Western Journal of Nursing Research最新文献_第7页

Experiences of Sexual and Gender Minorities with Health Care in the Philippines: A Qualitative Study. 菲律宾性少数群体和性别少数群体在医疗保健方面的经历：定性研究。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI: 10.1177/01939459241288827

Ryan Q De Torres, Dula F Pacquiao

{"title":"Experiences of Sexual and Gender Minorities with Health Care in the Philippines: A Qualitative Study.","authors":"Ryan Q De Torres, Dula F Pacquiao","doi":"10.1177/01939459241288827","DOIUrl":"10.1177/01939459241288827","url":null,"abstract":"Background: There is limited availability and accessibility of health care facilities and services tailored to the specific health care needs of sexual and gender minorities (SGMs) in the Philippines.Objective: The purpose of this study was to describe SGMs' experiences with health care services in the Philippines.Methods: Using a phenomenological design, interviews were conducted with participants recruited online through SGM networks and organizations. Individual, online-recorded interviews were conducted with 14 participants who were at least 18 years old, were Filipino nationals residing in the Philippines, self-identified as SGM, could comprehend and write in Filipino, and received any health care service within the past year. Data were entered and analyzed using the NVivo software.Results: Three major themes emerged: patient-centered communication and relationship, holistic care, and caring environment. Participants identified the significance of genuine, affirming, and respectful communication in building positive relationships and continuing engagement with health care. Holistic care is embedded in clinical competence, gender sensitivity, continuity of care, and collaborative practice with other disciplines. A caring environment minimizes gender-related stigma and discrimination and promotes acceptance of diverse sexual identities.Conclusion: Filipino SGMs face several multifaceted health care concerns and challenges stemming at the individual, institutional, and societal levels. Sexual and gender biases, stigma, and discrimination are major barriers to health care among SGMs. Promotion of culturally and gender-sensitive care among Filipino SGMs should involve training of health care providers and creation of programs and policies to understand and respect SGMs while considering social, cultural, and political influences on their health and well-being.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"952-962"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478936","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

The Relationship Between Missed Nursing Care and Nurse Job Satisfaction: A Systematic Review and Meta-Analysis. 护理服务缺失与护士工作满意度之间的关系：系统回顾与元分析》。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-12-01 Epub Date: 2024-11-07 DOI: 10.1177/01939459241292038

Aydolu Algin, Hande Yesilbas, Filiz Kantek

{"title":"The Relationship Between Missed Nursing Care and Nurse Job Satisfaction: A Systematic Review and Meta-Analysis.","authors":"Aydolu Algin, Hande Yesilbas, Filiz Kantek","doi":"10.1177/01939459241292038","DOIUrl":"10.1177/01939459241292038","url":null,"abstract":"Background: Missed nursing care is a global issue that refers to any aspect of patient care that is partially or entirely omitted or delayed. Although many studies have examined the relationship between missed nursing care and nurse job satisfaction, there is no synthesized evidence of these findings.Objective: To evaluate the relationship between missed nursing care and nurse job satisfaction.Methods: A systematic review and meta-analysis was carried out by searching the following databases: Web of Science, Scopus, EBSCO, PubMed, Science Direct, Cochrane, and Springer Link. The risk of bias was assessed using the Quality Assessment and Validity Tool for Correlational Studies. A random-effects model was used in the meta-analysis.Results: Out of 13 619 identified reports, 8 studies involving 10 418 nurses were identified as eligible for the meta-analysis. A significant negative relationship between missed nursing care and nurse job satisfaction was identified, with the summary effect size of r = -0.294 (95% CI: -0.364 to -0.219, P < .001).Conclusions: The meta-analysis presented evidence regarding the significance of missed care in influencing nurse job satisfaction. As missed nursing care decreases, nurses' job satisfaction may increase.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"980-988"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607150","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

Night Shift Work and Sleep Experiences in Older Night Shift Nurses. 年长夜班护士的夜班工作和睡眠体验。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-13 DOI: 10.1177/01939459241299779

