Nursing & Health Sciences最新文献_第2页

Exploring nurses' difficulties and strategies when caring for patients with dementia in a neurological ward 探讨护士在神经科病房护理痴呆症患者时遇到的困难和采取的策略

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-17 DOI: 10.1111/nhs.13119

Ko‐Xin Chen, Min‐Chi Pai, Wei‐Pin Hong, Chi‐Jane Wang, Jing‐Jy Wang

{"title":"Exploring nurses' difficulties and strategies when caring for patients with dementia in a neurological ward","authors":"Ko‐Xin Chen, Min‐Chi Pai, Wei‐Pin Hong, Chi‐Jane Wang, Jing‐Jy Wang","doi":"10.1111/nhs.13119","DOIUrl":"https://doi.org/10.1111/nhs.13119","url":null,"abstract":"Nurses in neurological wards face numerous challenges when caring for patients with dementia, particularly those who also present other acute illnesses. However, studies focusing on this area are limited. This study aimed to explore the difficulties and strategies in caring for patients with dementia among nurses working in a neurological ward. A qualitative descriptive design was adopted. Twelve nurses from a neurology ward participated in individual semi‐structured interviews. The data collected through these interviews were subjected to qualitative content analysis. Two main themes emerged from the analysis: (i) various shortcomings and concerns, which include subthemes: insufficient support, worry about patient safety, inadequate care ability of the caregiver, and insufficient self‐competence, and (ii) unique clinical strategies, which include subthemes: cooperate with the caregiver, improve self‐competence in dementia care, and employ meticulous resorts. The findings highlighted the nurses' dedication to minimizing patient risks and utilizing available resources as well as stakeholders to provide optimal care. To enhance patient care quality, it is essential to support nurses by addressing care‐related barriers, offering continuous education, and establishing care pathways.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"68 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140609128","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

Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross‐sectional descriptive study 新生儿重症监护室护士文化能力的生态预测因素：横断面描述性研究

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-12 DOI: 10.1111/nhs.13115

Na Rae Kim, Ja‐yin Lee, Jiyoung Park, Siew Tiang Lau

{"title":"Ecological predictors of cultural competence among nurses in the neonatal intensive care unit: A cross‐sectional descriptive study","authors":"Na Rae Kim, Ja‐yin Lee, Jiyoung Park, Siew Tiang Lau","doi":"10.1111/nhs.13115","DOIUrl":"https://doi.org/10.1111/nhs.13115","url":null,"abstract":"Active migration and globalization have led to increased opportunities for critical care nurses to care for patients from diverse racial and cultural backgrounds. This study thus aimed to identify the individual, interpersonal, and organizational factors affecting cultural competence levels among neonatal intensive care unit (NICU) nurses based on an ecological model. This was a cross‐sectional descriptive study that included 135 NICU nurses in South Korea. A hierarchical multiple linear regression analysis was conducted using the proposed ecological model, and a regression model for each of the four subdomains of cultural competence was constructed and compared. NICU nurses' cultural competencies were influenced not only by the “necessity of multicultural education” and “ethnocultural empathy” at the individual level but by the “hospital's readiness and support for cultural competencies” at the organizational level. To promote the cultural competence of nurses in critical care settings, environmental and organizational support should be improved, along with developing strategies that focus on nurses' individual characteristics. It is also necessary to investigate the “intersectionality” of the effects of individual and environmental factors on cultural competence.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"59 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565907","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

Trying to understand the illness: A qualitative investigation of health literacy of patients undergoing maintenance hemodialysis 试图理解疾病：对维持性血液透析患者健康知识的定性调查

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-12 DOI: 10.1111/nhs.13120

Berlian Ayu Rahmawati, Erna Rochmawati

{"title":"Trying to understand the illness: A qualitative investigation of health literacy of patients undergoing maintenance hemodialysis","authors":"Berlian Ayu Rahmawati, Erna Rochmawati","doi":"10.1111/nhs.13120","DOIUrl":"https://doi.org/10.1111/nhs.13120","url":null,"abstract":"Limited health literacy is high among patients with chronic kidney disease, which can pose challenges in health care. Evidence of health literacy in Indonesia, particularly regarding patients undergoing hemodialysis, is lacking. In this study, we aimed to explore health literacy in adult patients undergoing maintenance hemodialysis. An inductive qualitative study was conducted. Individual semi‐structured interviews were conducted with 10 adult patients undergoing hemodialysis, four family caregivers, and four healthcare professionals. Interviews were transcribed verbatim and analyzed thematically. Three themes emerged from the data: “Trying to understand the illness,” “searching and obtaining health information,” and “applying health information.” Understanding and accepting the illness included raising awareness of the changes in their lives and accepting these changes. Participants actively sought information from healthcare professionals and other sources and used it carefully. Behavioral changes included patients' adherence to therapy, although participants often felt bored during the illness trajectory. Understanding the illness and being willing to seek and critically evaluate health information before implementing it are important. These aspects may affect patient outcomes and require further intervention and research.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"240 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565920","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

