Nursing & Health Sciences最新文献_第10页

Successes and Challenges in Implementing Stepped Care for Mental Health in Jordan: A Qualitative Process Evaluation. 在约旦实施阶梯式心理健康护理的成功和挑战：定性过程评价。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70054

Latefa Ali Dardas, Rand Habashneh, Dharni Keyan, Ammar Ali, Rayan Saleh, Ibrahim Said Aqel, Adnan Abualhaija, Richard Bryant

{"title":"Successes and Challenges in Implementing Stepped Care for Mental Health in Jordan: A Qualitative Process Evaluation.","authors":"Latefa Ali Dardas, Rand Habashneh, Dharni Keyan, Ammar Ali, Rayan Saleh, Ibrahim Said Aqel, Adnan Abualhaija, Richard Bryant","doi":"10.1111/nhs.70054","DOIUrl":"10.1111/nhs.70054","url":null,"abstract":"The stepped care model is a hierarchical healthcare approach that matches treatment intensity to a patient's condition, ensuring efficient resource use while providing appropriate care. This study conducted a qualitative process evaluation to assess the feasibility, acceptability, and contextual suitability of a multicenter, parallel-group, superiority, randomized controlled trial addressing psychological distress among adults in Jordan. The trial applied the stepped care framework using two scalable WHO interventions adapted to the Jordanian context. Qualitative data was gathered through focus group discussions and phone interviews with 44 participants, facilitators, and assessors. Two themes emerged: (1) Navigating Transformations, highlighting participants' personal growth, including improved self-esteem, family dynamics, and coping mechanisms, alongside the benefits of group sessions and supportive relationships with facilitators; and (2) Navigating Challenges and Improvements, focusing on logistical and personal difficulties such as scheduling issues, and suggestions for improving accessibility and engagement. Findings support the feasibility of the stepped care model as a promising approach to providing accessible and effective mental health support in Jordan. The study calls for hybrid models integrating group and individual support while emphasizing the need for enhanced facilitator training and support systems.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70054"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366619","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}

引用次数: 0

Development of the Team Evaluation and Assessment Measure Quality Improvement (TEAM-QI) and Proof-Of-Concept Testing in Maternity Teams. 在产妇团队中开发团队评估和评估措施质量改进（Team - qi）和概念验证测试。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70049

Sarah Beck, Jenny Harris, James Green, Benjamin W Lamb, Mehrnoosh Aref-Adib, Debra Bick, Cath Taylor

{"title":"Development of the Team Evaluation and Assessment Measure Quality Improvement (TEAM-QI) and Proof-Of-Concept Testing in Maternity Teams.","authors":"Sarah Beck, Jenny Harris, James Green, Benjamin W Lamb, Mehrnoosh Aref-Adib, Debra Bick, Cath Taylor","doi":"10.1111/nhs.70049","DOIUrl":"10.1111/nhs.70049","url":null,"abstract":"Poor teamwork is often implicated in serious healthcare delivery failings, leading to calls for effective team improvement interventions. Taking a complex, adaptive systems perspective, we adapted an oncology team quality improvement program to make it appropriate for other areas of clinical care. Study phases included: (1) meetings with National Health Service, policy and service user representatives (n = 19), a rapid review of existing maternity teamwork interventions, and mapping of the proposed program content to an evidence-based model of team effectiveness; (2) feasibility and acceptability testing of the team questionnaire component, and content analysis of free-text responses with four maternity teams within two NHS Trusts (n = 26). Meetings with representatives highlighted the importance of non-punitive, continuous team-led assessment, and the ability to compare performance to similar teams while enabling adaptability to different team types. Program content mapped well to known components of team effectiveness. Internal consistency of the questionnaire was acceptable (Cronbach alpha = 0.79-0.92). Most team members (76.9%) reported benefits in identifying priorities for improvement. Preliminary proof of concept was supported but larger-scale evaluation including testing in other clinical areas is warranted.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70049"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11790520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123633","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}

