Western Journal of Nursing Research最新文献

{"title":"Revisiting Artificial Intelligence in Research Dissemination.","authors":"Todd Ruppar","doi":"10.1177/01939459251340459","DOIUrl":"https://doi.org/10.1177/01939459251340459","url":null,"abstract":"","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":"47 6","pages":"439-440"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080483","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":"Perceptions of Nurses and Counselors Regarding the Use of Telehealth in HIV Care.","authors":"Charles Peter Osingada, Mary Fran Tracy, Barbara J McMorris, Noeline Nakasujja, Tom Denis Ngabirano, Carolyn M Porta","doi":"10.1177/01939459251325744","DOIUrl":"10.1177/01939459251325744","url":null,"abstract":"<p><strong>Background: </strong>The human immunodeficiency virus continues to pose a significant global health challenge. The coronavirus (COVID-19) pandemic disrupted efforts to end HIV/AIDS as a public health threat by 2030 but also accelerated the adoption of telehealth services to support care for people living with HIV (PLWH). However, in some settings, the effective deployment of telehealth was limited by insufficient evidence on how to engage diverse patient populations.</p><p><strong>Objective: </strong>The objective of this study was to explore the perspectives of Ugandan nurses and counselors on the use of telehealth for follow-up care and treatment of PLWH.</p><p><strong>Methods: </strong>This descriptive qualitative study was conducted in 2022 among nurses and counselors in Kampala, Uganda. Data were collected through face-to-face focus group discussions and analyzed using a conventional qualitative approach. Participants' perspectives are organized into four levels: individual, interpersonal, health facility, and public policy.</p><p><strong>Results: </strong>The study included 36 participants, of whom 80.6% were female and 52.8% were nurses, with ages ranging from 29 to 57 years and a mean age of 37.6 years (SD = 7.8). Participants perceived telehealth as beneficial in several areas, including reducing healthcare costs, improving the quality of care, strengthening patient-provider relationships, minimizing loss to follow-up, and supporting medication adherence. In addition, telehealth was considered suitable for various services, such as counseling, monitoring medication adherence, providing health education, and facilitating patient triage.</p><p><strong>Conclusions: </strong>Telehealth holds significant potential to enhance HIV healthcare delivery and should be considered by all health systems providing HIV care.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"458-469"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651805","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":"Educational Needs of Patient Safety Care Among Nurses in General Hospitals.","authors":"JuHee Lee, Keum-Hee Nam, Yujin Suh, Kiyeon Kim, Hyeran Park, Yoonju Lee","doi":"10.1177/01939459251325494","DOIUrl":"10.1177/01939459251325494","url":null,"abstract":"<p><strong>Background: </strong>Education is one of the effective strategies to improve patient safety care in healthcare. For better education, it is essential to identify areas where intervention is needed.</p><p><strong>Objective: </strong>This study was designed to analyze nurses' educational needs by comparing the perceived importance and performance of patient safety care in general hospitals in Korea.</p><p><strong>Methods: </strong>A cross-sectional study of 296 nurses in Korea was conducted between November and December 2022. The importance-performance analysis (IPA), Borich rank assessment, and the locus for focus (LF) model were used to compare nurses' perceived importance and performance of each aspect of patient safety care.</p><p><strong>Results: </strong>Overall, the mean performance score of patient safety care (4.47 ± 0.52) was significantly lower than the mean importance score (4.59 ± 0.51) (<i>t</i> = 5.05, <i>P</i> < .001). As determined using IPA and the LF model, the top-priority educational needs were related to proper hand hygiene practice and side effect monitoring after medication administration.</p><p><strong>Conclusions: </strong>This study provided areas where general hospital nurses need additional education to ensure patient safety. The results suggest the need for developing systematic education programs to enhance nurses' patient safety competencies, which could contribute to improving the quality of healthcare services.