Applied Nursing Research最新文献

{"title":"Predictors of patient self-advocacy among patients with chronic heart failure","authors":"Carolyn Kleman ,&nbsp;Ratchneewan Ross","doi":"10.1016/j.apnr.2023.151694","DOIUrl":"10.1016/j.apnr.2023.151694","url":null,"abstract":"<div><p>The purpose of this study was to examine predictors of self-advocacy among patients with chronic heart failure (HF) as they were unknown. A convenience sample of 80 participants recruited from one Midwestern HF clinic completed surveys related to relationship-based predictors of patient self-advocacy including trust in nurses and social support. Self-advocacy is operationalized using the three dimensions of HF knowledge, assertiveness, and intentional non-adherence. Hierarchical multiple regression was used showing that trust in nurses predicted HF knowledge (ΔR² = 0.070, F = 5.91, <em>p</em> &lt; .05), social support predicted advocacy assertiveness (ΔR² = 0.068, F = 5.67, <em>p</em> &lt; .05), and ethnicity predicted overall self-advocacy (ΔR² = 0.059, F = 4.89, p &lt; .05). These findings suggest that support from family and friends can give the patient the needed encouragement to advocate for what they need. A trusting relationship with nurses impacts patient education so that patients not only understand their illness and its trajectory but also use that understanding to speak up for themselves. African American patients, who are less likely to self-advocate than their White counterparts, could benefit from nurses recognizing the impact of implicit bias so that these patients do not feel silenced in their care.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812438","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":"The effect of self-affirmation on anxiety and perceived discomfort in patients who have undergone open-heart surgery. A randomized controlled trial","authors":"Meltem Yildirim ,&nbsp;Sevim Akbal ,&nbsp;Meryem Turkoglu","doi":"10.1016/j.apnr.2023.151687","DOIUrl":"10.1016/j.apnr.2023.151687","url":null,"abstract":"<div><h3>Background</h3><p>Self-affirmations help one focus on positive outcomes and adapt to new situations both psychologically and physiologically by the repetition of positive affirmation sentences. This method, which has promising results in symptom management, is predicted to have effective results in the management of pain and discomfort in patients undergoing open-heart surgery.</p></div><div><h3>Aim</h3><p>To investigate the effect of self-affirmation on anxiety and perceived discomfort in patients who have undergone open-heart surgery.</p></div><div><h3>Methods</h3><p>This study adopted a randomized controlled pretest-posttest follow-up research design. The study was conducted at a public training and research hospital (Istanbul, Turkey) specialized in thoracic and cardiovascular surgery. The sample consisted of 61 patients randomized into two groups: intervention (<em>n</em> = 34) and control (<em>n</em> = 27). The participants of the intervention group listened to a self-affirmation audio recording for three days after surgery. Anxiety levels and perceived discomfort regarding pain, dyspnoea, palpitations, fatigue and nausea were measured daily. The State Trait Anxiety Inventory (STAI) was used to measure the level of anxiety, meanwhile perceived discomfort regarding pain, dyspnoea, palpitations, fatigue and nausea were measured by a 0 to 10 Numeric Rating Scale (NRS).</p></div><div><h3>Results</h3><p>The control group had significantly higher anxiety than the intervention group three days after surgery (<em>P</em> &lt; 0.001). The intervention group had less pain (<em>P</em> &lt; 0.01), dyspnoea (<em>P</em> &lt; 0.01), palpitations (<em>P</em> &lt; 0.01), fatigue (<em>P</em> &lt; 0.001) and nausea (<em>P</em> &lt; 0.01) than the control group.</p></div><div><h3>Conclusions</h3><p>Positive self-affirmation helped reduce anxiety and perceived discomfort in patients who underwent open-heart surgery.</p><p>ClinicalTrials.gov Identifier: <span>NCT05487430</span><svg><path></path></svg>.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812437","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":"Missed nursing care in pediatric emergency departments in Turkey: A cross-sectional study","authors":"Aylin Arıkan MSc, RN ,&nbsp;Figen Işık Esenay Associate Professor, RN","doi":"10.1016/j.apnr.2023.151699","DOIUrl":"10.1016/j.apnr.2023.151699","url":null,"abstract":"<div><h3>Objective</h3><p><span>A pediatric emergency department deals with a vast number of patients and a high load of emergent/high-priority healthcare practices. Therefore, at times, it is possible to experience missed </span>nursing care in this department. This study aims to ascertain the types of and reasons for missed nursing care cases in pediatric emergency departments in Turkey.</p></div><div><h3>Method</h3><p>This is a cross-sectional survey study. Survey data were collected from 155 nurses using the “Introductory Information Form” and the “MISSCARE-Pediatric Emergency Department Survey.”