Applied Nursing Research最新文献

{"title":"Attitudes and beliefs of nurses who choose to not vaccinate for COVID 19 in West Virginia: A qualitative study","authors":"Roger Carpenter,&nbsp;Heather Carter-Templeton,&nbsp;Brad Phillips,&nbsp;Billie Vance,&nbsp;Asa Charnik","doi":"10.1016/j.apnr.2024.151825","DOIUrl":"10.1016/j.apnr.2024.151825","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to describe beliefs and attitudes that underpin vaccine confidence and hesitancy in nurses who chose not to vaccinate for COVID-19. The research question that guided this work was: <em>What are the beliefs and attitudes of nurses who chose to not vaccinate for COVID-19?</em></p></div><div><h3>Methods</h3><p>This study followed a focus group methodology to collect qualitative data from focused discussions to gather insights into the beliefs and attitudes of participants. Two focus groups consisting of 3 to 5 participants were conducted virtually.</p></div><div><h3>Results</h3><p>Using open coding, six themes were generated. Based on descriptors provided by participants, two themes were focused on beliefs, and four were related to attitudes about the vaccine. Findings suggest that participants' beliefs and attitudes were strengthened during this time in the pandemic. This event further divided nurses included in this study from their peers who chose to vaccinate and their employers who mandated inoculation.</p></div><div><h3>Conclusions</h3><p>Understanding the perceptions of this sample has given insight into the thoughts and feelings of nurses who chose not to vaccinate against COVID-19. This is a perspective that is often absent from scientific literature. Knowledge gained from this study may assist in supporting strategies such as open communication, conflict resolution, and collaboration in an effort to mitigate the divide within the nursing workforce, which may ultimately contribute to nursing retention in clinical settings.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151825"},"PeriodicalIF":2.7,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638371","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":"Emotional health screening of mothers, preliminary validation of a 3-item instrument: A research brief","authors":"Jessica Appleton ,&nbsp;Nicole Reilly ,&nbsp;Cathrine Fowler ,&nbsp;Doug Elliott ,&nbsp;Elizabeth Denney-Wilson","doi":"10.1016/j.apnr.2024.151812","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151812","url":null,"abstract":"<div><p>A number of countries now recommend population-wide depression screening for perinatal women, using validated tools. A stepped-approach to screening – involving universal screening with a brief measure, followed by targeted screening using a longer measure for those women identified as at greater risk – is used in some settings. This brief report describes the test performance characteristics of a 3-item mood screening instrument, developed for use within a digital parenting program. Participants (<em>n</em> = 404) in this cross-sectional study were mothers of children aged up to 3 years. The majority (65.5 %) were first-time mothers, and their mean age was 32.8 years. Data were collected using an online survey. The test performance of the brief 3-item mood screening instrument (possible score range = 0–300) was examined using Receiver Operating Characteristic (ROC) analysis, with a score of 13 or more on the Edinburgh Postnatal Depression Scale (EPDS) used as the reference standard. The mood screening instrument demonstrated excellent range when compared to the reference standard. Optimal balance between sensitivity (0.77) and specificity (0.78), was achieved at a cut-point of 160 or less. Analysis was limited by using only the EPDS as the reference standard. This preliminary data supports the use of this 3-item mood screening instrument to screen for postnatal depression symptoms and may be integrated into a mobile Health or online tool. Future research should examine the test performance of the 3-item mood screening instrument against a diagnostic tool.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151812"},"PeriodicalIF":2.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0897189724000508/pdfft?md5=5c1e0569cd1069bd63e963812d2b23b2&pid=1-s2.0-S0897189724000508-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540914","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 implementation study of nurses’ work related low back pain prevention and care guideline: A quasi-experimental study","authors":"Shizheng Du R.N., Ph.D, Associate professor ,&nbsp;Yan Hu Ph.D, Professor, FAAN ,&nbsp;Yingfeng Zhou R.N., Ph.D, Professor ,&nbsp;Weijie Xing R.N., Ph.D, Associate professor ,&nbsp;Zheng Zhu R.N., Ph.D, Associate professor ,&nbsp;Aifeng Meng R.N., Professor ,&nbsp;Xiaoxu Zhi R.N., Associate professor ,&nbsp;Gaoyue Dong R.N., Associate professor ,&nbsp;Changmin Mao R.N., Associate professor","doi":"10.1016/j.apnr.2024.151818","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151818","url":null,"abstract":"<div><h3>Aim</h3><p>To understand the implementation process and outcomes of nurses' work related low back pain (WLBP) prevention and care guideline.