Applied Nursing Research最新文献

{"title":"Implementing MATRIX acuity tool to improve nursing satisfaction on a stroke and epilepsy monitoring unit","authors":"Christina Ilao BSN, RN,&nbsp;Emerson B. Nairon BSA,&nbsp;Marie Cuffee BSN, RN,&nbsp;DaiWai M. Olson PhD, RN","doi":"10.1016/j.apnr.2024.151868","DOIUrl":"10.1016/j.apnr.2024.151868","url":null,"abstract":"<div><h3>Purpose</h3><div>Nursing satisfaction is a critical component of effective patient care. In the Acute Stroke Unit (ASU) and Epilepsy Monitoring Unit (EMU), patients have specialized needs that require critical nursing skills. The purpose of this study was to examine nurse satisfaction after implementation of the MATRIX acuity tool.</div></div><div><h3>Methods</h3><div>This prospective observational study used pre- and post- implementation data to determine if the revised staffing model improved nursing satisfaction on the ASU and EMU.</div></div><div><h3>Results</h3><div>30 nurses were enrolled in this study, with a mean of 12.9 (11.2) years of nursing experience. Following the implementation of the MATRIX, nurse opinions on staffing and workload were more favorable. A statistically significant finding was obtained in reducing a heavy workload (<em>P</em> &lt; .01) post-implementation.</div></div><div><h3>Conclusions</h3><div>The MATRIX acuity tool is associated with improved nursing satisfaction. Improving nurse satisfaction may have a positive downstream impact on patient safety by improving the ability of nurses to provide care.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151868"},"PeriodicalIF":2.7,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence in nursing practice – A Delphi study with ChatGPT","authors":"Benjamin Bohn,&nbsp;Veronika Anselmann","doi":"10.1016/j.apnr.2024.151867","DOIUrl":"10.1016/j.apnr.2024.151867","url":null,"abstract":"<div><h3>Background</h3><div>The release of the open-source platform ChatGPT in November 2022 created massive interest in the possibilities of artificial intelligence–based chatbots. However, there is little knowledge about how artificial intelligence could be used in nursing practice.</div></div><div><h3>Aim</h3><div>In this study, we aimed to discover whether nurses' answers to nursing-related questions differ from those generated by artificial intelligence.</div></div><div><h3>Methods</h3><div>A qualitative consensus group research design was used in this study. We conducted a Delphi study in three different rounds. For the first round, the instrument included 57 questions derived from 10 national nursing expert standards. In the second round, the nurses and ChatGPT were asked to rate the answers from the first round in order of relevance to everyday nursing. The third round included writing an assessment and a nursing handover based on two vignettes.</div></div><div><h3>Results</h3><div>The study showed significant differences between the answers given by the group of nurses and those given by ChatGPT in all main categories. The results of the third round indicate that the answers from the nurses and ChatGPT did not differ, except for answers assigned to two categories.</div></div><div><h3>Conclusions</h3><div>Our results indicate that ChatGPT generates answers that are comparable to those given by nurses. We assume that ChatGPT could be an enrichment at the beginning of the nursing process by summarizing and categorizing patient information. Furthermore, it could be helpful for nurses in the care planning phase. Given ChatGPT's ability to communicate in different languages, it might be a possible intervention for overcoming language barriers.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151867"},"PeriodicalIF":2.7,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health misconceptions among at-risk populations: The case of hotel workers","authors":"Marie-Anne S. Rosemberg,&nbsp;Wei V. Li,&nbsp;Hannah Ratliff","doi":"10.1016/j.apnr.2024.151866","DOIUrl":"10.1016/j.apnr.2024.151866","url":null,"abstract":"<div><h3>Introduction</h3><div>Most hotel workers represent disadvantaged populations in the United States. Socioecological stress-related factors increase the risk for poor mental health outcomes, yet accounts of worker perceptions of mental health are scarce.</div></div><div><h3>Methods</h3><div>We conducted five focus groups among 23 hotel room cleaners and individual interviews with six hotel managers.</div></div><div><h3>Results</h3><div>Four themes emerged: Mental health is related to mental illness, mental health is associated with being crazy, mental health can be controlled, and mental health is taboo yet universal.</div></div><div><h3>Conclusion</h3><div>These findings indicate mental health is poorly understood among this population. Education and tailored interventions are needed to address adverse mental health outcomes.