Western Journal of Nursing Research最新文献

{"title":"MNRS Foundation News.","authors":"Joachim G Voss","doi":"10.1177/01939459251356336","DOIUrl":"https://doi.org/10.1177/01939459251356336","url":null,"abstract":"","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251356336"},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610161","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":"The Intersection of Nursing Research and AI: Data, Education, and Outcomes - Observations from the 49th Annual Research Conference.","authors":"Eileen Danaher Hacker","doi":"10.1177/01939459251358559","DOIUrl":"https://doi.org/10.1177/01939459251358559","url":null,"abstract":"","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251358559"},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610163","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":"MNRS Foundation: Celebrating Our Scholars!","authors":"Joachim G Voss","doi":"10.1177/01939459251356045","DOIUrl":"https://doi.org/10.1177/01939459251356045","url":null,"abstract":"","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459251356045"},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610162","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":"Specific Cognitive Functions Associated With Self-Care Behaviors in Older Adults With Type 2 Diabetes and Mild Cognitive Impairment.","authors":"Cheng-Chen Chou, Hua-Fen Chen, Yuan-Mei Liao, Chi-Wen Chen, Pei-Ching Liu, An-Yun Yeh","doi":"10.1177/01939459251331857","DOIUrl":"10.1177/01939459251331857","url":null,"abstract":"<p><strong>Background: </strong>Diabetes is prevalent in older adults and is associated with increased cognitive impairment. Self-care behavior is essential for glycemic control and complication prevention for type 2 diabetes and requires various degrees of cognitive function for self-care. Studies exploring the effect of mild cognitive impairment (MCI) on self-care behaviors in older adults with type 2 diabetes remain limited.</p><p><strong>Objective: </strong>We sought to investigate the association between mild cognitive impairment and self-care behaviors in older adults with type 2 diabetes.</p><p><strong>Methods: </strong>This cross-sectional study included older adults with type 2 diabetes at a medical center in Taiwan. Data collection included sociodemographic and clinical information, a self-care behavior questionnaire, and neuropsychological tests of cognitive functioning, including executive function, memory, and psychomotor speed. Data were analyzed using multiple regression analysis.</p><p><strong>Results: </strong>A total of 272 older adults with diabetes participated in the study. Participants with MCI had significantly lower scores on prevention and treatment of high and low blood glucose behavior than those with normal cognition. After adjusting for other factors, poorer executive function was significantly associated with lower self-care behaviors and reduced exercise behavior, and reduced psychomotor speed was significantly linked to poorer foot care behavior.</p><p><strong>Conclusions: </strong>Reduced cognitive functioning domains such as executive function and psychomotor speed were associated with poorer self-care behaviors in older adults with type 2 diabetes and MCI. Prospective, long-term studies are needed to further understand the changes and causal relationships between MCI and diabetes self-care behaviors.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"605-612"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002562","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":"Examining the Relationship Among Social Cognitive Theory-Based Constructs, Physical Activity, and Blood Pressure in Young- and Middle-Aged Adults Living With Hypertension.","authors":"Wachira Suriyawong, Tsui-Sui Annie Kao, Lorraine B Robbins, Jiying Ling, Leapetswe Malete","doi":"10.1177/01939459251326847","DOIUrl":"10.1177/01939459251326847","url":null,"abstract":"<p><strong>Background: </strong>Psychosocial factors significantly influence lifestyle changes in adults with hypertension. However, research focusing specifically on these factors in young- and middle-aged adults-especially those newly diagnosed within the first 5 years-is limited.</p><p><strong>Purpose: </strong>This cross-sectional study aimed to examine the relationship between psychosocial factors guided by Social Cognitive Theory (perceived stress, self-efficacy, outcome expectancy, and functional and workplace support), physical activity, and blood pressure in young- and middle-aged Thai adults with hypertension.</p><p><strong>Methods: </strong>The analysis encompassed 400 adults with hypertension (<i>M</i>_age = 47.98 years; SD = 7.66), with nearly 60% being female from 25 primary care settings in a Thai province. Confirmatory factor analysis validated latent variables, followed by structural equation modeling with maximum likelihood and robust standard errors to analyze direct and indirect effects on physical activity and blood pressure.</p><p><strong>Results: </strong>Findings highlight self-efficacy in physical activity as a significant predictor of moderate-to-vigorous physical activity, while functional support correlated with reduced systolic blood pressure. Moderate-to-vigorous physical activity mediated the relationship between self-efficacy or functional support and systolic blood pressure. Hypertension duration (diagnosis ≤12 months vs >12 months) moderated the relationship between moderate-to-vigorous physical activity or functional support and diastolic blood pressure.</p><p><strong>Conclusions: </strong>Our research presents a new, theory-driven perspective on how psychosocial factors could affect blood pressure levels through physical activity among younger adults newly diagnosed with hypertension. Nurses can leverage this insight by providing education to enhance confidence and engage patients' social networks in supporting their participation in physical activity, thereby improving blood pressure management.