Nursing Research最新文献

{"title":"Facilitators and Barriers to Patient-Caregiver Dyadic Recruitment in Transplantation.","authors":"Brittany Koons, Rachel Lehman, Barbara Riegel, Harleah Buck","doi":"10.1097/NNR.0000000000000838","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000838","url":null,"abstract":"<p><strong>Background: </strong>Despite growing awareness of the dyadic role in transplant care and a mandate for patient-caregiver dyads for transplant listing, the integration of dyadic science into transplantation research is lacking. Recruiting transplant patient-caregiver dyads have unique challenges that need to be considered when designing and conducting dyadic studies in transplantation.</p><p><strong>Objectives: </strong>To present (a) the barriers and facilitators to dyadic recruitment in a patient-caregiver transplant population that we encountered and (b) strategies developed to overcome these challenges.</p><p><strong>Methods: </strong>We used the social marketing mix framework to guide this methodological report of patient-caregiver dyadic recruitment strategies employed during a post-lung transplant psychometric study of 50 patient-caregiver dyads.</p><p><strong>Results: </strong>We identified several facilitators of dyadic recruitment in the lung transplant population, including (a) conducting a study of high relevance to both patients and caregivers, which helped facilitate maximum engagement of participants, (b) using remote recruitment and data collection strategies to improve accessibility to participation and minimize the amount of time or energy required to participate, (c) conducting patient and caregiver study visits independently from one another, which allowed for scheduling flexibility, and helped improve participation among dyad members who do not live together, and (d) establishing clinical partnerships and having acquired clinical experience with the target population. We also identified barriers to dyadic recruitment that require careful planning in future studies, including (a) high health care utilization, which can delay the recruitment timeline, (b) recruiting patients and caregivers independently within relevant time frames, (c) gatekeeping, when the patient or the caregiver block researcher access to the other dyad member, (d) establishing contact with the participant via the phone, and (e) limited study staffing that reduced recruitment and study visit scheduling flexibility.</p><p><strong>Discussion: </strong>To our knowledge, this is the first methodological report to present the barriers and facilitators to dyadic recruitment in a patient-caregiver transplant population. Our experience and lessons learned can be used to inform future research teams to successfully design and conduct much-needed dyadic research in organ transplantation.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162422","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":"Nurse Leaders' Interpersonal Communication Competence.","authors":"Petra Kämäräinen, Leena Mikkola, Anu Nurmeksela, Tarja Kvist","doi":"10.1097/NNR.0000000000000837","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000837","url":null,"abstract":"<p><strong>Background: </strong>Despite the beneficial associations of nurse leaders' interpersonal communication competence with job satisfaction, engagement, and reduced burnout among nurses, there has been little research on the topic.</p><p><strong>Objectives: </strong>To describe nurse leaders' perceptions of interpersonal communication competence.</p><p><strong>Methods: </strong>A qualitative descriptive study was conducted in the three well-being services counties in Finland between February and April 2024. A total sample of 21 nurse leaders participated. Data were analyzed using abductive content analysis, starting with a deductive phase guided by a conceptual framework of nurse leaders' interpersonal communication competence categories, followed by inductive analysis. Further, the outcome of the analysis was viewed through the theory of interpersonal communication competence.</p><p><strong>Results: </strong>In addition to the three categories of nurse leaders' interpersonal communication competence-message competence, relational competence, and task competence-the study identified a fourth main category: ethical principles. Alongside these main categories, 27 subcategories were identified. An exploration of the results through the lens of interpersonal communication competence theory showed that the theory's cognitive, behavioral, and affective dimensions were identifiable in the description.</p><p><strong>Discussion: </strong>Using a unique multidisciplinary methodological solution, the results highlight the complex and adaptive nature of nurse leaders' interpersonal communication competence. It provides a thorough description of nurse leaders' interpersonal communication competence, supported by interpersonal communication competence theory. The results promote an understanding of the interpersonal communication competence required in nursing leadership. To retain competent nurses and ensure quality care, a comprehensive understanding of communication competence in nursing leadership is essential, highlighting the need for further research on this topic.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112546","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":"Modeling the Relationship between Symptom Burden, Falls and Outcomes.","authors":"Michelle A McKay, Margaret Brace","doi":"10.1097/NNR.0000000000000835","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000835","url":null,"abstract":"<p><strong>Background: </strong>Falls constitute a public health crisis for older adults. Almost half of older adults have increased symptom burden that limits function and increases fall risk.