{"title":"The Influence of Ethical Atmosphere and Job-Esteem on Moral Courage in Psychiatric Nurses.","authors":"Yan Li, XiangDan Shen, Haishan Quan, Ying Li, Jianhua Li, Zhenzhen Zhang, Xinyang Xing","doi":"10.1111/nhs.70073","DOIUrl":"https://doi.org/10.1111/nhs.70073","url":null,"abstract":"<p><p>This study aimed to explore the influence of the hospital ethical atmosphere and job-esteem on the moral courage of psychiatric nurses, providing a reference for nursing managers and psychiatric nurses to enhance moral courage. A total of 375 psychiatric nurses from public hospitals in Jilin Province and Jiangsu Province were selected using a convenience sampling method. The study utilized a general data questionnaire, the Nurses Moral Courage Scale, the Hospital Ethical Climate Survey, and the Job-Esteem Scale for Nurses in Hospitals to gather data. The average moral courage score of psychiatric nurses was 58.24 ± 15.82. Hierarchical regression analysis indicated that professional title, years of experience in psychiatry, hospital ethical atmosphere, and job esteem significantly influenced the moral courage of psychiatric nurses, accounting for 34.4% of the total variance. The level of moral courage among psychiatric nurses was moderate. Nursing managers can enhance the moral courage of nurses by improving the ethical atmosphere within hospitals and supporting nurses in boosting their job esteem.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70073"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-Regulation of Eating Behaviors Among Young Women Nurses and Nursing Students: Its Relationship With Eating Habits.","authors":"Gülsüm Zekiye Tuncer, Metin Tuncer","doi":"10.1111/nhs.70079","DOIUrl":"https://doi.org/10.1111/nhs.70079","url":null,"abstract":"<p><p>The primary aim of this study is to adapt the Self-Regulation of Eating Behavior Questionnaire (SREBQ) to the Turkish culture among young women nurses and nursing students. The secondary aim is to investigate the factors associated with self-regulation of eating behavior in this population. The sample consisted of 773 young women nurses and nursing students who were included in the study between June and July 2024. In accordance with the first aim of the study, the construct validity of the SREBQ instrument was confirmed through EFA. The Cronbach's alpha coefficient for the SREBQ was found to be 0.78. There were very low positive correlations between the SREBQ score and the SRS (r = 0.252) and TREQ-CR (r = 0.136) scores, as well as low negative correlations with the TREQ-EE (r = -0.355) and TREQ-UE (r = -0.406) scores (p < 0.001). The 5-item SREBQ has been found to be a valid and reliable instrument for the population of young women nurses and nursing students in the Turkish language. The results indicate that as self-regulation of eating behavior increases in this population, overall self-regulation skills improve, while disordered eating behaviors decrease.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70079"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Observational Study on the Association Between Nutritional Intake and Mental Health Among Older Adults in Rural Areas.","authors":"Kyeongmin Jang","doi":"10.1111/nhs.70080","DOIUrl":"10.1111/nhs.70080","url":null,"abstract":"<p><p>This study examined the relationship between nutritional intake and mental health, focusing on depressive symptoms among older adults in rural areas. Using data from the 2022 Korea National Health and Nutrition Examination Survey (KNHANES), the nutritional intake of 465 individuals aged 65 and older was analyzed against recommended nutrient intakes (RNI). Mental health was assessed using the PHQ-9 and GAD-7 scales, with logistic regression identifying predictors of depressive symptoms. Results showed deficiencies in essential vitamins, including A, B3 (niacin), C, D, and E. Higher intakes of niacin (≥ 5 mg/day) and Vitamin E (≥ 5 mg α-TE/day) were associated with reduced depressive symptoms. Energy, protein, and fiber intake also negatively correlated with depressive symptoms, emphasizing the importance of overall nutritional balance. Interestingly, Vitamin C intake was positively associated with anxiety symptoms, suggesting complex diet -mental health interactions. Implications for clinical practice highlight the importance of integrated nutritional screening and mental health interventions, particularly in underserved rural communities. However, given the observational nature of this study, further research is recommended to establish causality and explore the effectiveness of targeted supplementation programs.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70080"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Greening Critical Care: Exploring Environmental Sustainability Challenges and Opportunities in the Emirati ICU Context.","authors":"Fatma Refaat Ahmed, Weaad Nasr, Maha Alhidhani, Muhrah Musaeed, Hafsa Hmeidi, Nabeel Al-Yateem, Muhammad Arsyad Subu, Heba Khalil, Mohannad Eid AbuRuz","doi":"10.1111/nhs.70071","DOIUrl":"https://doi.org/10.1111/nhs.70071","url":null,"abstract":"<p><p>This qualitative study seeks to explore the perspectives of Emirati ICU teams on environmental sustainability, identifying the challenges they face, and exploring potential opportunities to make healthcare practice more sustainable. The study thereby contributes to addressing the research gap on reducing impacts of resource-intensive care environments by exploring how ICU teams perceive and approach environmental sustainability in their practice. A descriptive qualitative design was utilized, involving semi-structured interviews with 19 ICU nurses and nurse managers and 5 ICU physicians. Data analysis followed the Colaizzi seven-step method. The findings revealed a significant understanding of the concept of sustainability among ICU teams, with participants highlighting key areas such as recycling, energy efficiency, and waste management. However, challenges like resistance to change, limited funding, and competing priorities were identified as significant barriers to implementing sustainability in praxis. This study underscores the importance of a multifaceted approach to achieving environmental sustainability in ICUs, involving collaborative efforts, clear communication, training, and leadership commitment. It is crucial to address financial constraints, promote sustainable procurement practices, and create a strong business case for environmental sustainability.