Applied Nursing Research最新文献

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The mediating role of social support on the relationship between secondary traumatic stress and burnout of nurses caring for COVID-19 patients: A cross-sectional study 社会支持对护理 COVID-19 患者的护士的二次创伤压力与职业倦怠之间关系的中介作用:横断面研究
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-08-27 DOI: 10.1016/j.apnr.2024.151844
{"title":"The mediating role of social support on the relationship between secondary traumatic stress and burnout of nurses caring for COVID-19 patients: A cross-sectional study","authors":"","doi":"10.1016/j.apnr.2024.151844","DOIUrl":"10.1016/j.apnr.2024.151844","url":null,"abstract":"<div><h3>Background</h3><p>Social support can help nurses cope with occupational stress and trauma, and maintain overall well-being, particularly in stressful situations such as outbreaks.</p></div><div><h3>Aim</h3><p>To determine the mediating role of social support on the relationship between secondary traumatic stress (STS) and burnout among nurses who cared for COVID-19 patients.</p></div><div><h3>Design</h3><p>A cross-sectional, correlational, descriptive design.</p></div><div><h3>Methods</h3><p>Two hundred nurses who had provided direct care to COVID-19 patients were recruited from wards in two hospitals in Riyadh, Saudi Arabia. Data were collected using the Multidimensional Scale of Perceived Social Support and the Professional Quality of Life Scale tools.</p></div><div><h3>Results</h3><p>STS had a significant and positive correlation with burnout (<em>r</em> = 0.610, <em>p</em> = 0.000); social support from family, friends, and significant others were each significantly and negatively associated with STS (<em>r</em> = −0.147, <em>p</em> = 0.038; <em>r</em> = −0.547, <em>p</em> &lt; 0.0001; <em>r</em> = −0.225, <em>p</em> = 0.001, respectively) and burnout (<em>r</em> = 0–0.282, <em>p</em> &lt; 0.0001; <em>r</em> = −0.716, <em>p</em> = 0.026; <em>r</em> = −0.377, <em>p</em> &lt; 0.0001, respectively). STS had a significant effect on social support (β = −0.21, <em>p</em> = 0.042) and burnout (β = 0.61, p &lt; 0.0001). Social support had a significant and partial effect on the relationship between STS and burnout (Z = 2.99, <em>p</em> = 0.002).</p></div><div><h3>Conclusion</h3><p>Social support can reduce and mitigate the negative effects of STS and burnout. This understanding could enhance nurses' occupational lives by assisting policymakers and nurse managers in creating positive work environments that promote social support. Such policies could reduce the incidence and impact of burnout and STS.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S089718972400082X/pdfft?md5=583321724eb5413ba8aa23b7c2bfe27a&pid=1-s2.0-S089718972400082X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097988","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}
引用次数: 0
Effect of Hope Theory combined with active cycle of breathing techniques on pulmonary rehabilitation among COPD patients: A quasi-experiment study 希望理论结合积极循环呼吸技术对慢性阻塞性肺病患者肺康复的影响:准实验研究
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-08-26 DOI: 10.1016/j.apnr.2024.151842
{"title":"Effect of Hope Theory combined with active cycle of breathing techniques on pulmonary rehabilitation among COPD patients: A quasi-experiment study","authors":"","doi":"10.1016/j.apnr.2024.151842","DOIUrl":"10.1016/j.apnr.2024.151842","url":null,"abstract":"<div><h3>Background</h3><p>Pulmonary rehabilitation plays a positive role in improving exercise tolerance and reducing readmission rates in patients with chronic obstructive pulmonary disease (COPD), while the adherence of pulmonary rehabilitation in COPD patients is still poor. The active cycle of breathing techniques based on the Hope Theory is a method to enhance patients' confidence in overcoming the disease and improve the intrinsic motivation of exercise through symptom improvement such as cough and sputum evacuation ability.</p></div><div><h3>Objectives</h3><p>To investigate the effect of Hope Theory education combined with the active cycle of breathing techniques on pulmonary rehabilitation of COPD patients, including exercise adherence, cough and sputum evacuation ability, hope index and exercise self-efficacy.</p></div><div><h3>Methods</h3><p>The study assigned 70 COPD patients hospitalized into intervention and control groups to receive the active cycle of breathing techniques based on Hope Theory or routine treatment in order of admission. Data for cough and sputum evacuation ability, hope, exercise confidence were collected at baseline and after the program. Exercise adherence was assessed at the end of 1, 4 and 8 week following discharge.</p></div><div><h3>Results</h3><p>The actual number of sample consisted of 65 patients divided into intervention (<em>n</em> = 33) and control (<em>n</em> = 32) groups due to severe complications, explicit refusal, disinterest and loss to follow-up. After two weeks of intervention, exercise adherence of the intervention group were better than those of the control group at the end of 4 and 8 week of discharge (<em>P</em> &lt; 0.05). And there was an improvement in cough and sputum evacuation ability, hope and exercise self-efficacy outcomes in the intervention group, with a statistically significant difference between the two groups (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>The active cycle of breathing techniques based on Hope Theory education can improve cough and sputum evacuation ability, hope index, exercise self-efficacy, and exercise adherence of COPD patients.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142097989","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}
