Western Journal of Nursing Research最新文献_第10页

The Mediating Role of Psychological Well-Being in the Relationship Between Self-Management and Quality of Life in Patients With Hypertension. 心理幸福感在高血压患者自我管理与生活质量关系中的中介作用

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-02-01 Epub Date: 2023-12-19 DOI: 10.1177/01939459231217934

Mei-Chen Lee, Chun-Yi Tai, Chuan-Chieh Liu, Wen-Hug Wang, Ching-Fen Chang, Meng-Qi Chen

引用次数: 0

Identifying the Risk Factors of Suicidal Ideation in Patients With Hematologic Malignancies Using a Multidimensional Approach. 用多维方法识别血液恶性肿瘤患者自杀意念的风险因素

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-02-01 Epub Date: 2023-12-11 DOI: 10.1177/01939459231216870

Junglyun Kim, Moonhee Gang

{"title":"Identifying the Risk Factors of Suicidal Ideation in Patients With Hematologic Malignancies Using a Multidimensional Approach.","authors":"Junglyun Kim, Moonhee Gang","doi":"10.1177/01939459231216870","DOIUrl":"10.1177/01939459231216870","url":null,"abstract":"Background: Patients with hematologic malignancies have a 3.5-fold higher rate of suicide completion than the noncancer population, and the Hodgkin lymphoma has the highest suicide rate among all cancers. Although the risk factors for suicidal ideation among the cancer population are well-known, the specific risk factors contributing to the high suicide rate among patients with hematologic malignancies are elusive.Objective: This study aimed to identify the risk factors for suicidal ideation among patients with hematologic malignancies using a multidimensional approach.Methods: This was a cross-sectional, observational study. A total of 163 patients were recruited from the oncology department of a university hospital. We collected data on psychological and physical symptoms, social support, and suicidal ideation using the Memorial Symptom Assessment Scale-Short Form, the Multidimensional Scale of Perceived Social Support, and the Suicidal Ideation Scale. Multiple regression analysis was performed using SPSS (version 26.0) to analyze the clinical data.Results: Among the 163 participants, 96 (58.9%) were male, 57 (35%) were diagnosed with acute leukemia, and 97 (59.5%) received chemotherapy. The mean age was 55.26 ± 15.75. Physical symptoms, psychological symptoms, and willingness to use mental health services accounted for 39.5% of suicidal ideation cases.Conclusions: Assessment of psychological conditions at the beginning of diagnosis, provision of appropriate interventions throughout treatment, and follow-up care to relieve psychological symptoms should be initiated in patients with hematologic malignancies to prevent suicide.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138812197","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}

引用次数: 0

A Global Overview of Missed Nursing Care During the COVID-19 Pandemic: A Systematic Review. COVID-19大流行期间错过护理的全球概况:一项系统综述。

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-02-01 Epub Date: 2023-11-28 DOI: 10.1177/01939459231214598

Leodoro J Labrague, Carol T Kostovich

{"title":"A Global Overview of Missed Nursing Care During the COVID-19 Pandemic: A Systematic Review.","authors":"Leodoro J Labrague, Carol T Kostovich","doi":"10.1177/01939459231214598","DOIUrl":"10.1177/01939459231214598","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic has placed unparalleled pressure on many countries' healthcare systems, impacting the delivery of health and nursing care services. Despite the growing number of missed care studies during the pandemic, a broader perspective is essential when designing theory-driven strategies to improve nursing care delivery. This review aimed to synthesize evidence of missed nursing care during the COVID-19 pandemic in acute care settings through a systematic review and narrative synthesis. An electronic search of articles published since the emergence of the pandemic was conducted using 5 databases (Scopus, PubMed, Web of Science, CINAHL, and PsycINFO). A total of 470 articles were identified during the initial search, and 10 articles were included in the review. The sample sizes of the studies ranged from 37 to 536 nurses. Results of the content analysis were grouped into 5 categories: (1) prevalence of missed care, (2) frequency of missed care, (3) reasons for missed care, (4) nurses' and organizational variables contributing to missed care, and (5) work environment elements contributing to missed care. The review's findings revealed a shift in the nature of missed nursing care during the pandemic, with an emphasis on nursing care tasks vital for the recovery of patients with COVID-19. Despite the unique circumstances brought about by the pandemic, an inadequate nursing workforce continued to be identified as the primary reason for missed care, consistent with the pre-pandemic period.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446772","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}