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70071"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Lives of Older People With Advanced Cancer Who Live Alone During Outpatient Cancer Chemotherapy: A Descriptive Qualitative Study.","authors":"Reiko Sugiyama, Yoriko Nakamura","doi":"10.1111/nhs.70076","DOIUrl":"10.1111/nhs.70076","url":null,"abstract":"<p><p>Nursing care for older people with advanced cancer who live alone during outpatient chemotherapy should address their difficulties while respecting their lives. However, their lived experiences remain underexplored. Therefore, we conducted a descriptive qualitative study to explore and describe their lives. The participants were purposively sampled, older patients (≥ 65 years) with advanced cancer who lived alone and were receiving outpatient cancer chemotherapy. Semi-structured interviews were conducted using an interview guide, and thematic analysis was applied. There were 12 participants. Nine categories and 49 subcategories were extracted. The core category was \"Getting by through endurance, ingenuity, and effort in one's increasingly fragile 'own vessel,' in order to survive a little longer and fulfill one's life.\" Effective support should not only address their challenges, but also respect their convictions, leverage their strengths, and enhance their self-efficacy. Further, early implementation of advance care planning (ACP) is crucial to proactively identify the needs of these patients, who rarely express their concerns. This approach facilitates their transition from full independence to autonomy, enabling them to choose and integrate necessary support into their daily lives.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70076"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bidirectional Associations Between Attitudes to Aging and Quality of Life for the Older Adults in the Nursing Home: The Contemporaneous and Cross-Lagged Panel Network Analyses.","authors":"Luyi Xu, Tingting Lin, Siyi Su, Zheng Wang, Shishi Dong, Shasha Yang, Zheying Wang, Yuji Yuan, Lihong Xie, Linchao Yu, Jufang Li, Ping Li","doi":"10.1111/nhs.70078","DOIUrl":"https://doi.org/10.1111/nhs.70078","url":null,"abstract":"<p><p>This study examines the relationship between attitudes to aging and quality of life (QoL) among nursing home residents during \"chaotic period\" (within 6-8 weeks of older adults move into nursing homes) and \"adjustment period\" (after \"chaotic period\" until the third month) from a dimensional level using contemporaneous and cross-lagged panel network analyses. A total of 268 older adults completed two rounds of surveys, including the General Information Questionnaire, the Attitudes to Aging Questionnaire, and the WHO Quality of Life-Brief. Psychosocial loss-psychological health and physical change-physical health were the strongest edges during the \"chaotic period\" and \"adjustment period,\" respectively. The cross-lagged network revealed that QoL significantly predicted attitudes to aging, and the most influential dimension was environmental health. Findings suggest that there is a need to support older adults in psychologically adapting to life in nursing homes quickly during the \"chaotic period\" and to assist those experiencing negative physical change during the \"adjustment period\" by encouraging physical activity. The cross-lagged panel network indicates that we need to help older adults rapidly familiarize themselves with new surroundings when they first move into nursing homes.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70078"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Systematic Review of the Accuracy of Machine Learning Models for Diagnosing Pulmonary Tuberculosis: Implications for Nursing Practice and Implementation.","authors":"Kewalin Pongsuwun, Wimolrat Puwarawuttipanit, Sunisa Nguantad, Benjakarn Samart, Udsaneyaporn Pollayut, Pham Thi Thanh Phuong, Suebsarn Ruksakulpiwat","doi":"10.1111/nhs.70077","DOIUrl":"10.1111/nhs.70077","url":null,"abstract":"<p><p>This systematic review evaluates the application of machine learning (ML) models for diagnosing pulmonary tuberculosis and their potential to inform nursing practice and implementation strategies. Studies published between 2019 and 2024 were systematically identified through searches in Scopus, PubMed, Medline, ScienceDirect, CINAHL Plus with Full Text, Clinical Key, Ovid, EMBASE, and Web of Science. The review adhered to PRISMA guidelines, with rigorous inclusion and exclusion criteria applied. A total of 734 records were retrieved, with 18 duplicates removed, leaving 716 articles for screening. Of these, 699 did not meet the inclusion criteria. Full-text review of 17 articles excluded five studies, resulting in 12 studies included in the final analysis. The synthesis revealed five key diagnostic features commonly utilized in ML models: chest x-rays, computed tomography scans, sputum smear images, human exhaled breath, and personal information. Among 13 identified ML algorithms, convolutional neural networks were the most frequently employed due to their superior performance in analyzing imaging data. These findings emphasize the transformative potential of ML technologies to enhance early tuberculosis diagnosis, optimize nursing practice, and improve clinical outcomes.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70077"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11890430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wenjing Liu, Yuyu Zhang, Guangyi Xu, Jun Wu, Mengjie Yang, Xiuqing Fang, Taohua Zheng, Ting Liu
