Journal of Nursing Management最新文献

{"title":"Factors Influencing Hospital Nurses’ Workplace Bullying Experiences Focusing on Meritocracy Belief, Emotional Intelligence, and Organizational Culture: A Cross-Sectional Study","authors":"Insil Jang,&nbsp;Sun Joo Jang,&nbsp;Sun Ju Chang","doi":"10.1155/2024/1637066","DOIUrl":"https://doi.org/10.1155/2024/1637066","url":null,"abstract":"<div>\u0000 <p><i>Aims</i>. To identify the factors influencing hospital nurses’ workplace bullying experiences (victim and perpetrator aspects) focusing on meritocracy beliefs, emotional intelligence, and organizational culture. <i>Background</i>. Workplace bullying remains a major issue in nursing despite decades of research and policy-making. Therefore, comprehensively understanding the individual and institutional factors affecting workplace bullying from both the victim and perpetrator perspectives is crucial. <i>Methods</i>. In October 2022, 379 nurses working in South Korean tertiary hospitals were surveyed using a self-reported online questionnaire. Meritocracy beliefs, emotional intelligence, workplace bullying experiences, and nursing organizational culture were measured using the Meritocracy Belief Scale, Wong and Law Emotional Intelligence Scale, Negative Acts Questionnaire-Revised, and Positive Nursing Organizational Culture Measurement Tool, respectively. <i>Results</i>. Gamma regression analysis revealed that, for workplace bullying, the factors influencing the victim aspect were the experience of witnessing bullying in the workplace, organizational culture, and meritocracy beliefs. In contrast, the factors affecting the perpetrator aspect were emotional intelligence, meritocracy beliefs, and experience of bullying at work. <i>Conclusion</i>. Decreasing nurses’ degree of meritocratic hubris in a positive organizational culture and increasing their emotional intelligence are necessary to prevent and intervene in workplace bullying. <i>Implications for Nursing Management</i>. Targeted approaches are needed to address and mitigate the detrimental effects of factors influencing workplace bullying. These approaches could include interventions that improve nurses’ emotional intelligence, assess their level of meritocracy beliefs, and offer opportunities for self-reflection on meritocratic hubris. Such initiatives may be necessary to effectively tackle workplace bullying and promote a healthier nursing work environment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/1637066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship between Negative Leadership Behaviours and Silence among Nurses","authors":"Zhi-Ying Li,&nbsp;Yu-Pei Yang,&nbsp;Qian Wang,&nbsp;Tao-Hsin Tung,&nbsp;Hai-Xiao Chen","doi":"10.1155/2024/4561005","DOIUrl":"https://doi.org/10.1155/2024/4561005","url":null,"abstract":"<div>\u0000 <p><i>Background</i>: Negative leadership behaviour is very common and pervasive in nursing and healthcare, often leading to adverse effects such as nurses’ silence, decreased job performance, and turnover. However, there is a lack of systematic reviews that summarize negative leadership types and nurses silencing behaviours. <i>Aim</i>: This systematic review examined the relationship between negative leadership behaviour and nurses’ silence. <i>Evaluation</i>: We searched PubMed, Embase, the Cochrane Library, Web of Science, CNKI, VIP, and Wanfang databases from their inception until 30 April 2024 for articles examining the relationship between negative leadership and silent behaviour among nurses. The studies were reviewed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The risk of bias in the included studies was assessed using the Newcastle–Ottawa Scale. <i>Key Issues</i>: After full-text analysis, six papers were included in this systematic review. Four of the studies were conducted with nurses, and the remaining two were conducted with all medical staff including nurses. While most studies have shown that negative leadership causes nurses to become increasingly silent, others have shown that appropriate negative leadership behaviour instead reduces nurses’ silence. <i>Conclusions</i>: Negative leadership behaviour can affect the silent behaviour of nurses. <i>Implications for Nursing Management</i>: Hospitals need to take the initiative to build a harmonious and safe working environment, correctly recognize and identify negative management behaviour, take appropriate and effective measures to enhance the positive leadership of nurse managers, and make an effort to prevent nursing staff’s exposure to the negative management of direct leadership and mental health threats, which is a key point that hospital administrators and health policymakers tend to overlook. This is also effective for enhancing the leadership of hospital administrators.