Western Journal of Nursing Research最新文献

{"title":"Challenges and Experiences of Gastrostomy Patients and Their Caregivers: Systematic Review and Meta-Synthesis.","authors":"Sevilay Senol Celik, Gamze Bozkul, Hande Nur Arslan","doi":"10.1177/01939459251379704","DOIUrl":"https://doi.org/10.1177/01939459251379704","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous endoscopic gastrostomy (PEG) tubes are vital for providing long-term nutritional support to individuals unable to sustain sufficient oral intake. The use of PEG tubes causes significant difficulties for patients and their caregivers.</p><p><strong>Objectives: </strong>This systematic review and meta-synthesis investigated the challenges and experiences of patients with PEG tubes and their caregivers.</p><p><strong>Methods: </strong>A systematic review and meta-synthesis were conducted across databases including CINAHL, Scopus, Web of Science, MEDLINE, PubMed, TUBITAK-ULAKBIM, Dergipark, and TR Dizin. This study focused on studies published from 2004 to 2024. Twenty qualitative and mixed methods studies met the inclusion criteria. Thematic analysis has been used to identify significant themes and patterns within the selected studies.</p><p><strong>Results: </strong>Three main themes and 6 subthemes emerged from the analysis: (1) Clinical challenges and support needs, including problems with the PEG tube and support and training needs; (2) psychological and emotional challenges, including perception of the PEG as a burden and stigma and social isolation; and (3) personal and social life, including impact on quality of life and economic challenges. These results revealed the complex nature of PEG care and illustrate the experiences and challenges of patients and carers.</p><p><strong>Conclusion: </strong>The management of gastrostomy care requires a comprehensive strategy that addresses the clinical, economic, emotional, and psychosocial needs of patients and caregivers. Planning such as comprehensive education, emotional support, and financial assistance can improve the quality of life of patients and carers. Future research should focus on developing customized strategies to handle the specific caregiving challenges in this context.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251379704"},"PeriodicalIF":1.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Moment of Silence: Pamela J. Brink (September 24, 1933-August 5, 2025).","authors":"Janice Morse","doi":"10.1177/01939459251384490","DOIUrl":"https://doi.org/10.1177/01939459251384490","url":null,"abstract":"","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251384490"},"PeriodicalIF":1.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"References Should Be More Than an Afterthought.","authors":"Todd Ruppar","doi":"10.1177/01939459251384479","DOIUrl":"https://doi.org/10.1177/01939459251384479","url":null,"abstract":"","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251384479"},"PeriodicalIF":1.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Nursing Patient Classification Systems to Classify Inpatients Impact Outcomes? A Scoping Review.","authors":"Ilaria Artuso, Roberta Da Rin Della Mora, Nicoletta Dasso, Chiara Rebuffi, Giulia Ottonello, Simona Calza, Giuseppe Minniti Caracciolo, Silvia Rossi, Silvia Scelsi","doi":"10.1177/01939459251367529","DOIUrl":"https://doi.org/10.1177/01939459251367529","url":null,"abstract":"<p><strong>Background: </strong>Nursing Patient Classification Systems have been developed and utilized to classify patients based on their nursing needs in several countries. The literature suggests potential benefits of these systems in terms of outcomes.</p><p><strong>Objective: </strong>To map the literature that assesses outcomes in relation to the use of Nursing Patient Classification Systems in hospital settings and to describe them.</p><p><strong>Methods: </strong>A scoping review, based on the methodological framework developed by Arksey and O'Malley, was conducted in 2024. We searched electronic databases (CINAHL, Embase, PubMed, Scopus, and Web of Science), the OpenGrey database, and consulted stakeholders.</p><p><strong>Results: </strong>From a total of 964 abstracts initially identified, 4 studies were included in the review. Different Nursing Patient Classification Systems were used to classify only adult inpatients. Outcomes assessed were satisfaction, care areas identified, benefits to the patients, job attitude, and improvement in morale across different populations such as nurses, patients, and clinical partners. No studies assessed outcomes for caregivers, pediatric patients, or hospital organizations.</p><p><strong>Conclusion: </strong>The literature reports potential benefits related to the use of Nursing Patient Classification Systems and underlines the importance of exploring the relationship between their use and different types of outcomes. Despite this, the results highlight the limited research on this topic. To realize the potential of these systems, it is essential to understand their utility in advance. After implementation in daily practice, the evaluation of outcomes related to the use of these systems should become a standardized practice, contributing to both nursing science and quality improvement.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251367529"},"PeriodicalIF":1.7,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Work Schedules, Specialties, Sleep Hygiene, and the Impact on Sleep Health.","authors":"Natalie Rejto, Arnold B de Castro, Teresa M Ward, Mayumi Willgerodt, Elaine Walsh","doi":"10.1177/01939459251340219","DOIUrl":"10.1177/01939459251340219","url":null,"abstract":"<p><strong>Background: </strong>Sleep is an important determinant of health and well-being. Poor sleep among nurses is associated with medical errors, poor decision-making, and decreased patient safety. National research priorities have underscored the need to understand the impact of nursing job characteristics on sleep health and mitigation strategies.