Nursing Research最新文献

{"title":"Reducing Stigma in Chinese Women Living With HIV/AIDS: Mixed Methods Cluster Randomized Controlled Trial Protocol.","authors":"Zhongfang Yang, Lin Zhang, Zheng Zhu, Yanfen Fu, Shuyu Han, Meiyan Sun, Yue Zhang, Hongli Yang, Beibei Gong, Yirong Shi, Yan Hu","doi":"10.1097/NNR.0000000000000797","DOIUrl":"10.1097/NNR.0000000000000797","url":null,"abstract":"<p><strong>Background: </strong>Perceived stigma significantly impedes access to public health resources for women living with HIV/AIDS, highlighting the crucial need for interventions to empower individuals to overcome such barriers.</p><p><strong>Objectives: </strong>This paper outlines the protocol for a pilot study aimed at evaluating the efficacy of the Helping Overcome PErceived Stigma (HOPES) intervention employing the mixed methods-grounded in narrative transportation-theory in reducing perceived stigma among women living with HIV/AIDS.</p><p><strong>Methods: </strong>A total of 100 women living with HIV/AIDS will be randomized into two groups: the HOPES group and the control group. Participants in the HOPES group will watch the narrative transportation videos about perceived stigma experiences and coping strategies recorded by peer volunteers and write notes.</p><p><strong>Results: </strong>The study commenced in September 2023 and concluded data collection in May 2024.</p><p><strong>Discussion: </strong>Findings from this study will inform effectiveness trials of HOPES, advancing the evidence base for reducing stigma and improving mental health in women living with HIV/AIDS.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"155-158"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774236","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":"Frailty and Self-Care Maintenance Mediated by Social Support and Depression in Older Adults With Heart Failure.","authors":"Na Bu, Min Leng, Guorong Cao, Chao Dou, Rongchun Hou, Xiaohong Lu, Hong Xu","doi":"10.1097/NNR.0000000000000795","DOIUrl":"10.1097/NNR.0000000000000795","url":null,"abstract":"<p><strong>Background: </strong>Older adults with heart failure often exhibit poor self-care maintenance. Frailty could exacerbate self-care, leading to deteriorating health. Social support and depression may play a role in self-care maintenance in older adults with heart failure combined with frailty. Confirming this potential mechanistic relationship could provide valuable reference for nurses to formulate and improve the targeted intervention strategies and health education programs for older adults with heart failure.</p><p><strong>Objectives: </strong>This study analyzed the relationship between frailty and self-care maintenance in older adults with heart failure and determined the sequential mediation effect of social support and depression. Its goal was to provide valuable theoretical insights for formulating targeted clinical nursing interventions for older adults with heart failure.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from July 2023 to February 2024, during which older adults with heart failure were recruited using a convenience sampling method from the cardiovascular department of a tertiary Class A hospital in Qingdao, China. A total of 241 completed the Tilburg Frailty Indicator, the Self-Care of Heart Failure Index, the Social Support Rating Scale, and the Patient Health Questionnaire-9. t -Tests and one-way analysis of variance were used to examine differences in self-care maintenance among participants with distinct characteristics; correlation analysis was used to identify variable relationships within the study. The mediation model was tested using the SPSS PROCESS macro and the bootstrap method.</p><p><strong>Results: </strong>Frailty was negatively correlated with self-care maintenance, and both social support and depression were significantly related to frailty and self-care maintenance. Social support and depression not only independently mediated the relationship between frailty and self-care maintenance but also exhibited a significant sequential mediation effect.</p><p><strong>Discussion: </strong>The frailty of older adults with heart failure and its correlation with self-care maintenance is a complex and multidimensional phenomenon. Frailty not only directly influenced self-care maintenance in participants but also indirectly affected it through the mediating factors of social support and depression. Future research should emphasize innovative, targeted interventions to enhance social support quality and accessibility and alleviate depression, ultimately boosting patients' self-care capabilities and elevating their quality of life.