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/4561005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141966867","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":"Design and Validation of an Instrument for the Evaluation of the Quality of Mother-Child Bond and Attachment: “Cuestionario Vínculo y Apego Materno-Filial” (VAMF Questionnaire)","authors":"Maria Antonia Diaz-Ogallar,&nbsp;Antonio Hernandez-Martinez,&nbsp;Manuel Linares-Abad,&nbsp;Juan Miguel Martinez-Galiano","doi":"10.1155/2024/6384511","DOIUrl":"https://doi.org/10.1155/2024/6384511","url":null,"abstract":"<div>\u0000 <p>The relationship between a mother and her newborn can be determined through two concepts: “bond” and “attachment.” Currently, there are no instruments that assess these phenomena jointly. <i>Objective</i>. This study aims to develop a valid and reliable instrument to determine the quality of the postnatal bond and attachment in the mother-child relationship. <i>Methods</i>. In Spain, a multidisciplinary panel of experts was involved in creating the “Maternal-Child Bond and Attachment (VAMF, for its initials in Spanish)” tool. The tool was piloted on a group of women and applied to the target population of women with children aged between 6 weeks and 18 months to determine the psychometric characteristics: internal consistency Cronbach’s <i>α</i> was used. An exploratory factor analysis was conducted, a study of convergent validity with the scale and predictive validity with the Maternal Postnatal Attachment Scale (MPAS) using Pearson’s correlation coefficient, and a study of reliability was carried out using the intraclass correlation coefficient. <i>Results</i>. 1155 women participated, with a mean age of 34.5 years. The VAMF showed good internal consistency for the scale with 29 items (<i>α</i> = 0.836). In the exploratory factor analysis (EFA), an explained variance of 49.71% was observed with 6 components. Convergent validity showed an adequate correlation, with a Pearson correlation coefficient with the MPAS scale of 0.679. The VAMF questionnaire presented an excellent predictive capacity in the bond subscale, with an area under the ROC curve of 0.90 (95% CI: 0.87–0.93), and a poor predictive capacity in the attachment subscale, with an area under the ROC curve of 0.69 (95% CI: 0.63–0.76) to predict MPAS scale scores. In the test-retest, the VAMF presented a very good adequate degree of absolute agreement (ICC: 0.86; 95% CI: 0.72–0.93). <i>Conclusions</i>. The VAMF is a new valid and reliable instrument for determining the quality of the mother-child bond and attachment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6384511","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141966868","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":"Nursing Students’ Personality Traits and Their Attitude toward Artificial Intelligence: A Multicenter Cross-Sectional Study","authors":"Gihan Mohamed Mohamed Salem,&nbsp;Heba Emad El-Gazar,&nbsp;Abeer Yahia Mahdy,&nbsp;Talal Ali F. Alharbi,&nbsp;Mohamed Ali Zoromba","doi":"10.1155/2024/6992824","DOIUrl":"https://doi.org/10.1155/2024/6992824","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Despite the importance of studying factors contributing to nursing students’ attitudes toward artificial intelligence, yet according to our knowledge, no study has addressed the relationship between personality traits and the attitude of nursing students toward artificial intelligence. <i>Aim</i>. This study aimed to unveil whether nursing students’ personality traits are related to their attitude toward AI. <i>Methods</i>. This multicenter cross-sectional study included 218 nursing students from three governmental universities across various regions of the Kingdom of Saudi Arabia. Data were gathered online, utilizing the Big Five Inventory, the General Attitudes toward Artificial Intelligence Scale, and a demographic questionnaire. Descriptive statistics, Pearson’s correlation, and regression analysis were employed. The research complied with the STROBE checklist. <i>Results</i>. Findings indicated that nursing students with a high score in the openness trait displayed positive attitudes toward artificial intelligence. Conversely, those who scored high in neuroticism and agreeableness exhibited fewer positive attitudes toward artificial intelligence and more negative attitudes toward artificial intelligence. Additionally, nursing students who ranked high in conscientiousness showed a negative attitude toward artificial intelligence. <i>Conclusion</i>. Except for extraversion, personality traits appear to predict attitudes toward artificial intelligence. <i>Implications for Nursing Management</i>. The current study provides a foundation for understanding how generative AI can be integrated into nursing education and practice in a manner that is both effective and considerate of the diverse psychological profiles of students.