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Attitudes and Barriers to Patient Participation in Evidence-Based Practice From Chinese Nurses' Perspectives: A Qualitative Content Analysis. 从华人护士的角度看病人参与循证实践的态度和障碍:定性内容分析。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2024-12-01 DOI: 10.1111/nhs.70011
Jie Lai, Alison Brettle, Yujie Zhang, Chunlan Zhou, Yanni Zhou, Chaixiu Li, Jiaqi Fu, Shisi Deng, Zihan Guo, Yanni Wu
{"title":"Attitudes and Barriers to Patient Participation in Evidence-Based Practice From Chinese Nurses' Perspectives: A Qualitative Content Analysis.","authors":"Jie Lai, Alison Brettle, Yujie Zhang, Chunlan Zhou, Yanni Zhou, Chaixiu Li, Jiaqi Fu, Shisi Deng, Zihan Guo, Yanni Wu","doi":"10.1111/nhs.70011","DOIUrl":"10.1111/nhs.70011","url":null,"abstract":"<p><p>Patient participation plays a vital role in evidence-based practice (EBP), yet its development in clinical nursing is slow. Current research has focused on identifying barriers to patient participation in everyday care, with less research on barriers to patient participation in EBP. Therefore, a questionnaire containing basic information and open-ended questions was used to explore nursing staff attitudes and barriers to patient participation in EBP. Responses to the open-ended question were analyzed with content analysis. Four roles of patient participation, positive and negative attitudes toward patient participation, and 134 barriers to patient participation in EBP were extracted from 121 nursing staff responses through content analysis. Five categories of barriers were extracted from the 134 barriers to patient participation, including patient, cost-effectiveness of EBP, healthcare staff, organization, and resource. This study found that patients' acceptance and trust in EBP also influenced their participation in the practices. Moreover, nursing staff have little knowledge of engaging patients in EBP. More educational strategies and organizational support should be provided to patients and nurses to promote patient participation.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70011"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796504","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
Colder Climates and Dementia: An Ecological Analysis of Climate-Patterned Temperature's Influence on Neurological Health. 寒冷气候和痴呆:气候模式温度对神经系统健康影响的生态学分析。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2024-12-01 DOI: 10.1111/nhs.70012
Wenpeng You
{"title":"Colder Climates and Dementia: An Ecological Analysis of Climate-Patterned Temperature's Influence on Neurological Health.","authors":"Wenpeng You","doi":"10.1111/nhs.70012","DOIUrl":"https://doi.org/10.1111/nhs.70012","url":null,"abstract":"<p><p>Countries with lower climate-patterned temperatures (Tcp), typically colder, have not been consistently correlated with higher dementia risk in population studies. This study explores Tcp's influence on global and regional dementia rates. Country-specific Tcp data was analyzed alongside dementia incidence using bivariate analysis, partial correlation, and multiple linear regression. Factors like life expectancy (Life e(0)), economic affluence, genetic predisposition (Biological State Index), and urbanization were considered. Both Pearson's r and nonparametric tests revealed a significant inverse correlation between Tcp and dementia incidence, holding true even after adjusting for life expectancy, affluence, genetic predisposition, and urbanization. Multiple linear regression identified Tcp as a key predictor of dementia incidence, ranking second after life expectancy. Affluence, genetic predisposition, and urbanization did not significantly predict dementia rates. Tcp's predictive power was consistent across different country groups, with minor correlation variations between developing versus developed countries and LMICs versus high-income nations. Countries with colder climate (lower Tcp) may experience higher dementia rates, a correlation robust across major risk factors. Including Tcp in dementia studies is crucial for understanding its public health implications.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70012"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808432","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
mHealth-Based Self-Management Program for Patients With Rheumatoid Arthritis: A Pilot Randomized Controlled Study. 基于移动医疗的类风湿关节炎患者自我管理计划:一项试点随机对照研究。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2024-12-01 DOI: 10.1111/nhs.13187
Hyunjin Oh, Chang-Hee Suh, Ji-Won Kim, Sunjoo Boo