</p><p><strong>Objective: </strong>We aimed to test whether sleep hygiene behaviors moderated the association between job characteristics and sleep health among nurses.</p><p><strong>Methods: </strong>A cross-sectional analysis was conducted on data from the Nurses' Health Study 3 (<i>N</i> = 1272). Logistic regression analysis tested the modifying effect of sleep hygiene behaviors when examining the association between job characteristics and sleep health among nurses practicing in various care settings and specialties.</p><p><strong>Results: </strong>Sleep hygiene behaviors were associated with increased odds of healthy sleep on workdays and work-free days; however, sleep hygiene did not moderate associations between job characteristics and sleep health. Working 12-hour or longer shifts was not associated with decreased odds of healthy sleep compared with working <12-hour shifts on workdays or work-free days. Working in schools and critical care was associated with 50% or higher odds of unhealthy sleep compared with working in the operating room and oncology on work-free days.</p><p><strong>Discussion: </strong>Findings suggest sleep hygiene behaviors cannot fully mitigate the effect of job characteristics on sleep health. Study results indicate sleep health may vary by nursing care setting and specialties. Future research should consider factors that may impact sleep health such as short staffing, commuting during work, and time off between shifts.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"924-931"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shift Work, Sleep, Chronic Fatigue, and Mental Health Among Hotel Workers.","authors":"Marie-Anne S Rosemberg, Joseph Tu, Julianne Armijo","doi":"10.1177/01939459251341832","DOIUrl":"10.1177/01939459251341832","url":null,"abstract":"<p><strong>Background: </strong>Shift work, a nonstandard work arrangement, is increasingly popular in the hospitality industry to meet consumer demands and boost productivity. However, its effects on the health and well-being of hotel workers in the United States remains underexplored.</p><p><strong>Objective: </strong>We aimed to explore the effects of shift work on mental health, sleep, and chronic fatigue among hotel workers.</p><p><strong>Methods: </strong>We collaborated with a community advisory board to develop a survey and recruit participants. Individuals aged 18 years or older, working in hotels in a Midwest state, completed surveys online or on paper. Data analysis included descriptive statistics, linear and logistic regression, and stepwise moderation to examine the impact of work schedules on chronic sleep problems, fatigue, and mental health outcomes.</p><p><strong>Results: </strong>Data from 518 participants were analyzed. The majority identified as white and female, with an average age of 32.05 years. Most were employed in housekeeping or front desk positions. Regression analyses showed that those working nonstandard hours were significantly more likely to report chronic fatigue and screen positive for posttraumatic stress disorder. Paid overtime was significantly associated with decreased symptoms of depression and anxiety. Significant interactions by job type were also observed, with front desk workers reporting increased depression with more overtime compared to other job types.</p><p><strong>Conclusion: </strong>These findings address a crucial gap in understanding shift work's impact on US hotel workers' health and well-being. Future longitudinal studies should explore shift work's effects on sleep, fatigue, and mental health. Tailored interventions and policies may mitigate the adverse effects of shift work.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"952-964"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12242826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Work Passion on Job Performance and Turnover Intentions: The Mediating Role of Job Satisfaction.","authors":"Nicolas Gillet, Julia Aubouin Bonnaventure, Rebeca Grangeiro, Victor Noble, Guillaume Souesme","doi":"10.1177/01939459251374179","DOIUrl":"https://doi.org/10.1177/01939459251374179","url":null,"abstract":"<p><strong>Background: </strong>Nurses may experience decreased job performance and increased turnover intentions. It is thus important to identify the factors that may influence their attitudes and behaviors at work.</p><p><strong>Objective: </strong>The aim of this research was to examine whether nurses' perceptions of organization segmentation norms have an effect on their work passion, while investigating the direct and indirect effects of work passion on their attitudes and behaviors.</p><p><strong>Methods: </strong>We used a cross-sectional research design. A sample of 368 nurses and assistant nurses working in various French health care centers completed a self-report questionnaire including measures of nurses' perceptions of organization segmentation norms, work passion, job satisfaction, job performance, and turnover intentions. We tested a structural equation model specifying relationships between these variables in line with our hypotheses.</p><p><strong>Results: </strong>The results showed that nurses' perceptions of organization segmentation norms were associated with higher levels of harmonious passion (HP) and lower levels of obsessive passion (OP). HP had positive effects on job satisfaction and performance, and negative effects on nurses' turnover intentions. In contrast, OP was negatively related to job satisfaction and performance, while the relationship between OP and turnover intentions was positive. Finally, HP and OP were indirectly linked to performance and turnover intentions through their effects on job satisfaction.