</p></div><div><h3>Results</h3><p><span>Gastrostomy care, </span>colostomy<span> care, tracheotomy<span> care, and teaching about hospital discharge were the care practices most often missed. The volume of patients, urgent patient situations, an inadequate number of nurses in charge, too many inexperienced nurses in the department, and assignment of work outside the scope of the job are the main reasons for missed care.</span></span></p></div><div><h3>Conclusion</h3><p>Pediatric emergency department patients experience missed nursing care and nurses should be supported more in order for them to provide efficient care to children.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812445","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":"Work-related stress, job satisfaction, and quality of work life among cardiovascular nurses in Italy: Structural equation modeling","authors":"Francesco Zaghini ,&nbsp;Valentina Biagioli ,&nbsp;Jacopo Fiorini ,&nbsp;Michela Piredda ,&nbsp;Philip Moons ,&nbsp;Alessandro Sili","doi":"10.1016/j.apnr.2023.151703","DOIUrl":"10.1016/j.apnr.2023.151703","url":null,"abstract":"<div><h3>Aim</h3><p>To investigate the simultaneous effects of work-related stress and job satisfaction on cardiovascular nurses' quality of work life.</p></div><div><h3>Background</h3><p>Prior research has investigated nurses' work-related stress, job satisfaction, and quality of work life as separate aspects and not in specific nursing settings, such as cardiovascular wards. Cardiovascular care settings can be particularly stressful for nurses, who are often faced with distress, depression and patients and caregivers' physical and psychological exhaustion.</p></div><div><h3>Methods</h3><p>A multicenter cross-sectional study was conducted among 1126 cardiovascular nurses from 10 hospitals in Italy. Work-related stress, job satisfaction, and quality of work life were measured using valid and reliable questionnaires. Structural equation modeling was performed.</p></div><div><h3>Results</h3><p><span>Nurses working in critical cardiac care units experienced more stress than their colleagues working in other cardiac units. Nurses working in cardiac outpatient clinics reported lower quality of work life than those working in other cardiac settings. There was a negative relationship between work-related stress and nurses' quality of work life, which was partially mediated by job satisfaction, indicating that stress generated by the </span>work environment negatively affect nurses' quality of work life by reducing their job satisfaction.</p></div><div><h3>Conclusion</h3><p>Cardiovascular nurses' quality of work life is negatively affected by work-related stress. The work-related stress is mediated through job satisfaction. Nurse managers should maximize nurses' job satisfaction by providing comfort at work, supporting professional development opportunities, sharing organizational objectives, and actively listening and addressing nurses' concerns. When cardiovascular nurses' quality of work life is elevated, patients' care quality and outcomes are improved.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812441","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":"Validity and reliability of the Korean version of authentic leadership among ICU nurses","authors":"Junghoon Lee PhD, RN ,&nbsp;Yeoungsuk Song PhD, RN, ACNP-BC","doi":"10.1016/j.apnr.2023.151696","DOIUrl":"10.1016/j.apnr.2023.151696","url":null,"abstract":"<div><h3>Background</h3><p>Authentic leadership affects the safety climate or job satisfaction of nurses, especially in intensive care unit (ICU). It is extremely challenging to find a suitable instrument for measuring authentic leadership among Korean nurses. Because the existing scales were developed within a Western cultural context and among business students, a new scale for measuring authentic leadership among Korean nurses must be evaluated.</p></div><div><h3>Objectives</h3><p>This study aimed to assess the reliability of the Korean version of the Authentic Leadership Inventory (K-ALI) for ICU nurses.</p></div><div><h3>Design</h3><p>A cross-sectional study and secondary data analysis were used.</p></div><div><h3>Methods</h3><p>This study evaluated 203 ICU registered nurses<span> from four South Korean university hospitals. The ALI developed by Neider and Schriesheim was developed. The reliability and validity of this scale were analyzed using Cronbach's alpha and factor analysis.</span></p></div><div><h3>Results</h3><p>The factor analysis identified two subconstructs that accounted for 57.3 % of the total variance. The overall model fit indices for the K-ALI from the confirmatory factor analysis were an acceptable fit. Cronbach's alpha for the internal consistency of the reliability was 0.92.