{"title":"mHealth-Based Self-Management Program for Patients With Rheumatoid Arthritis: A Pilot Randomized Controlled Study.","authors":"Hyunjin Oh, Chang-Hee Suh, Ji-Won Kim, Sunjoo Boo","doi":"10.1111/nhs.13187","DOIUrl":"10.1111/nhs.13187","url":null,"abstract":"<p><p>Rheumatoid arthritis (RA) is a chronic autoimmune disease that gradually limits physical function and decreases quality of life (QOL). We evaluated an mHealth-based self-management program to help patients with RA improve their physical and psychological health, self-efficacy, physical activity, and QOL. The sample included 73 experimental and 69 control participants. A pilot randomized controlled design was employed to identify the effectiveness of an 8-week mHealth-based self-management program, which comprised educational modules regarding disease management and exercise, cognitive training, and motivational support through mobile messages and periodic phone calls. Knowledge of the health effects of RA, disease activity, perceived health, depression, self-efficacy for controlling symptoms, physical activity, and QOL were evaluated pre- and postintervention and after the 4-week follow-up period. This pilot study indicates that the mHealth-based program for people with RA is feasible. The mHealth self-management program improved patients' knowledge of RA, depression, self-efficacy for controlling symptoms, physical activity, and perceived health; however, disease activity and QOL did not significantly change. This pilot study demonstrates the potential of mHealth intervention as an effective program for strengthening self-management capacities in patients with RA. Trial Registration: KCT0007523.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e13187"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11617501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584761","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
Prevalence and Risk Factors of Self-Reported Sarcopenia and Its Association With Multimorbidity in Community-Dwelling Older Adults: A Cross-Sectional Study. 社区老年人自述 "肌肉疏松症 "的患病率和风险因素及其与多病症的关系:一项横断面研究。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2024-12-01 DOI: 10.1111/nhs.13190
Youn-Jung Son, Yun Mi Lee, Da-Young Kim, Eun-Jung Kim, Jeong-Ah Ahn
{"title":"Prevalence and Risk Factors of Self-Reported Sarcopenia and Its Association With Multimorbidity in Community-Dwelling Older Adults: A Cross-Sectional Study.","authors":"Youn-Jung Son, Yun Mi Lee, Da-Young Kim, Eun-Jung Kim, Jeong-Ah Ahn","doi":"10.1111/nhs.13190","DOIUrl":"10.1111/nhs.13190","url":null,"abstract":"<p><p>This cross-sectional study aimed to identify the impact of multimorbidity on self-reported sarcopenia and compare the differences in the prevalence and associated factors of sarcopenia in community-dwelling older adults with and without multimorbidity. We enrolled 876 community-dwelling older adults in South Korea. Multimorbidity was defined as the coexistence of two or more chronic diseases, and sarcopenia was evaluated using the Strength, Assistance in walking, Rising from a chair, Climbing stairs, and Falling Questionnaire. Binomial logistic regression analyses were performed. Our study revealed that the prevalence of sarcopenia was significantly higher (43.5%) in older adults with multimorbidity than in those without multimorbidity (20.8%). This finding underscores the significant impact of multimorbidity on sarcopenia. We also found that poor perceived health status was the strongest predictor of sarcopenia in older adults with multimorbidity, while oldest-old age (≥ 85 years) was the strongest predictor of sarcopenia in those without multimorbidity. Large prospective cohort studies using objective sarcopenia screening tools are needed to demonstrate the synergistic effects of multimorbidity and sarcopenia on health outcomes among community-dwelling older adults.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e13190"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548596","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
General Hospital Nurses' Experience and Perception of Person-Centered Care: A Phenomenological Study. 综合医院护士以人为本护理的体验与感知:现象学研究。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2024-12-01 DOI: 10.1111/nhs.70007
Se Jin Hong, Eun Young Kim
{"title":"General Hospital Nurses' Experience and Perception of Person-Centered Care: A Phenomenological Study.","authors":"Se Jin Hong, Eun Young Kim","doi":"10.1111/nhs.70007","DOIUrl":"https://doi.org/10.1111/nhs.70007","url":null,"abstract":"<p><p>This study explored the general hospital nurses' experiences and perceptions of providing person-centered care using a Giorgi's phenomenological approach. Through purposive sampling, 10 nurses were selected from five general hospitals in Korea. We identified 83 codes, which were integrated into 17 subconstituents and further into four constituents: \"A comprehensive approach based on love for humanity,\" \"Providing customized nursing care through an individual approach,\" \"Building the expertise required as a nurse,\" and \"Challenges to actual nursing practice.