引用次数: 0
Effects of a nurse-led aftercare telehealth programme on sleep and psychological outcomes of adult burn survivors: A randomized controlled trial 护士主导的烧伤后护理远程保健计划对成年烧伤幸存者睡眠和心理结果的影响:随机对照试验
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-08-22 DOI: 10.1016/j.apnr.2024.151840
{"title":"Effects of a nurse-led aftercare telehealth programme on sleep and psychological outcomes of adult burn survivors: A randomized controlled trial","authors":"","doi":"10.1016/j.apnr.2024.151840","DOIUrl":"10.1016/j.apnr.2024.151840","url":null,"abstract":"<div><h3>Introduction</h3><p>Burn survivors often experience a plethora of post-burn residual needs following their discharge including psychological issues and poor sleep. These needs are often overlooked with a significant focus on resolving physical issues. Aftercare support is particularly limited. The emergence of the Coronavirus pandemic worsened the situation as burn survivors were unable to return to utilise available services outpatient basis. Thus, an innovative nurse-led aftercare programme was developed and delivered via WeChat social medial platform. The current study sought to examine the effects of the intervention on anxiety, depression, and sleep pattern among adult burn survivors.</p></div><div><h3>Methods</h3><p>This is a randomised controlled trial. Sixty adult burn survivors were randomly assigned to intervention and control groups. Participants in the intervention group received the nurse-led aftercare programme which involved pre-discharge support and active follow-up on WeChat over an 8-week period and an additional 4 weeks to examine the sustained effects of the intervention. Data were collected at three timepoints: baseline (T0), post-intervention (T1), and follow-up (T2). Generalised estimating equation was employed to ascertain the group, time, and interaction effects.</p></div><div><h3>Results</h3><p>Using Bonferroni corrected <em>p</em> value (0.017), Anxiety and depression improved at T1 and sustained at T2 with mean scores demonstrating a reduction in both variables and total score. No statistically significant improvement was however observed regarding sleep.</p></div><div><h3>Conclusion</h3><p>Continuous, comprehensive support is required by burn survivors following discharge to improve psychological outcomes. Delivering aftercare via WeChat should be considered a feasible option to supporting burn survivors following discharge.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048142","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}
引用次数: 0
Development and effects of the PARENT (Parenting Acceptable Real Empathy Nurture Training) program for mothers who defected from North Korea 针对朝鲜叛逃母亲的 PARENT(父母可接受的真正移情培育培训)计划的发展和效果
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-08-20 DOI: 10.1016/j.apnr.2024.151839
{"title":"Development and effects of the PARENT (Parenting Acceptable Real Empathy Nurture Training) program for mothers who defected from North Korea","authors":"","doi":"10.1016/j.apnr.2024.151839","DOIUrl":"10.1016/j.apnr.2024.151839","url":null,"abstract":"<div><h3>Aim and background</h3><p>North Korean refugee mothers struggle with the two-fold burden of adaptation and parenting in a new environment. This study aimed to develop and examine the effects of a parenting program for North Korean refugee mothers.</p></div><div><h3>Methods</h3><p>This quasi-experimental study was conducted with 65 North Korean refugee mothers who were recruited through the Korea Hana Foundation Center and Sajowi. The experimental and control groups comprised 33, 32 participants respectively. A program was conducted across eight sessions, each lasting about 90–120 min. The data were analyzed using the χ<sup>2</sup> test, independent <em>t</em>-test, and paired t-test.</p></div><div><h3>Results</h3><p>Significant differences were observed in the parenting efficacy (<em>t</em> = −10.03, <em>p</em> &lt; .001) and child related stress (sub domain-parenting stress) (<em>t</em> = 3.24, <em>p</em> = .002) scores. While intergroup differences were observed for parenting efficacy (<em>t</em> = 5.48, <em>p</em> &lt; .001), no significant differences were observed for parenting stress (parent related) (<em>t</em> = −0.22, <em>p</em> = .825) and parent–child relationship (<em>t</em> = 0.87, <em>p</em> = .387) and no intergroup differences were observed for parenting stress (<em>t</em> = −1.10, <em>p</em> = .274) and parent–child relationship (<em>t</em> = 1.06, <em>p</em> = .290).</p></div><div><h3>Conclusion</h3><p>This study is significant to the field of nursing because North Korean refugee mothers who needed parenting education have high parental efficacy scores after intervention, which expresses confidence in parenting. This study proposed a parenting education intervention framework focusing on emotional empathy for North Korean refugee mothers who want to provide healthy parenting despite the challenges they encounter as immigrants, which will improve their confidence in parenting. It can serve as a source of basic data for designing parenting education intervention frameworks for refugees in the future.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048141","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}