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"492-502"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651797","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":"Why is it Difficult to Recruit/Retain Asian American Family Caregivers in a Virtual Intervention?","authors":"Wonshik Chee, Seulgi Ryu, Jianing Quan, Dongmi Kim, Eun-Ok Im","doi":"10.1177/01939459251325719","DOIUrl":"10.1177/01939459251325719","url":null,"abstract":"<p><strong>Background: </strong>Virtual interventions using computers and mobile devices have increasingly been developed and tested among racial and ethnic minorities in recent years. Yet, few virtual interventions have been developed for Asian American midlife women who are family caregivers of persons living with Alzheimer's disease (AD). Furthermore, little is known about the feasibility of recruiting this specific group of racial/ethnic minority midlife women to a virtual intervention study.</p><p><strong>Objective: </strong>The purpose of this paper is to discuss practical issues in recruiting and retaining this specific group of racial/ethnic minority midlife women for a virtual intervention study.</p><p><strong>Methods: </strong>The ongoing parent study is to develop and test a preliminary version of a virtual intervention for this specific population. During the research process, the research team had regular meetings to have discussions on recruitment and retention issues and each team member wrote research diaries. A content analysis was conducted with the written records including the research team's research diaries and meeting minutes.</p><p><strong>Results: </strong>The issues were: (1) an extremely small pool of Asian American midlife women who were family caregivers of persons living with AD; (2) competitions with other studies, (3) practicality of inclusion/exclusion criteria, (4) lack of time and interests in research participation, and (5) negative perception of small monetary incentives.</p><p><strong>Conclusion: </strong>Future researchers need to consider the unique cultural and social dynamics of this specific population, foster trusted connections with the communities before initiating the study, and obtain feedback from potential gatekeepers and the communities in advance.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"503-509"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651813","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":"Mental Health Factors and Lifestyle Adherence After Myocardial Infarction: An Integrative Review.","authors":"Hanan Al-Faraj, Cleopatra Kum, Lynn Warner, Rebecca C Lee, Richard Becker, Tamilyn Bakas","doi":"10.1177/01939459251326816","DOIUrl":"10.1177/01939459251326816","url":null,"abstract":"<p><strong>Background: </strong>Engaging in healthy lifestyle behaviors following myocardial infarction can improve clinical health outcomes and lower cardiovascular risk factors among patients. However, adhering to a healthy lifestyle after having a myocardial infarction can be challenging, especially for those experiencing poor mental health.</p><p><strong>Objective: </strong>Based on a conceptual model derived from Lazarus and Folkman's Theory of Stress and Coping and the Health Belief Model, this integrative review focuses on mental health factors associated with adherence to healthy lifestyle behaviors post-myocardial infarction.</p><p><strong>Methods: </strong>Whittemore and Knafl's integrative review method was used to search and select relevant literature from the EMBASE, PubMed, CINAHL, Scopus, and PsycINFO databases between 2013 and 2023.</p><p><strong>Results: </strong>A total of 35 articles were included in the review. Based on the Johns Hopkins Nursing Evidence-Based Practice Model criteria, 34 studies were of good quality (B). Mental health factors related to healthy lifestyle behaviors after myocardial infarction included the following: (1) personality factors and coping (eg, neuroticism, agreeableness, and optimism); (2) psychological symptoms (i.e., depression, anxiety, and fear); (3) appraisal (ie, illness perception); (4) health beliefs (ie, susceptibility, severity, benefits, barriers, cues to action, and self-efficacy); and (5) motivation. Social support and demographic characteristics were also related to adherence to healthy lifestyle behaviors.</p><p><strong>Conclusions: </strong>This review highlights the role of mental health factors in adhering to healthy lifestyle behaviors among persons with myocardial infarction. Comprehensive theoretically based approaches are needed to develop future interventions for promoting healthy lifestyle behaviors in individuals post-myocardial infarction.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"544-554"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651803","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":"Psychometric Testing of the Revised Oncology Nurses Health Behaviors Determinants Scale.","authors":"Dania M Abu-Alhaija, Hanan Al-Faraj, Elaine Miller, Gordon L Gillespie","doi":"10.1177/01939459251324835","DOIUrl":"10.1177/01939459251324835","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy exposure is an occupational risk that affects oncology nurses and is linked to several negative health consequences. Oncology nurses' adherence to chemotherapy handling guidelines is critical to protect themselves from this hazardous drug exposure. Several personal and workplace-related factors affect nurses' adherence to these guidelines.