</p><p><strong>Objectives: </strong>The aims of this study were to determine if the relationship between symptom burden and outcomes are mediated by falls and whether symptoms further moderate outcomes of falls.</p><p><strong>Methods: </strong>Data came from the National Health and Aging Trends Study. Path models were used to test the mediation of the relationship between symptom burden in 2015 and outcomes in 2016 by falls in the past year, as well as the moderation of the effect of falls on outcomes by symptom burden. Models were stratified by age.</p><p><strong>Results: </strong>There was a significant moderated mediation for participants aged ≥80 years in which higher symptom burden had a direct association with higher risk for hospitalization, an indirect link to higher risk for hospitalization through an increased risk for falls, but a dampening effect on the association between falls and hospitalization. For disability and wellbeing, falls partially mediated the association between symptom burden and outcomes for those <80 years. For ≥80 years, symptom burden was associated with falls and with the outcome, but there was no mediation. Falls consistently mediate the connection between symptoms and outcomes for those aged 65-79, but not for those aged 80 and older.</p><p><strong>Discussion: </strong>The results suggest that symptom burden may be a potential assessment tool for identifying the risk for falls in older adults. Further research could explore tailored intervention development for targeting symptom management and fall prevention.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112544","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":"Construct Validity Testing of the Neonatal Intensive Care Unit Paternal Needs Inventory.","authors":"Linda Merritt, M Terese Verklan, Richard S Fein","doi":"10.1097/NNR.0000000000000836","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000836","url":null,"abstract":"<p><strong>Background: </strong>Although research is emerging about fathers' experiences in the neonatal intensive care unit, there is a scarcity of tools that measure their needs.</p><p><strong>Objective: </strong>The purpose of this study was to test the reliability and validity of a tool specifically designed to measure the physical, emotional, and psychological needs of fathers whose infants are in the neonatal intensive care unit.</p><p><strong>Method: </strong>We administered the Neonatal Parental Needs Inventory to 210 fathers who currently had an infant in the neonatal intensive care unit. The Neonatal Parental Needs Inventory is a 42-item tool consisting of six subscales (information regarding baby's status; paternal social support; professional communication; paternal priorities; paternal support-who takes care of me; and paternal space and emotional needs) and uses a visual analog scale to measure fathers' physical, emotional, and psychological needs. Confirmatory factor analysis was performed to determine overall model fit and Cronbach alpha was calculated for internal consistency.</p><p><strong>Results: </strong>Cronbach alpha showed moderate to high internal consistency for all the subscales and the Neonatal Paternal Needs Inventory overall. Overall model fit was confirmed by root mean square error of approximation, comparative fit index and Tucker Lewis Index.</p><p><strong>Discussion: </strong>The study established the construct validity of the Neonatal Paternal Needs Inventory that measures the physical, emotional, and psychological needs of neonatal intensive care unit fathers. The instrument could be used to assess fathers' needs and develop father-specific interventions. Further research is needed to see if fathers' needs change over time.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081651","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":"Inclusive Hospital Policies, Nurse Burnout, and Job Turnover.","authors":"Hyunmin Yu, José A Bauermeister, Matthew D McHugh, Tari Hanneman, Karen B Lasater","doi":"10.1097/NNR.0000000000000834","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000834","url":null,"abstract":"<p><strong>Background: </strong>Organizational turnover among nurses is associated with high levels of burnout, which may be exacerbated by workplace discrimination and exclusionary organizational policies. The theory of inclusive organizations suggests that fostering inclusive workplace environments can positively affect job retention.</p><p><strong>Objectives: </strong>This study examined the role of inclusive hospital policies in shaping nurses' intentions to leave employment. We hypothesized that inclusive policies would reduce turnover intentions among all nurses, with a stronger effect among those experiencing high burnout.</p><p><strong>Methods: </strong>This cross-sectional study analyzed three survey datasets from 2021: the RN4CAST-NY/IL data collected from registered nurses in New York and Illinois; the Healthcare Equality Index data, which assesses and scores hospitals' inclusion efforts for lesbian, gay, bisexual, transgender, queer or questioning, and other sexual and gender-diverse individuals; and the American Hospital Association Annual Survey. The dependent variable was nurses' intent to leave their employer within a year. The independent variable was the Healthcare Equality Index score, with nurses' high burnout serving as the moderating variable. Multilevel logistic regression with cross-level interaction was employed for the analysis.