Yuan Zhang, Audra Murphy, Heidi M Lammers-van der Holst, Laura K Barger, Jeanne F Duffy

{"title":"Night Shift Work and Sleep Experiences in Older Night Shift Nurses.","authors":"Yuan Zhang, Audra Murphy, Heidi M Lammers-van der Holst, Laura K Barger, Jeanne F Duffy","doi":"10.1177/01939459241299779","DOIUrl":"https://doi.org/10.1177/01939459241299779","url":null,"abstract":"Background: Working at night leads to misalignment between the biological clock and the work/sleep schedule, resulting in sleepiness and impaired performance during the night shift and poor quality, shortened sleep during the day; this is greatly impaired in older individuals.Objective: To describe night work and sleep experiences from the perspective of older (aged 50-65) nurses.Methods: Seven virtual focus groups were formed comprising 19 older nurses who worked regular 8-hour night shifts (at least 6 consecutive hours between midnight and 6 am) to learn about their shift work and sleep experiences. Two facilitators and 2 research assistants independently reviewed and coded the transcripts using qualitative content analysis.Results: Nine themes were identified in 3 domains: (a) night shift challenges and difficulties, including first night shift is most difficult; never feel rested working nights; and personal health concerns and benefits from working nights; (b) sleep challenges and difficulties, including inconsistent sleep timing when switching between nights and days; extended (24+ hours) time awake before and after consecutive nights; difficulty maintaining long and sound daytime sleep; and napping before night shifts for better performance; and (c) family and social challenges and support, including childcare, family, personal obligations, and social activities affect sleep; aging of self and children influences sleep and prioritization of sleep.Conclusions: The findings help understand challenges and struggles to obtain adequate sleep and safe work performance in older night shift nurses. These insignts are critical for designing and implementing feasible and acceptable interventions to improve sleep in this high-risk occupational group.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"1939459241299779"},"PeriodicalIF":2.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631370","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

Acceptability of a Portable Exercise Bike in Older Adults With Cardiovascular Diseases. 患有心血管疾病的老年人对便携式健身车的接受程度。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-08-24 DOI: 10.1177/01939459241274869

Pallav Deka, Emma Schlegel, Dola Pathak, Milind Karve, Darby Pickford, Allison DeLuna, Gwen Wyatt, Susan W Buchholz

{"title":"Acceptability of a Portable Exercise Bike in Older Adults With Cardiovascular Diseases.","authors":"Pallav Deka, Emma Schlegel, Dola Pathak, Milind Karve, Darby Pickford, Allison DeLuna, Gwen Wyatt, Susan W Buchholz","doi":"10.1177/01939459241274869","DOIUrl":"10.1177/01939459241274869","url":null,"abstract":"Background: Ways to help older adults overcome barriers to performing regular exercise is a challenge to nurses.Objective: The study evaluated the acceptability of a portable exercise bike for arm/foot pedaling among older patients with cardiovascular diseases (CVDs).Methods: Participants reported their physical activity levels using the International Physical Activity Questionnaire (short form) and thereafter performed two 6-minute-long arm/foot pedal biking sessions using a portable exercise bike. Participants provided qualitative feedback (one open-ended question) on the bike while exercising and completed the quantitative Acceptability Use Questionnaire following the two exercise sessions.Results: Twenty-five older adults (52% male and 48% female), with a mean (SD) age of 70 (6.4) years and a body mass index of 30 (7.4), completed the study. Most participants performed moderate to light physical activity at home with a daily mean (SD) sitting/sedentary time of 8 (3.4) hours. The mean scores from the Acceptability Use Questionnaire and the participants' comments alluded to the bike's multitasking utility and acceptability. Three broad themes derived from the qualitative analysis were: (1) the acceptability of the bike with participants who had musculoskeletal problems; (2) the ability to operate and use the bike for aerobic exercise engaging both arms and legs; and (3) the importance of overall utility, ease of use, and cost of the bike.Conclusions: The portable exercise bike was found acceptable in a group of older adults with CVDs. The bike has the potential to be applied in home-based exercise interventions.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"847-853"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047370","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