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151866"},"PeriodicalIF":2.7,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are the attitudes and perceptions of general practitioners about the role of nurse practitioners in the community care setting: A scoping review","authors":"Anthony Summers","doi":"10.1016/j.apnr.2024.151865","DOIUrl":"10.1016/j.apnr.2024.151865","url":null,"abstract":"<div><h3>Background</h3><div>The Nurse Practitioner role in Australia is slowly expanding, with a well-established body of evidence supporting their introduction. Yet, there is a lack of consistent support from the medical profession for this role. Nurse Practitioners wishing to work in the community setting may, therefore, experience resistance from General Practitioners.</div></div><div><h3>Objective</h3><div>To identify and explore the attitudes and perceptions of Australian General Practitioners about Nurse Practitioners' community settings. To explore what is the view of GPs outside of Australia on this topic.</div></div><div><h3>Method</h3><div>A scoping review of the Cochrane, MEDLINE, Psych INFO, and CINHAL databases was undertaken from 1995 to April 2023 and reported using PRISMA. Quality evaluation tools devised by <span><span>Dixon-Woods et al. (2005)</span></span> and previously used by <span><span>Paterson et al. (2015)</span></span> were used to evaluate the included studies. A narrative synthesis was then undertaken using the method described by <span><span>Whittemore and Knafl (2005)</span></span>.</div></div><div><h3>Findings</h3><div>The scoping review identified 1623 potential publications. After a comparison of the title and abstract to the inclusion and exclusion criteria, 20 publications underwent an in-depth review, eight publications met the inclusion criteria for a full review. The review did not identify a publication from Australia. Elsewhere the attitudes of General Practitioners were influenced by the lack of definition of the Nurse Practitioner role, a lack of knowledge of the Nurse Practitioner skill level, fear of service duplication, deterioration in patient relationships, who had responsibility for the role and funding for the role.</div></div><div><h3>Conclusion</h3><div>There is a lack of evidence in an Australian context to determine if General Practitioners in Australia have similar views to their international counterparts. Careful planning needs to be undertaken to overcome potential issues and to enable the Nurse Practitioner role to be effectively implemented in an Australian community setting.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151865"},"PeriodicalIF":2.7,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life of children and adolescents with sickle cell disease: An evolutionary concept analysis","authors":"Suthan Pandarakutty RN, RM, BSN, MSN, PhD ,&nbsp;Judie Arulappan RN, RM, BSN, MSN, PhD, DNSc, CHSE","doi":"10.1016/j.apnr.2024.151862","DOIUrl":"10.1016/j.apnr.2024.151862","url":null,"abstract":"<div><div>The concept of Health-Related Quality of life (HRQOL) of children and adolescents with Sickle cell disease (SCD) is not clearly understood due to the lack of available studies. This review aimed to elucidate various attributes and related concepts of HRQOL in children and adolescents with SCD using Rodgers' et al. (2018) concept analysis framework. A systematic search was performed to identify studies reporting the attributes, antecedents, consequences, surrogate terms, and related concepts of HRQOL in children and adolescents with SCD. The review included 75 articles, including 70 quantitative, two mixed-methods, and three qualitative studies. These were categorized into attributes, antecedents, consequences, surrogate terms, related concepts, and an exemplar of HRQOL in children and adolescents with SCD. The review identified nine important attributes. It includes multidimensional and dynamic concepts, acknowledging the illness, maintaining emotional balance and self-control, coping with the disease, pain management, stigma and discrimination, treatment burden, palliative care and personal resilience. The antecedents were knowledge and attitude toward the disease, self-efficacy, social support, spirituality and spiritual well-being, disease severity, access to healthcare, environmental factors, and financial considerations. The consequences were independence in personal life, improved physical health outcomes, psychological well-being, family and caregiver well-being, improved family, social and peer relationships and social interactions, improved school performance, and improved overall HRQOL and long-term outcomes. This analysis provides an overview of HRQOL concepts related to children and adolescents with SCD, guiding further research into nursing care and clinical practice.