引用次数: 0

A Latent Class Analysis of Resilience and Its Relationship With Care Burden and Psychological Distress in Family Caregivers of Older Adults With Disability. 残疾老年人家庭照顾者心理弹性及其与照顾负担和心理困扰关系的潜类分析。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70069

Yutian Niu, Zelin Xu, Jingjing Huang, Shihong Guo, Ting Lou, Xiaoling Bai, Anni Wang

{"title":"A Latent Class Analysis of Resilience and Its Relationship With Care Burden and Psychological Distress in Family Caregivers of Older Adults With Disability.","authors":"Yutian Niu, Zelin Xu, Jingjing Huang, Shihong Guo, Ting Lou, Xiaoling Bai, Anni Wang","doi":"10.1111/nhs.70069","DOIUrl":"10.1111/nhs.70069","url":null,"abstract":"Given the challenging circumstances of aging with disability, family caregivers (FGs) face significant strain. Resilience, however, is a crucial protective factor against adverse caregiving outcomes. The study thus aimed to determine the latent classes of resilience among FGs and examine how these classes are related to care burden and psychological distress. This was a cross-sectional descriptive study that included 248 FGs in China. Latent class analysis was conducted to determine the classes of resilience exhibited by FGs. The study revealed four distinct classes of resilience: the high resilience class, high tenacity but moderate strength-optimism class, moderate resilience but low autonomy class, and low resilience class. FGs with secondary caregivers and those who were older were more likely to be part of the high resilience class. Furthermore, caregivers in the high resilience class had significantly lower burdens, less psychological distress, and greater resilience. Therefore, family caregivers' resilience can be classified according to characteristics; more attention should be given to caregivers who are younger and lack the support of secondary caregivers; and targeted interventions should be developed based on resilience classification characteristics.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70069"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598141","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}

引用次数: 0

Patient Education During Hospitalization From the Perspective of Nurse Managers: A Qualitative Study. 护理管理者视角下的住院患者教育：质性研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70052

Jessica Longhini, Elisa Ambrosi, Barbara Tescaro, Noemi Derugna, Maria Luisa Ferro, Federica Canzan

{"title":"Patient Education During Hospitalization From the Perspective of Nurse Managers: A Qualitative Study.","authors":"Jessica Longhini, Elisa Ambrosi, Barbara Tescaro, Noemi Derugna, Maria Luisa Ferro, Federica Canzan","doi":"10.1111/nhs.70052","DOIUrl":"10.1111/nhs.70052","url":null,"abstract":"The aim of this study was to explore patient education in surgical and medical wards from the perspective of nurse managers. A qualitative descriptive study was conducted with 28 nurse managers from 34 wards in two hospitals, using content analysis. Three themes were identified. The first \"Characteristics of patient education\" highlights the definitions, goals, and interdisciplinary nature of patient education, emphasizing its role in promoting autonomy and safe discharge. The second \"Delivering patient education\" focuses on the content, methods, and timing of education. While some managers supported routine care integration, others preferred dedicated sessions, highlighting a need for flexibility in approaches. The third \"Evaluating and Improving Patient Education\" examines assessment strategies, outcome tracking, and quality maintenance. Effective patient education was linked to reduced readmissions and fewer support calls. Documentation was seen as both essential and burdensome. The study underscores the complexity and benefits of patient education while addressing challenges like time constraints and workload. Recommended strategies include staff training, developing educational tools, structured but flexible approaches, enhanced documentation, and fostering interprofessional collaboration.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70052"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081078","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}

引用次数: 0

Exploring Family Caregiver Burden Using the Ecological Model: Insights From Thailand's Older Population. 利用生态模型探索家庭照顾者负担：来自泰国老年人口的见解。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70057