\" These findings are valuable for understanding general hospital nurses' in-depth experiences providing person-centered care and their perceptions. Despite numerous challenges, nurses in general hospitals are attempting to deliver person-centered care comprehensively and tailored based on their expertise. Current challenges can be overcome by raising awareness about providing person-centered care in general hospitals and enhancing systems to minimize workloads. The results of this will be a crucial foundation for developing educational programs to increase nurses' understanding of person-centered care and encourage their practice. Furthermore, it will be useful in suggesting future directions for altering the nursing workforce or scope of work.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70007"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808435","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
Exploring the Illness Perceptions of Patients With Urostomy Based on the Common-Sense Model of Self-Regulation: A Descriptive Qualitative Study. 基于自我调节常识性模型的泌尿造口患者疾病认知的描述性定性研究
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2024-12-01 DOI: 10.1111/nhs.70001
Yan Chen, Zhijie Yan, Lusi Li, Yixing Liang, Liping Tang
{"title":"Exploring the Illness Perceptions of Patients With Urostomy Based on the Common-Sense Model of Self-Regulation: A Descriptive Qualitative Study.","authors":"Yan Chen, Zhijie Yan, Lusi Li, Yixing Liang, Liping Tang","doi":"10.1111/nhs.70001","DOIUrl":"https://doi.org/10.1111/nhs.70001","url":null,"abstract":"<p><p>Illness perceptions play a significant role in coping and self-management behaviors adopted by patients when facing health threats. To understand the illness perceptions of patients with urostomy, we conducted a descriptive qualitative study. An interview guide was formed based on the common-sense model of self-regulation(CSM), and 19 patients with urostomy were recruited through maximum variation purposive sampling for in-depth semi-structured interviews between January 2024 and June 2024. Five themes emerged from the analysis of the interview data through the thematic analysis method: (1) belief and view of the urostomy; (2) disruption of the usual order of life; (3) psychological burden and stress associated with urostomy management; (4) confusion and misconceptions about urostomy care; (5) coping strategies adopted for dealing with urostomy. Our study revealed the cognitive and emotional representations of patients with urostomy and identified that the coping strategies they adopted are oriented to illness perceptions and that illness perceptions also influence the choice of coping strategies. This study provides healthcare professionals with a deeper and broader understanding of the distinctive perceptions of patients with urostomy.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70001"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755756","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
International Benchmarks for the Practice Environment Scale of the Nursing Work Index: A Meta-Analysis. 护理工作指数实践环境量表的国际基准:荟萃分析。
IF 2.1 3区 医学
Nursing & Health Sciences Pub Date : 2024-12-01 DOI: 10.1111/nhs.70013
Eileen T Lake, Bingyu Zhang, Jiayi Tong, Gloria Mpundu, Kelsey N Gross, Malini H Correa, Lauren B Wethman, Lynne Moronski, Domenique Villani, Yong Chen
{"title":"International Benchmarks for the Practice Environment Scale of the Nursing Work Index: A Meta-Analysis.","authors":"Eileen T Lake, Bingyu Zhang, Jiayi Tong, Gloria Mpundu, Kelsey N Gross, Malini H Correa, Lauren B Wethman, Lynne Moronski, Domenique Villani, Yong Chen","doi":"10.1111/nhs.70013","DOIUrl":"10.1111/nhs.70013","url":null,"abstract":"<p><p>The Practice Environment Scale of the Nursing Work Index has been used worldwide to measure nurse work environments. International benchmark values for this scale can assist managers in assessing their work environment. The objective was to conduct a meta-analysis of this instrument's composite and subscale values across continents, nursing unit types, and time. Studies published up until September 30, 2023 were identified in CINAHL, MEDLINE, and Embase. One-hundred and sixty publications representing 38 countries were included. Most studies were rated as high certainty and low to moderate risk of bias. The pooled point estimate (2.70) indicated that hospital work environments were modestly positive. The weakest work environment domain was Staffing and Resource Adequacy (2.47). Europe had significantly weaker work environments than Asia and North America. Africa and South America had few studies. Better work environments were reported in neonatal intensive care, as compared to medical surgical and critical care units. A small, positive slope over time, which was detected in the three continents, was significant in North America. To promote evidence-based management globally, benchmark values are now available by setting and continent.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"26 4","pages":"e70013"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866111","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