</p></div><div><h3>Background</h3><p>WLBP is a common occupational injury for clinical nurses. We developed the first evidence-based guideline of nurses' WLBP prevention and care of its kind both at home and abroad, and it is necessary for us to explore its feasibility, appropriateness and effectiveness in practice.</p></div><div><h3>Methods</h3><p>Based on the model of the integrated Promoting Action on Research Implementation in Health Services, we performed a four-phase implementation study in a tertiary hospital. The study was a non-randomized concurrent controlled trial design，and multilevel measures were examined including implementation outcomes and clinical outcomes.</p></div><div><h3>Results</h3><p>For the implementation outcomes, the tailored recommendations of the guideline were found to be acceptable, appropriate, feasible, and well adopted both at the unit level and the hospital level. The clinical outcomes indicated that, compared with the control unit, nurses of the treatment unit performed better in awareness, knowledge, practice of WLBP prevention and care.</p></div><div><h3>Conclusions</h3><p>The implementation study supports the successful application of the guideline, which can serve as a valuable evidence-based document to improve back health of nursing personnel.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151818"},"PeriodicalIF":2.7,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539823","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":"Experience of violence, social support, nursing practice environment, and burnout on mental health among mental health nurses in South Korea: A structural equation modeling analysis","authors":"Jung Suk Park RN, PhD, Director of Nursing ,&nbsp;Hee Kyung Kim RN, PhD, Assistant Professor ,&nbsp;Mihyoung Lee RN, PhD, Professor Emeritus","doi":"10.1016/j.apnr.2024.151819","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151819","url":null,"abstract":"<div><h3>Aims</h3><p>This study examined the relationship between the experience of violence, social support, nursing practice environment, and mental health among South Korean mental health nurses.</p></div><div><h3>Methods</h3><p>Structured questionnaires were distributed to participants who worked in twelve mental health hospitals, each with at least 200 beds, in South Korea. We analyzed 243 questionnaires and used AMOS 25.0 to explore the relationships between the constructs.</p></div><div><h3>Results</h3><p>The total and indirect effects of the experience of violence and of social support on mental health were significant. The effects of burnout and of the nursing practice environment on mental health were positively significant. Burnout revealed a mediating association with the relationship between the experience of violence, social support, and mental health.</p></div><div><h3>Conclusion</h3><p>The study confirmed that the experience of violence negatively affects burnout among mental health nurses, while social support relieves burnout and strengthens mental health.</p></div><div><h3>Implementation</h3><p>Our research model shows that the experience of violence could affect burnout and mental health among mental health nurses. Therefore, nursing administrators should develop violence prevention policies and manuals for coping with the violence that can frequently occur in psychiatric wards.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151819"},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540912","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":"Quality of life of patients after kidney transplant: ADHERE Brazil multicenter cross-sectional study","authors":"Aline R.F. Almeida ,&nbsp;Fabiane R.S. Grincenkov ,&nbsp;Fernando A.B. Colugnati ,&nbsp;José O. Medina-Pestana ,&nbsp;Sabina De Geest ,&nbsp;Helady Sanders-Pinheiro ,&nbsp;On behalf of ADHERE Brazil Study Team","doi":"10.1016/j.apnr.2024.151815","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151815","url":null,"abstract":"<div><h3>Background</h3><p>Quality of life (QoL) is a measure to evaluate kidney transplant (KT) results.</p></div><div><h3>Aim</h3><p>To describe the QoL profile in a larger sample of Brazilian patients who underwent KT according to age, sex, and access to KT.