Western Journal of Nursing Research最新文献_第2页

Factors Associated With Prehospital Delay in Acute Ischemic Stroke: A Comparative Study of First-Time and Recurrent Cases. 急性缺血性脑卒中院前延迟相关因素：首次与复发病例的比较研究

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-08-01 Epub Date: 2025-05-24 DOI: 10.1177/01939459251340778

Zhi-Xuan Xu, Qun-Hong Liu, Xiao-Pei Zhang, Cheng-Song Deng, Li-Hong Wan

{"title":"Factors Associated With Prehospital Delay in Acute Ischemic Stroke: A Comparative Study of First-Time and Recurrent Cases.","authors":"Zhi-Xuan Xu, Qun-Hong Liu, Xiao-Pei Zhang, Cheng-Song Deng, Li-Hong Wan","doi":"10.1177/01939459251340778","DOIUrl":"10.1177/01939459251340778","url":null,"abstract":"Background: Prehospital delay, defined as prehospital time (from symptom onset to hospital arrival) ≥3 hours, adversely affects outcomes in patients with acute ischemic stroke. It is prevalent both among patients with first-time and recurrent stroke, who differ in disease and psychological characteristics affecting their health-seeking behavior. However, comparative studies on delay-related factors between these groups are limited.Objectives: We aimed to identify and compare factors influencing prehospital delay among patients with first-time and recurrent acute ischemic stroke.Methods: This 2-center, hospital-based, cross-sectional study enrolled 144 first-time and 142 recurrent patients with acute ischemic stroke in Guangzhou, China. Patients' prehospital times were recorded. Standardized questionnaires were used to assess stroke knowledge, family function, and stigma. Data were analyzed using univariate analysis and multiple logistic regression.Results: Emergency medical services utilization reduced prehospital delay in both groups (first-time: odds ratio [OR] = 0.173, 95% CI: 0.040-0.750; recurrent: OR = 0.100, 95% CI: 0.022-0.466). Poor family function increased the risk of delay (first-time: OR = 1.057, 95% CI: 1.003-1.113; recurrent: OR = 1.131, 95% CI: 1.039-1.230). Among patients with recurrent stroke, greater stroke knowledge was protective (OR = 0.983, 95% CI: 0.968-0.999), while higher stigma increased delay (OR = 1.053, 95% CI: 1.012-1.095).Conclusions: Emergency medical services utilization and strong family function reduce prehospital delay in both patients with first-time and recurrent stroke, while increased stroke knowledge and reduced stigma specifically benefit patients with recurrent stroke. Targeted strategies addressing these factors are recommended.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"751-763"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136443","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

Beliefs About Medication as a Mediator in the Relationship Between eHealth Literacy and Medication Adherence Among Older Adults With Multimorbidity: A Cross-Sectional Survey. 多病老年人电子健康素养与药物依从性之间的中介关系：一项横断面调查。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-08-01 Epub Date: 2025-05-15 DOI: 10.1177/01939459251336039