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151862"},"PeriodicalIF":2.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Graduate pathways following nursing education during COVID-19","authors":"Peter Fieger ,&nbsp;John Rice","doi":"10.1016/j.apnr.2024.151864","DOIUrl":"10.1016/j.apnr.2024.151864","url":null,"abstract":"<div><div>The COVID-19 pandemic has exerted many effects on populations worldwide. Due to the nature of the pandemic, health and specifically nursing sectors have been particularly impacted. While the nursing sector had to grapple with the impact of the pandemic as well as associated government interventions, nursing students have experienced changes in their job prospects, satisfaction with their training and their propensity to engage in further studies, all impinging on the sustainability of nursing education. This study aims to analyze educational outcomes for nursing graduates undertaking VET (vocational education and training) programs in Australia. Impacts assessed include employment, satisfaction, and further study after completion. The paper is based on analysis of five large waves of a comprehensive survey of Australian vocational education completers, from 2018 to 2022 inclusive. We develop three separate logistic regression models for the outcomes of employment, satisfaction, and enrollment in further study in order to estimate the predictive margins for the interactions between year and field of education, including the Diploma of Nursing, all other health qualifications, and all other qualifications. Our results show that these graduates saw significantly improved employment outcomes and heightened satisfaction during and after the pandemic, pointing to the sector meeting sustainability challenges. Interestingly, enrolment in further studies, after a notable increase earlier in the pandemic, returned to pre-pandemic levels as the crises abated.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151864"},"PeriodicalIF":2.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142529097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of personality, empathy, and the perception of the instructor's caring on nursing students' burnout: A cross-sectional study","authors":"Stefano Ardenghi ,&nbsp;Michela Luciani ,&nbsp;Selena Russo ,&nbsp;Giulia Rampoldi ,&nbsp;Marco Bani ,&nbsp;Davide Ausili ,&nbsp;Stefania Di Mauro ,&nbsp;Maria Grazia Strepparava","doi":"10.1016/j.apnr.2024.151863","DOIUrl":"10.1016/j.apnr.2024.151863","url":null,"abstract":"<div><h3>Aim</h3><div>The present study aimed to evaluate the contribution of personality, empathy, and the perception of instructor's caring in predicting burnout in nursing students.</div></div><div><h3>Background</h3><div>Burnout is alarmingly prevalent and rising among nursing students. Furthering our understanding of individual and clinical environmental antecedents of burnout is crucial to shield nursing students' well-being during their training.</div></div><div><h3>Methods</h3><div>In a cross-sectional study design, the Ten Item Personality Inventory (TIPI), the Brief version of the Interpersonal Reactivity Index (BIRI), the Nursing Students' Perception of Instructor Caring (NSPIC), and the Copenhagen Burnout Inventory (CBI) were administered to 361 (83.9 % females) Italian nursing students between July and December 2021. <em>t</em>-Tests, analyses of variance, Pearson's correlations, and hierarchical regressions were performed to examine the association of CBI with socio-demographics, TIPI, BIRI, and NSPIC.</div></div><div><h3>Results</h3><div>Being female and having a low household income were predictors of Personal Burnout and Work-related Burnout. Personal Burnout was positively associated with TIPI-Neuroticism and BIRI-Personal Distress. Work-related Burnout was positively associated with BIRI-Personal Distress and NSPIC-Control, and negatively associated TIPI-Openness to Experience, NSPIC-Support, NSPIC-Confidence. Client-related Burnout was negatively associated with TIPI-Agreeableness, NSPIC-Support, NSPIC-Confidence. Beyond the effect of socio-demographics, TIPI, and BIRI, NSPIC subscales significantly contributed to the explained variance in CBI scores.</div></div><div><h3>Conclusions</h3><div>Sex, household income, personality, and empathy should be considered when designing interventions to decrease burnout in nursing students. Promoting caring relationships between clinical instructors and their pupils may contribute to reduce nursing students' burnout.