</p></div><div><h3>Methods</h3><p>We conducted a secondary data analysis of the ADHERE BRAZIL multicenter cross-sectional study including 1105 patients from 20 centers, considering KT access region and transplant activity. QoL was assessed by the WHOQOL-BREF. Data was compared using Generalized Estimating Equations.</p></div><div><h3>Results</h3><p>Overall, 58.5 % of the patients were men, mean age of 47.6 ± 12.6 years. The general QoL score was 81 ± 15.1, 58.6 ± 11.6 for physical, 65.5 ± 11.4 for psychological, 68.3 ± 17.1 for social relationships, and 64.2 ± 13.3 for environmental domain. Higher QoL scores were observed in men compared to women in three WHOQOL-BREF domains: psychological (OR:2.62; CI, 1.29 ̶ 3.95, <em>p</em> &lt; 0.0001), social relationships (OR:3.21; CI, 1.2 ̶ 5.23, <em>p</em> = 0.002) and environmental (OR:3.79; CI:2.23 ̶ 5.35, p &lt; 0.0001). Younger patients (18–44 years) had higher scores in the psychological (OR:-2.69; CI, −4.13 ̶ -1.25; <em>p</em> &lt; 0.001; OR:-3.52; CI, −5.39 ̶ -1.66; p &lt; 0.001) and social (OR:-3.46; CI, −5.64 ̶ -1.27; p = 0.002; OR:-7.17; CI, −10 ̶ -4.35; p &lt; 0.0001) domains than older ones (45–59 and &gt; 60 years, respectively). Patients from higher KT access region had higher scores in environmental domain (OR:3.53; CI, 0.28 ̶ 6.78; <em>p</em> = 0.033).</p></div><div><h3>Conclusions</h3><p>Featuring the results of KT under patient view, the physical and social relationships domains were the most and least affected, respectively. Lower QoL subgroups (females and age &gt; 45 years) should be targeted in future multi-professional interventions.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151815"},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540915","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":"Self-care behaviors and their individual-level determinants in Italian adults with Marfan syndrome: A single-center cross-sectional study","authors":"Nathasha Udugampolage ,&nbsp;Rosario Caruso ,&nbsp;Arianna Magon ,&nbsp;Gianluca Conte ,&nbsp;Edward Callus ,&nbsp;Federica Dellafiore ,&nbsp;Francesco Pittella ,&nbsp;Cristina Arrigoni ,&nbsp;Jacopo Taurino ,&nbsp;Alessandro Pini","doi":"10.1016/j.apnr.2024.151821","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151821","url":null,"abstract":"<div><h3>Aim</h3><p>This study aimed to describe the levels of self-care behaviors and self-care self-efficacy in patients with Marfan syndrome and to identify the individual-level determinants of self-care behaviors.</p></div><div><h3>Background</h3><p>The behaviors aimed at maintaining health stability (self-care maintenance), monitoring signs and symptoms (self-care monitoring), and taking action when signs and symptoms occur (self-care management) are key aspects of the care for addressing the complexity of care of patients with Marfan syndrome. However, the description of self-care behaviors and their determinants in patients with Marfan syndrome are highly under-described.</p></div><div><h3>Methods</h3><p>The adopted design was descriptive observational with a cross-sectional data collection on 111 patients with MFS in a single Italian specialized and reference center for this disease between 2020 and 2021.</p></div><div><h3>Results</h3><p>Performing healthy activities and managing illness, therapies, and follow-ups to maintain health over time (self-care maintenance) was almost adequate (mean score = 67.87 ± 13.17), as well as the ability to recognize signs and symptoms promptly (self-care monitoring, mean score = 67.95 ± 26.70). The ability to respond to symptoms when they occur (self-care management, mean score = 54.17 ± 19.94) was sub-optimal. The stronger positive predictor of each self-care behavior was self-care self-efficacy.</p></div><div><h3>Conclusions</h3><p>This study suggested prioritizing educational activities focused on enhancing self-care management in patients with Marfan syndrome and strengthening their self-care self-efficacy. Researchers should develop and validate evidence-based educational approaches to enhance self-care in patients with Marfan syndrome, and clinical nurses should strengthen their focused educational activities to improve the self-care management of these patients.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151821"},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481735","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":"Patient-centered care for mental health in patients with heart failure in the intensive care unit: A systematic review","authors":"Hye Jin Yoo ,&nbsp;Namhee Kim ,&nbsp;Min Kyung Park","doi":"10.1016/j.apnr.2024.151814","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151814","url":null,"abstract":"<div><h3>Aim</h3><p>To assess basic data for developing appropriate interventions by examining the effects of patient-centered care (PCC) on the mental health of patients with heart failure in the intensive care unit (ICU).