Yang Wenjing, Feng Xinxin, Sun Zhonghao, Wang Siqi, Wang Xia

{"title":"Beliefs About Medication as a Mediator in the Relationship Between eHealth Literacy and Medication Adherence Among Older Adults With Multimorbidity: A Cross-Sectional Survey.","authors":"Yang Wenjing, Feng Xinxin, Sun Zhonghao, Wang Siqi, Wang Xia","doi":"10.1177/01939459251336039","DOIUrl":"10.1177/01939459251336039","url":null,"abstract":"Background: Medication nonadherence has long been a problem for older adults with multimorbidity. As more and more eHealth apps are being used to improve medication adherence, eHealth literacy (eHL) provides an opportunity for patients to benefit. Therefore, there is a need to identify the relationship between eHL and medication adherence.Objective: To explore the relationship between eHL and medication adherence, and to clarify the role that beliefs about medication play in the relationship.Methods: A cross-sectional survey was conducted in a community in Xuzhou, China, using a convenience sampling method. Information on eHL, beliefs about medication, and medication adherence were collected through questionnaires. Spearman correlation analysis and structural equation modeling were used to measure the relationship between eHL and adherence to medication, and the mediation effect of beliefs about medications.Results: A total of 297 adults with multimorbidity were included in this study. The results showed that medication adherence was positively correlated with necessity beliefs (r = 0.321, P < .001) and negatively correlated with concerns (r = -0.644, P < .001). In addition to directly and favorably predicting medication adherence, eHL also had an impact on adherence through the mediating effects of necessity beliefs (β = 0.045, 95% CI: 0.011-0.086) and concerns about medication (β = 0.213, 95% CI: 0.165-0.273).Conclusion: Our findings highlighted the importance of improving eHL, fostering positive recognition of polypharmacy, and alleviating concerns about medicine-taking to improve medication adherence among older adults with multimorbidity.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"687-697"},"PeriodicalIF":2.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081547","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

Association Between COVID-19 Infection and Subjective Cognitive Decline in Adults: A Cross-Sectional Online Survey Study. COVID-19感染与成人主观认知能力下降之间的关系：一项横断面在线调查研究

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-07-24 DOI: 10.1177/01939459251350812

An-Yun Yeh, Ying-Yu Chao, Shiela M Strauss, Cheng-Chen Chou

{"title":"Association Between COVID-19 Infection and Subjective Cognitive Decline in Adults: A Cross-Sectional Online Survey Study.","authors":"An-Yun Yeh, Ying-Yu Chao, Shiela M Strauss, Cheng-Chen Chou","doi":"10.1177/01939459251350812","DOIUrl":"https://doi.org/10.1177/01939459251350812","url":null,"abstract":"Background: Cognitive impairment is the most common residual symptom following COVID infection, reported in approximately 22% of adults diagnosed with COVID-19. Subjective cognitive decline is considered a significant early indicator of the progression of Alzheimer's disease. There is limited research investigating subjective cognitive decline following COVID-19 infection.Purpose: The purpose of this study was to examine the relationship between COVID-19 infection and subjective cognitive decline in adults.Methods: In this comparative and cross-sectional study, data were collected via an online survey involving 98 adults diagnosed with COVID-19 and 317 adults never diagnosed with COVID-19. The mean age of participants was 30.2 ± 8.4 years, and 36.6% were female. The revised Everyday Cognition Scale was used to assess subjective cognitive decline. Data analysis included descriptive statistics, one-way analysis of covariance, and hierarchical multiple regression.Results: After controlling for covariates, adults diagnosed with COVID-19 experienced significantly greater subjective declines in memory (P = .002), language (P = .002), organizational ability (P = .03), attention (P = .003), and global cognition (P = .007) than those never diagnosed with COVID-19. Furthermore, COVID-19 diagnosis was a significant predictor of worse subjective declines in these domains of cognition.Conclusion: Findings highlight the associations between COVID-19 infection and subjective cognitive decline across various domains. These results underscore the need for longitudinal studies to explore the progression of cognitive decline. Early detection and management of cognitive dysfunction can prevent further deterioration of cognitive function.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251350812"},"PeriodicalIF":2.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700205","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

It Felt Unsafe: New Nurse Turnover Intention and Perception of Safety. 感觉不安全：新护士离职意向与安全感知。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-07-15 DOI: 10.1177/01939459251355913