</p></div><div><h3>Conclusion</h3><p>Using the K-ALI, nurses can assess authentic leadership and develop or demonstrate their professional leadership.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812439","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":"Development of the Individualised Developmental Care Knowledge and Attitude Scale","authors":"Kamile Akça ,&nbsp;Fatma Kurudirek","doi":"10.1016/j.apnr.2023.151697","DOIUrl":"10.1016/j.apnr.2023.151697","url":null,"abstract":"<div><h3>Background</h3><p>There is a need for a valid and reliable scale to determine the individualised developmental care levels of nurses who provide care for preterm newborns.</p></div><div><h3>Aims</h3><p>To develop the Individualised Developmental Care Knowledge and Attitude Scale for nurses who provide care to preterm newborns and to evaluate its validity and reliability.</p></div><div><h3>Methods</h3><p>This methodological study was performed with 260 nurses who provide care for preterm newborns in neonatal intensive care units<span>. The content validity of the research was evaluated under the guidance of professionals working in the pediatric field. Collected data were analysed using values, percentage, mean, standard deviation, correlation analysis, Cronbach's alpha reliability coefficient and factor analysis methods.</span></p></div><div><h3>Results</h3><p>The total Content Validity Index for all items was found to be 0.930. The result of Bartlett's test of sphericity (x²<span> = 4691.061, p = 0.000) was significant, and the KMO (Kaiser-Meyer-Olkin) measure of sampling adequacy was 0.906. The fit indices for confirmatory factor analysis were x</span>²/SD = 4.35, GFI = 0.97, AGFI = 0.97, CFI = 0.97, RMSEA = 0.057 and SRMR = 0.062. All of the related fit indices were in the accepted range. The Individualised Developmental Care Knowledge and Attitude Scale was developed at the end of the study, and 34 items and four dimensions were identified. The Cronbach's alpha of the full scale was 0.937.</p></div><div><h3>Conclusions</h3><p>From the results, it can be concluded that the Individualised Developmental Care Knowledge and Attitude Scale is both a reliable and valid measurement tool for determining individualised developmental levels.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812440","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":"Sustaining a therapeutic environment within mental health in-patient settings during COVID-19. Results of a Delphi study","authors":"Kevin McKenna ,&nbsp;Lene Lauge Berring ,&nbsp;Roland van de Sande ,&nbsp;Eric Noorthoorn ,&nbsp;Brodie Paterson","doi":"10.1016/j.apnr.2023.151695","DOIUrl":"10.1016/j.apnr.2023.151695","url":null,"abstract":"<div><h3>Aim</h3><p>Develop a strengths-based, person-centred, trauma-informed and recovery-oriented framework to mitigate any potential increase in conflict resulting from the implementation of C19 restrictions.</p></div><div><h3>Background</h3><p>Guidance addressing the unique challenges posed by Covid-19 within mental health in-patient settings, including how to support those whose distress may present as behaviour that challenges including violence and self-harm, remains urgently needed.</p></div><div><h3>Methodology/approach</h3><p>A Delphi design involving four iterative stages was adopted. Stage 1 involved a review and synthesis of COVID-19-related public health and ethical guidance and a narrative literature review. A formative operational framework was then developed. Stage 2 sought to establish the face validity of the framework through engagement with frontline and senior staff in mental health services in Ireland, Denmark and Netherlands. Stage 3 investigated the content validity of the final framework through a plenary presentation and discussion of the framework at a scientific symposium of the European Violence in Psychiatric Research Group (<span>EViPRG, 2020</span>). Stage 4 sought expert appraisal of the framework using a structured evaluation completed by a panel of eighteen multidisciplinary experts from nine countries, including four academics, six clinicians and eight holding dual clinical/academic appointments to assess content validity.</p></div><div><h3>Results</h3><p>The guidance adopts the widely advocated approach to support those whose distress may present as behaviour services find challenging in identifying the need for primary, secondary, tertiary and recovery measures. It emphasizes person-centred care while integrating specific Covid-19 public health requirements into service planning. It also aligns with contemporary best practice in in-patient mental health care, incorporating the principles of Safewards, the core values of trauma-informed care, and an explicit on recovery.</p></div><div><h3>Conclusion</h3><p>The guidance developed has face and content validity.