</p><p><strong>Objective: </strong>The purpose of this study was to test the psychometric properties of the revised Oncology Nurses Health Behaviors Determinants Scale (HBDS-ON) that measures factors affecting nurses' adherence to chemotherapy handling guidelines.</p><p><strong>Methods: </strong>A quantitative cross-sectional design was used. One hundred twenty-three oncology nurses were recruited through convenience sampling from 2 hospital settings in the Midwest United States and through social media. Participants completed 3 online surveys: (1) the Revised Hazardous Drugs Handling Questionnaire, (2) the revised HBDS-ON, and (3) a demographic questionnaire.</p><p><strong>Results: </strong>Exploratory factor analysis revealed a conceptually reasonable 7-subscale structure of the revised HBDS-ON. The psychometric properties of the scale were supported by convergence validity, regression model testing, and internal consistency reliability. Oncology nurses reported adherence to chemotherapy handling guidelines 55% of the time. The cues to action in the workplace, nurses' perceived barriers, institutional response to chemotherapy exposure incidents, and personal protective equipment availability and accessibility were associated with oncology nurses' adherence to chemotherapy handling guidelines.</p><p><strong>Conclusion: </strong>The revised HBDS-ON demonstrates reliability and validity and can be used to measure factors at workplace and personal levels that affect nurses' adherence to chemotherapy handling guidelines.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"441-448"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651807","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":"Nursing Science on the Eve of the Midwest Nursing Research Society's 50th Annual Research Conference.","authors":"Eileen Danaher Hacker","doi":"10.1177/01939459251341369","DOIUrl":"10.1177/01939459251341369","url":null,"abstract":"","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"555-556"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009262","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":"Sleep in Residential Aged Care: A Secondary Qualitative Analysis of Data from the Australian Royal Commission into Aged Care Quality and Safety.","authors":"Aisling Smyth, Patricia Cain, Sabine Pangerl, Christopher Gordon, Kasia Bail, Davina Porock","doi":"10.1177/01939459251324831","DOIUrl":"10.1177/01939459251324831","url":null,"abstract":"<p><strong>Background: </strong>Sleep is a crucial healing and restorative component of older person care but is often negatively impacted through the effects of institutionalization in residential aged care (RAC). Currently, information about how sleep occurs is limited.</p><p><strong>Methods: </strong>Through the lens of person-centered care, this study examined submissions to the Australian Royal Commission into Aged Care Quality and Safety. The Commission was established in 2018 with the aim of protecting and improving the safety, quality of life, and well-being of people receiving aged care. The commission received 10 000+ submissions from a range of stakeholders, including consumers, family members, expert witnesses, healthcare professionals, and industry. Using a big qualitative data approach with 33 sleep-related keywords, submissions were analyzed using thematic analysis to understand how institutional practices impact individual sleep experiences.</p><p><strong>Results: </strong>Three themes were identified highlighting tensions between institutional requirements and person-centered care: (1) Care practices of RAC staff may impact residents' sleep, (2) Tensions between provision of overnight care and preservation of sleep, and (3) The dignity of choice of residents including autonomy of sleep timing and their sleep environment.</p><p><strong>Conclusion: </strong>Opportunities to improve the quality of sleep experience and associated outcomes in Australian RAC exist. Improved staffing, planning for person-centered timing of care, and addressing the competing tensions of safety surveillance activities and person-centered care implementation in a home environment are needed.