Western Journal of Nursing Research最新文献

{"title":"Generational Differences in Moral Injury, Resilience, and Well-Being Among Nurses: Predictors of Intention to Leave Position and Profession.","authors":"Minjin Kim, Jin Jun, Joshua Lambert, Henry Duah, Sharon J Tucker, Dónal P O'Mathúna, Grant Pignatiello, Joyce J Fitzpatrick","doi":"10.1177/01939459241287458","DOIUrl":"10.1177/01939459241287458","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic highlighted the negative impact of moral injury on nurses' well-being. However, there is a lack of research about generational differences among nurses, particularly on newer nurses who have been identified as having a higher rate of intention to leave.</p><p><strong>Objective: </strong>This study examines generational differences among nurses on moral injury, well-being, resilience, and intention to leave their nursing position and profession.</p><p><strong>Methods: </strong>This is a secondary analysis of cross-sectional data from registered nurses in clinical practice in Ohio between July and August 2021. Data on demographics, moral injury, resilience, and well-being were collected using an online survey. Participants were categorized into 4 generational groups based on their age in 2021: Baby Boomers (57-75 years old), Generation X (42-56 years old), Generation Y (27-41 years old), and Generation Z (12-26 years old). Descriptive and inferential statistics, including logistic regression and analysis of variance, were employed for analysis.</p><p><strong>Results: </strong>Significant generational differences were found in years of clinical experience, moral injury, resilience, and well-being. Baby Boomers reported higher well-being and resilience and lower moral injury. Notably, the intention to leave the profession was more strongly associated with well-being and moral injury levels than with the years of experience or generational group.</p><p><strong>Conclusions: </strong>The findings suggest that interventions to improve nurse retention should prioritize enhancing well-being and addressing the root causes of moral injury. Tailored strategies addressing the needs of different generations are necessary for mitigating the adverse effects of current healthcare challenges on nurse attrition.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"909-918"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Health Composite and Diabetes Symptom Burden in Young Adults With Type 1 Diabetes.","authors":"Stephanie Griggs, Bethany L Armentrout, Christine Horvat Davey, Ronald L Hickman","doi":"10.1177/01939459241287455","DOIUrl":"10.1177/01939459241287455","url":null,"abstract":"<p><strong>Introduction: </strong>Multiple individual sleep health dimensions (satisfaction, regularity, and duration) are associated with diabetes symptoms, precursors to micro-and macrovascular complications, among young adults with type 1 diabetes mellitus (T1DM). Nearly half of young adults with T1DM develop vascular complications; however, modifiable contributors of diabetes symptoms, including sleep health, have been understudied.</p><p><strong>Methods: </strong>This cross-sectional quantitative descriptive study involved the completion of multiple validated self-report questionnaires and the collection of raw continuous glucose monitor and diary data over a 14-day period. The sleep health composite score was calculated by summing the number of dimensions with \"good\" sleep health. Chronotype was estimated with the 19-item Morningness-Eveningness Questionnaire. Multiple linear regression analyses were conducted to evaluate the associations between the independent variables (sleep health composite and chronotype) and diabetes symptom burden. Covariates, including age, race, sex at birth, T1D duration, continuous subcutaneous insulin infusion use, and hemoglobin A1C (HbA1C), were considered to determine their contribution to these relationships.</p><p><strong>Results: </strong>One hundred nineteen young adults with T1DM who were aged 18 to 26 years were included in this study from 2 cohorts. Higher sleep health composite scores were associated with a lower overall diabetes symptom burden, even after adjusting for covariates in the linear regression models. Initially, a later chronotype was linked to a higher diabetes symptom burden, but this association became insignificant after accounting for HbA1C levels.</p><p><strong>Conclusion: </strong>Improving multiple dimensions of sleep health may alleviate the diabetes symptom burden among young adults with T1DM.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"919-927"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11544555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships Between Family Resilience, Individual Resilience, and Quality of Life in Patients with Head and Neck Cancer: A Cross-Sectional Study.","authors":"Yuan-Yuan Liu, Xia Shen, Fei Yang, Shao Zheng Song, Jian Feng Huang","doi":"10.1177/01939459241287451","DOIUrl":"10.1177/01939459241287451","url":null,"abstract":"<p><strong>Background: </strong>Patients with head and neck cancer (HNC) have to cope with a multitude of treatment-related adverse effects that impact their quality of life (QoL) post-treatment completion. The presence of family resilience could potentially foster individual resilience and might contribute to patients' QoL. However, this interconnection has not been confirmed.</p><p><strong>Objective: </strong>To explore the relationships between family resilience, individual resilience, and QoL in patients with HNC and to determine whether individual resilience in HNC patients functions as a mediator between family resilience and QoL.