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151863"},"PeriodicalIF":2.7,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 effects of moral distress, compassion fatigue and burnout on intention to leave among nursing students in Hong Kong: A cross-sectional study","authors":"Winnie Lai-Sheung Cheng ,&nbsp;Anson Chui-Yan Tang ,&nbsp;Katherine Lai-Sheung Siu","doi":"10.1016/j.apnr.2024.151861","DOIUrl":"10.1016/j.apnr.2024.151861","url":null,"abstract":"<div><h3>Background</h3><div>Compassion fatigue and burnout have detrimental effects on nursing students. Moral distress has been recognized as a contributing factor to both, potentially impacting the intention to leave nursing programme.</div></div><div><h3>Aim</h3><div>To examine relationships among moral distress, compassion fatigue and burnout on intention to leave the nursing programme among nursing students.</div></div><div><h3>Methods</h3><div>A cross-sectional correlational design was used. Four hundred eighty-four nursing students from nine higher educations participated. Data were collected using the Moral Distress Scale-Revised, Compassion Fatigue Self-Test, and a single item examining the intention to leave.</div></div><div><h3>Results</h3><div>Mild to moderate levels of moral distress but high levels of compassion fatigue and burnout were reported. In regression analysis, year of study (OR = 14.323, CI = 1.273–161.143, p &lt; 0.031), length of clinical learning (OR = 1.061, CI = 1.020–1.103, p &lt; 0.003), moral distress (OR = 3.181, CI = 1.848–5.475, p &lt; 0.001), burnout (OR = 1.165, CI = 1.118–1.214, p &lt; 0.001) were associated with a higher chance of intention to leave. Attendance of an ethics course for &gt;30 h (OR = 0.164, CI = 0.041–0.653, p &lt; 0.010) and the interaction between moral distress and burnout (OR = 0.977, CI = 0.968–0.987, p &lt; 0.001) were associated with a significant decrease in the intention to leave.</div></div><div><h3>Conclusion</h3><div>Burnout is a strong predictor for intention to leave the nursing programme among nursing students. Interventions addressing moral distress, compassion fatigue, and burnout might prevent intention to leave the nursing programme.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151861"},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142529096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are male nurses oppressed? A forum theater application: A quasi-experimental study","authors":"Lütfiye Nur Uzun Asst. Prof.,&nbsp;Hümeyra Hançer Tok Asst. Prof.","doi":"10.1016/j.apnr.2024.151860","DOIUrl":"10.1016/j.apnr.2024.151860","url":null,"abstract":"<div><h3>Background</h3><div>Male nurses in clinical and educational settings are discriminated against. It is thought that perceiving the current situation of minority male nurses, who have the potential for social exclusion and oppression, and positively developing the perceptions of nursing students who are at the beginning of their professionalization lives, will contribute to the professionalization of future members of the profession.</div></div><div><h3>Objectives</h3><div>This study was conducted to find solutions to the current and potential difficulties experienced by male nurses, first-year nursing students, through a forum theater activity.</div></div><div><h3>Method</h3><div>The sample consisted of 24 first-year nursing students. Participants were given awareness training on male nurse discrimination using forum theater. Were given participants awareness training on male nurse discrimination using forum theater.</div><div>Research data student information form, Gender Attitudes of Nursing Students Towards the Nursing Profession Scale and were used for qualitative data participant opinion form.</div></div><div><h3>Results</h3><div>It was determined that the forum theater activity increased the awareness level of firstyear nursing students regarding gender attitudes towards the nursing profession. Students stated that participating in forum theater training was a real life experience in the learning process, that they were happy to participate in this training, and that participating in these events increased their self-confidence.</div></div><div><h3>Conclusion</h3><div>In this study, it was concluded that forum theater was effective in improving the awareness level of discrimination in the male nurse discrimination training given to nursing students. Forum theater can be used in nursing education.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151860"},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “A hybrid type 2 effectiveness-implementation design to evaluate a community-based, heart-healthy intervention for women of low-socioeconomic status” [Appl. Nurs. Res. 71, 2023, 151686]","authors":"Heidi Luft ,&nbsp;Roger Brown ,&nbsp;Diane Lauver","doi":"10.1016/j.apnr.2024.151859","DOIUrl":"10.1016/j.apnr.2024.151859","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"80 ","pages":"Article 151859"},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}