Lu Tian, Siyu Yang, Li Suya, Zhang Wenyan, Yu Mingfeng, Yu Liu
{"title":"The Feasibility of Nurse Employee Assistance Programs in China Among Nurse Administrators: A Qualitative Research.","authors":"Lu Tian, Siyu Yang, Li Suya, Zhang Wenyan, Yu Mingfeng, Yu Liu","doi":"10.1111/nhs.70064","DOIUrl":"10.1111/nhs.70064","url":null,"abstract":"<p><p>This study aims to explore the feasibility of Nurse Employee Assistance Programs (NEAPs) in China and identify associated factors influencing NEAPs implementation from nurse administrators' perceptions. A qualitative approach was undertaken with 21 participants recruited from 7 tertiary hospitals in China that were conducting trials with NEAPs. Semi-structured interviews were carried out, recorded, and transcribed. Thematic analysis was used to identify themes in the data. Two main themes and five sub-themes were formed. Factors associated with NEAPs implementation were identified as individual level (self-stigma and confidentiality), organizational level (NEAPs funds, human resources, and venue setting), national level (national policy, NEAPs certification, and the guidelines of NEAPs implementation). NEAPs are important in solving burnout, compassion fatigue, and moral distress among Chinese nurses. NEAPs in China are still at an exploratory level, and some factors have hindered or promoted this innovation of NEAPs. Therefore, nurse administrators should establish a mutual-help environment and gain support from organizations and nations to foster NEAPs implementation.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70064"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484247","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":"Exploring the Mediating Role of Social Exchange Orientation in the Relationship Between Mentoring Experiences and Mentoring Intentions: A Cross-Sectional Study.","authors":"Tracy Alexis Kakyo, Lily Dongxia Xiao, Diane Chamberlain","doi":"10.1111/nhs.70034","DOIUrl":"10.1111/nhs.70034","url":null,"abstract":"<p><p>The study utilized a cross-sectional design to determine the relationship between positive and negative mentoring experiences and intentions to engage in future formal mentoring and the mediating role of aspects of social exchange theory particularly Negotiated Exchange Orientation and Perceived Organization Support. The study was conducted among 303 nurses and midwives working in acute care hospitals in Uganda. The results showed that, in the negative mentoring model, Perceived Organization Support fully mediated the relationship between lack of mentor expertise and willingness to participate in formal mentoring programs (B = -0.201, 95% CI [-0.399, -0.056]). In the positive mentoring model, indirect effects were observed for the relationship between Individual Influence variable and willingness to participate in formal mentoring programs mediated by Perceived Organization Support (B = 0.131, 95% CI [0.011, 0.283]). Furthermore, indirect effects were observed between the Relational Quality variable and willingness to participate in formal mentoring programs mediated by Negotiated Exchange Orientation (B = 0.081, 95% CI [0.008, 0.183]). Therefore, the social exchange theory can explain the relationship between past mentoring experiences and future intentions to engage in mentoring activities.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70034"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980450","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":"External Validation of Two 10-Year Stroke Risk Prediction Models Using Korean Genome and Epidemiology Study Data.","authors":"Eun Joo Lee, Seol Bin Kim, Ihn Sook Jeong","doi":"10.1111/nhs.70033","DOIUrl":"10.1111/nhs.70033","url":null,"abstract":"<p><p>This study aimed to externally validate two 10-year stroke risk prediction models: one developed in Korea (Model 1) and the other in China (Model 2), using community-based cohort data. Data from 8432 participants in Model 1 and 8915 participants in Model 2 were analyzed. Stroke risk was calculated based on each model's equations, and model performance was assessed using the area under the receiver operating characteristic curve (AUC). Age, blood pressure, and diabetes mellitus were significant common risk factors for stroke in both men and women. The AUCs of Model 1 were 0.72 for men and 0.68 for women, while those of Model 2 were 0.70 for men and 0.66 for women. When simplified to include 3-5 significant factors, the AUCs of Model 1 remained almost unchanged for both sexes, while those of Model 2 were 0.68 for men and 0.63 for women. In conclusion, the performance of both models was insufficient for the participants in this study. Therefore, it is suggested that stroke prediction models be developed using the most significant risk factors of each target population.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70033"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980454","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}
Adile Savsar, Özgül Karayurt, Murat Kiliç, Gülay Aksu Kul