Phanida Juntasopeepun, Donna Z Bliss, Jirawan Deeluea, Jittawadee Rhiantong

{"title":"Exploring Family Caregiver Burden Using the Ecological Model: Insights From Thailand's Older Population.","authors":"Phanida Juntasopeepun, Donna Z Bliss, Jirawan Deeluea, Jittawadee Rhiantong","doi":"10.1111/nhs.70057","DOIUrl":"10.1111/nhs.70057","url":null,"abstract":"This study aimed to assess the burden of caregiving and identify factors predicting caregiver burden among family caregivers of community-dwelling older adults. Family caregivers of older adults face significant challenges in their caregiving responsibilities. Although some studies have examined factors related to caregiver burden among these caregivers, they are often limited in scope and frequently lack comprehensive theoretical frameworks and large population-based samples. This study conducted a secondary data analysis using the 7th Thailand National Survey of Older Persons from 2021. The analysis focused on 3192 dyads of older adults and their primary family caregivers. Primary family caregivers in this study generally experienced a mild burden. Higher caregiver burden was associated with leaving the workforce, being in an extended family, the older adult having poorer health, higher ADL dependency, age under 90 years, and poor hearing ability, and lack of community health worker visits. Addressing these findings can enhance nursing practices and health policies, providing more effective support to family caregivers and improving the well-being of both caregivers and older adults.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70057"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392325","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}

引用次数: 0

Relationships and Synergistic Effects of Body Mass Index and Blood Glucose Marker on the Ankle-Brachial Index in Adult With Type 2 Diabetes Mellitus: A Cross-Sectional Study. 体重指数和血糖指标与成人2型糖尿病踝肱指数的关系及协同作用：一项横断面研究

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70055

Siti Fadlilah, Herlin Ajeng Nurrahma, Sumarni Sumarni, Jia Ruey Tsai, Wei-Jun Wang, Hsiu Ting Tsai

{"title":"Relationships and Synergistic Effects of Body Mass Index and Blood Glucose Marker on the Ankle-Brachial Index in Adult With Type 2 Diabetes Mellitus: A Cross-Sectional Study.","authors":"Siti Fadlilah, Herlin Ajeng Nurrahma, Sumarni Sumarni, Jia Ruey Tsai, Wei-Jun Wang, Hsiu Ting Tsai","doi":"10.1111/nhs.70055","DOIUrl":"10.1111/nhs.70055","url":null,"abstract":"This study aimed to identify the independent and synergistic effects of body mass index, fasting blood glucose, and hemoglobin A1c on ankle-brachial index in type 2 diabetes mellitus. This cross-sectional study involved 1096 participants who were measured using questionnaires, a digital scale, and a height measurement device. Blood marker was examined using fasting venous blood. The ankle-brachial index was measured using Doppler ultrasound. A multinomial logistic regression was applied for adjusting confounders. Participants who were obese significantly increased 2.12- and 1.86-fold risk of a low and a high ankle-brachial index (p < 0.05), respectively. Participants with abnormal fasting blood glucose significantly increased 1.79- and 2.05-fold risk of a low and a high ankle-brachial index (p < 0.05). Participants with hemoglobin A1c > 6.5% significantly increased 1.71- and 1.76-fold risk of a low and a high ankle-brachial index (p < 0.05), respectively. Participants with abnormalities for all three indices synergistically increased 12.31- and 5.31-fold risk of a low and a high ankle-brachial index (p < 0.001), respectively. Abnormal body mass index, fasting blood glucose, and hemoglobin A1c readings significantly, independently, and synergistically increased the risk of an abnormal ankle-brachial index.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70055"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366610","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}

引用次数: 0

Barriers and Enablers of Primary Healthcare Professionals in Health Research Engagement: A Systematic Review of Qualitative Studies. 初级卫生保健专业人员参与卫生研究的障碍和促进因素：定性研究的系统回顾。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70022