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6992824","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141966881","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":"Barriers and Facilitators to Coping with Second Victim Experiences: Insights from Nurses and Nurse Managers","authors":"Xizhao Li,&nbsp;Mei-Chan Chong,&nbsp;Chong-Chin Che,&nbsp;Yamin Li,&nbsp;Ling Wang,&nbsp;Alan Dong,&nbsp;Ziqing Zhong","doi":"10.1155/2024/5523579","DOIUrl":"https://doi.org/10.1155/2024/5523579","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Second victim experiences have long-term impacts on the personal and professional well-being of nurses. Individual-centered support is necessary to help nurses cope with the various stages of the second victim experience. <i>Objectives</i>. To explore personal and workplace factors that facilitate or hinder coping styles for second victim experiences from the perspectives of both frontline nurses and nurse managers. <i>Design</i>. This was a descriptive qualitative study that incorporated semistructured interviews. <i>Methods</i>. Purposive sampling was employed to enlist a total of eight nurses and seven nurse managers selected from five tertiary hospitals located in Hunan Province, China. The study participants included nurses who had suffered second victim experiences and nurse managers who had grappled with their nurses’ second victim experiences. The data were transcribed verbatim and analysed using thematic analysis. <i>Results</i>. The analysis revealed four main themes that influenced nurses’ ability to cope with second victim experiences: source of emotional trauma, personal factors, job stress, and support system. In contrast, emotional trauma from patients and relatives, negative personal traits, shadows from the second victim experience, and unsupportive workplace environments were obstacles to coping with second victim experiences. <i>Conclusion</i>. The study highlights facilitators and barriers that nurses cope with second victim experiences, providing insight to develop targeted interventions that support nurses and mitigate the negative impacts of second victim experiences. A comprehensive approach is more effective in supporting nurses in coping with second victim experiences, improving patient safety, and enhancing the quality of care.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5523579","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141966883","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":"Examining the Relationship between Workplace Fun and Innovative Behavior among Nurses: The Mediating Effect of Innovation Support and Affective Commitment","authors":"Maryam Hashemian,&nbsp;Azam Hashemian Moghadam,&nbsp;Mirtohid Hosseini,&nbsp;Islam Azizpour,&nbsp;Alireza Mirzaei","doi":"10.1155/2024/9629172","DOIUrl":"https://doi.org/10.1155/2024/9629172","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. This study investigated the role of cultural, organizational, and managerial support, workplace fun, affective commitment, innovative behavior with innovative output, and also the mediating role of innovative behavior in the framework of a causal model. <i>Background</i>. Innovation is the driving force of development in hospitals, and the quality of healthcare is closely related to hospital innovation. Today, nurses with innovative behaviors are the biggest asset of any hospital because they are involved in any improvement and progress. <i>Methods</i>. This descriptive cross-sectional correlational study was conducted using causal modeling methods, including path analysis and structural equation modeling. Using the proportional stratified sampling method, 321 nurses from Ardabil teaching hospitals were included in the study. Data were collected by standard demographic characteristics, innovative behaviors, innovative support, workplace fun, and affective commitment questionnaires. Partial least square structural equation modeling (PLS-SEM) was used to test the conceptual model using PLS-SMART 2 software. <i>Results</i>. Cultural support had a positive and significant effect on innovative behavior by affecting organizational support and then managerial support. In addition, workplace fun had a positive and significant effect on innovative behavior directly and indirectly through the mediating role of affective commitment. Finally, innovative behavior also had a positive and significant effect on nurses’ innovative output. <i>Conclusion</i>. Supervisors and managers can adopt the organizational and managerial support approach to improve the nurses’ innovative behaviors. Workplace fun will also improve nurses’ innovative behaviors and affective commitment, thereby increasing their innovative output. <i>Implications for Nursing Management.</i> By adopting organizational and managerial support for nurses’ innovative behaviors, managers should take measures that promote workplace fun and affective commitment to improve nurses’ innovative output by encouraging innovative behaviors.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9629172","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141967740","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":"Seeking Protection in the Heart of the Storm: Findings from a Grounded Theory Study","authors":"Mehraban Shahmari,&nbsp;Nahid Dehghan Nayeri,&nbsp;Alvisa Palese,&nbsp;Seemin Dashti,&nbsp;Arpi Manookian","doi":"10.1155/2024/6185455","DOIUrl":"https://doi.org/10.1155/2024/6185455","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Nurse protection is a multifaceted concept that has become increasingly relevant in recent years. Despite its importance in effectively managing pandemics, there is still a gap in knowledge about how nurses achieve protection in hospitals. <i>Objective</i>. To describe the process of seeking protection among nurses during the COVID-19 pandemic. <i>Methods</i>. A grounded theory approach from 2020 to 2022, employing purposive and