</p><p><strong>Results: </strong>A total of 6,294 nurses from 111 hospitals were included in the study. An increase in the total Healthcare Equality Index score was associated with decreased odds of nurses intending to leave their employer. Nurses experiencing high burnout were more likely to intend to leave their employer compared to those without high burnout. Nurses' high burnout status did not moderate the relationship between hospitals' Healthcare Equality Index scores and nurses' intent to leave.</p><p><strong>Discussion: </strong>Inclusive hospital policies positively affect job retention regardless of nurses' burnout status. Healthcare organizations should foster inclusive and supportive environments as one strategy to improve nurse retention and organizational stability.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081652","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":"Scoping Review of Gamification in Rehabilitation Care of Adults With Chronic Illnesses.","authors":"Hualong Ma, Qinyang Wu, Ke Hu, Jiahui Liu, Yuexin Huang, Xiaoge Liu, Qiaohong Yang","doi":"10.1097/NNR.0000000000000816","DOIUrl":"10.1097/NNR.0000000000000816","url":null,"abstract":"<p><strong>Background: </strong>Gamification uses game-based mechanics, aesthetics, and game thinking to engage people, motivate action, promote learning, and solve problems. However, gaps remain in understanding and implementing gamification in rehabilitation care, necessitating further exploration and clarification of the best evidence for application of gamification.</p><p><strong>Objective: </strong>To conduct a scoping review of the use of gamification in rehabilitation care for adults with chronic illnesses, summarizing the scope, forms, elements, guiding theories, effectiveness, and ease of use of gamification.</p><p><strong>Methods: </strong>Eight databases in English or Chinese were searched from January 1, 2011 to May 20, 2024 following the standard scoping review framework.</p><p><strong>Results: </strong>A total of 24 papers were included. Gamification was applied in the rehabilitation of endocrine, skeletal, circulatory, neurological, and cerebrovascular diseases, primarily using virtual reality and three-dimensional forms. Eight gamification elements were most commonly utilized. Positive outcomes included enhanced rehabilitation knowledge, improved attitudes, better physical function, and increased self-care ability. Most patients found gamified rehabilitation care engaging and easy to use.</p><p><strong>Discussion: </strong>The application of gamification in adult chronic disease rehabilitation care shows great promise. However, the lack of theory-driven or longitudinal data in some studies highlights the need for more randomized controlled and longitudinal research to explore the effectiveness of gamified intervention.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"233-240"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634867","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 Call to Action: Nursing Science That Supports Patient Care.","authors":"Laura Beth Kalvas, Martha A Q Curley","doi":"10.1097/NNR.0000000000000798","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000798","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 3","pages":"169"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046212","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":"Self-Advocacy Among Women With Uterine Malignancies.","authors":"Xiaojie Chen, Xiaohan Xu, Yunhong Du, Wei Liu, Xiao Zhang, Li Wang","doi":"10.1097/NNR.0000000000000813","DOIUrl":"10.1097/NNR.0000000000000813","url":null,"abstract":"<p><strong>Background: </strong>Self-advocacy plays a crucial role in the mental health and treatment outcomes of oncology patients, particularly those with uterine malignancies. Despite its significance, research on the self-advocacy levels and influencing factors among Chinese patients with uterine malignancies remains limited.</p><p><strong>Objectives: </strong>To assess the self-advocacy levels among Chinese patients with uterine malignancies and identify the demographic, psychological resilience, and decision self-efficacy factors that influence self-advocacy.</p><p><strong>Methods: </strong>This cross-sectional study was conducted from March 1 to September 1, 2023, involving 220 inpatients with uterine malignancies from three tertiary hospitals in Shandong Province, China. Participants were recruited using convenience sampling and completed the General Information Questionnaire, Female Cancer Survivorship Self-advocacy Scale, Connor-Davidson Resilience Scale, and Decision Self-efficacy Scale.</p><p><strong>Results: </strong>The average self-advocacy score among participants was 59.44 ± 10.14. Significant positive correlations were found between self-advocacy, psychological resilience, and decision self-efficacy. The random forest algorithm identified decision self-efficacy, psychological resilience, family average income, type of medical insurance, educational level, and residence as the six most important influencing factors, with the optimal model performance observed when lambda (λ) = 1.191. Multiple linear regression analysis further confirmed that decision self-efficacy, psychologic resilience, family average income, educational level, and residence were significant predictors of self-advocacy.