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"115-122"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774216","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":"Predictors of Decisional Capacity in Alzheimer's Disease Biomarker Test Candidates.","authors":"Jeong Eun Kim, Susan M Sereika, Lisa K Tamres, Jennifer H Lingler","doi":"10.1097/NNR.0000000000000793","DOIUrl":"10.1097/NNR.0000000000000793","url":null,"abstract":"<p><strong>Background: </strong>Deciding to learn one's Alzheimer's disease (AD) biomarker status is a high-stakes endeavor that requires comprehending and deliberating about complex and nuanced information. Assessing capacity to consent to AD biomarker testing and disclosure is further complicated when candidates have cognitive impairment and present with family care partners.</p><p><strong>Objective: </strong>The objective of this analysis was to identify predictors of decisional capacity for an amyloid positron emission tomography disclosure study among persons with mild cognitive impairment (MCI) and their family care partners.</p><p><strong>Methods: </strong>This analysis used an analytical correlational design, using baseline data from a randomized controlled trial of amyloid positron emission tomography results disclosure. Simple linear regression was used to examine predictors of decisional capacity. Focusing on persons with MCI, the predictor variables of interest were sociodemographic characteristics, level of knowledge of MCI/AD, global cognition, and neuropsychological tests of language and executive functioning. Dyadic analyses were conducted with data from 82 dyads of persons with MCI and care providers using the Actor-Partner Interdependence Model to assess for presence of actor and partner effects among key variables.</p><p><strong>Results: </strong>Capacity-to-consent scores demonstrated sufficient capacity for all participants to consent to the study. For persons with MCI, lower age, higher mental status scores, MCI/AD knowledge scores, and better performance on measures of language and executive functioning were predictors of decisional capacity. The model revealed positive actor relations for MCI/AD knowledge with decisional capacity for both persons with MCI and family care partners and negative partner relationships for family care partners' MCI/AD knowledge with the decisional capacity of persons with MCI.</p><p><strong>Discussion: </strong>Assessment of decisional capacity is imperative when considering participation in AD research, including studies with high-stakes procedures like biomarker results disclosure. Our findings highlight that not only do individual characteristics put persons with MCI at risk for lower decisional capacity, but dyadic effects from family care partners may also be present.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"108-114"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774234","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":"Systematic Review and Meta-Analysis of Prevalence and Risk Factors for Psychological Birth Trauma.","authors":"Yaxuan Xu, Wenjuan Wang, Lihua Zhou, Wenli Xu, Hui Wang, Fengying Zhang, Xiaoqin Wang, Hanmei Zhang","doi":"10.1097/NNR.0000000000000792","DOIUrl":"10.1097/NNR.0000000000000792","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to determine the pooled prevalence of and risk factors for PBT.</p><p><strong>Methods: </strong>The Cochrane Library, Web of Science, PubMed, Embase, and Scopus databases were systematically searched between their inception and October 1, 2023. Pooled prevalence, odds ratio, and 95% confidence intervals were calculated using fixed- or random-effects models using Stata 15.0.</p><p><strong>Result: </strong>The pooled prevalence rate of PBT was 19%. We performed subgroup analysis based on age, parity, region, and measurement tools. The results showed differences in the prevalence of PBT between these subgroups, suggesting the need for clinical personalization in different populations. The pooled odds ratio showed that fear of childbirth, cesarean section, operative vaginal birth, pain during labor, and dissatisfaction with support from midwives were significantly associated with PBT.</p><p><strong>Discussion: </strong>The study found that the pooled prevalence of PBT was 19%. PBT risk factors are diverse, and understanding the prevalence and risk factors for PBT has important implications for healthcare and social care systems.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"123-129"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774238","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":"Study Protocol Evaluating Breastfeeding for Mother-Infant Dyads Experiencing Infant Ankyloglossia.","authors":"Rebecca R Hill, Jonathan M Carnino, Jessica R Levi","doi":"10.1097/NNR.0000000000000801","DOIUrl":"10.1097/NNR.0000000000000801","url":null,"abstract":"<p><strong>Background: </strong>Tongue-tie is associated with nipple pain and early breastfeeding cessation. To date, research has been limited by small sample sizes and a dearth of evidence on the effects of tongue-tie on infant feeding symptoms and physiologic breastfeeding mechanics.