</p></div><div><h3>Background</h3><p>Patients with heart failure are frequently admitted to ICUs, and ICU stays are associated with prolonged mental health problems.</p></div><div><h3>Methods</h3><p>We conducted a systematic review using the CINAHL, Cochrane Library, Embase, MEDLINE, PsycINFO, and gray literature databases. Inclusion criteria were studies with participants aged ≥18 years with heart failure in the ICU who received a PCC intervention, and studies that described the outcomes for mental health problems. Data were extracted from five selected studies published after 2020 and analyzed.</p></div><div><h3>Results</h3><p>PCC is classified into three areas: comprehensive nursing, multidisciplinary disease management, and targeted motivational interviewing with conventional nursing. The two specific areas of focus for PCC regarding mental health were integrated mental healthcare and specific psychological nursing. Specific psychological nursing comprised relationship building, therapeutic communication, relaxation and motivational techniques, active therapeutic cooperation, psychological status evaluation, music therapy, and environmental management.</p></div><div><h3>Conclusions</h3><p>This review provides a distinctive understanding of multidisciplinary and multicomponent PCC interventions for patients with heart failure in the ICU as an effective approach for improving their mental health. Future PCC intervention strategies aimed at patients with heart failure in the ICU should consider their preferences and family participation.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151814"},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539822","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":"Factors affecting stroke pre-hospital delay behavioral intention among community residents: A path analysis","authors":"Yibing Tan ,&nbsp;Xinglan Sun ,&nbsp;Fengyin Qin ,&nbsp;Yefeng Cai","doi":"10.1016/j.apnr.2024.151820","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151820","url":null,"abstract":"<div><h3>Background</h3><p>Pre-hospital delay is the major cause of stroke treatment delay, and behavioral intention is considered to be the most direct predictor of behavior. Therefore, to effectively reduce stroke pre-hospital delay, it is essential to further understand the relationship between stroke pre-hospital delay intention (SPDBI) and its social-psychological influencing factors, namely personality traits, social support and coping style.</p></div><div><h3>Aim</h3><p>This study aims at examining the relationships among personality traits, coping style, social support, and SPDBI.</p></div><div><h3>Methods</h3><p>A cross-sectional, self-administered questionnaire was distributed to 845 residents. The content of the questionnaire included demographic information, the knowledge of “Stroke 120”, Ten-Item Personality Inventory-Chinese version, Simplified Coping Style Questionnaire, Perceived Social Support Scale and SPDBI Scale. Path analysis was used to investigate the relationship among SPDBI and its psychosocial influencing factors.</p></div><div><h3>Results</h3><p>The final path model showed a good fit to the data (χ²/df = 2.981, RMSEA = 0.048, GFI = 0.936, CFI = 0.941). Extroversion (<em>β</em> = 0.106), positive coping (<em>β</em> = −0.110), negative coping (<em>β</em> = 0.150) and the knowledge of “Stroke 120” (<em>β</em> = −0.152) had only direct effects on SPDBI. While agreeableness (<em>β</em> = 0.113), openness (<em>β</em> = −0.121) and social support (<em>β</em> = −0.118) had direct effects on SPDBI, they also had indirect effects (<em>β</em> = −0.009; −0.022; −0.049) on SPDBI though positive coping.</p></div><div><h3>Conclusions</h3><p>Adequate social support and positive coping of health threat may reduce residents' SPDBI. Meanwhile, the interventions to reduce SPDBI should take personality differences into consideration.