</p><p><strong>Discussion: </strong>The self-advocacy levels of Chinese patients with uterine malignancies were relatively low, with decision self-efficacy, psychological resilience, and socioeconomic factors significantly influencing their self-advocacy abilities. Future targeted interventions should focus on enhancing patients' decision self-efficacy and psychological resilience, thereby guiding them to actively respond and participate in decision-making, ultimately improving self-advocacy among patients with uterine malignancies.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"186-192"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392320","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":"Randomized Trial of Group Postpartum Care Model Improves Knowledge and Clinical Outcomes.","authors":"Yenupini Joyce Adams, John Stephen Agbenyo, Elizabeth Lau, Jessica Young, David Haas","doi":"10.1097/NNR.0000000000000814","DOIUrl":"10.1097/NNR.0000000000000814","url":null,"abstract":"<p><strong>Background: </strong>In sub-Saharan Africa, the risk of obstetric complications remains high throughout the postpartum period.</p><p><strong>Objective: </strong>We developed and tested a novel, integrated model of group postpartum care titled Focused-Postpartum Care (Focused-PPC) to improve outcomes. In this paper, we report clinical outcomes of participants in the intervention arm and differences in knowledge of postbirth warning signs among those in the intervention and control arms.</p><p><strong>Methods: </strong>Focused-PPC encompassed recommended clinical assessments, targeted education, and peer support up to 1 year after birth. Focused-PPC was implemented as a parallel randomized controlled trial involving 192 postpartum women across four health centers in Tamale, Ghana, from February 2022 to August 2023. Eligible participants 18 years or older with a live birth were randomly assigned to either the Focused-PPC intervention arm or the control arm at a 1:1 allocation and were not blinded to their allocation. At each health center, 48 participants were allocated to either an intervention or control arm. Focused-PPC groups in the intervention arm consisted of eight participants per group. Participants in the intervention arm received the Focused-PPC integrated group model of care. Participants in the control arm received the standard of postnatal care already administered at each health center.</p><p><strong>Results: </strong>Baseline analysis included 96 participants from the control arm and 91 participants from the intervention arm. We found that vital signs and clinical outcomes were relatively stable; however, incidences of hypertension substantially decreased among participants in the intervention arm. By 3 months postbirth, most participants in the intervention arm were able to identify all postbirth warning signs and retain this knowledge compared to the control arm. Those in the intervention arm were also knowledgeable of more warning signs at each time point compared to the control arm.</p><p><strong>Discussion: </strong>An integrated, evidence-based approach to postpartum care, such as Focused-PPC, has potential to increase knowledge and improve clinical outcomes among mothers in Ghana.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"171-178"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450731","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":"Psychometric Analysis of Disrespect and Abuse Scale.","authors":"Fatima Alzyoud","doi":"10.1097/NNR.0000000000000809","DOIUrl":"10.1097/NNR.0000000000000809","url":null,"abstract":"<p><strong>Background: </strong>Disrespect and abuse of laboring and child-birthing women in health care is a global problem that violates the universal human rights of childbearing women. There is a lack of reliable and valid tools for measuring these behaviors. One instrument, the Disrespect and Abuse scale, has preliminary data with no established psychometrics in diverse populations. Further analysis is required to ensure the reliability and validity of this tool in diverse populations and health care settings.</p><p><strong>Objectives: </strong>We examined the psychometric properties of the Disrespect and Abuse scale in diverse international nursing and midwifery populations.</p><p><strong>Methods: </strong>A cross-sectional descriptive design was used to measure disrespect and abuse toward women during childbirth. Data were collected from 231 nurses and midwives across international labor and delivery units. Exploratory factor analysis was conducted using principal component analysis with oblimin rotation as the factor extraction method.</p><p><strong>Results: </strong>The psychometric assessment yielded a two-factor structure. Factor 1 consisted of 13 items characterizing physical and verbal abuse. Factor 2 contained nine items reflecting disrespectful behaviors. The Cronbach's alpha coefficients reflected high internal consistency.</p><p><strong>Discussion: </strong>The scale was shown to be reliable and valid in assessing self-reported disrespectful and abusive behaviors among nurses and midwives in a diverse international sample. Use could assist in the assessment of these behaviors in maternal health care facilities. Further research is warranted to confirm the scale's robustness and applicability across various populations and settings and use the Disrespect and Abuse scale to identify the burden and predictors of mistreatment of women in different health care settings.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"213-217"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371351","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}