{"title":"Profiles of Disease Burden in Patients With Inflammatory Bowel Disease and the Impact on Psychosocial Adaptation.","authors":"Wenjing Liu, Yuyu Zhang, Guangyi Xu, Jun Wu, Mengjie Yang, Xiuqing Fang, Taohua Zheng, Ting Liu","doi":"10.1111/nhs.70083","DOIUrl":"https://doi.org/10.1111/nhs.70083","url":null,"abstract":"<p><p>The chronic recurrence and systemic reaction of inflammatory bowel disease (IBD) have adverse effects on physical and psychological health of patients, while the patterns of disease burden degree vary among patients with IBD. The perceived disease burden probably affects patients' psychosocial adaptation. This study aimed to use latent profile analysis to understand the patterns of disease burden of Chinese patients with IBD, and explore the relationship between the disease burden profiles and psychosocial adaptation. A total of 260 patients were surveyed on the degree of disease burden and psychosocial adaptation. Latent profile analysis identified two distinct profiles of disease burden, i.e., \"high burden - emotional distress & sleep problem group\" (51.54%) and \"low burden-less social function problems group\" (48.46%). The two profiles were significantly different in medical expense payment methods, complications and comorbidities. Patients in the \"high burden-emotional distress and sleep problem group\" had worse psychosocial adaptation than those in the \"low burden-less social function problems group\". The study results informed targeted interventions for the subgroups with distinct disease burden characteristics to improve their psychosocial adaptation.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70083"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of a Flipped Learning on Nursing Students' Patient Safety Competencies and Satisfaction With the Education Method: A Randomized Controlled Trial.","authors":"Vildan Budak, Hülya Fırat Kılıç, Seda Cevheroğlu","doi":"10.1111/nhs.70068","DOIUrl":"10.1111/nhs.70068","url":null,"abstract":"<p><p>This study aimed to evaluate the impact of flipped learning on nursing students' patient safety competencies and their satisfaction with the training method. A total of 69 nursing students during the fall semester of the 2023-2024 academic year participated in this randomized controlled trial. The intervention group received a training program based on flipped learning for a period of 6 weeks, while the control group received training based on traditional learning methods. Data were collected using the Patient Safety Competency Self-Evaluation tool, and the Satisfaction Questionnaire. Following the implementation training program based on flipped learning, the intervention group exhibited a statistically significant improvement in their patient safety scores. Additionally, the students in the intervention group demonstrated a higher level of satisfaction. The findings indicated that patient safety training based on flipped learning enhanced nursing students' patient safety competencies and satisfaction with the training method. Flipped learning should be incorporated into the nursing curriculum, and nurse educators may be informed of the potential of the model in increasing the patient safety competencies of nursing students. Trial Registration: NCT05981456.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70068"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Nursing Interventions in Women With Gestational Hypertension: A Systematic Review and Meta-Analysis.","authors":"Maide Nur Tumkaya, Sehma Sen, Kafiye Eroglu","doi":"10.1111/nhs.70074","DOIUrl":"10.1111/nhs.70074","url":null,"abstract":"<p><p>Pregnancy-related hypertensive disorders are significant global causes of maternal morbidity and mortality. Quality nursing care is essential for pregnant women with hypertension to ensure a healthy pregnancy and delivery. This study aimed to systematically synthesize evidence on the effectiveness of nursing interventions for women with gestational hypertension. A systematic review and meta-analysis were conducted following PRISMA guidelines. Literature was searched across seven electronic databases from August 1 to September 27, 2023. Thirteen studies, encompassing 1458 women with gestational hypertension, were included. Quality assessment indicated that 10 randomized controlled trials were rated as good, one as fair, and all quasi-experimental studies as good quality. Various nursing interventions were analyzed, including training programs, home-based comprehensive nursing, case management, vascular symptom management, music therapy, and clinical nursing pathways. Meta-analysis results revealed that nursing interventions significantly reduced systolic and diastolic blood pressure, anxiety, depression, and hospital length of stay. These findings suggest that nursing interventions can effectively improve health outcomes for women with gestational hypertension, positively impacting at least one outcome in all included studies. PROSPERO REGISTRATION NUMBER: CRD42023444829.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70074"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}