</p><p><strong>Conclusions: </strong>Health care organizations are encouraged to implement actions to promote work-home segmentation norms to enhance nurses' HP while limiting their OP, in order to improve individual and organizational functioning.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251374179"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Exploratory Study of the Biological, Psychological, and Social Impact of Employment Versus Disability in Chronic Low Back Pain.","authors":"Khalid W Freij, Fiona B A T Agbor, Kiari R Kinnie, Vinodh Srinivasasainagendra, Tammie L Quinn, Hemant K Tiwari, Robert E Sorge, Burel R Goodin, Edwin N Aroke","doi":"10.1177/01939459251355097","DOIUrl":"10.1177/01939459251355097","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain (CLBP) directly causes reduced work productivity and increased absenteeism, disability, and health care costs. However, further research is necessary to identify whether employment correlates with better health outcomes for workers with CLBP.</p><p><strong>Objective: </strong>We aimed to explore differences in biological, psychological, and social variables between individuals with CLBP who have employment and those who receive disability benefits.</p><p><strong>Methods: </strong>This exploratory cross-sectional study used data from adults with nonspecific CLBP (15 employed and 10 receiving disability benefits) who are part of an ongoing study of epigenetics and gene expression signatures of racial and socioeconomic status disparities. Data were collected on depressive symptoms, perceived injustice, internalized stigma, social support, life orientation, pain intensity, pain interference, and various measures of biological aging.</p><p><strong>Results: </strong>On average, unemployed individuals (receiving disability benefits) reported significantly higher levels of internalized stigma of chronic pain (<i>t</i>₂₃ = -2.282, <i>p</i> = .016), pessimism (<i>t</i>₂₃ = -2.646, <i>p</i> = .007), insomnia severity (<i>t</i>₂₃ = -4.201, <i>p</i> < .001), perceived injustice (<i>t</i>₂₃ = -4.108, <i>p</i> < .001), depressive symptoms (<i>t</i>₂₃ = -4.195, <i>p</i> < .001), pain intensity (<i>t</i>₂₃ = -4.195, <i>p</i> < .001), and pain interference (<i>t</i>₂₃ = -5.288, <i>p</i> < .001), but lower pain resilience (<i>t</i>₂₃ = 3.422, <i>p</i> = .001) than participants who were employed. On average, participants receiving disability benefits had GrimAge epigenetic age acceleration, while employed participants had epigenetic age deceleration (<i>t</i>₂₁ = -2.256, <i>p</i> = .017).</p><p><strong>Conclusion: </strong>Among individuals living with CLBP, employment may be associated with a more positive health outcome. To foster an active and healthy workforce, it is essential to understand the biological, psychological, and social factors affecting employment status when addressing CLBP.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"975-986"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reach of an Occupational Health and Safety Program to Improve Sleep and Fatigue Among Nurses.","authors":"Beverly M Hittle, Rebecca Guerin, Imelda S Wong","doi":"10.1177/01939459251340273","DOIUrl":"10.1177/01939459251340273","url":null,"abstract":"<p><strong>Background: </strong>Training and education may benefit nurses whose nonstandard work hours put them at risk of poor sleep, fatigue, and ensuing adverse health and safety outcomes. The National Institute for Occupational Safety and Health (NIOSH) published \"Training for Nurses on Shift Work and Long Work Hours\" in 2015 as a free online resource which remains one of the few trainings available on this topic. However, the extent to which nurses have completed the program and the characteristics of current learners have not been examined.</p><p><strong>Objective: </strong>We aimed to describe the potential reach of the NIOSH Training for Nurses between May 2015 through December 2020.</p><p><strong>Methods: </strong>Data were obtained on learners who received continuing education credits upon completion of the NIOSH Training for Nurses. We applied a widely used implementation and evaluation framework, RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance), to describe the potential reach of the nurses' training and provide descriptive statistics of learners.</p><p><strong>Results: </strong>From 2015 to 2020, 7899 learners from different occupations received continuing education credits for completing the training. Approximately 60% of learners were nurses and 30% were students. Among nurses, most were Registered Nurses (93%), with few Licensed Practical Nurses (6%) and Advanced Practice Nurses (2%). In 2020, the number of learners who were nurses represented only 0.09% of all licensed US nurses.</p><p><strong>Conclusion: </strong>A renewed dissemination plan may help extend training reach to the larger population of licensed US nurses. The NIOSH training remains a seminal, freely available, online resource for nurses, filling a critical gap in training to manage work-related fatigue.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"932-941"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Worker Health Is Nurses' Business Now More Than Ever.","authors":"Karen Heaton, Marie-Anne Rosemberg, Lois James, Daniel Patterson","doi":"10.1177/01939459251374211","DOIUrl":"10.1177/01939459251374211","url":null,"abstract":"","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"903"},"PeriodicalIF":1.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}