</p><p><strong>Methods: </strong>From September 2022 to June 2023, a cross-sectional survey was conducted among 185 patients with HNC recruited through convenience sampling from a tertiary care hospital in Jiangsu Province, China. Self-report measures of family resilience, individual resilience, and QoL were assessed. Relationships were examined by Pearson's correlations. Structural equation models were used to assess whether individual resilience played a mediating role between family resilience and QoL.</p><p><strong>Results: </strong>There were significant positive correlations between QoL and both family resilience (<i>r</i> = 0.43, <i>P</i> < .01) and individual resilience (<i>r</i> = 0.59, <i>P</i> < .01). Moreover, family resilience had an indirect influence on QoL through its effect on individual resilience (β = 0.319, 95% CI: 0.336-0.815).</p><p><strong>Conclusion: </strong>Family resilience emerges as a significant positive factor capable of enhancing QoL for patients with HNC by bolstering their resilience. To mitigate the detrimental effects of inadequate individual resilience on QoL of patients with HNC, it is advised to implement interventions focused on enhancing family resilience.</p><p><strong>China clinical trials registry number: </strong>ChiCTR2300067612.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"869-877"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401749","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":"African American Family Caregivers' Experiences and Mental Health: A Convergent Mixed-Methods Study.","authors":"Elliane Irani, Ann W Nguyen, Uva Sri V Dasari, Aaliyah Pearl Jennings, Fei Wang, Ronald L Hickman","doi":"10.1177/01939459241278453","DOIUrl":"10.1177/01939459241278453","url":null,"abstract":"<p><strong>Background: </strong>Caregiving in the African American community is informed by strong cultural expectations but may be associated with negative experiences and poor mental health outcomes.</p><p><strong>Objective: </strong>The purpose of this convergent mixed-methods study is to understand the relationship between caregiving experiences and mental health and explore stress management strategies in African American family caregivers of adults with chronic or disabling conditions.</p><p><strong>Methods: </strong>African American family caregivers (N = 100) were recruited using community-engaged methods and completed a sociodemographic questionnaire, the Caregiver Reaction Assessment scale, and the Center for Epidemiologic Studies Depression (CES-D-10) Scale. A subsample (n = 24) participated in semi-structured interviews. Data were analyzed using linear regression and content analysis. A matrix was developed to integrate quantitative and qualitative results.</p><p><strong>Results: </strong>Participants were on average 59 years old. Most were women and provided care to a parent. Lack of family support (<i>B</i> = 1.37, <i>P</i> = .03) and impact of caregiving on caregivers' finances (<i>B</i> = 1.74, <i>P</i> = .004), schedule (<i>B</i> = 2.92, <i>P</i> < .001), and health (<i>B</i> = 3.26, <i>P</i> < .001) were associated with depressive symptoms and were reported as stressful experiences. Negative interactions with the care recipient and caring for multiple people emerged as other sources of stress. Participants used independent and interpersonal coping strategies, as well as strategies to facilitate their caregiving role to reduce their stress. Values of reciprocity, limited use of community-based resources, and mental health stigma emerged as important cultural considerations.</p><p><strong>Conclusions: </strong>Our findings suggest the need for culturally-sensitive interventions to improve communication and care coordination within African American family caregiving networks and educational programs about mental health and caregiving resources endorsed by trusted community sources.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"928-940"},"PeriodicalIF":2.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156470","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":"Food Insecurity Status and Health Care Utilization Among COPD Patients: A Retrospective Study.","authors":"Kristine Mendoza, Patricia Calero, Caroline Etland, Cynthia D Connelly","doi":"10.1177/01939459241274850","DOIUrl":"10.1177/01939459241274850","url":null,"abstract":"<p><strong>Background: </strong>Government programs-targeting chronic disease patients with high health care costs-focus on clinical conditions, factors internal to the health care system, and individual patient education, not on addressing modifiable social determinants of health to reduce health care utilization.</p><p><strong>Objective: </strong>To evaluate differences in sociodemographic variables and health care utilization between patients with chronic obstructive pulmonary disease (COPD) who reported food insecurity and those who did not.</p><p><strong>Methods: </strong>This descriptive retrospective cross-sectional study used data from the electronic health records of a convenience sample of 854 participants with a discharge diagnosis of COPD or COPD with acute exacerbation, admitted via the emergency department of participating hospitals in Southern California. Chi-square (or Fisher's exact) tests and <i>t</i> tests were used to evaluate group differences, and multivariate (or Firth) logistic regression to identify factors that increased the odds of emergency department visits and hospitalizations.