Older persons' perceptions and experiences of community palliative care 老年人对社区姑息关怀的看法和体验

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-11 DOI: 10.1111/nhs.13122

引用次数: 0

Experiences of adults living with an implantable cardioverter defibrillator for cardiovascular disease 植入式心律转复除颤器治疗心血管疾病的成年人的生活经历

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-11 DOI: 10.1111/nhs.13121

引用次数: 0

The effect of education given to hemodialysis patients based on the Roy Adaptation Model on fluid management, symptom control, and quality of life 根据罗伊适应模式为血液透析患者提供的教育对液体管理、症状控制和生活质量的影响

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-04 DOI: 10.1111/nhs.13118

Ozlem Ozdemir, Serap Unsar

{"title":"The effect of education given to hemodialysis patients based on the Roy Adaptation Model on fluid management, symptom control, and quality of life","authors":"Ozlem Ozdemir, Serap Unsar","doi":"10.1111/nhs.13118","DOIUrl":"https://doi.org/10.1111/nhs.13118","url":null,"abstract":"This study aimed to determine the effect of fluid management, symptom control, and quality of life on education based on the Roy Adaptation Model. This randomized controlled study was conducted with the participation of 107 patients (53 intervention, 54 control). Data were collected using the “Patient Data Collection Form,” “Fluid Control in Hemodialysis Patients Scale,” “Dialysis Symptom Index,” and “Nottingham Health Profile.” The forms were filled out through face‐to‐face interviews with the patients in the intervention and control groups at the 0th (onset), 1st, and 3rd months. The patients in the intervention group were trained with an education booklet based on the Roy Adaptation Model. The results revealed that the education given according to the Roy Adaptation Model improved the compliance with fluid control, quality of life, and symptom control of hemodialysis patients. It is recommended that education based on the Roy Adaptation Model be systematically used by hemodialysis nurses. The results are limited to the population included in the study, and further research on hemodialysis populations is needed.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"44 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565902","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

The relationship between ethnocentrism and xenophobia level and predictors: A descriptive and correlational study of nurses working in two cities where refugees live intensively in Turkey 种族中心主义与仇外心理水平之间的关系及预测因素：对在土耳其难民集中居住的两个城市工作的护士进行的描述性和相关性研究

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-03 DOI: 10.1111/nhs.13107

İpek Köse Tosunöz, Ebru Öztürk Çopur

{"title":"The relationship between ethnocentrism and xenophobia level and predictors: A descriptive and correlational study of nurses working in two cities where refugees live intensively in Turkey","authors":"İpek Köse Tosunöz, Ebru Öztürk Çopur","doi":"10.1111/nhs.13107","DOIUrl":"https://doi.org/10.1111/nhs.13107","url":null,"abstract":"Determining the ethnocentrism and xenophobia levels of nurses contributes to nurses' awareness regarding their attitudes on the issue and providing quality care. This descriptive and correlational study aimed to determine the relationship between ethnocentrism and xenophobia levels of nurses working in hospitals located in two different border regions where refugees live intensively in Turkey. The study was conducted with 386 nurses who were working in two different hospitals located in two cities in the south of Turkey. Data were collected using the “Personal Information Form,” “Ethnocentrism Scale,” and “Xenophobia Scale.” About half of the nurses did not want to care for foreign patients. There was a positive and statistically significant relationship between mean scores of the Ethnocentrism Scale and the Xenophobia Scale (p < 0.05). The regression analysis indicated that the level of ethnocentrism explains the level of xenophobia by 9%. Nurses had a high level of xenophobia and moderate ethnocentric attitudes. The level of xenophobia increased as the ethnocentrism level of nurses increased. It is recommended to conduct further studies to determine different predictors of xenophobia among nurses.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"18 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565914","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

Self‐management intervention for patients following hospitalization for acute exacerbation of chronic obstructive pulmonary disease (AECOPD): A pilot randomized controlled trial 慢性阻塞性肺病急性加重（AECOPD）住院患者的自我管理干预：随机对照试验

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-03 DOI: 10.1111/nhs.13114

Susan Barnason, Jennifer N. Miller, Sue Schuelke, Jessica J. Miller, Kevin Kupzyk