{"title":"Investigation of Sleep Quality and Intolerance of Uncertainty in Liver Transplant Recipients: A Cross-Sectional Study.","authors":"Adile Savsar, Özgül Karayurt, Murat Kiliç, Gülay Aksu Kul","doi":"10.1111/nhs.70029","DOIUrl":"10.1111/nhs.70029","url":null,"abstract":"<p><p>Liver transplant recipients experience many uncertainties after transplantation. Also, sleep problems are common among them. This study aimed to examine intolerance of uncertainty and sleep quality in liver transplant recipients. A descriptive and cross-sectional study was conducted with 117 liver transplant recipients followed in the outpatient clinic of a liver transplant center. Data were collected using a sociodemographic and clinical features form, the Intolerance of Uncertainty Scale-12 and the Pittsburgh Sleep Quality Index between May and September in 2023. The data were analyzed using descriptive statistics, correlation analysis and regression analysis. The recipients had a high mean score of 41.04 ± 13.11 (min-max: 12-60) on the Intolerance of Uncertainty Scale-12. Age was predictive of uncertainty. Indeed, young recipients had higher intolerance of uncertainty. The recipients had a low score of 7.33 ± 3.57 (min-max: 1-21) on the Pittsburgh Sleep Quality Index. The prevalence of sleep problems was 65%. Experiencing complications after transplantation was predictive of and worsened sleep quality. The sleep quality of the recipients had no relation with intolerance of uncertainty and inhibitory anxiety, but it had a relation with prospective anxiety.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70029"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015052","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":"Experience of Aging-In-Place in Older Adults Living Alone With Chronic Disease in Rural Areas in South Korea: A Grounded Theory Approach.","authors":"Go-Eun Park, Hye-Young Jang","doi":"10.1111/nhs.70063","DOIUrl":"10.1111/nhs.70063","url":null,"abstract":"<p><p>Rural areas in South Korea lack adequate healthcare facilities, and many older people wish to continue living in their current environment despite these challenges. This study derives a substantive theory on the aging-in-place process among older people living alone with chronic diseases in rural areas. Purposeful and theoretical sampling were used to select 18 participants. In-depth interviews were conducted over 3 months, and data were analyzed using Strauss and Corbin's grounded theory method. Twelve categories and 28 subcategories were identified, with the core category being \"enduring inconvenience and utilizing available resources to live in a familiar environment.\" Participants faced challenges such as limited healthcare, isolation, and difficulty managing chronic illnesses. However, their desire to age in place was rooted in preserving their hometown's history. To cope, they practiced healthy behaviors, used social welfare services, and adapted their homes for safety. Four stages emerged: \"preserving,\" \"enduring,\" \"utilizing,\" and \"living.\" Our findings highlight the need for policies supporting older people with chronic diseases in rural areas to maintain their independence and connection to familiar environments.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70063"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433106","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}
Sultan Türkmen Keskin, Ebru Sönmez Sari, Şahinde Canbulat, Fatma Özlem Öztürk
{"title":"Fear of Falling Avoidance Behavior on Daily Living Activities and Physical Activity in Older Adults: A Cross-Sectional Study.","authors":"Sultan Türkmen Keskin, Ebru Sönmez Sari, Şahinde Canbulat, Fatma Özlem Öztürk","doi":"10.1111/nhs.70060","DOIUrl":"10.1111/nhs.70060","url":null,"abstract":"<p><p>The aim of this study was to investigate the effect of avoidance behavior due to fear of falling on dependency levels in activities of daily living and physical activity levels in older adults. This study is a cross-sectional research design. Data were collected between November 2023 and March 2024. A total of 506 individuals aged 65 years and over participated in the study (mean age 71.26). It was determined that the older adults had low level of fear of falling avoidance behaviors were fully independent in activities of daily living and had low level of physical activity. The multiple linear regression analysis showed that age, marital status, education, living with and fear of falling avoidance behavior affected daily living activities; age, place of residence, gender, income status, chronic disease status, and fear of falling avoidance behavior affected physical activity level (R<sup>2</sup> = 0.183; R<sup>2</sup> = 0.197, respectively). This study revealed the necessity of interventions to prevent fear of falling avoidance behaviors in order to increase the activities of daily living and physical activity levels among older adults.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70060"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484569","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":"Examining the Relationship Between Healthy Life Awareness and Psychological Well-Being in Liver Transplantation Patients: A Structural Equation Model.","authors":"Sevinç Meşe, Pınar Harmancı","doi":"10.1111/nhs.70061","DOIUrl":"10.1111/nhs.70061","url":null,"abstract":"<p><p>This study aimed to evaluate the mediating role of healthy life awareness in the relationship between the sociodemographic characteristics and psychological well-being of liver transplant patients. The sample of the study consisted of 202 patients aged between 18 and 69 years who underwent liver transplantation surgery at a hospital in Turkey. The data were collected using a sociodemographic information form, the \"Healthy Life Awareness Scale\" and the \"Psychological Well-Being Scale.\" Healthy life awareness directly predicted psychological well-being (β: 0.68, p < 0.01). Education positively predicted psychological well-being both directly (β: 0.14, p < 0.05) and indirectly through healthy life awareness (β: 0.76, p < 0.05). Age indirectly predicted healthy life awareness and psychological well-being through employment status and education. The income level positively predicted healthy life awareness (β: 0.14, p < 0.05), whereas gender (male) negatively predicted healthy life awareness (β: -0.22, p < 0.01). Healthy life awareness was a significant predictor of psychological well-being. The results of this study may offer valuable information for healthcare providers to tailor interventions that also support mental and emotional health, which is critical to the long-term success of transplant outcomes.