</p><p><strong>Objectives: </strong>In this article, we describe the protocol for our study exploring infant feeding, negative breastfeeding symptoms, maternal anatomy, and physiologic sucking data between infants with and without tongue-tie.</p><p><strong>Methods: </strong>A prospective cohort study design is being employed. Over 8 weeks, three visits will be conducted with a sample of mothers and their infants without tongue-tie and a sample of mothers and their infants diagnosed with tongue-tie undergoing treatment via frenotomy. The aims of the study were to compare breastfeeding symptoms, breast anatomy, infant feeding symptoms, feeding efficiency, and nutritive sucking parameters between infants with and without tongue-tie, further comparing these metrics pretreatment and posttreatment via frenotomy with the non-tongue-tied age-matched counterparts.</p><p><strong>Results: </strong>This study is currently ongoing.</p><p><strong>Discussion: </strong>Tongue-tie is an everyday problem; clear guidelines are needed to decide whether to treat it. This novel, innovative, and multidisciplinary research study aims to fill critical gaps in understanding the physiological and functional effects of tongue-tie on breastfeeding, offering evidence to inform better clinical decisions and support effective interventions.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"159-164"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840123","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":"History and Science.","authors":"Rita H Pickler","doi":"10.1097/NNR.0000000000000805","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000805","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 2","pages":"85-86"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574442","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":"Nurses' Perception of Firearm Safety.","authors":"Brigitte S Cypress, Meriam Caboral-Stevens, Maria Rosario-Sim, Priscilla Sagar","doi":"10.1097/NNR.0000000000000786","DOIUrl":"10.1097/NNR.0000000000000786","url":null,"abstract":"<p><strong>Background: </strong>Firearm or gun violence has become a significant and ongoing public health crisis in the United States. There is little evidence of the current practices of nurses in assessing, screening, and counseling patients and families on firearm ownership and safety.</p><p><strong>Objectives: </strong>The purpose of this exploratory qualitative study was to explore the attitudes, perceptions, and current practices in assessing, screening, and counseling gun ownership and safety among registered nurses, with a secondary aim of identifying the facilitators and barriers to implementing the practice.</p><p><strong>Method: </strong>An exploratory qualitative research study design was used. We recruited focus group participants via e-mail, social media blasts, referrals, and personal contact requests. Participants were interviewed using structured focus group questions via Zoom. Five focus groups included 32 registered and advanced practice nurses. The audio-recorded and transcribed data were analyzed using Braun and Clarke's approach to thematic analysis.</p><p><strong>Results: </strong>We identified four key themes. First, there was a significant need to educate and train nurses in the assessment, screening, and counseling about firearm safety. Second, there was a need to extend this education to patients, families, and the community. Third, there was a need to advocate for the creation and implementation of policies. Fourth, there was a need to implement mental health assessment as a standard practice before owning a gun, which emerged as a potential solution. Additionally, we found a need to address barriers to assessment and counseling on gun use. The creation of state laws and organizational policies, along with the provision of current data, emerged as other facilitators for assessment, screening, and counseling among nurses about firearms use and safety.</p><p><strong>Discussion: </strong>Ours is one of the first studies to explore attitudes and perceptions about gun ownership and current practices in gun safety assessment, screening, and counseling among registered nurses. The findings lay some foundation for a focused, multifaceted approach and interventions to address gun violence and safety concerns.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"91-97"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957855","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":"Heterogeneous Circadian Rhythms, Sleep Patterns, and Hormone Levels in Older Adults Living With Dementia.","authors":"Eunhee Cho, Hyangkyu Lee, Jo Woon Seok","doi":"10.1097/NNR.0000000000000777","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000777","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 2","pages":"E16-E17"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574434","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 Comparative Analysis of Recruitment Methods to Reach Emerging Adults Outside the Clinical Setting.","authors":"Alli Walsh, Dola Pathak, Emma C Schlegel","doi":"10.1097/NNR.0000000000000774","DOIUrl":"10.1097/NNR.0000000000000774","url":null,"abstract":"<p><strong>Background: </strong>Emerging adults are a hard-to-recruit population for health researchers, as many do not routinely access healthcare services and are best recruited outside clinical settings. Social media and research volunteer registries (e.g., ResearchMatch) offer great potential among this population, yet a comparison of these two recruitment methods has not been done.