An Integrative Approach for Endometriosis-Related Pain. 治疗子宫内膜异位症相关疼痛的综合方法。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-09-21 DOI: 10.1177/01939459241283018

Ayat Zubedat, Michal Liebergall-Wischnitzer, Amy Solnica, Nurit Zusman, Uri Dior

{"title":"An Integrative Approach for Endometriosis-Related Pain.","authors":"Ayat Zubedat, Michal Liebergall-Wischnitzer, Amy Solnica, Nurit Zusman, Uri Dior","doi":"10.1177/01939459241283018","DOIUrl":"10.1177/01939459241283018","url":null,"abstract":"Background: Pain is a common, severe symptom related to endometriosis. Despite this prominent feature, there is limited literature regarding its description and use of integrative treatment methods.Objective: We aimed to describe endometriosis-related pain characteristics, severity, and association with an integrative approach encompassing pharmacological and non-pharmacological methods.Methods: A cross-sectional descriptive correlational study was conducted using convenience sampling of adult women with endometriosis-related pain. Three questionnaires were utilized: a demographic and general health questionnaire, a visual analog pain scale (VAS), and the short-form McGill pain questionnaire (SF-MPQ).Results: Participants included 93 women with a mean general pain level of 6.2/10 (SD = 2.7) on the VAS. The total mean pain score on the SF-MPQ was 26.25/45 (SD = 10.1). Sixty-four women (68.8%) reported experiencing pain at the time of completion of the questionnaire (mean: 1.6/4, SD = 1.3). All participants utilized analgesia; those who used opioids reported a higher overall mean pain score of 2.3 (SD = 1.3) than patients who did not use opioids reported a mean of 1.4 (SD = 1.2; z = 9.59; P < .001). Present pain intensity was significantly higher for women using opioids than those not using opioids. In all, 77 women (82.8%) used integrative methods to alleviate the pain symptoms. Women who utilized nutritional therapy as part of the non-pharmacological method experienced lower mean (SD) overall pain (4.4 [2.5]) compared with patients who did not utilize nutritional therapy (6.75 [2.5]; P < .01).Conclusions: More studies are needed to find evidence-based treatment options for women for integrative pain relief for endometriosis-related pain.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"862-868"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299436","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

Psychometric Properties of the Brief COPE Among Sexual Minority Adults. 性少数群体成年人简明 COPE 的心理计量特性。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-01 DOI: 10.1177/01939459241285690

Marvin A Solberg, Meghna Shukla

{"title":"Psychometric Properties of the Brief COPE Among Sexual Minority Adults.","authors":"Marvin A Solberg, Meghna Shukla","doi":"10.1177/01939459241285690","DOIUrl":"10.1177/01939459241285690","url":null,"abstract":"Background: The Brief COPE is a widely used coping instrument, but there is a paucity of research regarding its ability to measure coping among sexual minority (SM) persons.Objective: This study determined the psychometric properties of the Brief COPE and identified coping domains among a sample of SM individuals.Methods: An online survey was conducted with 530 SM persons in the United States. Participants completed the dispositional version of the Brief COPE. Confirmatory factor analysis (CFA) determined construct validity. Cronbach's alpha examined the reliability of resulting domains. Exploratory structural equation modeling (ESEM) was employed to identify coping domains and criterion-related validity was assessed by examining the relationship of the domains with substance use measures (alcohol, cannabis, and drug use).Results: CFA replicated the original 14-factor structure. ESEM identified 3 second-order domains with acceptable fit (chi-square [χ2] = 905.81; degrees of freedom [df] = 334, P < .001; comparative fit index [CFI] = 0.90; root mean square error of approximation = 0.06; 90% confidence interval = 0.05-0.06; and standardized root mean residual = 0.08). The 3 second-order domains demonstrated good reliability: adaptive (ω = 0.84), support (ω = 0.85), and disengaged coping (ω = 0.84). Disengaged coping exhibited the strongest correlations with substance use outcomes.Conclusions: Findings provide evidence to support the reliability and validity of the Brief COPE and validates its use with SM persons.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"900-908"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330921","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