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"449-457"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538045","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":"Predictors of Informal Caregiver Burden in Parkinson's Disease: A Systematic Review.","authors":"Rosie Lesley, Jane Simpson, Maria Dale, Fiona Eccles, Selina Lock, Sarah Gunn","doi":"10.1177/01939459251327968","DOIUrl":"10.1177/01939459251327968","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of people with Parkinson's disease are at risk of experiencing <i>caregiver burden</i>. Understanding contributing factors is required to develop appropriate targeted interventions and support for this group. This systematic review provides an updated appraisal and synthesis of quantitative studies assessing predictors of burden among informal caregivers of people with Parkinson's.</p><p><strong>Method: </strong>Five electronic databases (APA PsycINFO, CINAHL, MEDLINE, Web of Science, and Cochrane Library) were systematically searched (from inception until July 2024), supplemented by hand-searches. Study quality was assessed using the cross-sectional JBI Critical Appraisal Checklist. Results were synthesized narratively.</p><p><strong>Results: </strong>Forty-one studies were included. Predictors of increased burden included greater impact of motor symptoms on activities of daily living, greater severity of neuropsychiatric symptoms, poorer quality of life of the person with Parkinson's, and poorer caregiver mental health. Demographics, presence of motor symptoms, motor complications, and general cognitive function did not predict burden. Evidence was inconclusive for several variables including disease stage and duration, motor symptom severity, functional ability, overall non-motor symptoms, mental health of the person with Parkinson's, and caregivers' involvement and protective factors.</p><p><strong>Conclusion: </strong>Several areas for potential future intervention are indicated, although methodological weaknesses within the literature constrain the robustness of conclusions. Key areas for future research include exploring understudied variables (caregiver personality and coping style, relationship quality, and positive aspects of caregiving) that may be important predictors of burden, specifying and utilizing a more consistent definition of \"informal caregiver,\" and recruiting younger and non-spousal caregivers and more diverse samples regarding disease severity.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"524-543"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732257","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":"Mediating Effect of Resilience Between Protective Organizational Practices and Professional Quality of Life: An International Perspective Among Nurses Caring for Patients With Emerging Infectious Diseases.","authors":"Soojung Jo, Elizabeth Reifsnider, Keenan A Pituch, Etsuko Takagi, Kala Mayer, Vicki Simpson, Jeanie Skibiski, Jo Anne Bennett, Sule Kurt","doi":"10.1177/01939459251324838","DOIUrl":"10.1177/01939459251324838","url":null,"abstract":"<p><strong>Background: </strong>Compassion fatigue and satisfaction impact nurses' patient care. Resilience acts as a mediator between protective organizational practices and mental health.</p><p><strong>Objective: </strong>This study aimed to examine the mediating effect of resilience among nurses during the recent emerging infectious disease outbreak, the COVID-19 pandemic.</p><p><strong>Methods: </strong>This is a cross-sectional study of 233 nurses who were caring for COVID-19 patients in the United States, Japan, Korea, and Guinea. Path analysis was used to assess associations between protective organizational practices and compassion fatigue and satisfaction.</p><p><strong>Results: </strong>Path analysis indicated that resilience significantly mediated the association between protective organizational practices and the study outcomes of compassion satisfaction (indirect effect: β = 0.11, <i>p</i> < .01) and compassion fatigue (indirect effect: β = -0.11, <i>p</i> < .01). The analysis also indicated that resilience mediated associations between being asked to work at a higher patient acuity level and compassion satisfaction (indirect effect: β = -0.09, <i>p</i> < .05) and compassion fatigue (indirect effect: β = 0.09, <i>p</i> < .01). Our results provide further support for the mediating effect of resilience on compassion fatigue and compassion satisfaction during the COVID-19 crisis and the impact of poor protective organizational practices on compassion fatigue and compassion satisfaction.</p><p><strong>Conclusions: </strong>This study highlights the critical impact of supportive protective organizational practices in enhancing nurse resilience, reducing compassion fatigue, and improving compassion satisfaction during emerging infectious disease outbreaks, such as the COVID-19 pandemic. The results emphasize the need for robust resiliency programs and organizational resources for infection control in health care settings to enhance nurses' psychological well-being.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"470-479"},"PeriodicalIF":2.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701847","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}