theoretical sampling. Face-to-face and online interviews were conducted with 25 participants, resulting in 29 interviews. Data analysis was carried out using Corbin and Strauss’s method (2015). <i>Results</i>. The analysis revealed that nurses encountered numerous obstacles related to patients, nurses themselves, organizations, and the passage of time during the COVID-19 pandemic. These challenges were intertwined with three key concepts: transformations, inequalities, and emotional challenges, highlighting the multifaceted nature of nurses’ protection concerns. In response, nurses employed a protective strategy bolstered by catalysts to address these challenges. This strategy encompassed both optimistic outlooks (“Bright horizon”) and somber reflections (“Unpleasant reflection”). Ultimately, seeking protection in the heart of the storm emerged as the core concept, representing the multifaceted process through which nurses navigate and seek protection amidst the unique challenges posed by the pandemic. <i>Conclusions</i>. This study presents a comprehensive theory that explicitly explains the multifaceted process of seeking protection among hospital-employed nurses during a pandemic. The theory captures the interconnectedness of challenges faced by nurses and the protective strategies they employ while acknowledging the nuanced balance between hopeful prospects and sobering reflections. <i>Implications for Nursing Management</i>. Policymakers, managers, and educators can utilize the findings to improve nursing management and support systems. By increasing awareness, addressing challenges, and providing robust support, they can enhance the well-being and effectiveness of nurses during healthcare crises, ultimately improving patient care quality.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6185455","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141968364","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":"Digital Competence among Healthcare Leaders: A Mixed-Methods Systematic Review","authors":"Noora Laakkonen,&nbsp;Erika Jarva,&nbsp;Mira Hammarén,&nbsp;Outi Kanste,&nbsp;Maria Kääriäinen,&nbsp;Anne Oikarinen,&nbsp;Kristina Mikkonen","doi":"10.1155/2024/8435248","DOIUrl":"https://doi.org/10.1155/2024/8435248","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. New evidence on the digital competencies of healthcare leaders can provide essential knowledge for building training for the leaders to ensure high-quality patient care. <i>Objective</i>. The aim of this mixed-methods systematic review was to identify the current best evidence from qualitative, quantitative, and mixed-methods studies on healthcare leaders’ digital competence experiences and perceptions and factors associated with it. <i>Methods</i>. A mixed-methods systematic review was conducted following the Joanna Briggs Institute guidelines for mixed-methods systematic reviews by including original qualitative and quantitative observational studies and mixed-methods studies published in English or Finnish between January 2012 and January 2024. The studies were retrieved from four databases (CINAHL, PubMed, Scopus, and Medic). In total, 4470 articles were screened, 122 were eligible for full-text screening, and 19 articles were included in the review according to the established inclusion and exclusion criteria. <i>Data Extraction and Synthesis</i>. Data tabulation and narrative synthesis for quantitative studies and content analysis for qualitative studies. <i>Results</i>. The synthesis of qualitative data identified five main categories that describe healthcare leaders’ experiences with digital competencies: (1) the need for developing leader’s own, professionals’, and patients’ competence in the digitalisation of healthcare, (2) the need for expertise in the health IT implementation process, (3) positive perceptions towards technology, (4) negative perceptions towards technology, and (5) ability to act as an advocate to implement technology into practice. Data from the selected quantitative studies presents that factors associated with the digital competence of healthcare leaders include individual characteristics, career characteristics, training, and other factors. <i>Conclusion</i>. This review suggests that developing and supporting healthcare leaders’ digital competencies should be considered in healthcare organizations, research, and education to make their digital competencies meet the demands of increasingly digitalising healthcare development work.