</p><p><strong>Objectives: </strong>The aim of this study was to compare participant enrollment and completion rates, participant demographics, and recruitment costs between recruitment methods (social media advertisements compared to ResearchMatch) deployed with a sample of emerging adults assigned female at birth.</p><p><strong>Methods: </strong>Participants were recruited from October to November 2022 via ResearchMatch and social media (Instagram and Snapchat) advertisements. This analysis involves a subset of recruitment data from a larger institutional review board-approved study. Enrollment and survey completion rates were calculated using the number of individuals contacted and survey completion data from Qualtrics. Chi-square and independent t -test analyses were used to compare demographic data. Advertisement data collected included total cost, cost per click, link clicks, and paid impressions.</p><p><strong>Results: </strong>Two hundred forty-five emerging adults completed the survey, and 24 completed follow-up interviews. ResearchMatch and social media enrollment rates differed (58% and 39%, respectively). Survey completion rates for both methods were the same (~93%). Participants' ages and levels of education were significantly different. Social media resulted in recruitment of younger participants (18-21 years old), and ResearchMatch garnered participants with a higher level of education. Differences in race were also significant, as social media recruited higher numbers of White participants. Lastly, the researcher-incurred cost per survey was $0 for ResearchMatch versus $13 for social media.</p><p><strong>Discussion: </strong>Although social media and ResearchMatch are both successful tools for research recruitment, each provides distinct benefits for recruiting specific populations. ResearchMatch offers a lower-cost option and access to an older emerging adult population with higher education, whereas social media provides access to a younger emerging adult population. This knowledge can be imperative for deciding which recruitment methods best fit research study needs. Future research should explore differences in race by recruitment method to highlight potential sampling biases or recruitment opportunities.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"130-135"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074355","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":"Integration in Mixed-Methods Research With an Exemplar Explanatory Sequential Study.","authors":"Youri Hwang, M Tish Knobf, Lois S Sadler","doi":"10.1097/NNR.0000000000000796","DOIUrl":"10.1097/NNR.0000000000000796","url":null,"abstract":"<p><strong>Objectives: </strong>The authors aim to synthesize methodological discussions of the MMR integration process and provide an illustration of integration across all phases of an exemplar explanatory sequential study.</p><p><strong>Methods: </strong>Integration in MMR includes four distinct dimensions encompassing philosophical assumptions and paradigms, methodological methods, and dissemination of integrated study findings. This article presents our integrated study findings, illustrated by a research study conducted to investigate sleep health among women with breast cancer.</p><p><strong>Results: </strong>Integration of quantitative and qualitative data analyses is demonstrated through consistently matching the guiding paradigm with design choice, meta-inferences, and visual joint displays. The connecting displays linking quantitative and qualitative data compare sleep characteristics scores and the relationship between anxiety and vasomotor symptoms. The results highlight the significance of visual tools in enhancing the analytic processes and providing a comprehensive understanding of complex clinical phenomena.</p><p><strong>Discussion: </strong>Integrating across all stages of MMR studies presents many challenges. The proposed four-dimension model of integration contributes to understanding the unique value of fully integrated mixed-methods results. The exemplary study findings confirm the value of integration in achieving a nuanced and comprehensive understanding of a significant clinical problem.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"144-149"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774217","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}