Mark Matheson, Ian W Skinner, Arianne Vehagen, Sean Mc Auliffe, Peter Malliaras

{"title":"Barriers and Enablers of Primary Healthcare Professionals in Health Research Engagement: A Systematic Review of Qualitative Studies.","authors":"Mark Matheson, Ian W Skinner, Arianne Vehagen, Sean Mc Auliffe, Peter Malliaras","doi":"10.1111/nhs.70022","DOIUrl":"10.1111/nhs.70022","url":null,"abstract":"Health professional engagement ensures relevant, clinically focused research that informs evidence-based care. Research shows health professionals may not engage optimally in research. Understanding barriers and enablers influencing participation is necessary to enhance engagement. This systematic review explores these factors among primary healthcare professionals. We searched peer-reviewed studies using CINAHL, Medline, and SCOPUS in February 2023, updated in June 2024. The review followed PRISMA and the ENTREQ checklist. Studies included those published in English, reporting factors influencing engagement among primary healthcare professionals. Qualitative data were extracted and thematically synthesized. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Nineteen studies were included. Enablers include individual positive attitudes and a scholarly environment. Barriers include negative attitudes, an unconducive environment, and system constraints. Primary health professionals view research engagement positively, recognizing its potential to enhance health outcomes, professional growth, and business performance. Balancing clinical responsibilities, workload and research is challenging. Targeted strategies promoting partnerships and stakeholder involvement can foster a scholarly environment and empower research engagement.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70022"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11718354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957889","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}

引用次数: 0

Educational Challenges for Post-Graduate Nursing Students Throughout the COVID-19 Pandemic: A Scoping Review. 2019冠状病毒病大流行期间护理研究生的教育挑战：范围审查

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70032

Chiung-Jung Jo Wu, Shu-Ming Chen, Mary-Anne Ramis

{"title":"Educational Challenges for Post-Graduate Nursing Students Throughout the COVID-19 Pandemic: A Scoping Review.","authors":"Chiung-Jung Jo Wu, Shu-Ming Chen, Mary-Anne Ramis","doi":"10.1111/nhs.70032","DOIUrl":"10.1111/nhs.70032","url":null,"abstract":"The COVID-19 pandemic had immediate impact on nursing students enrolled in postgraduate and post-registration nursing courses. Some students were required to undertake additional clinical hours and place their studies on hold, while others had clinical experiences and face-to-face classes suspended, with online learning modes quickly mobilized. While there have been many reports on the impact and experience of these changes on undergraduate students, limited reports have focused on challenges for nursing students who were registered for practice following completion of their undergraduate studies, and were enrolled in higher degree, postgraduate education programs. A scoping review was conducted to examine the literature reporting on education changes and challenges that occurred during the COVID-19 pandemic, with specific focus on the postgraduate student learning experience. The review followed reporting guidance by PRISMA-ScR and was underpinned by JBI methods. Seven databases were searched for relevant citations, published in any language, between 2019 and 2022. A protocol was registered on Open Science Framework. From 4207 citations retrieved, 14 studies were included focusing specifically on postgraduate student experiences and/or impact following curriculum changes from the pandemic. These studies included 2476 graduate students across various courses. Findings included mixed responses to e-learning and changes in clinical environments, and with additional concerns such as financial stress, mental health needs and basic food needs reported. Inequity in resources and training was also highlighted. The few studies found to focus specifically on this cohort is a notable finding and highlights a need for further research specific to post-graduate nursing students' educational needs.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70032"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11737895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015048","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}

引用次数: 0

Exploring the Mediating Role of Social Exchange Orientation in the Relationship Between Mentoring Experiences and Mentoring Intentions: A Cross-Sectional Study. 社会交换取向在师徒经历与师徒意向关系中的中介作用：一项横断面研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70034

Tracy Alexis Kakyo, Lily Dongxia Xiao, Diane Chamberlain

{"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":"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.","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}

引用次数: 0

External Validation of Two 10-Year Stroke Risk Prediction Models Using Korean Genome and Epidemiology Study Data. 使用韩国基因组和流行病学研究数据的两种10年卒中风险预测模型的外部验证。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2025-03-01 DOI: 10.1111/nhs.70033

Eun Joo Lee, Seol Bin Kim, Ihn Sook Jeong

引用次数: 0