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":"https://doi.org/10.1111/nhs.70069","url":null,"abstract":"<p><p>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.</p>","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}
Weihong Ling, Chenxi Yang, Mu-Hsing Ho, Jung Jae Lee
{"title":"Effectiveness of Acupressure on Sleep Quality Among Inpatients: A Systematic Review and Meta-Analysis.","authors":"Weihong Ling, Chenxi Yang, Mu-Hsing Ho, Jung Jae Lee","doi":"10.1111/nhs.70075","DOIUrl":"10.1111/nhs.70075","url":null,"abstract":"<p><p>Sleep quality in adult inpatients is frequently and severely disturbed by various factors such as noise, pain, and unfamiliar surroundings, which can impair disease recovery. Acupressure is widely used to improve sleep quality in hospitalized patients, but its overall effectiveness is unclear. This meta-analysis aims to analyze the efficacy of acupressure therapy on sleep quality and sleep parameters in adult inpatients. Eight electronic databases were searched for randomized controlled trials published before April 2024. Two researchers independently screened, assessed, and extracted data from the included studies. A total of 41 studies involving 3680 subjects were included. The meta-analysis showed a significant difference between the acupressure and control groups in sleep quality (SMD = -1.58, 95% CI [-1.85, -1.31]), total sleep time (SMD = 1.12, 95% CI [0.40, 1.83]), sleep efficiency (SMD = 0.90, 95% CI [0.29, 1.52]), sleep onset latency (SMD = -0.73, 95% CI [-1.14, -0.33]), and wake after sleep onset (SMD = -1.32, 95% CI [-2.55, -0.09]). The meta-regression results suggested that the number of sessions daily and the duration of each session were significant factors influencing heterogeneity. Acupressure is an effective intervention to improve sleep quality and sleep parameters in inpatients.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70075"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574467","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":"Re-Determining My Position: Experiences of Adolescent Siblings of Pediatric Cancer Survivors.","authors":"Sunhee Lee, Da-Suel Lee","doi":"10.1111/nhs.70072","DOIUrl":"10.1111/nhs.70072","url":null,"abstract":"<p><p>Pediatric cancer diagnoses disrupt not only patients and their parents' lives, but also siblings' lives and functioning. The purpose of this study was to investigate the lived adolescent experience within the family after a sibling was diagnosed with pediatric cancer. Eight adolescent siblings of pediatric cancer survivors participated in this descriptive qualitative study. In-depth interviews and qualitative analytic method were used. The semi-structured question consisted of \"experiences when the sick sibling was in treatment,\" \"the difficulties faced as a sibling of a sick child,\" and \"the causes of stress and how to relieve stress in the relationship with the sibling.\" Three themes and nine subthemes were developed from the data. The three themes comprised \"worried about family,\" \"feeling excluded,\" and \"becoming a supporter for family.\" The findings of this study indicated that adolescents tended to experience worry about their family and a feeling of exclusion, but also became a supporter for their family. Healthcare providers need to suggest that parents provide emotional support for children remaining at home and express gratitude to healthy children who are overcoming a difficult situation.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70072"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11890429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517147","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}
Wan-Ching Shen, Jong-Ni Lin, Shao-Hua Chan, Li Yuh-Shiow, Jing-Jy Wang
{"title":"Exploring Care Challenges and Needs of People With Diabetes Comorbid Cognitive Impairment From the Triangular Perspectives.","authors":"Wan-Ching Shen, Jong-Ni Lin, Shao-Hua Chan, Li Yuh-Shiow, Jing-Jy Wang","doi":"10.1111/nhs.70081","DOIUrl":"https://doi.org/10.1111/nhs.70081","url":null,"abstract":"<p><p>The study explored the challenges and needs in diabetes care for people with diabetes and comorbid cognitive impairment from the triangular perspectives of diabetes educators, patients, and family caregivers. The study employed a phenomenological research design with qualitative data collection, involving semi-structured interviews with 8 diabetes educators, 7 patients, and 6 caregivers. The data were gathered from a health education center in a hospital in Taiwan. Thematic analysis was utilized to analyze the qualitative data. Three categories with eight themes emerged. Challenges included \"care challenges in compliance\", \"limited family involvement\", and \"caregiver distress\". Needs were identified as \"training for educators on cognitive impairments\", \"caregiver education\", and \"standard care procedures\". Clinical realities showed \"inconsistent awareness\" and \"lack of consensus on resource referrals among professionals\". Diabetes care for people with cognitive impairment faces challenges including poor compliance and limited family cooperation, requiring better comorbidity training for educators and caregivers, and standardized care procedures for healthcare professionals. Findings can guide future training programs and serve as a resource for caregivers.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 1","pages":"e70081"},"PeriodicalIF":2.