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"563-572"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651799","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 Scoping Review of the Effect and Experience of Participating in Dementia Rehabilitation When Living With Early Stage Dementia: Seen From a Lifelong Learning Perspective.","authors":"Diana Schack Thoft, Bo Grarup, Anni Mortensen","doi":"10.1177/01939459251331564","DOIUrl":"10.1177/01939459251331564","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation services are important to improve the health and quality of life of those living with dementia but remain an under-researched area, regarding a lifelong learning perspective. The purpose of this scoping review was to map the characteristics, effects, and experiences of rehabilitation services for early stage dementia that draw upon cognitive stimulation, cognitive stimulation therapy, cognitive training, cognitive rehabilitation, and/or neuropedagogical approaches. Thus, to identify if any addressed a lifelong learning perspective.</p><p><strong>Methods: </strong>The literature search included the period 2003 to 2022 curated from the following databases: PubMed, CINAHL Complete, Cochrane Library, Medline, ERIC, PsycINFO, and Education Research Complete. We uploaded 204 references to Covidence, 15 of which were eligible.</p><p><strong>Results: </strong>Eligible studies used many study designs with different sample sizes. The length of the interventions ranged from weeks and months to no defined periods, with a frequency of 1 to 3 times a week. The studies used various measurement tools. The services were inspired by cognitive stimulation therapy (n = 5), cognitive training (n = 2), cognitive rehabilitation (n = 4), or multiple approaches (n = 4). Most studies examined the effectiveness of the services, with only a few exploring their experience of them. There is a great variation in available services, with some showing promising but no longer-term effects.</p><p><strong>Conclusions: </strong>This review documents the importance of developing dementia rehabilitation services that focus on long-term effects and lifelong learning to ensure more efficient and relevant services in the future.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"662-674"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041841","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":"RN Reflections: Lessons Learned, Recommendations, and Pearls of Wisdom in Caring for the COVID-19 Population.","authors":"Melissa L Harris-Gersten, Anne McLeod, Marita G Titler","doi":"10.1177/01939459251327977","DOIUrl":"10.1177/01939459251327977","url":null,"abstract":"<p><strong>Background: </strong>In the early months of the COVID-19 pandemic, frontline nurses faced unprecedented challenges and were often excluded from decision-making, creating a critical research gap as their valuable insights were not captured, hindering the development of effective public health strategies.</p><p><strong>Objective: </strong>This study aimed to explore lessons learned, recommendations, and pearls of wisdom from frontline nurses who cared for COVID-19-positive patients in the United States during the early phases of the pandemic.</p><p><strong>Methods: </strong>The study employed a descriptive qualitative approach. Data were collected via virtual semi-structured interviews with 30 frontline nurses between July 2020 and November 2020. Analysis utilized reflexive thematic analysis by a 3-member coding team. Rigor was maintained through frequent team debriefing, reflexive discussions, the inclusion of multiple quotation exemplars, a national recruitment strategy, and an audit trail. Reporting followed the Consolidated Criteria for Reporting Qualitative Research checklist for qualitative research.</p><p><strong>Findings: </strong>Codes relating to nurses' lessons learned included leadership actions and visibility, innovations in patient care, teamwork and flexibility, and preparedness. Nurse recommendations encompassed soliciting nurses' voices, leadership competencies and enhancing emergency response preparedness, mental health support, and ensuring sufficient resources. Pearls of wisdom for future generations emphasized self-care, mindfulness, effective communication, and engagement with colleagues and family.</p><p><strong>Conclusions: </strong>Effective pandemic preparedness must be managed as a systematic approach. Neglecting these actions risks repeating catastrophic mistakes in future health crises, compromising care quality and patient health outcomes. Improvements need to occur in nursing education, leadership training, and health care support for nurses.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"651-661"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732248","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":"Development and Acceptability of a Rebuilding Osteo Strength With Exercise (ROSE) Program for Women With Breast Cancer.","authors":"Lu Chen, Ying Wang, Fuyun Zhao, Pengjuan Song, Juan Liu, Liu Sun, Jiagui Liang, Jun-E Liu, Teresa Hagan Thomas","doi":"10.1177/01939459251331793","DOIUrl":"10.1177/01939459251331793","url":null,"abstract":"<p><strong>Background: </strong>Women with breast cancer are more prone to bone loss, joint pain, and other musculoskeletal symptoms, especially those receiving aromatase inhibitors and/or undergoing ovarian suppression therapy. Bone and joint problems can affect their quality of life and treatment adherence. Thus, the management of bone health is of clinical importance for this population.</p><p><strong>Objective: </strong>This study aimed to systematically develop a multicomponent bone health management intervention for women with breast cancer and assess the acceptability of the intervention program.</p><p><strong>Methods: </strong>The Rebuilding Osteo Strength with Exercise (ROSE) program for women with breast cancer was developed based on biological mechanisms, patient needs, evidence-based practices, theories, and stakeholder consensus using the Medical Research Council framework. An open-pilot study and post-intervention interviews were conducted to assess the acceptability of the ROSE program.