引用次数: 0
The effect of virtual reality glasses on pain and patient satisfaction in arteriovenous fistula cannulation procedure 虚拟现实眼镜对动静脉瘘插管术中疼痛和患者满意度的影响
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-08-17 DOI: 10.1016/j.apnr.2024.151841
{"title":"The effect of virtual reality glasses on pain and patient satisfaction in arteriovenous fistula cannulation procedure","authors":"","doi":"10.1016/j.apnr.2024.151841","DOIUrl":"10.1016/j.apnr.2024.151841","url":null,"abstract":"<div><h3>Aims</h3><p>To determine the effect of virtual reality glasses intervention on pain, vital signs, and patient satisfaction of hemodialysis patients undergoing AVF catheter puncture.</p></div><div><h3>Design</h3><p>Randomized controlled study.</p></div><div><h3>Methods</h3><p>The study was conducted in 60 patients receiving dialysis treatment in the HD unit of a public hospital in Turkey. The data were collected via the “Patient Identification Form”, “Visual Analog Scale/VAS” and “Hemodynamics Variables Inspection Form”. The patients in the experiment group watched videos through the virtual reality glasses for totally 5 minutes in average, 2 minutes before the AVF cannulation process and 3 minutes during the process. No intervention was applied to the patients in the control group other than the normal nursing interventions in the HD unit.</p></div><div><h3>Results</h3><p>In the intra-group comparisons, the 2nd and 3rd measurement average pain level scores of the patients with in the experimental group were determined to be statistically significantly lower compared to their 1st measurement (<em>p</em> &lt; 0.05); the 3rd measurement average pain level scores of the control group were determined to be statistically significantly lower compared to their 1st and 2nd measurements (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>It was determined that the virtual reality glasses decreased the pain that emerges during the AVF cannulation process and increased the patient satisfaction level. It is suggested that the virtual reality glasses should be used by the nurses in the HD unit since it is easily applicable in coping with pain in the patients and since it is an invasive method.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121734","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}
引用次数: 0
The effect of an educational intervention on perioperative registered nurse's knowledge, attitudes, and behaviors towards pressure injury prevention in surgical patients 教育干预对围术期注册护士预防手术患者压伤的知识、态度和行为的影响
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-07-26 DOI: 10.1016/j.apnr.2024.151838
{"title":"The effect of an educational intervention on perioperative registered nurse's knowledge, attitudes, and behaviors towards pressure injury prevention in surgical patients","authors":"","doi":"10.1016/j.apnr.2024.151838","DOIUrl":"10.1016/j.apnr.2024.151838","url":null,"abstract":"<div><h3>Background</h3><p>Pressure injuries continue to be a significant problem in perioperative patients. Surgical patients are particularly at risk due to lack of mobility and sensation during surgery and the early recovery period. The AORN (2024) recommends that healthcare organizations develop a comprehensive prevention program that includes risk assessment, prevention, and education.</p></div><div><h3>Objectives</h3><p>To measure the effect of an educational intervention on perioperative nurses' knowledge, attitudes, and behaviors towards pressure injury prevention after one week and again after six months.</p></div><div><h3>Methods</h3><p>Nurse's knowledge, attitudes, and behaviors were measured at three different time periods using quantitative nonexperimental pretest posttest longitudinal design. Three hundred fifty-four perioperative registered nurses from 11 acute care hospitals participated.</p></div><div><h3>Results</h3><p>Nurses' knowledge scores were in the moderate range. Statistically significant differences were found between pre-test and posttest 1 scores, indicating that knowledge improved after nurses completed the education intervention and information was retained six months after. Nurses' attitudes were neither positive nor negative towards pressure injury prevention. Regarding behavior, the majority of nurses reported carrying out pressure injury prevention strategies, however only half reported carrying out daily risk assessment strategies.</p></div><div><h3>Conclusions</h3><p>To prevent pressure injury in perioperative patients, it is imperative that guidelines for the prevention of perioperative pressure injury (AORN, 2024) are integrated into nursing practice.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850938","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}