</p><p><strong>Results: </strong>Significant differences between groups were identified for food insecurity (sometimes or often vs never insecure) and age (<i>P</i> < .001), race (<i>P</i> = .022), medical insurance (<i>P</i> < .001), zip code (<i>P</i> = .022), homeless status (<i>P</i> < .001), smoking status (<i>P</i> < .001), and emergency department visits (<i>P</i> = .033). No significant differences were found for food insecurity and hospitalizations (<i>P</i> = .592).</p><p><strong>Conclusion: </strong>This study contributes to the growing body of research supporting the association of upstream social factors (food insecurity, homelessness, zip code) and downstream health outcomes (repeated emergency room visits), and how existing programs can be effectively utilized to impact downstream health outcomes such as health care utilization.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"811-820"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114044","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":"Swedish Translation and Cultural Adaptation of the Head and Neck Patient Symptom Checklist: An Instrument to Screen for Nutrition Impact Symptoms in Clinical Practice and Research.","authors":"Ylva Tiblom Ehrsson, Sandra Einarsson, Per Fransson, Göran Laurell","doi":"10.1177/01939459241274342","DOIUrl":"10.1177/01939459241274342","url":null,"abstract":"<p><strong>Background: </strong>The Head and Neck Patient Symptom Checklist (HNSC) is a validated 2-part instrument used to ask patients with head and neck cancer about the nutrition impact symptoms they experience (part 1) and how these interfere with their eating (part 2).</p><p><strong>Purpose: </strong>The purpose of this work was to translate and culturally adapt the HNSC into Swedish in accordance with the guidelines of the International Society for Health Economics and Outcomes Research (ISPOR).</p><p><strong>Methods: </strong>The ISPOR guidelines include 10 steps, and these were thoroughly followed. In step 7, 9 health care professionals from the field of head and neck cancer assessed the perceived relevance (content validity) of each item in the HNSC, as well as the full HNSC. A total of 522 participants with head and neck cancer were included and followed up on 7 occasions using the HNSC to assess internal consistency.</p><p><strong>Results: </strong>The HNSC was translated from English into Swedish, ensuring accuracy through forward and backward translation and harmonization in the research team. Content validity for each part of the HNSC was rated excellent (scale content validity index 0.96). Internal consistency demonstrated a good Cronbach's alpha score (>0.8) across the 7 follow-up time points (from baseline [before the start of treatment] and up to 24 months posttreatment).</p><p><strong>Conclusions: </strong>The HNSC has been successfully translated and culturally adapted into Swedish. The HNSC can be used in both clinical practice and research to screen for nutrition impact symptoms and symptoms that interfere with eating in patients with head and neck cancer.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT03343236 (date of registration: November 17, 2017).</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"790-798"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurturing Longitudinal Samples 2.0.","authors":"Alexa K Stuifbergen, Heather Becker, Vicki Kullberg, Oxana Palesh, Shelli R Kesler","doi":"10.1177/01939459241273328","DOIUrl":"10.1177/01939459241273328","url":null,"abstract":"<p><strong>Background: </strong>While longitudinal designs can provide significant advantages compared to single measurement/cross sectional designs, they require careful attention to study infrastructure and the risk of attrition among the sample over multiple time points.</p><p><strong>Objective: </strong>The strategies used to design and manage an appropriate infrastructure for a longitudinal study and approaches to retain samples are explored using examples from 2 studies, a 25-year study of persons living with multiple sclerosis and a 10-year longitudinal follow-up of breast cancer survivors.</p><p><strong>Results: </strong>Key strategies (developing appropriate infrastructure, minimizing costs to participants, and maximizing rewards of study participation) have helped address the serious threat of attrition in these longitudinal samples.</p><p><strong>Conclusion: </strong>Implementation of these strategies can help mitigate some of the disadvantages and leverage the strengths of longitudinal research to produce reliable, insightful, and impactful outcomes.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"831-836"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Method for Using Voicemail and Email for Qualitative Data Collection Among Nurses.","authors":"Hanne R Dolan, Chloé O R Littzen-Brown, Jennifer T May, Jessica G Rainbow","doi":"10.1177/01939459241274323","DOIUrl":"10.1177/01939459241274323","url":null,"abstract":"<p><strong>Background: </strong>Memorializing nurses' experiences during the COVID-19 pandemic had the potential to allow scientists and policymakers to learn about the impact on the nursing profession and health care systems. Yet, nurses are considered a difficult population to recruit for research.</p><p><strong>Objective: </strong>To describe an innovative qualitative data collection method for capturing current practice experiences among nurses working during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Guerilla theory served as the theoretical framework. Utilizing a qualitative descriptive design, a telephone voicemail messaging system was developed to capture nurses' experiences.