引用次数: 0

Self-care Behavior Based on Integrated Behavioral Model in Patients With Atrial Fibrillation: A Structural Equation Modeling Approach. 基于综合行为模型的心房颤动患者自我护理行为：结构方程模型法

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-02-01 Epub Date: 2023-12-20 DOI: 10.1177/01939459231218949

Juhyun Song, Seung Yong Shin, Kyunghee Kim, Youn-Jung Son, Jisu Kim, Insil Jang

{"title":"Self-care Behavior Based on Integrated Behavioral Model in Patients With Atrial Fibrillation: A Structural Equation Modeling Approach.","authors":"Juhyun Song, Seung Yong Shin, Kyunghee Kim, Youn-Jung Son, Jisu Kim, Insil Jang","doi":"10.1177/01939459231218949","DOIUrl":"10.1177/01939459231218949","url":null,"abstract":"Background: There is limited research exploring the behavioral intentions, beliefs, and application of theoretical models in relation to self-care in patients with atrial fibrillation (AF).Objective: This study aimed to identify the factors that influence self-care behavior in patients with AF.Methods: The study used an integrated behavioral model and collected data from 216 patients diagnosed with AF. Data were analyzed using SPSS 24.0 and AMOS/WIN 24.0 to verify the fit of the hypothesis model, confirm factor analysis, and the validity of the hypothesis itself.Results: Self-care behavioral intention (β = 0.433, p < .001) and habit (β = 0.395, p = .005) had a significant direct effect, while instrumental attitude (β = 0.077, p = .045), injunctive norm (β = 0.084, p = .037), and self-efficacy (β = 0.249, p = .011) had a significant indirect effect on self-care behavior, explaining 64.4% of the variance.Conclusion: The final model validated the factors that impact self-care behavior in patients with AF, highlighting the importance of fostering positive recognition of instrumental attitude, bolstering social influence and self-efficacy through significant individuals to improve self-care behavior. It is recommended to create an intervention program that encourages intentions and motivations for self-care behavior and incorporates tactics to make self-care behavior a habit. The study's path diagram can serve as a conceptual framework for designing strategies to enhance self-care behavior in patients with AF.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832610","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}

引用次数: 0

Effects of a PRECEDE-PROCEED Model-Based Intervention on Fatigue in Patients With Coronary Heart Disease: A Randomized Controlled Trial. 基于 PRECEDE-PROCEED 模型的干预对冠心病患者疲劳的影响：随机对照试验

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-02-01 Epub Date: 2023-12-25 DOI: 10.1177/01939459231215727

Min Wen, Yeshi Chen, Juping Yu, Junyi Li, Xiaohui Wen, Xinping OuYang, Pingping He