Break From Digital Screen Using Digital Detox Program in Nursing Students 利用护理专业学生的数字排毒计划让他们远离数字屏幕
IF 2.7 3区 医学
Nursing & Health Sciences Pub Date : 2024-09-17 DOI: 10.1111/nhs.13157
Sheela Upendra, Jasneet Kaur
{"title":"Break From Digital Screen Using Digital Detox Program in Nursing Students","authors":"Sheela Upendra, Jasneet Kaur","doi":"10.1111/nhs.13157","DOIUrl":"https://doi.org/10.1111/nhs.13157","url":null,"abstract":"This study evaluated the effectiveness of an 8‐week digital detox program on digital screen use among 300 nursing students and explored associations between screen use and demographic variables. A one‐group pretest posttest design was employed using the Social Media Addiction Scale Student Form. The digital detox program was implemented for 8 weeks. Digital hygiene, self‐reflection and goal setting, mental wellness, screen time management, physical health, interpersonal relationships, digital detox challenges, and hobby‐based activities. Chi‐square test was employed to determine the associations between digital screen use and demographic variables, respectively. <jats:italic>t</jats:italic>‐tests were conducted to compare the mean screen time across different demographic groups. Results showed that 42% of students had high social media use, while 20% had low use. The overall mean score of social media use decreased significantly from 64.13 to 47.79 postintervention (<jats:italic>p</jats:italic> &lt; 0.05), indicating the program's effectiveness. The study suggests incorporating digital detox routines to balance technology use with health, productivity, and external connections.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"6 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260528","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
Proactive Personality and Caring Behavior of Clinical Nurses: A Moderated Mediation Model of Emotional Intelligence and Disgust Sensitivity 临床护士的积极主动性格与护理行为:情商与厌恶敏感性的调节中介模型
IF 2.7 3区 医学
Nursing & Health Sciences Pub Date : 2024-09-16 DOI: 10.1111/nhs.13159
Jiangyan Song, Qionglei Huang, Lunfang Xie, Tengku Alina Tengku Ismail, Zaharah Sulaiman
{"title":"Proactive Personality and Caring Behavior of Clinical Nurses: A Moderated Mediation Model of Emotional Intelligence and Disgust Sensitivity","authors":"Jiangyan Song, Qionglei Huang, Lunfang Xie, Tengku Alina Tengku Ismail, Zaharah Sulaiman","doi":"10.1111/nhs.13159","DOIUrl":"https://doi.org/10.1111/nhs.13159","url":null,"abstract":"The aims of the research were to investigate the mediating effect of emotional intelligence and the moderating effect of disgust sensitivity on the relationship between proactive personality and caring behavior among clinical nurses. A cross‐sectional design while adhering to STROBE guidelines was used for this study. Three hundred ninety‐three purposely selected nurses from three tertiary general hospitals completed an online survey. Measures included proactive personality, emotional intelligence, disgust sensitivity, and caring behavior. The findings showed that proactive personality positively predicted nurses' caring behavior, and that emotional intelligence played a mediating role in the relationship between proactive personality and caring behavior. Disgust sensitivity indirectly and negatively moderated the impact of proactive personality on nurses' caring behavior mainly in the second half of this moderated relationship. The findings underscore that the nursing managers may consider incorporating emotional intelligence topic in practical nursing skills training and improving nurses' ability to control their disgust sensitivity can improve their professional behavior, thus to provide patients with high‐quality nursing services.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"63 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260529","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 Research Ecosystem and the Collaborative Research Cycle 研究生态系统与合作研究周期
IF 2.7 3区 医学
Nursing & Health Sciences Pub Date : 2024-09-13 DOI: 10.1111/nhs.13163
Janet Delgado
{"title":"The Research Ecosystem and the Collaborative Research Cycle","authors":"Janet Delgado","doi":"10.1111/nhs.13163","DOIUrl":"https://doi.org/10.1111/nhs.13163","url":null,"abstract":"","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"41 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142260530","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
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