Bobbi Shatto, Geralyn Meyer, Khalid Sari F Alkhaldi, Karlie Hamilton

{"title":"It Felt Unsafe: New Nurse Turnover Intention and Perception of Safety.","authors":"Bobbi Shatto, Geralyn Meyer, Khalid Sari F Alkhaldi, Karlie Hamilton","doi":"10.1177/01939459251355913","DOIUrl":"https://doi.org/10.1177/01939459251355913","url":null,"abstract":"Background: New nurse turnover remains a significant issue. Studies demonstrate that when nurses think their patients' safety is threatened, they are more likely to question their job commitment.Objective: The objective of this study was to explore the question \"How do new nurses' perceptions of safety affect their intention to leave their first job?\"Methods: We used reflexive thematic analysis, a qualitative analytic method. Participants were recruited as part of a subset of a larger nationwide survey on transition to practice of RNs who were newly licensed in 2021. Thirteen nurses from 7 states were included in the sample.Results: Four of the 13 nurses were in their first positions at the time of the interview. When asked to describe their first year in practice, an overarching finding was \"It felt unsafe.\" The subthemes derived from this main theme were Entering a Precarious Environment and Questioning Their Readiness for Practice. Environmental and nurse-related factors contributed to this feeling.Conclusion: Helping new nurses feel safe requires the development of a supportive clinical culture. Improving staffing alone will not ensure that new nurses feel supported. When the nurses in this study felt that they were not alone and that they could count on other staff to be helpful, they thrived even in the face of high patient acuity and stressful situations. This support helps them to develop their nursing judgment and learn to care for themselves so they can deliver optimal patient care.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251355913"},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638573","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

LGBTQI+ Curricular Goals and Content Inclusion in US Nurse Practitioner Education Programs: Results of a National Survey. LGBTQI+课程目标和内容纳入美国护士执业教育计划：一项全国调查的结果。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-07-15 DOI: 10.1177/01939459251348982

Sheila K Smith, Maria Ruud, Larry Newman, Scott Emory Moore, Camille Brown, Michelle A Mathiason, Athena D F Sherman

{"title":"LGBTQI+ Curricular Goals and Content Inclusion in US Nurse Practitioner Education Programs: Results of a National Survey.","authors":"Sheila K Smith, Maria Ruud, Larry Newman, Scott Emory Moore, Camille Brown, Michelle A Mathiason, Athena D F Sherman","doi":"10.1177/01939459251348982","DOIUrl":"https://doi.org/10.1177/01939459251348982","url":null,"abstract":"Background: Little has been published on the lesbian, gay, bisexual, queer, and intersex (plus) (LGBTQI+) curriculum in US nurse practitioner (NP) programs. With many known LGBTQI+ health disparities, it is imperative that NP educators prepare their students for the care of LGBTQI+ persons, families, and communities.Purpose: The purpose of this descriptive exploratory study was to describe the current state of LGBTQI+ curricular goals and content in a sample of US NP education programs.Methodology: Using an adaptation of the Tool for Assessing LGBTQI+ Health Training, researchers electronically surveyed NP program directors for the perceived applicability of LGBTQI+ curricular goal statements and content inclusion in NP education programs.Results: Completed surveys (N = 62) were received from respondents in 8 NP specialty areas. Across the specialties, 22 of the 32 goal statements were rated as applicable by 90% or more of respondents. Primary care NP respondents indicated higher numbers of applicable goal statements than other specialties. Levels of content inclusion varied widely across the 32 goal statements and by NP specialty.Conclusions: A large majority of respondents endorse the applicability of LGBTQI+ curricular goals across multiple domains and competencies. Specific content for most of the goal statements was generally not well covered, and content beyond individual health care was poorly addressed.Implications: While US NP program faculty express support for a broad array of LGBTQI+ curricular goals, actual content inclusion may be lagging and may only be covering information needed for more basic-level competencies.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251348982"},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638574","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

Validity and Reliability of the Korean Version of the Self-Efficacy Scale for Healthy Eating and Physical Activity Among Pregnant Women. 韩国版孕妇健康饮食与身体活动自我效能量表的效度与信度。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-07-15 DOI: 10.1177/01939459251351464