{"title":"Effects of a PRECEDE-PROCEED Model-Based Intervention on Fatigue in Patients With Coronary Heart Disease: A Randomized Controlled Trial.","authors":"Min Wen, Yeshi Chen, Juping Yu, Junyi Li, Xiaohui Wen, Xinping OuYang, Pingping He","doi":"10.1177/01939459231215727","DOIUrl":"10.1177/01939459231215727","url":null,"abstract":"Objective: This research aimed to determine how a 12-week PRECEDE-PROCEED model-based intervention affected fatigue in patients with coronary heart disease.Methods: This cluster randomized controlled trial recruited participants diagnosed with coronary heart disease at 2 community health centers in China. Participants in the control group (n = 36) received routine health education, whereas those in the intervention group (n = 38) were given a 12-week PRECEDE-PROCEED model-based intervention and routine health education. The intervention consisted of 6 training sessions on coronary heart disease, fatigue, fatigue management, self-management skills and social support. A primary outcome (fatigue) and 4 secondary outcomes (knowledge of fatigue, self-management, quality of life and body mass index) were assessed using the Fatigue Scale-14, Fatigue Cognitive Questionnaire for Patients with Coronary Heart Disease, Coronary Artery Disease Self-Management Scale, Chinese Cardiovascular Questionnaire of Quality of Life, and electronic weighing scale, respectively. Data were collected 3 times over 12 weeks.Results: Compared with the control group, the intervention group showed a statistically significant improvement in the level of fatigue (8.72 vs 7.06, P < .001), knowledge of fatigue (P < .001), self-management skills (P < .001), and quality of life (P < .001). However, there was no significant difference in body mass index between the 2 groups (P = .504).Conclusions: The findings suggest that a well-designed intervention based on the PRECEDE-PROCEED model could alleviate fatigue symptoms and increase knowledge of fatigue, self-management skills and quality of life in patients with coronary heart disease.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038082","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}

引用次数: 0

Enhancing Rigor: Reporting Detailed Intervention Descriptions. 加强严谨性：报告详细的干预说明。

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-02-01 DOI: 10.1177/01939459231222072

Todd M Ruppar

引用次数: 0

Participant Satisfaction in a Cardiovascular Disease Prevention Intervention for Midlife Black Women. 参与者对中年黑人妇女心血管疾病预防干预的满意度。

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-01-01 Epub Date: 2023-10-31 DOI: 10.1177/01939459231208420

Holly J Jones, Melinda Butsch Kovacic, Patricia Bacchus, Wala'a Almallah, Tamilyn Bakas

{"title":"Participant Satisfaction in a Cardiovascular Disease Prevention Intervention for Midlife Black Women.","authors":"Holly J Jones, Melinda Butsch Kovacic, Patricia Bacchus, Wala'a Almallah, Tamilyn Bakas","doi":"10.1177/01939459231208420","DOIUrl":"10.1177/01939459231208420","url":null,"abstract":"Background: Midlife Black women suffer disproportionately from cardiovascular disease and are 65% more likely to die following a cardiac event compared with White women. Recruitment and retention of midlife Black women in clinical trials has been historically low. The culturally tailored Midlife Black Women's Stress Reduction and Wellness (B-SWELL) intervention was codeveloped with the community and designed to lower cardiovascular disease risk in midlife Black women.Objectives: We sought to assess participant satisfaction in the randomized feasibility trial of the B-SWELL intervention.Methods: A feasibility trial comparing the B-SWELL to a wellness intervention was conducted in the winter and spring of 2021 in compliance with pandemic research protocols. An adapted survey tool was used to rate satisfaction with the intervention and its technology using a Likert-type scale (1 [strongly disagree] to 5 [strongly agree]). Survey subscales assessed usefulness, ease, and acceptability of the intervention(s).Results: Randomization yielded no statistical demographic differences (N = 48). Satisfaction for the interventions was high in both the B-SWELL and Wellness intervention groups with mean scores of 4.57 and 4.56, respectively. Mean scores for technology were 4.49 for the B-SWELL and 4.47 for the Wellness group. Subscales were also rated highly. Narrative responses were positively aligned with satisfaction scores.Conclusions: Results support use of cultural adaptation and community participatory methods to develop and deliver interventions targeted to at-risk populations. Culturally adapted interventions designed in collaboration with the community have greater authenticity, increasing the potential for higher recruitment, retention, and participant satisfaction of underrepresented populations. The trial is registered in ClinicalTrials.gov (NCT04404478).","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414998","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}

引用次数: 0

Older People's Descriptions of Their Engagement in Fall Prevention. 老年人参与预防跌倒的描述。

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-01-01 Epub Date: 2023-11-10 DOI: 10.1177/01939459231211803