Experiences of Family Members With Visitation Prohibition for Critically Ill Patients. 重症患者家属被禁止探视的经历。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-08-26 DOI: 10.1177/01939459241277777

Sunjung Kim, Sunghee H Tak

{"title":"Experiences of Family Members With Visitation Prohibition for Critically Ill Patients.","authors":"Sunjung Kim, Sunghee H Tak","doi":"10.1177/01939459241277777","DOIUrl":"10.1177/01939459241277777","url":null,"abstract":"Background: Visitation plays a number of positive roles for critically ill patients and their families. It reduces the physical and mental stress of intensive care unit (ICU) patients and their families and allows family members to participate in patient care. Visit prohibition during the COVID-19 pandemic has raised unprecedented challenges to patients, family members, and health care providers.Objective: This qualitative study aimed to explore the experiences of families of patients in the ICU with no-visitor policies due to COVID-19.Methods: Data collection was conducted through 8 individual in-depth semi-structured interviews conducted between October 2021 and March 2022. Data analysis was performed following the qualitative method proposed by Colaizzi. The researchers independently analyzed the data, checked the findings, derived subthemes, and categorized them into overarching themes.Results: Four themes emerged from the data analysis: (a) experiencing emotional distress, (b) being fearful of in-person patient contact, (c) being dissatisfied with the access control policy in the ICU, and (d) making efforts to reach the patient.Conclusions: It is critical to provide support and develop interventions for families denied visitation with loved ones in ICUs. Since in-person visits are crucial for families, hospitals should establish clear and reasonable visitation guidelines, communicate effectively with families, and offer alternative methods for them to connect with loved ones in the ICU.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"854-861"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057060","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

Reframing Burnout: Measuring "Altruistic Execution" to Understand Nurse Burnout. 重塑职业倦怠：衡量 "利他主义执行力 "以了解护士的职业倦怠。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI: 10.1177/01939459241279502

Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L Johnson

{"title":"Reframing Burnout: Measuring \"Altruistic Execution\" to Understand Nurse Burnout.","authors":"Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L Johnson","doi":"10.1177/01939459241279502","DOIUrl":"10.1177/01939459241279502","url":null,"abstract":"Background: Many nurses join the profession because they have altruistic intentions, but some nurses experience barriers to acting on altruistic intentions which may be a source of job dissatisfaction or burnout.Objective: The purpose of this study was to evaluate construct validity, internal consistency, and convergence reliability of the Nursing Altruistic Execution Scale (NAES), a novel instrument assessing the perceived ability to help others through work.Methods: The NAES was developed based upon a literature review examining altruistic behavior as a motivator for nursing work, with expert feedback for instrument refinement. Participants completed the NAES, Copenhagen Burnout Inventory Work-Related Burnout Scale, and Satisfaction of Employees in Health Care Survey. Exploratory factor analysis examined construct validity and factor loadings. Confirmatory factor analysis verified consistency in factor structure. Linear regression assessed for convergence reliability with burnout and job satisfaction.Results: The sample included 843 acute care hospital nurses surveyed in January-March 2023. Exploratory factor analysis revealed a two-factor solution, named altruistic engagement with work and workplace barriers to altruism. Nine instrument items were retained and demonstrated strong internal consistency (Cronbach's alpha 0.79). There was a significant relationship between both factors of the NAES and both burnout and job satisfaction, demonstrating that greater altruistic execution is associated with lower burnout and greater job satisfaction.Conclusion: Preliminary findings support the use of the NAES as a valid and reliable scale. Findings show there is correlation between altruistic intentions and burnout. Interventions aimed at enhancing altruistic execution may reduce nurse burnout and thereby improve retention.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"941-948"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134226","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