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664888","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":"Factors Associated With Medical Expenses Among Long-Term Care Insurance Recipients Aged 65 Years or Older in Korea.","authors":"Ok Kyung Ham, Insook Cho, Dahye Kim, Minhee Suh","doi":"10.1111/nhs.70020","DOIUrl":"https://doi.org/10.1111/nhs.70020","url":null,"abstract":"<p><p>This study examined the factors associated with medical expenses among LTCI (long-term care insurance) recipients in Korea. Secondary data analysis was performed using the 2019 Korea National Health Insurance (KNHI) reimbursement data of I metropolitan city. Data from 52 434 older adults who were LTCI recipients and living in I metropolitan city areas were included. Based on the Andersen healthcare utilization model, the variables included the predisposing (age, sex, and living alone), enabling (health insurance and place of residence), and need factors (disability, LTC grade, use of LTCI services, and participation in health screening). All the predisposing, enabling, and need factors were significant. Older age, higher LTC grade, use of visiting nursing service, admission to an aged care facility, and participation in health screenings were negatively associated with medical expenses. Females, those living alone, non-disabled individuals, medical aid beneficiaries, and rural residents were less likely to incur medical expenses. Appropriate use of LTCI services (e.g., visiting nursing) will help reduce unnecessary medical expenses. Nevertheless, access to health care services for older adults living alone in rural areas must be improved.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70020"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899847","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}
Ellen Christiane Correa Pinho, José Jorge Da Silva Galvão, Wenderson Melo Martins, Flavine Evangelista Goncalves, Cintia Yolette Urbano Pauxis Aben-Athar, Richardson Augusto Rosendo da Silva, Eliã Pinheiro Botelho, Carlos Leonardo Figueirdo Cunha, Glenda Roberta Oliveira Naiff Ferreira
{"title":"Knowledge About Sexually Transmitted Infections and Associated Factors Among Brazilian Riverside People.","authors":"Ellen Christiane Correa Pinho, José Jorge Da Silva Galvão, Wenderson Melo Martins, Flavine Evangelista Goncalves, Cintia Yolette Urbano Pauxis Aben-Athar, Richardson Augusto Rosendo da Silva, Eliã Pinheiro Botelho, Carlos Leonardo Figueirdo Cunha, Glenda Roberta Oliveira Naiff Ferreira","doi":"10.1111/nhs.70002","DOIUrl":"https://doi.org/10.1111/nhs.70002","url":null,"abstract":"<p><p>Riverside populations in the Amazon are considered vulnerable due to their living conditions, social aspects, and access to health services; therefore, they may be more exposed to sexually transmitted infections. The objective of this study is to analyze knowledge about STI and associated factors in the riverside population of a metropolis from the Brazilian Amazon. A cross-sectional study carried out in the Combú environmental protection area. The participants were individuals aged at least 18 years old living in the study area. A questionnaire on knowledge about STI was applied, in addition to another one on associated factors. Multiple binary logistic regression was performed in Minitab 22. A total of 325 riverside dwellers participated in the study. Participants with low schooling levels, incomes below one minimum wage and who had never taken any rapid HIV tests are twice as likely to having low knowledge about STI. Those who live with more people in the same household are more likely to presenting low knowledge levels. The social factors exerted a greater impact on low knowledge about STI.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70002"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808438","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":"Effect of eHealth Interventions on Symptom Management in CABG Surgical Patients: A Systematic Review.","authors":"Aydanur Aydin, Sevilay Senol Celik","doi":"10.1111/nhs.70005","DOIUrl":"https://doi.org/10.1111/nhs.70005","url":null,"abstract":"<p><p>This study aimed to evaluate the effectiveness of eHealth interventions on symptom management outcomes of patients undergoing CABG surgery. A systematic review was performed on CINAHL, PubMed, Web of Science, Ovid MEDLINE, and Scopus from 2006 to June 2022. The Joanna Briggs Institute's evaluation tools for RCT and quasi-experimental studies were used to assess the methodological quality of the publications included in this review and to determine the extent to which each publication addressed the possibility of bias in its design. The raters' agreement was determined by using Cohen's kappa test, which yielded a kappa coefficient of 0.51. (PROSPERO registration number: CRD42023398498). A systematic analysis of 11 publications involving 2.586 patients showed that the eHealth intervention effectively increased activity and self-management. eHealth interventions, which are also effective in the management of psychological problems, had results that were partially effective in pain management and effective in quality of life. Digital healthcare has become an important component of patient care. Nurses providing care should be aware that eHealth interventions are showing promising results in patient care.