Hiroko Kiyoshi-Teo, Siobhan K McMahon, Kathlynn Northup-Snyder, Deborah J Cohen

{"title":"Older People's Descriptions of Their Engagement in Fall Prevention.","authors":"Hiroko Kiyoshi-Teo, Siobhan K McMahon, Kathlynn Northup-Snyder, Deborah J Cohen","doi":"10.1177/01939459231211803","DOIUrl":"10.1177/01939459231211803","url":null,"abstract":"Evidence-based strategies to decrease fall rates are well established. However, little is understood about how older people engage in fall prevention strategies. Motivational Interviewing (MI) sessions aimed to facilitate individuals' engagement in fall prevention can be analyzed to learn what it means for older people to engage in fall prevention. Thus, the purpose of this study was to explore how older people describe their engagement in fall prevention. Participants in our parent project, MI for Fall Prevention (MI-FP), who received MI sessions were purposively selected for maximum variation in age, sex, fall risks, and MI specialist assigned. The first (of 8) MI sessions from 16 participants were recorded, transcribed, and analyzed using qualitative content analysis. Three researchers first deductively analyzed fall prevention strategies that participants described using an evidence-based fall prevention guideline as a reference. Then, we inductively analyzed the characteristics of these strategies and how participants engaged in them. Finally, we used the Capability, Opportunity, Motivation, Behavior (COM-B) model to organize our results about factors influencing engagement. We found (1) older adults engage in unique combinations of fall prevention strategies and (2) decisions about engagement in fall prevention strategies were influenced by multiple factors that were personal (e.g., who I am, capability, motivation, and opportunities). This study highlighted how fall prevention can be a life-long lifestyle decision for older people. Understanding older people's perspectives about engaging in fall prevention is essential to develop interventions to promote evidence-based fall prevention strategies in real-world settings.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211597","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}

引用次数: 0

Aggressive End-of-Life Care and Caregiver Satisfaction for Patients With Advanced Cancer. 晚期癌症患者积极的临终关怀和照顾者满意度。

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-01-01 Epub Date: 2023-11-19 DOI: 10.1177/01939459231213786

Sumin Park, Sara L Douglas, Barbara Boveington-Molter, Amy R Lipson

引用次数: 0

Abusive Supervision and Its Relationship With Nursing Workforce and Patient Safety Outcomes: A Systematic Review. 滥用监管及其与护理人员和患者安全结果的关系:系统回顾。

IF 1.8 4区医学

Western Journal of Nursing Research Pub Date : 2024-01-01 Epub Date: 2023-11-12 DOI: 10.1177/01939459231212402

Leodoro J Labrague

{"title":"Abusive Supervision and Its Relationship With Nursing Workforce and Patient Safety Outcomes: A Systematic Review.","authors":"Leodoro J Labrague","doi":"10.1177/01939459231212402","DOIUrl":"10.1177/01939459231212402","url":null,"abstract":"Despite efforts to improve management and leadership behaviors among nurse managers, studies have shown the pervasive nature of abusive supervision in nursing practice, with strong evidence linking this type of behavior to reduced work productivity among nurses. This systematic review aimed to appraise and synthesize peer-reviewed studies that examine nurse-related and patient safety outcomes associated with abusive supervision. The review searched nursing literature from five databases (PubMed, CINAHL, Scopus, Web of Science, and PsycINFO) between August and November 2022. A total of 21 relevant studies were identified, with the Abusive Supervision Scale being the most frequently used measurement tool. Through content analysis, the review identified 29 outcomes which were categorized into six groups: (a) affective-based, (b) behavior/performance-based, (c) relationship-based, (d) cognitive-based, (e) health and well-being, and (f) nursing care. In addition, 10 mediators were identified and grouped into three categories: (a) affective-based, (b) motivation-based, and (c) health and well-being. The review findings provide compelling evidence regarding the detrimental effects of abusive supervision in the nursing workforce. Moreover, the review emphasizes the need for further research to explore how such behavior can impact patient safety outcomes. To address abusive supervision, it is crucial to promote positive behaviors among nurse managers through human resource mechanisms, relevant rules and policies, and theory-driven leadership development programs.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89720163","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}

引用次数: 0