</p><p><strong>Results: </strong>Nurses were recruited with convenience and snowball sampling via social media and state listservs. The telephone voicemail messaging system, Twilio, was used. After listening to the recording of the consent form, the participants shared their experiences by leaving a voice message where they answered the prompt, \"Tell us about your experiences working during the COVID-19 pandemic.\" Seventy voicemails were included, and the voicemails were transcribed. After a nurse shared their experience via an email sent to the research team, emails were added to the data collection; 16 emails were received. Transcripts and emails were uploaded to the qualitative data analysis software program, Dedoose, and coded by 2 researchers using content analysis. Main themes were derived and discussed among the research team.</p><p><strong>Conclusion: </strong>Allowing participants multiple modes of expressing their experiences promote inclusivity in data collection. Further development and standardization of this method is needed for future research.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"837-843"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005692","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 Relationships Among Nursing Students' Views of Suffering, Positive Thinking, and Professional Quality of Life.","authors":"Ruth A Engbers, Abir K Bekhet, Teresa Jerofke-Owen, Norah L Johnson, Maharaj Singh","doi":"10.1177/01939459241273395","DOIUrl":"10.1177/01939459241273395","url":null,"abstract":"<p><strong>Background: </strong>Exposure to suffering can lead to compassion fatigue in undergraduate nursing students.</p><p><strong>Objective: </strong>Guided by resilience theory, a cross-sectional, correlational design was used to investigate the potential moderating effect of positive thinking skills on the relationships between views of suffering, compassion fatigue, and compassion satisfaction.</p><p><strong>Results: </strong>In 157 undergraduate nursing students, multiple regressions revealed that views of suffering and positive thinking explained 23.8% of the variance in compassion satisfaction (<i>F</i>_11,145 = 4.121, <i>P</i> < .001), and 21.9% of the variance in burnout (<i>F</i>_11,144 = 3.786, <i>P</i> < .001). The Suffering God view, which stresses the presence of a compassionate deity amid suffering, and positive thinking had significant main effects on compassion satisfaction (β = 0.349, <i>P</i> = .025; and β = 0.309, <i>P</i> < .001, respectively). Positive thinking, the Suffering God view, and the Random view, in which the occurrence of suffering is random and purposeless, had significant main effects on burnout (β = -0.280, <i>P</i> < .001; β = -0.392, <i>P</i> = .014; and β = -0.206, <i>P</i> = .014, respectively). The Unorthodox view, in which a deity exists that allows suffering, had a significant main effect on secondary traumatic stress (β = 0.232, <i>P</i> = .027). Positive thinking did not moderate any of the relationships between the views of suffering and the dependent variables.</p><p><strong>Conclusions: </strong>Knowledge of these relationships can aid in the assessment of nursing students at risk for poor outcomes and guide intervention development to promote professional quality of life.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"744-756"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047371","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":"Recurrence Risk Perception, Fear of Progression, and Health Behaviors Among Patients With Ischemic Stroke.","authors":"Xiangmin Wang, Xiaohang Dong, Xiyi Tan, Qinger Lin, Hongzhen Zhou","doi":"10.1177/01939459241274359","DOIUrl":"10.1177/01939459241274359","url":null,"abstract":"<p><strong>Background: </strong>The relationship between recurrence risk perception, fear of progression, and health behaviors in patients with ischemic stroke is unclear.</p><p><strong>Objective: </strong>To explore the effect of accuracy and level of recurrence risk perception on health behaviors and the mediating role of fear of progression.</p><p><strong>Methods: </strong>We conducted a 2-wave survey. Patients with ischemic stroke (N = 261) were recruited from 2 hospitals in Guangzhou, China. Before discharge, demographic information, objective recurrence risk, perceived recurrence risk, fear of progression, and health behaviors were investigated. After 1 month, the patient's health behaviors were followed up.</p><p><strong>Results: </strong>The median (quartiles 1-3) scores for recurrence risk perception and fear of progression were 43.0 (39.0-46.0) and 22.0 (18.0-28.0), respectively. Only 22.2% of the patients correctly perceived the risk of recurrence, 23.0% underestimated the risk, and 30.7% overestimated the risk. Patients who overestimated the risk of recurrence (β = 0.421, <i>P</i> = .002) or had a higher perceived level of recurrence risk (β = 0.446, <i>P</i> < .001) had a higher fear of progression, which contributed to better health behaviors at 1 month (β = 0.197, <i>P</i> = .001). Fear of progression played a partial and full mediating role, respectively. Patients who underestimated the recurrence risk had worse health behaviors than those who accurately perceived it (β = -0.296, <i>P</i> = .033).</p><p><strong>Conclusion: </strong>Both accuracy and level of recurrence risk perception were independent predictors of future health behaviors, and fear of progression was mediating. Health care professionals should develop individualized risk education programs to help stroke patients properly understand and cope with the risk of recurrence.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":" ","pages":"799-810"},"PeriodicalIF":2.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057061","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}