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/8435248","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141968365","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":"Mobile Application-Based Interventions for People with Heart Failure: A Systematic Review and Meta-Analysis","authors":"Yun-Xia Ni,&nbsp;Xue-Hui Liu,&nbsp;Li He,&nbsp;Ya Wen,&nbsp;Gui-Ying You","doi":"10.1155/2024/6859795","DOIUrl":"https://doi.org/10.1155/2024/6859795","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. To examine the effectiveness of mobile health application-based interventions on mortality, hospitalization rate, self-care, and quality of life in people with heart failure. <i>Background</i>. Mobile health application-based interventions are reported to potentially help people with heart failure improve health-related clinical outcomes. However, evidence on the effects of mobile health application-based interventions on mortality, hospitalization, self-care, and quality of life remains inconclusive and limited. <i>Methods</i>. A systematic literature search was conducted in six databases (MEDLINE, CINAHL Plus with Full Text, PsycINFO, Web of Science, EMBASE, and CENTRAL) to identify relevant studies from inception to 21 October 2023. Two authors independently extracted the data and assessed the risk of bias using the Cochrane risk-of-bias tool. The meta-analysis was conducted in Review Manager (version 5.4) and the statistical software R 4.3.3. Sensitivity analysis and subgroup analysis were also performed. The certainty of the evidence was evaluated by the GRADE approach. <i>Results</i>. Twenty-four studies involving 2886 participants were identified in this review. The pooled analysis showed that mobile health application-based interventions had statistically significant beneficial effects on reducing heart failure-related hospitalization (RR = 0.72, 95% CI 0.57 to 0.91, <i>p</i> = 0.01) and improving quality of life (SMD = 0.46, 95% CI 0.09 to 0.83, <i>p</i> = 0.02), but had no statistically significant effects on all-cause mortality (RR = 0.90, 95% CI 0.66 to 1.25, <i>p</i> = 0.47), cardiovascular mortality (RR = 0.87, 95% CI 0.59 to 1.26, <i>p</i> = 0.24), all-cause hospitalization (RR = 0.74, 95% CI 0.39 to 1.42, <i>p</i> = 0.29), or self-care (MD = −2.42, 95% CI −15.07 to 10.24, <i>p</i> = 0.64). Subgroup analyses indicated that intervention duration and monitoring frequency may influence the effects of mobile health application-based interventions on quality of life. <i>Conclusions</i>. Mobile health application-based interventions were effective at reducing heart failure-related hospitalization and improving quality of life in people with heart failure. More well-designed randomized controlled trials are needed to strengthen the evidence. <i>Implications for Nursing Management</i>. Mobile health application-based interventions may have benefits for improving heart failure-related hospitalization and quality of life. More rigorous studies are warranted to confirm the effects of mobile health application-based interventions for people with heart failure.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6859795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141968278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Implementation of a Multidimensional Narrative Support System for Emergency Nurses: An Action Research","authors":"Hairong Yu,&nbsp;Yue Deng,&nbsp;Li Gui","doi":"10.1155/2024/6162718","DOIUrl":"https://doi.org/10.1155/2024/6162718","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Emergency nurses may experience various fatiguing duties and suffer more pressure, so it is necessary to promote their professional or work-related quality of life, especially during tough periods. <i>Aim</i>. To describe the development of the multidimensional narrative support system and explore its effectiveness and feasibility among emergency nurses. <i>Design</i>. An action research was conducted in Shanghai, China, from 2022 to 2023. <i>Methods</i>. Two cycles of action research were adopted in the emergency departments of two tertiary general hospitals in Shanghai, China. A total of 20 and 13 emergency nurses from different posts participated in each cycle. Multiple methods and tools, such as validated instruments, self-designed questionnaires, and individual and focus group interviews, were used to collect short- and long-term data. The EQUATOR guidelines on reporting action research were used as the guideline for this study. <i>Results</i>. The multidimensional narrative support system was gradually modified to promote its feasibility. Involved emergency nurses actively participated in different activities and proposed relatively positive and satisfying remarks. Quantitative data showed the significantly instant or long-lasting improvements in emergency nurses’ professional and work-related quality of life, as well as their self-compassion, and perceived social support. Various categories were summarized about the participants’ experiences, perceived long-term effects, and suggestions on the multidimensional narrative support system. <i>Conclusion</i>. The multidimensional narrative support system integrates narrative methods and psychological activities and provides multidimensional support for emergency nurses. In spite of various challenges, the system shows good feasibility and significant influences on emergency nurses’ well-being and quality of life. <i>Implications for Nursing Management.</i> The multidimensional narrative support system may action as a novel intervention for the overall improvements of clinical emergency nurses, which can be recommended to other populations with targeted modifications and training, so as to achieve good generalization in different departments.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/6162718","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141968198","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}