{"title":"Self‐management intervention for patients following hospitalization for acute exacerbation of chronic obstructive pulmonary disease (AECOPD): A pilot randomized controlled trial","authors":"Susan Barnason, Jennifer N. Miller, Sue Schuelke, Jessica J. Miller, Kevin Kupzyk","doi":"10.1111/nhs.13114","DOIUrl":"https://doi.org/10.1111/nhs.13114","url":null,"abstract":"The purpose of this study was to evaluate the handoff guidance (HG) self‐management intervention for multimorbid chronic obstructive pulmonary disease (COPD) patients following hospitalization for acute exacerbation of COPD (AECOPD) using HG self‐management intervention compared to a control group on COPD self‐management outcomes (self‐care, self‐efficacy, health engagement) and assess feasibility, acceptability, and healthcare utilization. A randomized pilot study used a 2‐group with repeated measures design. Adults with COPD who had been hospitalized for AECOPD were recruited. After discharge, the HG self‐management intervention employed health coaching delivered at: 1–3, 10–12, and 20–22 days after hospital discharge. Follow‐up data collected was collected at 1–3, 10–12, 20–22, 30, 60, and 90 days after hospital discharge. A total of 29 subjects participated, with a mean age of 66 (+8.7) years old, the majority were females (n = 18). Intervention participants reported the acceptability of the HG self‐management intervention. Participants in both groups continued to report COPD symptoms after discharge, which decreased over time, although not significantly different by group. The use of COPD maintenance, monitoring, and management behaviors was higher in the treatment group, although not significantly different.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"82 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565797","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

WhatsApp‐based intervention for people with type 2 diabetes: A randomized controlled trial 针对 2 型糖尿病患者的 WhatsApp 干预：随机对照试验

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-03 DOI: 10.1111/nhs.13117

Esmaeel Yaagoob, Regina Lee, Michelle Stubbs, Fatimah Shuaib, Raja Johar, Sally Chan

{"title":"WhatsApp‐based intervention for people with type 2 diabetes: A randomized controlled trial","authors":"Esmaeel Yaagoob, Regina Lee, Michelle Stubbs, Fatimah Shuaib, Raja Johar, Sally Chan","doi":"10.1111/nhs.13117","DOIUrl":"https://doi.org/10.1111/nhs.13117","url":null,"abstract":"Diabetes mellitus is a metabolic disease characterized by prolonged elevated blood glucose levels. Diabetes self‐management education and support programs are widely used in western countries. The impact of social media education and support interventions such as a WhatsApp‐based program and the nurses' role in supporting and implementing this self‐management program unclear. Using a WhatsApp‐based program, we evaluated the effects of a 6‐week program in improving self‐efficacy and education among people with type 2 diabetes mellitus in Saudi Arabia. Eligible participants (n = 80) were recruited with the support of nurses into a randomized controlled trial and randomly assigned into self‐management intervention and control groups. The intervention group (n = 40) received the self‐management program support and the usual care. The control group (n = 40) received only the usual care with nurses' support. Results from generalized estimating equation analysis showed a significant increase in self‐efficacy, self‐management, and education in the WhatsApp‐based intervention support group compared with the control group at 6 and 12 weeks (follow‐up). Implementing the program via social media improves self‐efficacy. The use of social media platforms should be promoted for global diabetes management.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"49 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565905","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

Professional approach to the care of women who have suffered a perinatal loss 围产期丧子妇女的专业护理方法

IF 2.7 3区医学

Nursing & Health Sciences Pub Date : 2024-04-03 DOI: 10.1111/nhs.13116

Ana Rubio‐Alvarez, Carmen Jiménez‐Ramos, Carolina Bravo‐Vaquero, Beatriz Pulgarín‐Pulgarín, Julián Rodríguez‐Almagro, Antonio Hernández‐Martínez

{"title":"Professional approach to the care of women who have suffered a perinatal loss","authors":"Ana Rubio‐Alvarez, Carmen Jiménez‐Ramos, Carolina Bravo‐Vaquero, Beatriz Pulgarín‐Pulgarín, Julián Rodríguez‐Almagro, Antonio Hernández‐Martínez","doi":"10.1111/nhs.13116","DOIUrl":"https://doi.org/10.1111/nhs.13116","url":null,"abstract":"To understand the experience, training, and needs of midwives in their approach to perinatal grief. A descriptive cross‐sectional study was carried out using an online questionnaire with 26 questions related to institutional management and individual clinical practices in the care of a perinatal loss was developed by a team of midwives from the Hospital “La Mancha‐Centro” of Alcazar de San Juan (Ciudad Real). Strobe checklist was followed. A total of 267 midwives participated. A total of 92.1% (246) of the centers had specific protocols for action, but each professional applied their own criteria. The presence of a perinatal psychology team was nonexistent according to 88% (235) of those surveyed. Regarding their training and professional experience, 16.5% (44) of the midwives had never received training. Only 4.1% (11) of the midwives felt very prepared to care for women with a perinatal loss. Among the factors associated with greater application of recommended practices in the face of perinatal death by midwives were being a woman, having prior training on care during perinatal death, and a greater perception of preparation (p < 0.05). The perception of lack of preparation on the part of midwives in the accompaniment of these families was high.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"74 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140565916","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