引用次数: 0
Needed competence for registered nurses working at a patient-centred telehealth service aimed to engage and empower people living with COPD: A five-month participatory observational study 在以患者为中心的远程医疗服务机构工作的注册护士需要具备的能力:一项为期五个月的参与式观察研究,旨在吸引慢性阻塞性肺病患者并增强其能力
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-07-22 DOI: 10.1016/j.apnr.2024.151828
{"title":"Needed competence for registered nurses working at a patient-centred telehealth service aimed to engage and empower people living with COPD: A five-month participatory observational study","authors":"","doi":"10.1016/j.apnr.2024.151828","DOIUrl":"10.1016/j.apnr.2024.151828","url":null,"abstract":"<div><h3>Background</h3><p>The global population of older aged 65 and over is increasing, which means an increase in people living with long-term health conditions and multimorbidity. Implementing new digital health technologies enables increased patient empowerment and responsibility, and the ability to respond to changes in their condition themselves, with less involvement of healthcare professionals. Important parameters need to be addressed for this digitally enabled empowerment to be successful, these include increased individual and organizational health literacy, the establishment of joint decision-making activities among patients and healthcare professionals, and efforts that target the individual's ability to manage their condition, which include education to increase skills and providing technology for self-monitoring.</p></div><div><h3>Objective</h3><p>To identify needed competencies of digital healthcare professionals to be able to provide the needed services to service users with chronic obstructive pulmonary disease in a 24/7 digital healthcare service.</p></div><div><h3>Method</h3><p>Five registered nurses' work was observed weekly for five months. In total 13 participatory observations were conducted. Data from the observations was transcribed and analysed through inductive content analysis.</p></div><div><h3>Results</h3><p>Five main categories were identified in the analysis; 1) tasks, 2) communication, 3) the relationships between the registered nurses, 4) service users, and 5) technology. These categories contain different competencies needed for registered nurses working in a digitalized healthcare system.</p></div><div><h3>Conclusions</h3><p>Future digital healthcare professionals will require several competencies, to be able to deliver proper care in a digital health community that goes beyond traditional healthcare competencies, including social, technological, and communication skills.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0897189724000661/pdfft?md5=d2fee3dd21b9eea4bee204d0cc263446&pid=1-s2.0-S0897189724000661-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853829","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}
引用次数: 0
Nurses' experience with patient deterioration and rapid response teams 护士对病人病情恶化和快速反应小组的体验
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-07-14 DOI: 10.1016/j.apnr.2024.151823
{"title":"Nurses' experience with patient deterioration and rapid response teams","authors":"","doi":"10.1016/j.apnr.2024.151823","DOIUrl":"10.1016/j.apnr.2024.151823","url":null,"abstract":"<div><h3>Background</h3><p>While timely activation and collaborative teamwork of Rapid Response Teams (RRTs) are crucial to promote a culture of safety and reduce preventable adverse events, these do not always occur. Understanding nurses' perceptions of and experiences with RRTs is important to inform education and policy that improve nurse performance, RRT effectiveness, and patient outcomes.</p></div><div><h3>Aim</h3><p>The aim of this study was to explore nurse perceptions of detecting patient deterioration, deciding to initiate RRTs, and experience during and at conclusion of RRTs.</p></div><div><h3>Methods</h3><p>A qualitative descriptive study using semi-structured focus group interviews was conducted with 24 nurses in a Chicago area hospital. Interviews were audio-recorded, transcribed verbatim, and coded independently by investigators. Thematic analysis identified and organized patterns of meaning across participants. Several strategies supported trustworthiness.</p></div><div><h3>Results</h3><p>Data revealed five main themes: identification of deterioration, deciding to escalate care, responsiveness of peers/team, communication during rapid responses, and perception of effectiveness.