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9809937","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":"WITHDRAWN: Using geographic information systems (GIS) to understand needs of research recruitment for minority Asian American older adults in the U.S.: Using decolonizing recruitment method","authors":"Haeok Lee, Hoehun Ha, S. Yim","doi":"10.1016/j.apnr.2023.151704","DOIUrl":"https://doi.org/10.1016/j.apnr.2023.151704","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43427605","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":"A hybrid type 2 effectiveness-implementation design to evaluate a community-based, heart-healthy intervention for women of low socio-economic status","authors":"Heidi Luft ,&nbsp;Roger Brown ,&nbsp;Diane Lauver","doi":"10.1016/j.apnr.2023.151686","DOIUrl":"10.1016/j.apnr.2023.151686","url":null,"abstract":"<div><h3>Background</h3><p>Women of low socioeconomic status continue to experience a disproportionate burden of cardiovascular disease. To respond to their unique needs, we adapted the intervention and implementation strategy of an effective theory-based psychoeducational intervention for improving heart-healthy behaviors. Study aims were to evaluate implementation (i.e., reach, fidelity, acceptability, appropriateness) and effectiveness (i.e., perceived stress, common physical symptoms in primary care, physical activity, diet) of the adapted program we called mySTEPS.</p></div><div><h3>Method</h3><p>We used a hybrid type 2 effectiveness-implementation approach. To evaluate implementation, we conducted a process evaluation using data from research records, observation rubrics, and pre−/post-intervention surveys. To evaluate potential effectiveness, we used a one-group, pre−/post-test design with three, sequential offerings (16 weeks each) in unique settings, used standardized, quantitative measures at 8 weeks post-intervention, and calculated effect sizes.</p></div><div><h3>Results</h3><p>Forty-two women were included in the evaluation. For reach, 66 % and 61 % of participants attended adequate numbers of educational and coaching sessions. Supporting fidelity of delivery, nurse implementers addressed 85–98 % of required criteria. Supporting fidelity of receipt, participants' pre- to post- knowledge scores increased and other scores revealed that nurse-implementers had interacted supportively throughout mySTEPS. Participants rated the acceptability and appropriateness of components positively. Effect-sizes revealed moderate decreases in stress, moderate increases in physical activity, and modest decreases in the number of physical symptoms. Dietary scores did not change.</p></div><div><h3>Conclusions</h3><p>The effectiveness and implementation of mySTEPS were positive overall. After strengthening the dietary component, more extensive evaluation of mySTEPS can be conducted to explain mechanisms of action.</p></div><div><h3>MeSH headings</h3><p>Health behavior, prevention, self-determination theory, self-regulation theory, cardiovascular diseases, implementation strategies.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9671533","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":"Adults above 65 years of intention to use homecare hospice and a study on the factors influencing the perception of hospice·palliative care service","authors":"Hye Young Shim ,&nbsp;Jin H. Park ,&nbsp;Gyeong Hye Kang ,&nbsp;Mi Jin Kim","doi":"10.1016/j.apnr.2023.151684","DOIUrl":"10.1016/j.apnr.2023.151684","url":null,"abstract":"<div><h3>Background</h3><p>This study is a descriptive correlation survey conducted to understand the effect of attitudes toward death, hospice palliative care perception, and knowledge on homecare hospice use intention for adult men and women aged 65 or older ones.</p></div><div><h3>Aim</h3><p>This study identified factors affecting the intention to use homecare hospice and the perception of hospice·palliative care for adults aged 65 or older.</p></div><div><h3>Methods</h3><p>Researchers used tools which were intention to use homecare hospice, the hospice palliative care knowledge, death orientation, hospice palliative perception.</p></div><div><h3>Results</h3><p>The higher the perception of hospice·palliative care, for men than women, then they are the higher the willingness to use homecare hospice. In addition, the factors influencing the perception of hospice·palliative care of subjects who are willing to use homecare hospice were education and hospice·palliative care knowledge.</p></div><div><h3>Conclusion</h3><p>By improving hospice·palliative care perception by acquiring hospice·palliative care knowledge, people will choose the place where they want to die. In addition, once there is an increasing demand for it, nations and Institutions can help to set up support homecare hospice. For this, campaigns, and education to provide knowledge and improve perception of hospice·palliative care must be continued at the socio-cultural level.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9618262","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}