</p><p><strong>Results: </strong>The ROSE program consisted of 6 modules, which integrated progressive exercise, bone health education, and behavior change strategies. Eight eligible patients were recruited during the open-pilot study, and all participants considered the program acceptable. Six patients accepted the post-intervention interview. Four themes emerged from the post-intervention interview: perceived benefits of participating, barriers to adherence, facilitators to adherence, and suggestions for optimization.</p><p><strong>Conclusions: </strong>The ROSE program is an acceptable bone health intervention program for women with breast cancer. Future refinements will be made before efficacy testing.</p><p><strong>Trial registration: </strong>The study was retrospectively registered with the Chinese Clinical Trial Registry, registration number ChiCTR2300072208.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"595-604"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995073","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":"Comparison of Screening Tools for Sarcopenia in Older Patients With Type 2 Diabetes Mellitus.","authors":"Rui Zhang, Yao Wang, Yazhuo Liu, Lixia Chen, Daihong Ji","doi":"10.1177/01939459251332244","DOIUrl":"10.1177/01939459251332244","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of sarcopenia is high in older patients with type 2 diabetes mellitus (T2DM).</p><p><strong>Objectives: </strong>We evaluated the accuracy of the Strength, Assistance in Walking, Rise from a Chair, Climb Stairs, and Falls (SARC-F) questionnaire, the SARC-F combined with the Calf Circumference (SARC-CalF) questionnaire, the SARC-F incorporating Elderly and Body Mass Index Information (SARC-F+EBM) questionnaire, the MiniSarcopenia Risk Assessment 5-item (MSRA-5) questionnaire, the MiniSarcopenia Risk Assessment 7-item (MSRA-7) questionnaire, and the Ishii test score (Ishii) as screening tools for sarcopenia in older patients with T2DM.</p><p><strong>Methods: </strong>Patients with T2DM aged 60 years and older were enrolled. The Asian Working Group for Sarcopenia 2019 diagnostic criteria were used to determine the presence of sarcopenia in patients. The accuracy of the 6 screening methods was assessed using sensitivity, specificity, and area under the receiver operating characteristic curve (AUC).</p><p><strong>Results: </strong>In total, 225 older patients (111 men; 114 women) with T2DM participated in the study. The overall prevalence of sarcopenia was 24%, with 34.23% in men and 14.04% in women. Among all participants, the sensitivity of the 6 screening tools for sarcopenia was 18.52% to 92.59%, the specificity was 31.58% to 92.98%, and the AUC was 0.588 to 0.863. Among the 6 screening tools, the Ishii test has the highest AUC for screening both men and women, and its sensitivity and specificity are relatively balanced, both above 75%.</p><p><strong>Conclusions: </strong>Of the 6 screening tools, the Ishii test proved to be the most suitable for early sarcopenia screening within this population.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"621-629"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054473","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 Community-Based, Lifestyle Behavioral Intervention Based on the Extended Theory of Planned Behavior for Postmenopausal Women at Cardiometabolic Risk: A Randomized Controlled Trial.","authors":"Sooyeon Park, Jina Choo","doi":"10.1177/01939459251327391","DOIUrl":"10.1177/01939459251327391","url":null,"abstract":"<p><strong>Background: </strong>Postmenopausal women may be susceptible to unhealthy eating and physical activity behaviors and increased cardiometabolic risk.</p><p><strong>Objective: </strong>This study examined the effectiveness of a community-based lifestyle behavioral intervention in modifying eating and physical activity behaviors, their behavioral determinants, and cardiometabolic risk factors in community-dwelling postmenopausal women.</p><p><strong>Methods: </strong>A 2-arm, parallel-group, randomized controlled trial was conducted with 46 postmenopausal women recruited from churches and universities in Seoul, South Korea. Participants were randomly assigned to either the intervention (n = 23) or control (n = 23) group. The intervention group underwent a 12-week behavioral intervention designed theoretically to modify behavioral determinants with individual- and group-based sessions using cognitive-behavioral strategies, while the control group received a single general counseling session. Assessments were conducted at baseline, after 12 weeks, and at the 24th week. These included measurements of eating and physical activity behaviors, their determinants (ie, attitude, subjective norm, behavioral control, intention, and planning, based on the extended theory of planned behavior), waist circumference, blood pressure, and fasting glucose.</p><p><strong>Results: </strong>Compared with the control group, the intervention group showed significant improvements in eating behaviors (<i>F</i> = 5.08, <i>P</i> = .008), physical activity behaviors (<i>F</i> = 15.56, <i>P</i> < .001), and all behavioral determinants (<i>P</i> < .05 for all) over 24 weeks. The intervention group also experienced a significant reduction in waist circumference compared with the control group (<i>F</i> = 5.03, <i>P</i> = .009) over the same period.</p><p><strong>Conclusions: </strong>The community-based behavioral intervention may be effective in promoting behavioral outcomes and waist circumference among postmenopausal women.</p><p><strong>Trial registration: </strong>Korea Clinical Trial Registry (KCT006349).</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"573-585"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659501","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}