</p></div><div><h3>Conclusions</h3><p>Findings provide insight into developing a work environment supportive of nurse performance and interprofessional collaboration to improve RRT effectiveness. Nurses described challenges in identification of subtle changes in patient deterioration. Delayed RRT activation was primarily related to negative attitudes of responders and stigma. RRT interventions were often considered a temporary fix leading to subsequent RRTs, especially when patients needing a higher level of care were not transferred. Implications include the need for ongoing RRT monitoring and education on several areas such as patient hand-off, RRT activation, nurse empowerment, interprofessional communication, role delineation, and code status discussions.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0897189724000612/pdfft?md5=c0a19f18c7518f66efd6f1ef3219b291&pid=1-s2.0-S0897189724000612-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690151","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}
引用次数: 0
The impact of exclusive breastfeeding on breastfeeding duration 纯母乳喂养的程度决定母乳喂养的持续时间
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-07-14 DOI: 10.1016/j.apnr.2024.151824
{"title":"The impact of exclusive breastfeeding on breastfeeding duration","authors":"","doi":"10.1016/j.apnr.2024.151824","DOIUrl":"10.1016/j.apnr.2024.151824","url":null,"abstract":"<div><h3>Background</h3><p>While breastfeeding is globally recommended, its duration still represents a public health issue.</p></div><div><h3>Aim</h3><p>To examine the association between the period of exclusive breastfeeding (EBF) and the duration of overall human milk nutrition, and to identify determinants associated with the duration of EBF and overall human milk nutrition length.</p></div><div><h3>Study design</h3><p>The presented study is a cross-sectional study. A total of 209 healthy Polish women of Caucasian origin, aged 19–42 years, who were the mother of a child aged 3–12 months, were enrolled in the study. Data were collected from 2018 to 2020 using an anonymous questionnaire. Statistical analyses included one way ANOVA and liner regression.</p></div><div><h3>Results</h3><p>After birth almost all newborns were exclusively breastfed (96.7 %), but the supply of mother's milk declined as the children's ages increased. The duration of breastfeeding is strongly associated with EBF, especially until the child is six months old (<em>p</em> &lt; 0.001). Mother's breastfeeding self-efficiency and her will for breastfeeding, comfortable latch, younger infant age, avoiding of a pacifier and excluding additional food may explain 36 % of variation of EBF duration (<em>p</em> &lt; 0.001) and could be useful information for exclusive breastfeeding support.</p></div><div><h3>Conclusions</h3><p>The practice of exclusive breastfeeding strongly affects overall breastfeeding duration. The promotion of exclusive breastfeeding, rather than of overall breast milk supply, is crucial.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141700451","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}
引用次数: 0
Perceptions on Medication Administration Errors (MAEs) among nurses at a tertiary government hospital 一家三级政府医院的护士对用药错误(MAEs)的看法
IF 2.7 4区 医学
Applied Nursing Research Pub Date : 2024-07-14 DOI: 10.1016/j.apnr.2024.151822
{"title":"Perceptions on Medication Administration Errors (MAEs) among nurses at a tertiary government hospital","authors":"","doi":"10.1016/j.apnr.2024.151822","DOIUrl":"10.1016/j.apnr.2024.151822","url":null,"abstract":"<div><h3>Aim</h3><p>To identify the nurses' perceptions on the occurrence of Medication Administration Errors (MAEs) and barriers to reporting using the MAE Reporting Survey.</p></div><div><h3>Background</h3><p>MAEs is a serious public health threat that causes patient injury, death, and results to expensive health care.</p></div><div><h3>Methods</h3><p>Descriptive statistical analysis.</p></div><div><h3>Results</h3><p>The most frequent reasons for MAEs according to the nurses were physicians' medication orders are not legible (4.67 ± 1.21) and unit staffing levels are inadequate (4.63 ± 1.45). The most frequent reason for unreported MAEs were when med errors occur, nursing administration focuses on the individual rather than looking at the systems as a potential cause of the error (4.95 ± 4.33) and nurses could be blamed if something happens to the patient as a result of the medication error (4.29 ± 1.48). The highest prevalent non-IV related MAEs included wrong time of administration (M = 3.02 ± 2.37) and medication administered after the order to discontinue has been written (M = 2.60 ± 2.11), both with 0–20 % of reported non-IV MAEs. The highest prevalent IV related MAEs included wrong time of administration (M = 2.76 ± 2.29) and medication administered after the order to discontinue has been written (M = 2.45 ± 2.01). More than half (n = 95, % = 54.29) of the respondents stated that 0–20 % of all types of medication errors, including IV and non-IV medication errors are reported.</p></div><div><h3>Conclusions</h3><p>The findings supported the notion that nurses perceive low percentages of MAEs reporting.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141699575","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}
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