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70061"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366445","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":"Construction of Internet Plus Wound Care Service Quality Evaluation System Based on Donabedian and SERVQUAL Models-A Delphi-Analytic Hierarchy Process Study.","authors":"Li Wei, Xin Zhang, Huimin Li, Yanmei Wang, Minghui Lu, Qianwen Chai","doi":"10.1111/nhs.70051","DOIUrl":"10.1111/nhs.70051","url":null,"abstract":"<p><p>The objective of this study was to develop an Internet Plus wound care service quality evaluation system within the context of digital and intelligent medical care services. We utilized the Donabedian and SERVQUAL models as the theoretical framework, establishing an initial evaluation system through a literature review and semi-structured interviews. This evaluation system was refined through two rounds of Delphi expert consultations, and the weights of each level of indicators were determined using the Analytic Hierarchy Process (AHP). The statistical results indicated a return rate of 100%, with authority coefficients of the experts at 0.898 and 0.906, respectively. The experts' opinions were relatively concentrated and consistent. After two rounds of consultations, the importance values of indicators exceeded 4.5 points, the variation coefficient was below 0.25, and the Kendall coordination coefficients for secondary and tertiary indicators were 0.163 and 0.131, respectively, all with p < 0.001. The final indicator system comprised 3 primary indicators, 10 secondary indicators, and 59 tertiary indicators, demonstrating strong scientific validity and reliability.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70051"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080833","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}
Yingchun Liu, Bin Wu, Jiping Yu, Rong Su, Yaping Hong, Qiong Shi, Ping Chen, Jianfang Zhang
{"title":"The Role of Illness Perception and Help-Seeking Attitudes on Positive Psychological Well-Being and Quality of Life in People With Chronic Wounds.","authors":"Yingchun Liu, Bin Wu, Jiping Yu, Rong Su, Yaping Hong, Qiong Shi, Ping Chen, Jianfang Zhang","doi":"10.1111/nhs.70067","DOIUrl":"10.1111/nhs.70067","url":null,"abstract":"<p><p>Chronic wounds are a substantial health burden, adversely affecting patients' overall quality of life. This study explored the association between positive psychological well-being and quality of life and the mediating roles of illness perceptions and attitudes toward medical help-seeking among people with chronic wounds. A total of 208 people with chronic wounds from three hospitals in China were recruited. Data were collected using the Brief Illness Perception Questionnaire, Attitudes Toward Medical Help-Seeking Scale, the Well-being in Wounds Inventory, and the Questionnaire on Quality of Life with Chronic Wounds. Participants reported poor health-related quality of life. The structural equation model revealed that the overall indirect impact of positive psychology on quality of life was 38.93%. This impact was divided into three components: disease perception accounted for 26.67% of the total indirect effect, attitude toward medical care accounted for 8.50%, and the combined effect of both factors accounted for 3.75%. This suggests that higher positive psychological well-being may lead to higher quality of life by reducing illness perception and improving attitudes toward medical help-seeking.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70067"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433723","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":"Nursing and Midwifery Students' COVID-19 Vaccine Regrets and Future Vaccination Intentions: A Mixed Methods Study.","authors":"Ali Tayhan, Esra Bozhan Tayhan, Damla Şahin Büyük","doi":"10.1111/nhs.70039","DOIUrl":"10.1111/nhs.70039","url":null,"abstract":"<p><p>Regret over COVID-19 vaccine decisions is a post-pandemic phenomenon that needs further research. This mixed-method research was conducted to examine nursing-midwifery students' COVID-19 vaccine decision regret and their intention to get vaccinated in the next pandemic. The research includes quantitative and qualitative research processes. In the first phase, a quantitative (cross-sectional) study was conducted, collecting data from 602 participants who met the inclusion criteria. In the second phase, semi-structured interviews were conducted with 16 participants. Data were collected using the Decision Regret Scale and semi-structured interview form. Data were analyzed using Student's t-test, one-way anova test, and inductive content analysis, and reported using Good Reporting of a Mixed Methods Study. In the study, it was determined that 96.3% of the participants had received the COVID-19 vaccine and 50.0% regretted getting vaccinated. As a result of the analysis of qualitative data, the following themes emerged that could reveal the reasons for vaccine regret; forced compliance, a strange pandemic, unknown effects, and vaccine hesitancy. Students' experiences in the COVID-19 pandemic have the potential to increase negative attitudes towards their vaccines.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70039"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015053","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}