Sehee Kim

{"title":"Validity and Reliability of the Korean Version of the Self-Efficacy Scale for Healthy Eating and Physical Activity Among Pregnant Women.","authors":"Sehee Kim","doi":"10.1177/01939459251351464","DOIUrl":"https://doi.org/10.1177/01939459251351464","url":null,"abstract":"Objective: Excessive gestational weight gain, driven by the global raise in obesity, poses significant health risks for both mothers and infants. This study aimed to validate and assess the reliability of the Korean version of the self-efficacy scale for healthy eating and physical activity to support pregnancy-related weight management research in Korea.Methods: This study is a secondary data analysis using previously collected data from an online survey of pregnant women in South Korea. The self-efficacy scale underwent linguistic validation, including translation, back-translation, and expert review. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to assess content and construct validity, along with internal consistency reliability testing.Results: A total of 369 pregnant women participated, primarily in their 30s (85.1%) and college-educated (79.1%). Content validity was high, with a scale-level content validity index of 0.99. Construct validity was confirmed through EFA and CFA, with the final model achieving satisfactory fit indices (χ2/df = 2.19, CFI = 0.90, TLI = 0.89, SRMR = 0.07, RMSEA = 0.06). The scale demonstrated high reliability, with Cronbach's alpha values of 0.93 for both subscales.Conclusion: The validated Korean self-efficacy scale is a reliable tool for assessing pregnancy-related weight management behaviors. This culturally adapted instrument can support research and interventions promoting healthy eating and physical activity among Korean pregnant women.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251351464"},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638575","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

Clinical Nurses' Experiences of Discrimination Against Patients: A Qualitative Study in Iran. 伊朗临床护士歧视患者经历的定性研究

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-07-12 DOI: 10.1177/01939459251352300

Aram Karimian, Afsaneh Sadooghiasl, Mitra Khoobi, Eesa Mohammadi, Anoshirvan Kazemnejad

{"title":"Clinical Nurses' Experiences of Discrimination Against Patients: A Qualitative Study in Iran.","authors":"Aram Karimian, Afsaneh Sadooghiasl, Mitra Khoobi, Eesa Mohammadi, Anoshirvan Kazemnejad","doi":"10.1177/01939459251352300","DOIUrl":"https://doi.org/10.1177/01939459251352300","url":null,"abstract":"Background: Any form of discrimination directly opposes the ethical principles and values of the nursing profession. Discriminatory care is a major moral challenge to healthcare systems around the world.Objective: This study aimed to explore clinical nurses' experiences of discrimination against patients.Methods: This qualitative study used a conventional content analysis approach. Thirteen nurses were selected through purposive sampling from various clinical units at public and private hospitals in Iran. Data collection was conducted through semi-structured interviews, and data analysis was performed using Granheim and Lundman's 5-step method.Results: The study identified 3 main themes and 6 subthemes. These include \"duplicity in the application of organizational rules\" (comprising differences in providing hospitalization and patient accommodation services and ignoring organizational regulations in providing welfare services), \"inequality in relationship with patients\" (encompassing disregard for ethical considerations in patient relationships and differential physical presence at the patient's bedside), and \"differences in the delivery of care and treatment services\" (involving neglecting patients' needs in care provision and expediting the provision of interdisciplinary services).Conclusion: This study underscores that discrimination in health care extends beyond direct patient care, infiltrating physical, material, and even intangible aspects such as communication style and patient attention. To combat this pervasive issue, nurses must receive comprehensive education about the various forms of discrimination. By implementing both immediate and long-term strategies, including policies and programs, we can work toward creating a more inclusive and respectful healthcare environment for all.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251352300"},"PeriodicalIF":2.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621018","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

MNRS Foundation News. MNRS基金会新闻。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-07-11 DOI: 10.1177/01939459251356336

Joachim G Voss

引用次数: 0

The Intersection of Nursing Research and AI: Data, Education, and Outcomes - Observations from the 49th Annual Research Conference. 护理研究与人工智能的交叉：数据、教育和结果——来自第49届年度研究会议的观察。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2025-07-11 DOI: 10.1177/01939459251358559

Eileen Danaher Hacker

引用次数: 0

MNRS Foundation: Celebrating Our Scholars! MNRS基金会：庆祝我们的学者！