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70005"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899845","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":"Relationships Between Maternal Feeding Attitudes and Child Nutritional Problems.","authors":"Aylin Bayindir-Gümüş, Hülya Yardimci, Nevra Koç, Ece Sezer, Aysun Kara-Uzun","doi":"10.1111/nhs.70015","DOIUrl":"https://doi.org/10.1111/nhs.70015","url":null,"abstract":"<p><p>Childhood nutrition is critical for development however maternal feeding attitudes may influence feeding practices and subsequent outcomes. This study aimed to evaluate mothers' attitudes toward their children's feeding process and its relationship with characteristics and children's nutritional problems. One hundred thirty-five mother-child couples who attended the Social Pediatrics Outpatient Clinic of a hospital participated in the study. Researchers administered a survey form during face-to-face interviews. The form included demographic details about mother-child couples and two surveys. The first survey asked about child nutritional problems, and the second one comprised the Mother's Attitudes Towards the Feeding Process Scale (MATFPS). MATFPS provides five factors that including negative affect during meal, attitudes about insufficient/unbalanced feeding, negative feeding strategies, forced feeding, and reaction to the viewpoints of others. There was a negative correlation between mothers' \"negative affect during meal\" factor score and children's BMI (p < 0.05). The mean MATFPS scores of the mothers whose children had nutritional problems were statistically higher than others (p < 0.05). In conclusion, to ensure healthy nutrition for children, mothers may benefit from education to develop positive attitudes and proper feeding practices.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70015"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899858","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}
Chuchu Yan, Yawei Shan, Haiying Lu, Lin Han, Tong Xie, Wenxuan Wang
{"title":"Barriers to and Facilitators of e-Learning Health Education Based on the Mental Workload Framework: A Scoping Review.","authors":"Chuchu Yan, Yawei Shan, Haiying Lu, Lin Han, Tong Xie, Wenxuan Wang","doi":"10.1111/nhs.70006","DOIUrl":"10.1111/nhs.70006","url":null,"abstract":"<p><p>This scoping review of studies on patients' mental workload (MWL) in health education via e-learning was conducted to characterize the state of research and to identify barriers to and facilitators of e-learning. The Cochrane Library, PubMed, Embase, Web of Science, and PsycINFO electronic databases were searched through September 10, 2023. A descriptive analysis of study characteristics and a content analysis of barriers to and facilitators of MWL were conducted. Among the 2837 studies screened for eligibility, 38 were included. A relatively small number of articles used a comprehensive framework to explore barriers to and facilitators of e-learning or used indicators of MWL to assess application usability and user experience. Analyses of factors influencing the effectiveness of e-learning in health education identified key predictors across five domains: individual, task, technical, environmental, and interactive aspects. The incorporation of multifaceted influencing factors that contribute to optimizing the MWL should be a priority when using e-learning in health education. Future research should give more attention to investigating the generative mechanism of e-learning in health education to enhance targeted program design.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70006"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781686","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}
Tuba Sengul, Remziye Semerci, Seda Güney, Seda Karakaya Çataldaş
{"title":"Objective Structured Clinical Examination Perception Scale (OSCEPS) for Health Sciences Students: A Psychometric Evaluation Study.","authors":"Tuba Sengul, Remziye Semerci, Seda Güney, Seda Karakaya Çataldaş","doi":"10.1111/nhs.13188","DOIUrl":"10.1111/nhs.13188","url":null,"abstract":"<p><p>Objective Structured Clinical Examinations (OSCE) is an objective assessment approach that enables the evaluation of students' practical skills by simulating real clinical scenarios. This scale is specifically designed to evaluate the attributes and characteristics of the OSCE from the perspective of health sciences students, thereby filling a crucial gap in the existing assessment methods. This research conducted a methodological design involving 220 students from the faculties of medicine and nursing between 2022 and 2023. Data were gathered using a \"Descriptive Form\" and \"OSCEPS.\" Factor analyses were performed for research and validation to ascertain the scale's factorial structure. The factorial analysis was used to test the structural validity of the scale. A structure consisting of 19 items was developed. The Cronbach's alpha coefficient was 0.943. Fit indices resulting from the study were RMSEA = 0.084; GFI = 0.839; CFI = 0.902; IFI = 0.902; RFI = 0.824; NFI = 0.843; TLI = 0.889. This study proves that the OSCEPS is a highly reliable and valid scale with strong psychometric properties. It effectively assesses health sciences students' perceptions of OSCE, thereby enhancing the credibility and usefulness of this assessment tool.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e13188"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631135","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}