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151820"},"PeriodicalIF":2.7,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540913","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":"Adaptation of SafeCare, an evidence-based parenting program, for caregivers of infants in the neonatal intensive care unit","authors":"Rachel Culbreth PhD, MPH ,&nbsp;Shannon Self-Brown PhD ,&nbsp;Regena Spratling PhD, APRN, RN ,&nbsp;Claire A. Spears PhD ,&nbsp;Melissa C. Osborne PhD, MPH ,&nbsp;Bernadette Mazurek Melnyk PhD, APRN-CNP, FAANP, FNAP, FAAN","doi":"10.1016/j.apnr.2024.151817","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151817","url":null,"abstract":"<div><h3>Background</h3><p>While there are several parenting programs for NICU caregivers, no studies, to our knowledge, have developed parenting programs aimed at preventing child maltreatment that specifically address these parental factors: <em>parental stress</em>, <em>parental self-efficacy</em>, and <em>positive parent-infant interaction</em>.</p></div><div><h3>Objectives</h3><p>The objectives of this study were to: 1) Identify adaptations and/or augmentations needed to optimize SafeCare® for NICU caregivers, and 2) Examine the acceptability and preliminary effects of the adapted SafeCare NICU (SCNC) program with NICU caregivers.</p></div><div><h3>Methods</h3><p>This study consisted of two phases: formative (phase one) and pilot (phase two). For phase one, 5 NICU former caregivers and 5 NICU staff were interviewed to make relevant, NICU-specific adaptations for SCNC. Phase two consisted of a pilot study, where 13 current NICU caregivers were enrolled in the adapted SCNC program. Outcomes included acceptability and preliminary effects of parental stress, parental self-efficacy, and parent-infant interaction.</p></div><div><h3>Results</h3><p>Adaptations to SafeCare consisted of adding a pre-session to discuss individualized experiences, incorporation of adjusted developmental milestones, a NICU-specific resource sheet, and individualized adaptations to activities based on relevant medical concerns. Out of the 13 participants, 8 completed SCNC (61.5 % retention rate). Participants indicated significant reductions in stress after SCNC (Parental stress index score = 61.7) compared to baseline (79.2, <em>p</em> = 0.02). Among participants who completed SCNC (n = 8), all stated they supported this program for implementation among NICU caregivers.</p></div><div><h3>Discussion</h3><p>The adapted SCNC demonstrated acceptability among NICU caregivers.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151817"},"PeriodicalIF":2.7,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141540955","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":"Is there a relationship between nurses' hand hygiene beliefs, practices and ethical sensitivity?","authors":"Pervin Sahiner Assistant Professor, PhD","doi":"10.1016/j.apnr.2024.151813","DOIUrl":"https://doi.org/10.1016/j.apnr.2024.151813","url":null,"abstract":"<div><h3>Background</h3><p>Hand hygiene is the most important way to prevent health care-associated infections. It is important for all nurses that come in physical contact with patients the most to follow hand hygiene rules.</p></div><div><h3>Aim</h3><p>This study aimed to determine the relationship between nurses' hand hygiene beliefs and practices and their ethical sensitivity.</p></div><div><h3>Method</h3><p>This descriptive and cross-sectional study was conducted with nurses working in internal medicine, surgery and intensive care clinics of a university hospital between June and August 2022. A total of 350 nurses participated in the study. A Personal Information Form, the Ethical Sensitivity Questionnaire (ESQ), the Hand Hygiene Practice Inventory (HHPI), and the Hand Hygiene Beliefs Scale (HHBS) were used for data collection.</p></div><div><h3>Results</h3><p>Findings support that nurses have moderate ethical sensitivity (88.36 ± 26.33), good hand hygiene beliefs (85.60 ± 9.21) and practice (66.14 ± 5.90). Despite there being no statistical significance in evaluating the relationship between hand hygiene practice and ethical sensitivity (<em>p</em> = 0.253, <em>r</em> = −0.061), there was a statically significant inverse relationship between hand hygiene beliefs and ethical sensitivity (<em>p</em> = 0.001, <em>r</em> = −0.172). The hand hygiene compliance score of the nurses who received only ethics training after nursing school (<em>p</em> = 0.000); the hand hygiene belief (<em>p</em> = 0.011) and hand hygiene practice (<em>p</em> = 0.007) scores of those who received both ethics and hand hygiene training were higher.</p></div><div><h3>Conclusions</h3><p>It can be said that the ethical sensitivity of nurses does not affect their hand hygiene practices, and the hand hygiene and ethics education they receive after school education increases their hand hygiene beliefs and practices.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"78 ","pages":"Article 151813"},"PeriodicalIF":2.7,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141607352","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}