Correlates of Lifestyle Physical Activity Among Young Arab American Women. 阿拉伯裔美国年轻女性生活方式中体育活动的相关因素。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-05 DOI: 10.1177/01939459241285696

Sudaba Mansuri, Manju N Daniel, Shannon Halloway, Sarah Abboud, Michael E Schoeny, Susan W Buchholz

{"title":"Correlates of Lifestyle Physical Activity Among Young Arab American Women.","authors":"Sudaba Mansuri, Manju N Daniel, Shannon Halloway, Sarah Abboud, Michael E Schoeny, Susan W Buchholz","doi":"10.1177/01939459241285696","DOIUrl":"10.1177/01939459241285696","url":null,"abstract":"Background: Young Arab American women are at risk for cardiovascular disease, but there is limited data on their physical activity (PA) engagement.Objectives: The aim of this study was to examine the relationship between PA and its correlates in young Arab American women. The objectives of this study were to: (1) describe self-reported lifestyle PA behaviors of young Arab American women and (2) examine the relationship between their self-reported lifestyle PA, device-measured lifestyle PA (combined moderate/vigorous and steps), and potentially associated factors (demographics, physical measures, individual factors, and behavior cognition factors).Methods: This cross-sectional study was conducted with women 18 to 35 years of age and Arab American (n = 50) in the Midwest Region of the United States. Participants wore ActiGraph GT3X-BT monitors for 7 days; self-report measures included the International Physical Activity Questionnaire, demographics, acculturation, discrimination, religiosity, self-efficacy, and social support.Results: The mean age of participants was 25.5 years (SD: 5.5; range: 18-35). Per ActiGraph, the average daily steps were 5946 (SD: 2783); only 24% met the moderate-intensity PA guidelines. Self-efficacy was significantly associated with increased moderate-to-vigorous PA (B = 0.37; P = .012).Conclusion: The average daily steps for the young Arab American women in this study were of low active classification. More than 75% of the women failed to meet the recommended weekly moderate/vigorous PA guidelines. Our study supports the importance of targeting and tailoring PA interventions on young Arab American women who have low self-efficacy for overcoming barriers to lifestyle PA.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"890-899"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376234","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

The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants. 感知到的社会支持和健康素养对中国早产儿父母的决策困境与参与共同决策之间关系的中介效应》（The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants）。

IF 2 4区医学

Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-10-09 DOI: 10.1177/01939459241285697

Yanhui Ma, Junxiang Gao, Chongyang Zhang

{"title":"The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants.","authors":"Yanhui Ma, Junxiang Gao, Chongyang Zhang","doi":"10.1177/01939459241285697","DOIUrl":"10.1177/01939459241285697","url":null,"abstract":"Purpose: This research was conducted to explore the mediating effect of perceived social support and health literacy on the relationship between decisional dilemmas and participation in shared decision-making among Chinese parents of premature infants.Design and methods: This cross-sectional study recruited 225 Chinese parents of premature infants in a neonatal ward of a Chinese hospital through convenience sampling. Data were collected from August 2022 to February 2023 using 5 self-administered instruments. Structural equation modeling and multiple mediation tests were applied to explore the interplay among perceived social support, health literacy, decisional dilemmas, and participation in shared decision-making. The study is reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.Results: Decisional dilemmas were found to negatively impact participation in shared decision-making. Perceived social support and health literacy were identified as partial mediators in this relationship, collectively accounting for a mediation effect of -0.413, which represents 50.0% of the total effect.Conclusion: The findings elucidate a multifaceted model of factors influencing participation in shared decision-making among Chinese parents of premature infants. Prompt recognition of these variables can enable nursing professionals to incorporate tailored management strategies within patient-centered care frameworks, thereby enhancing decisional outcomes.","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"878-889"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394672","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