000000000517
Li-Ling Hung, Li-Ling Liao, Hsiao-Jung Chen, Hui-Ling Lin, Li-Chun Chang
{"title":"Factors Associated With Follow-Up Visits in Parents With Myopic Children Wearing Orthokeratology Lens.","authors":"Li-Ling Hung,&nbsp;Li-Ling Liao,&nbsp;Hsiao-Jung Chen,&nbsp;Hui-Ling Lin,&nbsp;Li-Chun Chang","doi":"10.1097/jnr.0000000000000517","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000517","url":null,"abstract":"<p><strong>Background: </strong>Orthokeratology (Ortho-k) is an effective method for slowing the progression of myopia and correcting refractive error in school children. Although parents of children aged < 10 years play a major role in Ortho-k lens care, they have a generally low level of compliance in performing regular follow-up visits.</p><p><strong>Purpose: </strong>This study was developed to analyze the associations between follow-up visits by parents of Ortho-k lens wearers aged < 10 years and, respectively, the Ortho-k-related knowledge of these parents and information resources promoting Ortho-k use.</p><p><strong>Methods: </strong>A cross-sectional study design was used. Parents of children who wear Ortho-k lenses were recruited through a private Facebook group with 3,500 members in 2020 that was created in 2018 for information sharing and exchange among parents of these children. The following data were collected: demographics of the parents and their children, four-item Ortho-k-related knowledge, information resources that prompted the decision to use Ortho-k, and the regularity of follow-up visits. These data were presented in terms of means, standard deviations, and percentages. Logistic regression was performed to compute the odds ratios ( OR s) and 95% confidence intervals (CIs).</p><p><strong>Results: </strong>The study showed that 83.11% had regular follow-up visits. The correct response rate on Ortho-k-related knowledge was > 80%. However, 15.51% of the participants did not recognize axial length as an indicator for monitoring myopia progress, and 10.76% did not know that at least 6 hours of nighttime sleep is required for myopia control with Ortho-k. The most common information resource leading to Ortho-k use was self-acquisition from Internet sources. The spherical equivalent refraction of < -2.0 D was 2.58 times higher in participants with regular follow-up visits than in their peers with irregular follow-up visits ( OR = 2.58, 95% CI [0.22, 5.63]). In addition, acknowledgment of \"There is no need to change the Ortho-k lenses regularly as long as there is no discomfort\" was 7.19 times higher in participants with regular follow-up visits than in their peers with irregular follow-up visits ( OR = 7.19, 95% CI [1.26, 13.93]). However, participants with regular follow-up visits did not receive Internet ophthalmology advertisements prompting their decision to use Ortho-k 2.62 times higher than their peers with irregular follow-up visits ( OR = 2.62, 95% CI [0.04, 4.29]).</p><p><strong>Conclusions: </strong>The results support that both information sources and knowledge of Ortho-k use influence the frequency of follow-up visits among parents of Ortho-k lens wearers aged < 10 years. Related support from health professionals in terms of providing appropriate information and guidance is recommended to promote higher rates of regular follow-up visit attendance.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"30 6","pages":"e244"},"PeriodicalIF":2.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10021424","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 Effects of Work Satisfaction and Work Flexibility on Burnout in Nurses. 工作满意度和工作灵活性对护士职业倦怠的影响。
IF 2.7 3区 医学
Journal of Nursing Research Pub Date : 2022-12-01 DOI: 10.1097/jnr.0000000000000522
Huan-Fang Lee, Ying-Ju Chang
{"title":"The Effects of Work Satisfaction and Work Flexibility on Burnout in Nurses.","authors":"Huan-Fang Lee,&nbsp;Ying-Ju Chang","doi":"10.1097/jnr.0000000000000522","DOIUrl":"https://doi.org/10.1097/jnr.0000000000000522","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization has encouraged improving working conditions for nurses to decrease turnover and increase nurse staffing and nursing capacity. The International Council of Nurses has pointed out that a positive work environment can improve satisfaction and decrease burnout in nurses. However, the effects of working conditions and work satisfaction on burnout in nurses remain unclear.</p><p><strong>Purpose: </strong>The purpose of this study was to explore the effects of working-condition-related flexibility and work satisfaction on burnout in nurses.</p><p><strong>Methods: </strong>A cross-sectional design was employed, and 450 nurses from a single medical center participated in this study. In addition to demographic information, three survey instruments, including the Taiwanese Hospital Nurses' Job Satisfaction Scale, the Working Conditions and Flexible System Scale, and the Maslach Burnout Inventory-Chinese Version, were used to measure working condition flexibility, work satisfaction, and burnout. Descriptive statistics, the Pearson correlation coefficient, and hierarchical linear regression were used to analyze the data.</p><p><strong>Results: </strong>Four hundred thirty-five nurses were enrolled as participants. Most were female, with a mean age of 29 years. Over four fifths (83.1%) were unmarried, and 65.5% had at least 2 years of prior experience working at other hospitals. Although the participants reported experiencing burnout several times per month, they reported feeling satisfied with their work. They noted flexibility related to working conditions, especially task-related flexibility, as important. Four variables (satisfaction/professional autonomy, interpersonal interaction, workload, and working condition flexibility/task flexibility) were found to be significant predictors of emotional exhaustion (adjusted R2 = 0.212). However, only professional autonomy was found to significantly predict a sense of low personal accomplishment (adjusted R2 = .077), whereas nursing competence significantly predicted depersonalization (adjusted R2 = .086).</p><p><strong>Conclusions: </strong>Work satisfaction and flexibility related to working conditions were shown to relate negatively to burnout. Nursing managers should improve the level of satisfaction related to professional autonomy, interpersonal interaction, and workload as well as task flexibility for nurses.</p>","PeriodicalId":49158,"journal":{"name":"Journal of Nursing Research","volume":"30 6","pages":"e240"},"PeriodicalIF":2.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10026265","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: 3
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